I had an IDEA
This past week, I attended the IDEA Health and Fitness Association's 2005 Personal Trainer Conference in New York City. My wife Kim is a personal trainer and fitness instructor at a local club. She attended the conference to continue her education. I attended because it featured a presentation on training diabetic clients. I was hoping to gain some valuable information for my own use in training. The presentation was fairly general which is understandable. Most personal trainers need education in the disease types and management. I found the overall material basic but did get a few nuggets to share. Those recently diagnosed may find this information useful. Those with some "experience" are probably already aware of the following and I offer it for your consideration. Of course, always consult with doctor to determine the proper guidance for your exercise regimen. Given that caveat, here are some things to consider:
1. Be aware of the insulin you take and when it peaks. In most cases you want to avoid exercise during peak insulin action to help prevent hypoglycemic incidents.
2. Be cognizant of your injection site. If practical, avoid exercising that particular muscle group as insulin uptake will occur more rapidly as the muscles consume glycogen.
3. If you take Beta Blockers, be cautious of hypoglycemia as Beta Blockers tend to mask symptoms.
4. If your exercise is short duration and low to moderate intensity (less than 1 hour) and your blood glucose is:
5. For moderate intensity exercise and your blood glucose is:
6. For Strenuous exercise and your blood glucose level is:
Less than 100mg/dl increase food intake by 50 grams of carbs per hour of exercise and closely monitor your glucose levels. Be sure to include some protein in the additional uptake of food
Always consult your physician and endocrinologist before starting any exercise or training program. The above are general guidelines and will vary by individual. I am a classic example. During strenuous exercise, my glucose will actually increase--very high. It took some trial and error to figure out how to manage it. Basically, I need to time my strenuous exercise to coincide with the peak action of my insulin--which is contraindicated from the above guidelines!! Ain't this a great disease!!
Stay tuned for more from the conference on this subject.