.There are some general guidelines that apply to anyone with diabetes who exercises. For instance, it is important for the patient to carry some sort of medical identification. This is particularly important if the patient is exercising alone or away from home. Ideally, patients using insulin or insulin secretgogues should not exercise alone. In this age of technology, if patients have a mobile phone they should consider taking it along. Cell phones should be programmed with an emergency listed as "ICE" (In Case of Emergency) under contacts.
.Another general guideline deals with prevention of dehydration. Everyone who exercises needs to be sure to drink sufficient quantities of water. This is even more important for individuals with diabetes, because dehydration can lead to hyperglycemia. The sensation of thirst is actually diminished during exercise, so people aren't always going to feel the need to drink when they need it most. Hyperglycemia associated with dehydration is a relative condition. Hydration is the treatment. The hyperglycemia will often resolve as soon as the dehydration is corrected.
.For moderate intensity exercise lasting less than 1 hour, water is the best fluid. Water should be ingested before and after exercise and, if needed, during the exercise period. As much as 1 L of water should be ingested as hour or two before exercise and an equal amount should be taken in after the exercise is completed. Depending on the duration of the activity, 1 to 2 cups should be consumed while exercising.
.A third general consideration has to do with shoes, socks and foot care. Patients with diabetes are predisposed to lower extremity problems. For this reason, education about foot care is included in any comprehensive diabetes self-management education program. In addition to routine inspection of the feet, the diabetic patient who exercises should be sure to have well fitting shoes. Poorly fitting shoes and worn stockings predispose the patient to blisters, pressure areas and ulceration.
.Warm-up an cool down sessions are recommended for all people who exercise, but are especially important for patients with diabetes because of their increased risk for heart disease. A good warm-up starts with a short, easy walk to increase blood flow to increase the temperature of the muscles, and is followed by stretching exercises that prevent the muscles from tearing during more vigorous exercise. As the exercise period is ending, the patient should reduce the intensity over a 10-minute period of time to allow the heart rate to gradually return to its resting level. Exercise should never stop suddenly. Adding warm-up and cool down exercises to the routine adds more flexibility and puts less stress on the heart.
.CE Express by Western Schools. Continuing Education for California Nurses 2009
.Another general guideline deals with prevention of dehydration. Everyone who exercises needs to be sure to drink sufficient quantities of water. This is even more important for individuals with diabetes, because dehydration can lead to hyperglycemia. The sensation of thirst is actually diminished during exercise, so people aren't always going to feel the need to drink when they need it most. Hyperglycemia associated with dehydration is a relative condition. Hydration is the treatment. The hyperglycemia will often resolve as soon as the dehydration is corrected.
.For moderate intensity exercise lasting less than 1 hour, water is the best fluid. Water should be ingested before and after exercise and, if needed, during the exercise period. As much as 1 L of water should be ingested as hour or two before exercise and an equal amount should be taken in after the exercise is completed. Depending on the duration of the activity, 1 to 2 cups should be consumed while exercising.
.A third general consideration has to do with shoes, socks and foot care. Patients with diabetes are predisposed to lower extremity problems. For this reason, education about foot care is included in any comprehensive diabetes self-management education program. In addition to routine inspection of the feet, the diabetic patient who exercises should be sure to have well fitting shoes. Poorly fitting shoes and worn stockings predispose the patient to blisters, pressure areas and ulceration.
.Warm-up an cool down sessions are recommended for all people who exercise, but are especially important for patients with diabetes because of their increased risk for heart disease. A good warm-up starts with a short, easy walk to increase blood flow to increase the temperature of the muscles, and is followed by stretching exercises that prevent the muscles from tearing during more vigorous exercise. As the exercise period is ending, the patient should reduce the intensity over a 10-minute period of time to allow the heart rate to gradually return to its resting level. Exercise should never stop suddenly. Adding warm-up and cool down exercises to the routine adds more flexibility and puts less stress on the heart.
.CE Express by Western Schools. Continuing Education for California Nurses 2009
thanks keppi for citing some of the data provided by a profession that continues to track and analyze evidenced-based outcomes as a process
ReplyDeleteto provide quality- informed health care algorithms.
great basic reminders to trigger those early health and hygiene classes we had in the 7th grade ignite those learned concepts into action.