As diabetes becomes more and more prevalent in our society, Diabetics may find that fitness professionals may be included in their health care plans. There is no “best” physical activity to do with diabetics, like with the rest of us, the best is the one that you will do, stick with, and enjoy the most. As long as it is a program that helps to lower glucose levels, reduce body fat, improve disease risk factors, which all in turn will help to keep the diabetic motivated, then it is the best plan for them.

Blood sugar may be compromised up to 24 hours after workouts. This effect after the workout is sometimes known as the lag effect of exercise. Blood glucose must be monitored closely before and after working out as well as throughout the day to avoid hypoglycemia.

Blood glucose levels that are less than 100 mg per dl (5.56 mmol per L) immediately after physical activity should practice the following so that this is not a common occurrence:

• Increased carbohydrate consumption before physical activity.
• Decreasing the dose of insulin for the next exercise session.
• Possibly decreasing the insulin dosage after physical activity.
• Proper hydration throughout the day
• If sugar levels by bedtime are not 100 mg per dl (5.56 mmol per L), then consume an evening snack and make sure it contains a mixture of carbohydrates with a protein

The goal is to prevent hypoglycemia (low blood sugar) as a result of physical activity. Exercise and sound nutrition are two very important cornerstones to a diabetic program to help with maintenance of blood glucose levels and prevention of any long-term complications.

“As with other people, physical activity results in cardiovascular disease prevention for those with diabetes mellitus. Because they have a greater risk, exercise is especially important for people with diabetes. Hy helps decrease risk of cardiovascular disease by reducing lipid levels, decreasing blood pressure, and maintaining or decreasing body weight.” (Horton, 1998)

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