Source: Life Times Date: 2021.08.11

Ding Sheng, deputy chief physician, Department of Endocrinology, Wuhan Central Hospital

Exercise is an important basic measure for the treatment of diabetes, but it is not "one of thousands". Sugar friends before exercise is best to measure blood sugar, too low, too high do not exercise, so as not to do bad things.

Blood sugar below 5.5 mg/l. If blood sugar is below 5.5 mmol/L, it is recommended not to exercise. With energy consumption during exercise, blood sugar will further drop. If hypoglycemic drugs are added and carbohydrates are not supplemented in time, patients are prone to hypoglycemia, which can induce cardiovascular and cerebrovascular accidents in serious cases.

Blood sugar over 16.7 mmol/L. Exercise is also not recommended if the patient's blood sugar exceeds 16.7 mmol/L. During exercise, excessive sweating can lead to blood concentration, easy to appear internal environment disorders, induce ketoacidosis or hyperosmotic state and other diabetic emergencies.

Blood sugar and blood pressure are not effectively controlled, or are combined with serious diseases and acute diseases of other important organs. Patients with poor blood sugar and blood pressure control, if blind exercise, or do not choose the right exercise items, can lead to further deterioration of metabolic indicators, resulting in the recurrence or aggravation of underlying diseases, and even induce acute complications. Therefore, these patients should be evaluated by professional doctors, in accordance with clinical guidance for exercise, do not carry hard. Patients with severe emphysema, recent thrombosis, acute upper respiratory tract infection, urinary system infection, diarrhea, vomiting, etc., should actively treat the emergency, temporarily avoid exercise, and make plans until the condition improves.

The body is too thin, the islet function is poor, and the blood sugar fluctuation is obvious. People with type 1 diabetes and type 2 diabetes with poor islet function tend to be thinner and their blood sugar fluctuates easily. Their own hypoglycemic treatment is very difficult, even if there is no change in eating and activity, there are often asymptomatic hyperglycemia and hypoglycemia, which requires extremely fine adjustment of the treatment plan. Without a well-thought-out exercise treatment plan and close monitoring of blood sugar, casual exercise will undoubtedly increase the risk of extremely high or low blood sugar, which can lead to adverse outcomes.

There are serious chronic complications of diabetes. If diabetic foot, diabetic retinopathy, diabetic nephropathy and other chronic complications, diabetic patients should pay attention to the timing and method of exercise. For example, diabetic foot patients should avoid long-distance walking, running, do not exercise in hot or cold environments, do not carry out weight-bearing exercise when the foot is injured; Patients with diabetic retinopathy should take good care of their eyes when exercising, avoid strenuous exercise and weight-bearing and strenuous exercise to prevent retinal detachment.

In addition, sugar friends should not exercise too early in the morning, not on an empty stomach, not to exercise when hypoglycemic drugs exert their maximum effect, so as to avoid hypoglycemia.▲