ADA Stmt on Physical Activity Flashcards
How often should prolonged sitting be interrupted?
30 minutes
What sort of exercise should people with Dm participate in
aerobic and resistance training
How many minutes a week should people with DM do physical activity
150 min/week
Along with exercise, what should people at high risk for DM do to prevent or delay DM
weight loss of 5-7%
What should be done to maintain blood glucose when people with T1DM exercise?
- add’l CHO intake
- reduced insulin
If bs is 90-150 what needs to be done prior to exercise?
eat CHO
If bs is 150-250, what needs to be done prior to exercise
Nothing, put down that pizza and pump that iron girl!
If bs is above 250, what needs to be done prior to exercise
Delay exercise. Bs can actually increase if exercise right now
When should ketones be tested?
bs > 250
Is medical clearance necessary for asymptomatic (cardiac sx) pts before low to moderate intensity exercise is started?
NO
What are the exercise recommendations for kids/adolescents with T1DM or T2DM
- 60 min/day or more of mod or vigorous intensity aerobics
- vigorous aerobics, muscle-strengthening, and bone strengthening at least 3 days/week
How often should adults with DM do resistance exercises?
2-3 times / week
What can be done to prevent exercise-related hypoglycemia
- insulin regimen and CHO intake changes
- short sprints
- perform resistance training before aerobics in the same session
- activity timing
How to mitigate the risk of nocturnal hypoglycemia following physical activity?
- reduce basal insulin dose
- lower-intensity aerobic cool down
- avoid exercising with hyperglycemia and elevated blood ketones
What should be done with meds other than insulins prior to physical exercise?
- some can increase risks of exercise-related hypoglycemia
- adjust doses as necessary
