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Advice from Diabetes Uk - Activity and carbohydrate intake
(Links to the exercise pages at www.diabeticretinopathy and the Sports Corner at Children with Diabetes are the last two links provided at the bottom of the page. This comment has been inserted by the site editor and it does not form part of the Diabetes Uk document 'Activity and Carbohydrate Intake' or be interpreted as approval by Diabetes Uk of the content of the two sites to which the links are provided.)
It is important to remember that your body will continue to use extra energy to replenish body stores even after an activity has ended so extra carbohydrate may be needed directly after the activity, and at snack and meal times. The type of snacks you take will depend on what is suitable and convenient for the activity you are doing.
Use link to Diabetes UK InfoCentre for the rest of this page and remaining two pages of document.
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Advice from Diabetes Uk - Care Recommendation - Activity
Introduction
Physical activity is an important behaviour for people with diabetes as it promotes good health, improves diabetic outcomes and reduces cardiovascular disease risk factors. Diabetes UK recommends that people with diabetes participate in regular, moderate physical activity. Most physical activityi s suitable for people with diabetes who have no significant complications or limitations.
The known increase in cardiovascular disease and Type 2 diabetes can be partly attributed to an increase in sedentary behaviours, especially when we consider that only 3 in 10 people in England are currently physically active at levels that promote health (Health Survey for England, 1998). However, encouraging people to become more active is not easy. The challenge is to increase activity levels in people who do not view it as part of their normal routine., For this to happen the individual’s motivation level, other medical conditions, cultural preferences and mobility need to be taken into account
Use link for the rest of this page and remaining 13 pages of the document from Diabetes Uk Info Centre
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Diabetes UK - Exercise and Insulin Treatment
This was sent to the Hon Sec in August 2004 by Diabetes Uk. Unfortunately a link cannot be found to take you to this document on the Diabetes UK website. It is therefore reproduced in full here.
Information
Exercise and insulin treatment
October 2000
Page 1 of 3
Exercise and insulin treatment
Physical activity is extremely important as part of a healthy lifestyle. It:
· helps you feel good about yourself (afterwards if not during)
· improves your sensitivity to insulin and helps
· improve blood glucose levels
· improves the fitness of your heart and circulation and so reduces the risk of heart disease and stroke
· helps you to control weight
· can improve the proportions of the good and bad types of cholesterol
· helps you to lose fat and gain muscle - this helps
· to improve strength, mobility and flexibility
· can help reduce blood pressure
· can reduce stress.
There are some potential problems for people who are on insulin therapy when exercising - hypoglycaemia, hyperglycaemia and injury.
Hypoglycaemia during and after physical activity
Main reasons for hypos:
Your muscles use up the glucose in your blood for energy and although your body will start to release stores of glucose from your liver it may not be enough . As a result your blood glucose level may drop too low. Once you have stopped exercising your body will need to replace the stores of glucose it may have used up and will also need extra glucose for your muscles to recover. This means there is still a risk of your blood glucose levels dropping too low even for sometime after you’ve stopped doing your activity.
A hypo may also be caused by an increased rate of absorption of insulin from injection sites giving higher levels of circulation more quickly. A hypo can be prevented by:
· reducing insulin
This is only possible if the activity is planned. Although your doctor or diabetes specialist nurse can suggest a certain reduction in your insulin dose, it is really a matter of trial and error to see what suits you for different types of physical activity (intensity and duration), at different times of the day when you have more or less insulin circulating.
· increase carbohydrate
If you are exercising shortly after a meal the best thing to do is to have extra starchy carbohydrate such as bread, pasta, rice, cereals, and potatoes at your meal. If you are unable to eat more at that meal because it would make you feel full then you will probably need to take a snack beforehand - like a cereal bar, small chocolate bar, ice cream, biscuits or a cake bar. You should also take a snack like this if it has been 1 – 2 hours since your last meal. If you are doing strenuous exercise (for example football or squash) you will probably need a top up of glucose during the game. As you will be thirsty anyway it is usually convenient to take this top up as a glucose drink, sport drink or fruit juice. If you are exercising for a long period of time, for example a cycle ride or long walk, you will need to take food and drinks and snack regularly. Suitable snacks would be cereal bars, sandwiches, fruit juice, biscuits, currant buns as well as supplies of faster acting carbohydrate like Lucozade or glucose sweets. On an activity holiday or where you are increasing activity over a period of days, you will need to increase the amount of carbohydrate you eat at all meals and have regular snacks as well as plenty of fluids. You will also need to reduce your insulin.
Hyperglycaemia
If your blood glucose levels are running high because you do not have enough insulin in your bloodstream, exercise will not bring your blood glucose level down. Insulin is needed to get the glucose from the bloodstream into the muscle cells that need it for energy so if there isn’t enough insulin, the glucose that is being released from the body’s stores in response to exercise will build up in the blood. The muscles will have to use fat as an alternative to energy source and this brings with it the risk of ketoacidosis. Don’t exercise if your blood glucose levels are above 15 mmol/l or if you have ketones in your urine.
Injury Always wear well fitting shoes and equipment appropriate to the activity you are doing. Most importantly, everyone is very different and you will need to do a certain amount of experimentation of adjusting the insulin and carbohydrate you take to find out what effect different sports have on you. By doing regular blood glucose tests you will be able to find out whether you have eaten enough or altered your insulin regime correctly.
Most importantly, everyone is very different and you will need to do a certain amount of experimentation of adjusting the insulin and carbohydrate you take to find out what effect different sports have on you. By doing regular blood glucose tests you will be able to find out whether you have eaten enough or altered your insulin regime correctly.
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Diabetes UK - Physical Activity & Diabetes
Being active is good for all of us but it is especially important if you have diabetes. Diabetes management consists of physical activity as well as diet and medication. They are all equally important in promoting healthy outcomes.
The Health Development Agency recommends moderate activity such as 30 minutes brisk walking, every day. As a percentage of your waking day, 30 minutes is only three per cent. How often do you watch a TV programme for half an hour and then wonder why you sat through it? You could have been doing something for your health instead. Even small changes in activity can help you lead a healthier life.
Use link to connect to the rest of this page and the remaining seven pages of this document at Diabetes UK Info Centre
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Exercise Advice at www.diabeticretinopathy.org.uk
This link is to the exercise page at the website www.diabeticretinopathy.org.uk
It provides an excellent summary of all the above advice and much more information as well on its other pages. |
Advice at The Sports Corner , Children With Diabetes
Despite the site's name Children With Diabetes is for those of all ages with diabetes.
This link is to the new 'Sports Corner' and was created on 20th October 2004. The 'Sports Corner' on the CWD site was created shortly before that. |
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About TeamHummingbird, Doctors, Parents 1,INDEX |News and LAB TESTS |PARTIALLY SIGHTED, Audax(UK) & Cycle Speedway |New to Cycling, USA, UK, Cycling Time Trials, CTC |Scottish & Welsh CU's, CTC , The Tandem Club & TLI |BG management at home, RECIPES, Evesham Wlrs |Advice at Diabetes UK , Diabetic Retinopathy & CWD |Members Notes, Stories and Achievements |Other exercise pages of interest |COMPUTER VILLAGE GRAND PRIX 2000 AND 2001 |MEMBERSHIP APPLICATION FORM |CLUB RECORDS |Cycle Speedway, British Cycling |Chippenham & District Voluntary Group, Diabetes Uk |Permanent Circuits, Tracks and Velodromes |Message Board |Guestbook |Mail Form
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