




09
If you suffer from diabetes, you well know that exercise can and should be a part of the comprehensive treatment of both type I and type II diabetes. However, the potential for complications associated with diabetes often means that exercise is neglected, leading to inactivity. Inactivity, in turn, can further affect the complications of diabetes.
According to the American College of Sports Medicine, relatively healthy persons with diabetes can engage in walking, jogging, cycling, cross-country skiing, and similar forms of aerobic activity for 20-60 minutes on 3-5 days per week, with exercise intensity ranging between 60-90% of max heart rate. Recent research also indicates that regular resistance training may be beneficial for patients with diabetes. Therefore, including both cardiovascular and strength training exercise into a weekly fitness regimen may be beneficial for diabetes sufferers.
It is important to note that the possible glucose-altering effects of exercise make close monitoring of blood sugar before, during, and after exercise very important. Because exercise makes the body more sensitive to the way the body responds to insulin, use of an insulin pump for individuals with type I diabetes is recommended in order to closely monitor blood sugar levels.
Before you begin an exercise program, it is important to get the okay from your physician and/or diabetes specialist. Then, follow these tips to ensure that your exercise sessions are safe and effective.
[Sources: ACSM’s Resource Manual for Guidelines for Exercise Testing and Prescription, 4th ed, Lippincott Williams & Wilkins, 2001.
Exercise Physiology, 5th ed, McArdle, Katch, and Katch, Lippincott Williams & Wilkins, 2001
IDEA Fitness Journal, Peggy Kraus, MA, “Working with Diabetic Clients,” Nov-Dec 2007]
04
Who doesn’t like sugar? It’s sweet, and oh so addicting. It provides a quick pick-me-up when you’re in a hurry. It is also one of the biggest reasons you may be having trouble losing weight.
There is an alarming trend among Americans – Did you know we consume 2-3 pounds of sugar consumption per week? It adds inches to your waist and increases your risk of developing diabetes. Hidden in most of the foods you consume, you can easily consume 1 cup of sugar/day without even realizing it. ONE CUP!
Common culprits:
What is even more alarming is the amount of research linking sugar consumption to an array of diseases. Here is the short list (yes, there is a longer list):
Sugar can…
• suppress the immune system.
• contribute to hyperactivity, anxiety, depression, concentration difficulties, and crankiness in children.
• produce a significant rise in triglycerides.
• reduce helpful high density cholesterol (HDLs).
• promote an elevation of harmful cholesterol (LDLs).
• cause hypoglycemia.
• cause kidney damage.
• increase the risk of coronary heart disease.
• interfere with absorption of calcium and magnesium.
• speed the aging process, causing wrinkles and grey hair.
• contribute to weight gain and obesity.
• increase the risk of Crohn’s disease and ulcerative colitis.
• contribute to osteoporosis.
• lead to decreased glucose tolerance.
• cause cardiovascular disease.
• increase systolic blood pressure.
• cause food allergies.
• cause free radical formation in the bloodstream.
• cause toxemia during pregnancy.
• overstress the pancreas, causing damage.
• cause atherosclerosis.
• cause liver cells to divide, increasing the size of the liver.
• increase kidney size and produce pathological changes in the kidney.
• cause depression.
• increase fluid retention.
• cause hormonal imbalance.
• cause hypertension.
• cause headaches, including migraines.
• increase blood platelet adhesiveness which increases risk of blood clots and strokes.
How much sugar is enough?
2-3 teaspoons per day should do it. Even less would be better.
Are you ready to lose a few pounds and improve your overall health? Kick the habit in 7 days! Here’s how:
1. Get in the habit or reading food labels. Note the number of grams of sugar per serving of each food you consume and aim to keep it under 8 grams of sugar per serving or less.
2. Replace snack foods with low-glycemic foods, such as fresh fruit, apples, pears, red grapes, or blueberries. These foods also tend to be high in fiber, which slows digestion down a bit, which helps keep blood sugar levels steady.
3. Add an extra serving of vegetables with your meals in place of one simple starch. Nix white potatoes, french fries, dinner rolls, white bread or refined wheat bread, pasta and white rice and replace them with foods that have a higher nutritional punch (and less sugar). A simple switch: replace white potatoes with sweet potatoes, which are packed with vitamin A and other vital nutrients. Long grain wild rice, quinoa, bulgar, and barley are great substitutes for white rice. If you must have a roll with dinner, choose one made with 100% whole wheat.
4. Eliminate sweetened beverages, such as juice, pop, sweetened coffee/tea. Watch alcohol intake — it has sugar too!
5. Keep a food journal. Logging your daily food intake will shed light on problem foods that you eat every day without really thinking about it.
It will take one to two weeks for you to get used to having less sugar in your diet. At first you may miss the sweet flavor of your favorite foods. Be patient. You’ll soon notice that your taste buds will change. Foods you once thought were bland will taste more sweet than ever. A sweet red pepper, for example, will taste even sweeter. Learn to savor the flavors that naturally accompany fresh produce – - these are nature’s sweet treats.
Need more help getting the sugar out of your diet?
Try reading, “Get the Sugar Out: 501 Simple Ways to Cut the Sugar Out of Any Diet,” by Ann Louise Gittleman, PhD.
Other book recommendations:
23
I just finished reading a really interesting article in the WSJ about type-1 diabetics and participation in high intensity sports. I know – it seems risky, but even as a trainer, I’ve known that such feats were possible with the right training and medical support. In fact, Kris Freeman, an Olympic cross-country skier at the games in Vancouver, was doing a great job while competing – until his sugar plummeted. Still, to see that someone with type-1 diabetes can compete at this level is truly amazing, and inspiring. Obviously, athletes of this caliber train very, very hard, which makes it all the more important to monitor insulin levels while training. Check out the article for the whole story if you wish.
[Sources:
ACSM’s Resource Manual for Guidelines for Exercise Testing and Prescription, 4th ed, Lippincott Williams & Wilkins, 2001.
Exercise Physiology, 5th ed, McArdle, Katch, and Katch, Lippincott Williams & Wilkins, 2001
IDEA Fitness Journal, Peggy Kraus, MA, “Working with Diabetic Clients,” Nov-Dec 2007]
25
According to the latest report from the CDC, roughly 8% of our country’s population has diabetes – an increase of about 3 million over a two year span. The good news: the percentage of people unaware they have diabetes fell by 5%. Read the full story…