Diabetic patients should choose moderate-intensity aerobic exercise, such as jogging, mountaineering, brisk walking, dancing, skipping rope and swimming.
Or various ball-related sports; You can also choose to play Tai Ji Chuan, broadcast gymnastics, walk and go shopping and other sports with less exercise.
2. Exercise time
A, generally speaking, choose which period of exercise should be arranged reasonably according to the daily routine and the law of action of drugs. in principle
Be sure to avoid hypoglycemia or exercise when insulin is strongest, and try to exercise when blood sugar is high.
Generally, the blood sugar of diabetic patients starts to rise gradually at 30 minutes after meals, and reaches the peak at 1.5h or 2h after meals.
B, if you start exercising immediately after meals, you need a lot of blood to supply bone marrow muscles, and at the same time cause digestive system dysfunction, which brings a huge burden to cardiopulmonary function. If the rest time after a meal is too long and the blood sugar is already rising, it is often passive to start exercising again. Therefore, exercise should be started before blood sugar is about to rise to prevent blood sugar from rising further. So you can start exercising after meals 1h or so.
3. Precautions before exercise
A, exclude related contraindications that are not suitable for exercise, such as blood sugar > 14.0 mmol/L or < 3.6 mmol/L and acute activity.
People with fundus hemorrhage, ketoacidosis or serious cardiovascular and cerebrovascular diseases are not easy to exercise to ensure safety;
B. Sports venues can choose places with empty venues, quiet environment and many people's activities, such as parks, grasslands or places for the elderly.
Heart and so on. Pay attention to penetrating air shoes and socks and take warm measures in winter;
C, prepare complementary food in advance, such as candy, biscuits, etc. And properly replenish water to ensure the needs of the body;
D, when going out for sports, it is best to be accompanied by relatives and friends, and bring information cards that can prove their identity, such as family phone number, name, illness, etc., in order to avoid timely assistance in case of accidents;
E, you can do warm-up exercise for about 5 minutes before exercise to avoid muscle tissue and joint strain, prevent heart rate and breathing too fast, and don't go out for exercise if the frequency of hypoglycemia is high recently.
4. Precautions in sports
First, exercise should adhere to the principle of step by step, gradually increase the amount of exercise, and do not rush; You should strengthen the self-test of your breathing and heart rate, and reduce the amount of exercise if it is too fast;
B, patients who take hypoglycemic drugs or inject insulin, if they exercise at the peak of drug action, can supplement a certain amount of sugary food according to their own situation after 30min minutes to avoid hypoglycemia;
C. During exercise, if there are phenomena such as violent heartbeat, blurred vision, pale face and dizziness, it may be related to hypoglycemia. At this time, it is necessary to stop exercising immediately and eat some foods that quickly increase sugar; If you are in a trance, you need to drink sugar water immediately and get medical treatment;
5. Precautions after exercise
A, don't stop activities immediately after exercise, should continue to take a walk, bend over and stretch your arms and other restorative exercise, waiting for the heart to recover.
The speed can be restored to the pre-exercise index;
B, after exercise, dry the sweat in time, change clothes to avoid catching cold, and massage the parts with heavy exercise.
So as to promote blood circulation;
C. After 30 minutes of exercise, add proper amount of water in time. To prevent hypoglycemia, you can drink 125ml juice.
D, after exercise, check whether there is any damage to the body skin in time, make a good record of blood sugar before and after exercise, and find the law of blood sugar.
When it comes to diabetes, many people feel far away from themselves. In fact, diabetes is not far away from us. 20 15-20 17, an epidemiological survey of diabetes conducted by the endocrinology branch of Chinese Medical Association in 3 1 province showed that the prevalence rate of diabetes in China10/.2%. According to this estimate, the total number of diabetic patients in Chinese mainland is 6.5438+29.8 million (70.4 million males and 59.4 million females).
In 2020, British Medical Journal (BMJ) published the latest national epidemiological survey results of diabetes prevalence in China. In this study, the data of diabetes prevalence rate of 75,880 residents in all 365,438+0 provincial administrative regions in Chinese mainland from 2065,438+05 to 2065,438+07 were sampled. According to ADA standard, 9772 cases of diabetes were diagnosed, among which 5308 cases were newly diagnosed. It can be seen that half of the patients were "in the dark" before the investigation. In addition, 27,230 people were diagnosed with pre-diabetes (impaired glucose regulation). If you count people with diabetes and pre-diabetes, nearly half of adults have abnormal blood sugar!
According to this estimate, one in every two people has diabetes or is in pre-diabetes. When you sit and play with your mobile phone and eat fried chicken hamburger ice cream, diabetes is likely to have targeted you.
Everyone has been talking about the discoloration of sugar, thinking that diabetes can't be cured. However, on October 23rd, 2002 1,1year/kloc-0, the clinical study of "open, single-center, randomized controlled trial of metabolic surgery and conventional treatment for diabetes mellitus" published in The Lancet broke the pattern of traditional treatment for type 2 diabetes mellitus. This study provides the most powerful scientific evidence for "type 2 diabetes can be cured", which proves that adult type 2 diabetes is not necessarily sexually developed, nor is it an irreversible disease.
At present, the treatment schemes for diabetes mostly rely on lifestyle intervention (adjusting diet structure and increasing exercise), drugs and insulin, but under normal circumstances, the effect of lifestyle intervention on metabolic diseases is not ideal, and most drugs need to be taken for a long time or even for life, and patients' acceptance is low. In addition, it can also be treated by surgery, which is now recognized as a fast, effective and lasting means to lose weight and treat type 2 diabetes. From 2065438 to July 2006, the global guidelines issued by the World Diabetes Organization and the Endocrinology Branch of the Chinese Medical Association and the Multidisciplinary Diagnosis and Treatment Knowledge of Obesity (202 1 Edition) issued by the Diabetes Branch of the Chinese Medical Association all listed bariatric surgery as the first choice for the treatment of type 2 diabetes.
However, although the effect of metabolic surgery is remarkable, it will cause irreversible structural changes and organ damage, and the indications are relatively strict, so it is still difficult to meet the needs of the majority of patients. Patients with this concern can adopt gastric bypass stent implantation, which has the same principle as surgical gastric bypass surgery, but is different from surgery that will cause harm to human body. Gastric bypass stent system can be implanted through painless gastroscope and taken out after 3 months, and its metabolic disease indexes such as extra weight, glycosylated hemoglobin and liver hardness have decreased significantly. It is a new weight-loss treatment technique between diet intervention and surgery.
However, no matter what kind of medical treatment you choose, you must go to a regular hospital, register with the endocrinology department to seek the guidance of a professional doctor, and never trust an unqualified private institution, so as not to be deceived and do harm to your body.