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DIABETES AND EXERCISE: BODY GLUCOSE STORES, DANGER OF EXERCISES
Reorganization of body glucose stores
After each bout of exercise the body reorganizes its glucose stores. The muscles start to build up glycogen again. The waste products of exercise are cleared from the blood stream. Obviously, hypoglycemia can occur during exercise because glucose is used to produce energy. However, it can also occur during reorganization of glucose stores. This sort of hypoglycemic attack can take place several hours after you have finished exercising. It may happen at night, even after you have eaten a large meal. You may find you need extra carbohydrate before, during and after strenuous exercise.
These changes in your body’s metabolism mean that if you start a regular exercise programme you will need to eat more (unless you are trying to lose weight) and take less insulin or fewer oral hypoglycemic pills. The amount by which the food should be increased and insulin decreased varies for each person and each activity. If you continue a regular exercise pattern for months, your diet and insulin dose will stabilize. You will need to protect yourself against hypoglycemic attacks during and after exercise.
Can exercise be dangerous for diabetics?
Yes, under some circumstances: You should not exercise hard when you are showing moderate or heavy ketones in the urine. You should not exercise when you are hypoglycemic, but wait until you have corrected this. While exercising keep your heart rate within the training zone for your age.
The level of exercise you choose is also important. If you are young and relatively fit, a few hours’ very energetic exercise will do little damage. If you are over forty, overweight, unfit and suffer from angina, a game of squash could kill you. Do not rush in, but take it gradually. Exercise regularly (three times a week is often recommended) and gradually increase the length and amount you do at each session.
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