tag:blogger.com,1999:blog-6184986782015106459.post3014810081217211986..comments2023-06-23T04:19:11.452-06:00Comments on Three 2 Treat: Can Exercise Kill You?Trevhttp://www.blogger.com/profile/06600491120279958753noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-6184986782015106459.post-31522425028491403682012-03-04T08:35:59.669-07:002012-03-04T08:35:59.669-07:00Gary Scheiner of Integrateddiabetes.com is a PWD (...Gary Scheiner of Integrateddiabetes.com is a PWD (Type 1 since age 17) and an exercise physiologist who set up the exercise program at Joslyn (for Type 1s). He consults remotely, from a one-time only to three-month, six-month or yearly retainer fee. He also has specific programs geared toward cgms training, pump start and exercise and Type 1. So everyone can have their own exercise physiologist, CDE combination. Some insurance companies may pay but his fees are reasonable. And you can consult for just a short period of time. Well worth a phone call.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6184986782015106459.post-84547297736553958192012-03-03T18:49:31.613-07:002012-03-03T18:49:31.613-07:00My take after reading studies on activity level an...My take after reading studies on activity level and diabetes is that being a couch potato causes insulin resistance and harder to control bg, but that serious athletes do not do any better overall with diabetes control that those of us who are moderately active.<br /><br />The most interesting exercise tip I've seen is that combining exercise that raises blood sugar with exercise that lowers blood sugar may prevent major blood sugar problems. For example, if you sprint (which for most people raises blood sugar) and jog (which for most people lowers blood sugar). <br />As a general rule, aerobic exercise lowers blood sugar and anaerobic exercise raises blood sugar, but this doesn't always predict what will actually happen because many exercises are a combination of aerobic and anerobic and if you are competetive and playing some sport the adrenaline rush can be a major complicating factor. For me, dehydration and time of day, active insulin, and the past few days' activity level make a big difference in how exercise effects me- generally if I do two workouts in a day, the second one has little to no effect on my blood sugar.<br /><br /><br />Here is a list of risks I know exercise can pose for diabetics (you might already know them):<br />1. This is kinda obvious, but, hypoglycemia.<br />2. If you are already at risk of ketoacidosis, exercise may increase the rate of ketone production.<br />3. If you already have some retinopathy, exercise that causes sudden changes in blood pressure- particularly weight lifting, chin ups, that kind of thing- can cause retinal detachment.<br />4. Shoveling snow and other major forms of exercise in people with heart disease who are not really in shape can cause heart attacks. So can dehydration, so hydrate!<br />5. Injuries are common in some sports and the healing process can be slower/ more complicated with diabetes.<br />6. If you wear a pump and have to disconnect to swim (I don't know if any pumps are totally waterproof but some aren't) then staying disconnected too long will lead to nasty highs and ketosis.Jonahhttps://www.blogger.com/profile/07961973384914389626noreply@blogger.com