April 18, 2009

Elderly diabetic patients also need to exercise

"Doctor, I diabetes more than ten years has been oral hypoglycemic medication, need to exercise?", The elderly often have to mention this problem.

The answer is yes: the elderly diabetic patients, in addition to diet control and medication, but also the need for appropriate training. Appropriate exercise can increase the body muscle microvascular blood circulation and local expansion, making glucose oxidation and glycolysis, increasing muscle cells to glucose uptake and utilization, so that the body gradually decrease high blood sugar, improve glucose tolerance; Secondly, the appropriate campaign to increase islet B cells to respond to the sensitivity of glucose and increase peripheral sensitivity to insulin organizations to improve the combination of insulin with the receptor, thereby reducing insulin resistance. This obese non-insulin-dependent diabetes (accounting for 90% of patients with diabetes), the drug not only can the use of physical therapy to restore and maintain blood glucose at a normal range. In addition, the appropriate degree of movement can also lose weight, reducing blood fat, softening the blood vessel, thereby improving heart and lung function, slow down the process of vascular complications. Therefore, regardless of fat or thin, exercise should be carried out.

Physical activity of diabetes should be according to their preferences, habits, physical circumstances, should pay attention to the following areas:

A sport. Generally feasible in the main exercise, and some may be jogging training, medical gymnastics, health, work, play tai chi, dancing, swimming, cycling and so on.
Second, exercise intensity. The intensity of the exercises can be used in calculating the movement of the pulse rate per minute for reference, a simple formula for the "movement of the pulse rate = 170 - age." Small amount of exercise should be gradual, and in order for the degree of tolerance. As the frequency of movement to 4-6 days per week, preferably about 30 minutes a day.
Third, time. The general movement of the right time is 60-90 minutes after the meal, at this time can be better to avoid hypoglycemia, the exercise so as to achieve better results. Attention to the application of oral hypoglycemic agents or insulin can not be immediately after the exercise, in order to avoid a temporary low blood sugar.
Fourth, On a regular basis, can not be hurried. Sometimes the disease may occur repeatedly, we should not fear failure, and medical personnel with timely summing up both positive and negative experiences, and continuously improve the treatment.

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