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Diabetes - keeping active


There are many benefits to being active. If you have diabetes, staying active can:

  • Help control your blood sugar
  • Help control your weight
  • Keep your heart, lungs, and blood vessels healthy

You may think that only vigorous exercise is helpful. But this is not true. Increasing your daily activity by any amount can help improve your health. And there are a lot of ways to add more activity to your day.

One of the best things you can do is get up and start moving. Any activity is better than no activity.

Clean the house. Walk around when you are on the phone. Take frequent, short breaks to get up and walk around when using the computer.

Get outside of your house and do chores, such as gardening, raking leaves, and washing the car. Play outside with your kids or grandchildren. Take the dog for a walk.

Staying active outside the home


For many people with diabetes, an activity program outside the home is a great option.

  • Talk to your doctor about your plans and discuss what activities are right for you.
  • Visit the gym or a fitness facility and have an instructor show you how to use the equipment. Pick a gym that has an atmosphere you enjoy and gives you a number of options in terms of activities and locations.
  • Make sure you're using the right shoes and equipment.
  • Start slowly. A common mistake is to try and do too much too quickly. This can result is muscle and joint injury.
  • Involve friends or family. Activity in a group or with partners is usually more fun and motivating.


Shopping, running errands, and working


When you run errands:

  • Walk as much as you can.
  • If you do drive, park your car in the farthest part of your destination's parking lot.
  • Do not use drive-up windows. Get out of your car and walk inside the restaurant or retailer.
  • In the grocery store, walk down every aisle, even if you know certain aisles have nothing you want.

At work:

  • Walk over to your co-workers instead of calling or sending them emails.
  • Take the stairs instead of the elevator.
  • Stand up and move around while making phone calls.
  • Stretch or walk around instead of taking a coffee break or snacking.
  • During lunch, walk to the bank or post office, or do other errands that will allow you to move around.

At the end of your commute, get off the train or bus one stop earlier and walk the rest of the way to work or home.

If you want to find out how much activity you are getting during the day, wear a pedometer. These devices clip to your clothing and count the number of steps you take. Once you know how many steps you average in a day, try to take more steps each day. Your goal for better health should be around 10,000 steps a day, or progressively more steps than you took the day before.


Health risks


There are some health risks to beginning new activity programs. Always check with your doctor before getting started.

People with diabetes are at increased risk of having heart problems. They do not always sense the warning signs of a heart attack. Ask your doctor if you need to be screened for heart disease, especially if you:

  • Also have high blood pressure
  • Also have high cholesterol
  • Smoke
  • Have a history of heart disease in your family

People with diabetes who are overweight or obese are at higher risk of having arthritis or other joint problems. Talk to your doctor if you have had joint pain with activity in the past.

Some people who are obese may develop skin rashes when they start new exercises.

People with diabetes and nerve damage in their feet need to be extra careful when starting new activities. Check your feet daily for redness, blisters, or calluses that are starting to form. Make sure your toenails are trimmed.




American Diabetes Association. Standards of medical care in diabetes -- 2014. Diabetes Care. 2014;37:S14-S80. PMID: 24357209

Kirk S. The diabetic athlete. In: Miller MD, Thompson SR, eds. DeLee and Drez's Orthopaedic Sports Medicine: Principles and Practice. 4th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 21.

Marwick TH, Hordern MD, Miller T, et al., on behalf of the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology; Council on Cardiovascular Disease in the Young; Council on Cardiovascular Nursing; Council on Nutrition, Physical Activity, and Metabolism; and the Interdisciplinary Council on Quality of Care and Outcomes Research. Exercise training for type 2 diabetes mellitus: impact on cardiovascular risk: a scientific statement from the American Heart Association. Circulation. 2009;119:3244-3262. PMID: 19506108

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            Review Date: 8/5/2014

            Reviewed By: Brent Wisse, MD, Associate Professor of Medicine, Division of Metabolism, Endocrinology & Nutrition, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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