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{'en': 'Type 1 diabetes and sport.', 'es': 'Diabetes tipo 1 y deporte.'} Image

Type 1 diabetes and sport.

ray-ban's profile photo   02/21/2012 3:10 p.m.

Hello.

Recently I went to the endocrine for a routine review, and I asked him about physical exercise, sport and that, that if it was good to control glycemia and/or prevent the complications of diabetes;What I answered is that the physical exercise was only good if you were type 2 or if you always did the same days and on the same time ???I really are not a machine, and I look unable to be so extinct with my exercise schedule, what I do and with it is to do sports 3 days per week in the afternoon, but the time can vary and the days often vary....

You who think or rather what experience you have, I feel better physically, and I would say that my glycemia are well controlled TB thanks to exercise;But with what the endocrine told me, I don't know if it is worth playing sports, beyond the typical party with friends ......

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ray-ban
02/21/2012 3:10 p.m.
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Physical exercise is good for everyone to have diabetes.

If you have type 1 diabetes and do you exercise regularly, just like everyone who does it regularly, but to make the "Indian" once every 15 days better not to do it.

To me that part that the exercise improves the glycemia ... It seems to me that it is a lot to say ... if you exercise you have to monitor more to avoid scares ... I think that having monitoring more clashes a little with that of better glycems... if they are better, why do you have to monitor more?

The exercise does not replace insulin, you need insulin always even exercising, you may need less insulin because the exercise is hypoglycemic and because you do it regularly will decrease your resistance insulin but it does not replace insulin and you don't even thinkExercise if you have ketone bodies PQ you will get worse.

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DiabetesForo
02/21/2012 3:45 p.m.
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Ray-Ban my experience with exercise is very positive, I consider that it is a fundamental pillar to better control diabetes and I am type 1 and of course it is worth doing sports: D, continues to do it when it comes better, fortunately with the newTreatments do not have to be so routine.

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DiabetesForo
02/21/2012 4:37 p.m.
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Tht, thank you already know that in no case the exercise replaces insulin, but my question is whether my endocrine said to exercise for type 1 is a waste of time;And I think it is not so that surely something helps even if you are not like a clock when it comes to do it ... I do controls before and after the exercise, hehe in that you are right more controls I do ...
Prado, see that we have is 6.5 and your idea of ​​leading an active life with the exercise, is comforting Jejjejejej

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ray-ban
02/21/2012 5:07 p.m.
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Physical exercise is good for everyone to have diabetes.

No extreme is good, I don't think exercise is a waste of time but it is not the other end (the panacea, the Nirvana, the eighth wonder) for someone who has type 1 diabetes.

Everyone who thinks that exercise is excellent, is essential, is fundamental, is wonderful, is & lt; another "positive" & GT adjective;For the treatment of diabetes of the type that is, can you say something more concrete than an adjective?Something in plan "is good for this, for this and for this other", to be able to link it with type 1 diabetes, I mean, something in plan "is good for type 1 diabetes for this, for this, for this andFor this other ", more than anything to specify because putting adjectives is very easy but then giving concrete data seems that it is not so much.

Basically the matter affects two things: "feeling" and "insulin dose" (if it affects more things it would be good to know them).

"Feeling": the physical exercise in general makes people (or not have diabetes) feel good and that is very good (the redundancy is worth) but more of that feeling (which is very good to feel good) little more.
Yes, it is better to have type 1 diabetes and feel "well" than to have type 1 diabetes and not have that feeling, but with this I stay the same.
Feeling "well" (which is also a personal, subjective appreciation, has no real) does my diabetes go better?And if so, the better?Can you measure?
The placebo effect is something that works but it seems to me that it is something that is overvalued (like many other things).

"Dose of insulin": physical exercise, in principle, is hypoglycionism and if done regularly also makes insulin resistance decrease, both things lead to less insulin, OK, ok, so far, thePart where I begin to disagree is when it begins to associate (explicitly or implicitly) low doses of insulin to "good" and high dose of insulin to "bad".
Because ?It seems to me a mistake to make that association and other similar ones, neither is more nor less diabetic nor better nor worse diabetic for needing more or less insulin, but the same as with the "feeling", if I am in error that someone says it.
This low dose -& GT;"Well," high doses -& GT;"Bad" is one of the many erroneous associations in urban legend plan that is around this disease, such as associating that a food that raises glucose levels to something "bad" (if so better do not eat, dies from starvation and you finishbefore) and other similar ones, many of these associations have some aroma of type 2 diabetes.
Maybe this is also a placebo effect, who knows ...

But well ... we will always have Paris ... whoever thinks that exercise improves glycemia must live with a contradiction: if exercise improves glycemia that would be a reason to get careless of them (if something is better reason for more toDo not worry) but the funny thing is that when exercising it is usually needed superior monitoring when it is not done:-/

What is fabulous for the treatment of diabetes is diabetological education (I hope it is not necessary to have to explain the "positive" adjective of this phrase 8)).

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DiabetesForo
02/21/2012 7 p.m.
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The Spanish Diabetes Society, edited this book: Downloadable in PDF, about diabetes and exercise.

