Regular exercise may help control your diabetes, which can reduce your risk of severe
diabetic neuropathy. Depending on what areas of your
body have been affected by nerve damage, though, you may need to modify some
aspects of your exercise program so that other problems don't develop.
Before beginning an exercise program, ask your doctor to do a
thorough exam of your legs and feet for signs of peripheral neuropathy. And make sure you have properly fitted shoes to protect your feet from
Gastroparesis (delayed stomach emptying) is a digestive problem that's associated with diabetes. Most often gastroparesis occurs in people with type 1 diabetes; however, it can also occur in those with type 2 diabetes. Most have had diabetes for at least 10 years and have other complications of diabetes as well. With gastroparesis, the stomach cannot empty itself of food in a normal fashion.
If you have nerve damage in your feet, you need to avoid
repetitive, weight-bearing exercises, such as jogging, prolonged walking, and
step aerobics. Repetitive stress on feet affected by neuropathy can lead to
ulcers, fractures, and joint deformities. Stick to exercises that do not put
stress on your feet, such as:
Arm and upper-body exercises.
Avoiding heart and blood pressure problems
Autonomic neuropathy affecting the heart and blood vessels may
limit—but not eliminate—your capacity for exercise. It increases your risk of
having a heart attack (often a
silent heart attack) during strenuous exercise and may
cause sudden shifts in your blood pressure during or after exercise. Make sure
you talk to your doctor before you start an exercise program. He or she can
help you plan a gentle program that will improve your health without pushing
you beyond your body's limits.
Maintaining safe body temperature during exercise
Autonomic neuropathy may reduce the body's ability to regulate its
own temperature (thermoregulation). Abnormally profuse or abnormally reduced
sweating are the usual signs of this problem. People with this type of
neuropathy should not exercise in very hot or very cold environments because
their bodies cannot safely adapt to these temperatures. Use silica gel or air
midsoles and wear polyester or polyester/cotton blend socks to keep your feet
dry during exercise. It is also important to drink plenty of water before,
during, and after exercise. The body is better able to control its temperature
when it is well hydrated.
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If the level is below 70 and you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.
People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.
Congratulations on taking steps to manage your health.
However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.
Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.
Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.
One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.
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