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Archive for the ‘Diabetes & Sport’ Category

Physical load instead of insulin?

June 13th, 2010

Question: I'm 19 years old, third year in a sick type 1 diabetes. "Honeymoon" is over a year of illness and dose are strongly increasing. Began intensively in sports and the dose decreased sharply. In what sport I had before dinner (4 bread. Units.) And if the sport immediately after the meal, then insulin injections are not necessary, and the morning Humaloga (fast) on the idea already in the body there. Is it possible to reach a level so as to pierce example of 2-4 units. Thank you.

Answer: It is well known that physical activity reduces the level of sugar (only if the sugar until the load does not exceed 13-14). For lunch, after nat. load without insulin: in principle this is possible (after all, in the body at this time is extended by insulin), but to confidently talk about this, measure the sugar level in 2 hours this afternoon without insulin. If it exceeds a safe level after a meal (8-9 mM) – that means no insulin at lunch you can not. Your question "Is it possible to reach a level so as to pierce example of 2-4 units" I may have misunderstood. . . But a small dose of insulin by itself – not an end in itself. Insulin must be entered exactly as long as needed to maintain the sugar as close as possible to the normal level. If, say, diabetes, your pancreas fashioned 30 or 40, or 50 units of insulin per day – why now seek to introduce a smaller amount of insulin??

Diabetes & Sport

Extreme and diabetes

May 8th, 2010

Question: I have 1 diabetes, can engage in mountaineering, I have heard that patients with type 1 diabetes is trained in hyperbaric chambers before climbing to greater heights. Thank

Answer: Pressure chamber to diabetes does not apply. There are a number of people with diabetes type 1, which are engaged in extreme sports. Generally, of course, "unnecessary problems in your head (for example, instead of climbing the mountain tourism can do – it is safer), but if you want a mountaineer, you need to consider several things when preparing to climb the mountain (correction-dose insulin during physical exertion , an adequate supply of insulin and means of control, necessarily – the possibility of evacuation in an emergency, and even the possibility of refusing blood glucose meters or incorrect results at low ambient temperature).

Diabetes & Sport

Diabetes and weightlifting

April 15th, 2010

Question: I have type 1 diabetes, aged 6, my 22 years, trying for a monitor and lead a self-control. Lay in the hospital took Vessel Due F (sulodeksid) is very fond of sports, doing the heavy lifting, but my doctor I do not recommend. Please advise whether there is any program in weightlifting for diabetics. It is clear that this sport strongly affects the eyes, but I like them to engage in, advise what uprazhdeniyam should not be done and what will benefit. Alexander 22, Buryatia, Ulan-UdeOgromnoe thank

Answer: There are generally accepted rules of how to adjust insulin doses in the days of sports – probably, you know them (if not – look in the FAQ). With regard to the characteristics of the heavy lifting – it can worsen the eye in cases where the fundus high risk of hemorrhage or retinal detachment. Any exercise of a burden will increase this risk, but to a greater extent – those in which you bend over, lowering his head down. As you are contraindicated weightlifting – depends on the results of the inspection ophthalmologist (eye fundus examination with dilated pupils). If you are diagnosed with diabetic retinopathy II or stage III – choose another sport. If retinopathy is not – subject to regular monitoring of an ophthalmologist (eg, 2 times a year) you can do (perhaps without undue stress on the standards of the sport, not for the record, but for myself "). If there retinopathy stage I – the load should be even less control Optometrist – more closely.

Diabetes & Sport

Fiznagruzki and diabetes

April 5th, 2010

Question: I want to know, not bad for a day twist iron hoop, if I have type 1 diabetes, nephropathy. It does not harm the kidneys

Answer: No, not bad, you do not travmiruete with kidney or something else (in any case, do not twist it so that left bruises on his body:)

Diabetes & Sport

Parachute jump

March 24th, 2010

Question: I have diabetes, I dream to jump on some sites, read the presence of diabetes in the contraindications. Why? They are afraid of hypoglycemia? It is dangerous to jump and why in general it is included in the list? Or is it as with many other "can be a careful and cautious" physical condition I have good level of swimming.

Answer: <b> A </ b>: A parachute jump is not dangerous in diabetes, than, say, mountaineering, or driving a car. There are some things to watch out for: – Hypoglycemia (possibly severe) during the jump can happen in principle, and can lead to dangerous consequences (although by itself does not jump is a factor in causing it). So be sure to have the carbohydrates that you could take the (probably sugar in the outer pocket) and blood glucose meter with which to measure the sugar to jump (not necessarily in the plane – and can on the ground). – Special attention should be given to the rules of landing, to avoid injury of the lower extremities (clearly undesirable in SD). Air clubs called diabetes a contraindication most of reassurance, but you should choose the one where you will meet. Hide diabetes from the instructor is not worth it, can show a printout of my answer.

Diabetes & Sport

Sport – Raising the level of sugar

March 13th, 2010

Question: There is a suspicion of diabetes type 2. Sugar Fasting 6,4, after jogging and gymnastics sugar rises to 7.0. Why

Answer: It must be assumed that the two measurements you do not take food and drinks, and both measurements were made by the same apparatus (otherwise there is nothing to discuss:) It's such a discrepancy in two dimensions – within permissible error for blood glucose meters, but a slight increase in the level of sugar in the morning, possibly with one or another activity (by increasing the level of hormones that counteract insulin – this ensures tissues necessary nutrients – glucose). Clinical significance this has, in the case of diagnosis of diabetes (see the FAQ on this topic) – then the analysis is performed in an ordinary morning, without any activity (or just at home, or (more correctly) to come to the analysis in laboratory and clinic, etc.).

Diabetes & Sport

Diabetes type 2 and protein

January 28th, 2010

Question: I am of diabetes type 2, can I at the gym to use protein? Or protein bars? Need to build muscle mass and lose weight.

Answer: As far as I know, protein bars contain more carbohydrates and fast, which in diabetes 2nd type is not recommended. Choose a protein with minimal carbohydrate, high purity. He (the protein) you do not contraindicated. And supervise nat. load, do not overdo it.

Diabetes & Sport