| Topic: | Diabetes (DM) |
| Title: | Irritation and Maintenance of Exercise in Patients with Diabetes. |
| Author: | Marrero, D.G. |
| Source: | In: Devlin, J.T. and Schneider, S.H., eds. Handbook of Exercise in Diabetes. Alexandria, VA: American Diabetes Association. 2002. p. 289-309. |
| Availability: | Available from American Diabetes Association (ADA). Order Fulfillment Department, P.O. Box 930850, Atlanta, GA 31193-0850. (800) 232-6733. Fax (770) 442-9742. Website: www.diabetes.org. PRICE: $69.95 plus shipping and handling. ISBN: 1580400191. |
| Abstract: | This chapter on the initiation and maintenance of exercise in patients with diabetes is from a book that provides a practical, comprehensive guide to diabetes and exercise for health care professionals involved in patient care. The author stresses that it is important for the health care provider to give specific recommendations concerning types of exercise and its frequency, intensity, and duration. Moreover, this prescription should account for the patient's personal health status and situation. An effective exercise program should include activities that result in expending a minimum cumulative total of 1,000 kilocalories per week in aerobic activity. To improve muscular strength and endurance as well as body composition, a well-rounded resistance training program should also be incorporated. To develop and maintain cardiorespiratory endurance as well as desirable caloric expenditure, individuals with diabetes should exercise at least 3 nonconsecutive days and up to 5 days each week. The duration of physical activity for individuals with diabetes is directly related to the caloric expenditure needs and inversely related to the intensity. There are potential risks associated with exercise for the person with diabetes and some limitations for those who have preexisting diabetic complications. These include hypoglycemic reactions resulting from exercise and the risk of worsening specific diabetic complications and provoking musculoskeletal injuries. To help motivate the person to do regular exercise, the program must be viewed as desirable and intrinsically reinforcing. Several factors can help individuals maintain an exercise program. These include using appropriate training and equipment to avoid injury, progressing slowly in exercise intensity and duration, setting realistic training goals, learning to identify and treat hypoglycemia, setting a training schedule in advance and sticking to it, using a training partner, encouraging self-rewards, identifying alternative exercise activities to reduce boredom, and understanding the difference between failure and backsliding. 1 figure. 1 table. 42 references. |
| Format: | Book Chapter |
| Language: | English. |
| Major Keywords: | Diabetes Mellitus. Exercise. Patient Selection. Patient Care Management. Guidelines. Prevention. Complications. Risk Factors. Therapy. |
| Minor Keywords: | Cardiovascular Diseases. Activities of Daily Living. Blood Glucose. Lifestyle. Monitoring. Motivation. Psychosocial Factors. Hypoglycemia. |
| Publication Number: | DMBK10125 |
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