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Diabetes - diabetes mellitus

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Diabetes Complications


Exercise Can Help in Treating Diabetes

Exercise is often recommended in treating type 1 (insulin- dependent) and type 2 (noninsulin- dependent) diabetes ~ both as a stand-alone activity and in combination with diet and drug therapy. For people who are heavily dependent on medicines, exercise cannot replace drugs but it does contribute to normalizing the glucose metabolism. The positive effects of exercise on diabetes sufferers are many. First, exercise helps to keep weight controlled. Second, exercise helps to lower the blood sugar level, which is definitely a major advantage for diabetes sufferers. Third, exercise reduces the risk of another risk factor - heart disease, which often goes together with diabetes. In the long-term, exercise helps in minimizing the complications from diabetes by improving one~s general condition. What is more, it is believed that for people for whom there is a risk to develop diabetes, diabetes can be prevented by exercise. Despite the numerous advantages of exercise, do not underestimate the risks. Let your doctor decide if taking exercise is recommendable for you and if yes ~ what kind of exercise will be less risky. One of the dangers for diabetes sufferers are that exercise might change your reaction to insulin or might lead to an abrupt drop in blood sugar level, which is another risk for you. Besides the standard recommendations for exercising, there are some special ones, which are vital for diabetes sufferers. It is always true that one needs comfortable clothes and shoes for exercising, but besides the discomfort, for diabetes sufferers there is one more risk, if the shoes are not comfortable ~ blisters. Blisters can be easily infected and in your case a serious infection might need a very serious treatment. Special attention should be paid to drinking enough water and any kinds of liquid in order to avoid dehydration. Dehydration during exercising occurs because the body evaporates liquid in order to keep cool and if you do not drink water while exercising, you will get dehydrated, which is bad for your blood sugar level. Your physical condition is the factor that determines what the recommendable activities are. Exercise for diabetes sufferers can include diverse activities - cleaning the house, going up the stairs, even strength training. Usually household chores are risk free because they do not require much effort and are no longer than 20-30 minutes a day. Also, doctors often recommend various aerobic exercise ~ walking, aerobics, jogging, bicycling, etc. Bicycling, swimming, or chair exercises are recommended especially if one has problems with the nerves in his or her legs or feet, because unlike jogging and walking, bicycling, swimming, and chair exercise do not put stress on the lower limbs. Even strength training can be allowed, if you are younger and do not have diabetes-related complications. Strength training is good because by burning more calories, it helps to reduce body fat and weight in general. Additionally, more active muscles are more effective in glucose consumption, which in turn is positive for regulating the glucose metabolism. But in any case, consult a doctor whether strength training is appropriate for you and even better ~ consider taking a personal coach to train you. Denny Santi is the Staff Writer of DiabetesSERV This site has a great collection of information on diabetes, including a free newsletter, resources and interesting articles. For great information, go to: diabetesserv.com

Reuters Health

Wednesday, July 27, 2005

NEW YORK (Reuters Health) - For people with type 2 diabetes, adding whey to high-carbohydrate meals stimulates insulin release and reduces spikes in blood glucose levels after meals, according to new findings.

Writing in the American Journal of Clinical Nutrition, Dr. Mikael Nilsson, of Lund University, Sweden, and colleagues say the reason whey proteins have this effect is not known, but it may have something to do with particular amino acids and hormones found in the mild product.

The researchers examined the effect of supplementing high glycemic index (GI) meals -- that is, readily digested carbs that cause a rapid rise in blood sugar levels -- with whey proteins.

A total of 14 individuals with type 2 diabetes were served a high-GI breakfast (white bread) and subsequent high-GI lunch (mashed potatoes with meatballs). Whey supplementation was provided with both meals on one day, and whey was exchanged for lean ham and lactose on another day.

The investigators took blood samples before and during a 4-hour period after breakfast and 3 hours after lunch in order to measure blood glucose, insulin, and other factors.

Insulin secretion was higher after both breakfast and lunch when the meals were supplemented with whey compared to when whey was not included, although the effect was less pronounced after breakfast. The rise in blood glucose was significantly reduced after the lunch meal was supplemented with whey.

The lesser effect on insulin of whey after breakfast, "in combination with the fact that the insulin resistance may be higher in the morning after the overnight fast, may explain the inability of whey to reduce the blood glucose increment after breakfast," Nilsson's team explains.

SOURCE: American Journal of Clinical Nutrition, July 2005.

Copyright 2005 Reuters. Reuters content is the intellectual property of Reuters. Any copying, republication or redistribution of Reuters content, including by caching, framing or similar means, is expressly prohibited without the prior written consent of Reuters. Reuters shall not be liable for any errors or delays in content, or for any actions taken in reliance thereon. Reuters, the Reuters Dotted Logo and the Sphere Logo are registered trademarks of the Reuters group of companies around the world.

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