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Starting an exercise program
Before beginning an exercise program, get your doctor's clearance. A medical OK is absolutely imperative if you are 35 or older or have had diabetes for 10 years or more. Your blood glucose must be adequately controlled at the outset to produce the desired results.
An exercise program should be individually tailored and designed to complement your lifestyle. Many factors--such as the time of day you exercise or the type and duration of your exercise--will determine whether adjustments should be made in your insulin dose or your meal plan. Discuss your exercise program with your exercise physiologist to determine the type of adjustments you need to make.
Some tips on exercise:
- If you are over 35, you may need a stress test before beginning to exercise regularly.
- Test your blood glucose before and after exercise.
- Do not exercise if blood glucose is over 250 mg/dl and there are ketones in your urine. If no ketones are present, do not exercise if blood glucose is 300 mg/dl or more.
- Plan exercise to prevent low blood glucose reactions. That means you want to exercise one to 1½ hours after eating, check blood glucose before and after exercise, always carry a carbohydrate snack with you (glucose tablets, juice, etc.), and drink plenty of fluids.
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