Exercise Programs Help Control Diabetes
Exercise Programs Help Control Diabetes
Study Shows Structured Programs Help Improve Blood Sugar Levels in Diabetes Patients
By Bill Hendrick
WebMD Health News
Reviewed by Laura J. Martin, MD
May 3, 2011 - Structured exercise programs that include aerobic exercise and/or resistance training help improve blood sugar levels in people with diabetes, new research indicates.
Scientists led by Daniel Umpierre, MSc, of the Hospital de Clinica de Porto Alegre in Brazil, performed an analysis of studies looking at the effects of structured exercise programs of at least 12 weeks duration on lowering HbA1c. They also analyzed studies evaluating the effects of physical activity advice alone or along with nutritional counseling on HbA1c.
“Exercise is a cornerstone of diabetes management, along with dietary and pharmacological interventions,” according to the new analysis of previous studies, published in the May 3 issue of the Journal of the American Medical Association. “Current guidelines recommend that patients with type 2 diabetes should perform at least 150 minutes per week of moderate-intensity aerobic exercise and should perform resistance exercise three times per week.”
Umpierre and colleagues analyzed studies that included data on 8,538 people.
Exercise Tips for People With Diabetes
Structured exercise was associated with a greater decline in the HbA1c levels of -0.67% compared with participants in comparison groups. Structured aerobic exercise and structured resistance training, singly and combined, showed declines in HbA1c.
And structured exercise durations of more than 150 minutes per week were associated with a reduction in HbA1c of 0.89% compared to working out for 150 minutes or less per week which was associated with a -0.36% reduction.
Advice about physical activity also was effective when combined with dietary counseling in lowering HbA1c levels by -0.43% compared with those in comparison groups.
Advice about physical activity when given alone was not associated with changes in HbA1c.
The researchers write that structured exercise training may not be available to patients and thus doctors should provide counseling about what physical activities patients with type 2 diabetes should engage in.
“Structured exercise, consisting of aerobic training, resistance training or a combination of aerobic and resistance exercise training for at least 12 weeks is associated with improved glycemic control in type 2 diabetic patients,” the researchers write. “Physical activity advice is beneficial only if associated with dietary recommendations.”
Cutting Costs of Diabetes Treatment
Marco Pahor, MD, of the University of Florida, writes in an accompanying editorial that structured exercise programs for diabetes patients could reduce costs of their treatment over a two-year period.
He says the Umpierre study and studies “provide solid evidence for public policymakers to consider structured exercise and physical activity as worth of insurance reimbursement to promote health, especially in high-risk populations.”
Some insurance providers include a fitness benefit for members, such as a monthly membership at fitness centers or access to personal trainers. In one previous study, older adults who went to a health club two or more times a week over a two-year period incurred $1,252 less in health care costs in the second year, compared to people who visited a health club less than once a week.
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Have you seen this article by the BBC which claims
Type 2 diabetes in newly diagnosed 'can be reversed'?
I thought it was pretty cool.
(please excuse the following rant)
(really, I apologize, the pressure has been building for quite some time)
May I be the first to say...........DUH.
From someone with quite a bit of personal experience in this rather frustrating topic, and who has had to put the WRONG answer on tests, (once diabetic ALWAYS diabetic, diabetes can only be controlled, NOT cured) due to the absolutely disgusting, ridiculous propaganda of the pharmaceutical industry and its hold on the medical industry......I'm gonna tell you how I really feel.
Goddam angry, that's how. What kind of logic is involved when it is declared that once you have diabetes (type two) you ALWAYS have it, regardless of A1c, blood sugar testing, blah, blah, blah? That's basically like saying - EVERYONE is walking around with diabetes, it just hasn't 'shown up' yet. Sure, take a perfectly normal person, stuff them silly with fast food, thirst busters, and simple carbs for ten or fifteen years and they too, will 'reveal' their diabetes......cuz they 'ALWAYS' had it.....grrrrrrr. Losing weight, changing diet, and adding exercise isn't the 'cure' - it only 'controls' it. I call bullshit. If lab ranges are used for diagnostics, and you go from 200+blood glucose post prandial, and 130 fasting blood glucose, to 100 post prandial, and 77 fasting.........you are effin' cured, regardless of what the pharmaceutical industry would prefer you to believe.
Niki - OUT.
(heavy breathing, (like Animal from the muppets)....okay - I'm done now.........)(and yes, I went off on a DOCTOR, my last day of class......don't you EVEN claim 'evidence-based medicine to ME you money-grubbing, drug dealer)
If you ask me nicely, I will tell you how I REALLY feel....
As a type 1 diabetic, yeah excersise is great for me, what isnt good for me is BULKING. Being a type 1 diabetic excersising to ghet bigger can be hard. My HbA1c has always been so so, as of now its slightly elevated to what it was last year, but since I started more cardio, my cholesterol has dropped to within normal range for the first time since about 2005
Originally Posted by niki
You must spread some Reputation around before giving it to niki again.
Originally Posted by niki
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