DIABETES AND EXERCISE THERAPY: BENEFITS OF EXERCISE & RISKS OF EXERACISE
1. Helps in long term glycaemic control which is achieved by (I) increasing in the insulin receptors and (II) improvement in the insulin sensitivity.
2. Helps in reducing body weight.
3. Helps in reducing requirement of Oral Hypoglycaemic Agents (OHA) and/or Insulin.
4. Improvement in Hypertension.
5. Improvement in lipid profile by : (I) reducing serum triglycerides and serum cholesterol, (ii) reducing Low Density Lipoprotein (LDL) & Very Low Density Lipoprotein (VLDL), (III) increasing High Density Lipoprotein (HDL), specially HDL2.
6. Improvement in cardio-vascular functions.
7. Increases body fitness and stamina.
8. Increases sense of well-being.
9. Improves quality of life.
10. Exercise therapy has a special role to play in the prevention of atherosclerosis and ageing.
RISKS OF EXERACISE
1. ‘HYPERGLYCAEMIA’ - in poorly controlled diabetes patient..
2. KETOACIDOSIS.
3. HYPOGLYCAEMIA – in tightly controlled diabetics.
4. HEART ATTACK – Sudden Mycardial Infarction (Ml) in patient with silent Myocardial Ischaemia.
5. SUDDEN BLINDNESS – in diabetics with Proliferative Diabetes
Retinopathy (PDR) due to vitrous haemorrhage.
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