Basically, in terms of type 1 diabetes, the advantages of a regular exercise are not measured by the improvement of glycemia (which according to specialists is not significant in the long term) but by the improvement in the parameters of cholesterol and blood pressure fundamentally.

Many times we focus only on glycemia and forget those other cardiovascular risk factors.

The exercise also helps control body weight and improves mood in general (endorphins and such ...: d), which is also very important.

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DiabetesForo
02/22/2012 3:28 p.m.
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In my case, glycemia improves substantially.I explain myself.By increasing insulin sensitivity and reducing the number of daily units, the possible error by calculating the necessary units will always be lower.It is possibly an extreme case, but I am currently with half of the units that I would need if I did not do what I do, which also implies a lower tendency to an abrupt low glucose drop even if the body is almost continuously filling in the muscles glycogen deposits.I want to say that mild hypoglycemia is perfectly deductible and predictable.If for a good pasta dish I need 4 units at most, the calculation error will never be superior to a unit, which implies a fairly soft and appreciable hypoglycemia.Likewise, if my mistake has been by default postpandrial glycemia will rarely exceed 180. I debuted a year ago with 10.6 and I am currently with a glycosylated 5.5 and I consider that it is being very easy for me to control diabetes.In June we are coming to us, with what I suppose that the free time to exercise will not be even the same, so I suppose I will have to adapt and start uploading units like crazy.

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JoseManuel
02/22/2012 6:24 p.m.
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I see the subject as TNT, and I explain.I adore the exercise and I practice it regularly, but I am incapable to control well when I do it: I finish with hypo or hyper and, in addition, the hypo post-portion is assured for me is a mystery the mysteryHow some diabetics can, for example, run marathons.Is it a matter of using the best technology (bombs, meters)? ... I don't know, and this is one of the things that hunch me the most of the happy diabetes: Evil :.

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DiabetesForo
02/22/2012 6:51 p.m.
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@Josemanuel for many of the things you comment (current glycosylated hemoglobin of 5.5%, time elapsed from the diagnosis of one year, somewhat low insulin needs, reduction of insulin needs for exercising in half, even that feeling thatIt is being "easy") and seeing in your presentation post that you have about 34 or 35 years (debut stepping on thirty) I would say that everything indicates that you are still "honeymoon", that is not bad in principle.

I put an X in the "feeling" box to feel good exercising or not having diabetes, having type 1 or type 2 diabetes, being in "honeymoon" or not being, in general when exercisingSubstances are released that make us feel good (things like endorphins, dopamine, ...) and for that it does not matter everything.

But I do not put an X in the "insulin dose" pq box although your insulin needs are also reduced by exercising, I don't think someone who is in "honeymoon" is representative of what he meant with respect toThat (someone who is no longer in "honeymoon" no matter how much he exercises does not come to make a reduction in insulin reaching half the one he needs if he does not, I would say that happens to you because it is in being in"honeymoon").

Regarding that it improves glycemia I tell you almost the same, your situation of "honeymoon" implies having your own gasoline and that falsifies the results a bit.Exercising in principle is hypoglycemic, I mean, it will help to have lower glycemia values ​​but it is that the own "gasoline" (whether little or a lot) its regulation is perfect and that influences things such as: if at one timeGiven you have a hypoglycemia that hypoglycemia will be softer (by regulation) and if you have hyperglycemia, it will also be softer (also because of regulation) and that falsifies the results a bit.

And a comment regarding what you have of sensitivity and possible errors ...

By increasing insulin sensitivity and reducing the number of daily units, the possible error when calculating the necessary units will always be less.
The issue of sensitivity is to setback, I will give an example with numbers to be understood:

To calculate the insulin sensitivity factor (FSI) a formula is used, a number is divided by the total daily dose (DDT or in English TDD), the number used varies depending on whether regular insulin is used (1500) or if fast -acting analogs (1800) are used even a correction can be made if it is a child using fast action analogues (1700 or similar).
The calculation of the FSI is only an approach to reality, it is not an absolute truth, it only gives an idea of ​​how many mg/dl it is able to reduce an insulin unit and it is only one of the things to take into account when making calculations, you can have different sensibilities at different times of the day, in fact there are different sensibilities throughout the day.

Well after the theoretical roll we go to a practical example, we will assume two adults who use rapid action analogues, who also have a similar physical complexion and rhythms of life, one puts 80 insulin units a day and another sets 40insulin units a day:

Person 1 (80 u.) -& GT;FSI = 1800 /80 = 22.50 mg / dl
Person 2 (40 u.) -& GT;FSI = 1800 /40 = 45.00 mg / dl

The person who needs 80 insulin units a day has a sensitivity to minor insulin, 1 insulin unit is able to reduce its blood glucose 22.50 mg/dl (theoretically).
The person who needs 40 insulin units a day has a sensitivity to the major insulin, 1 insulin unit is able to reduce its blood glucose 45.00 mg/dl (theoretically).

In other words:
The person lesssensitive (the 80 u. A day) if it is confused in a single unit will be 22.50 mg/dl out of where it should be (which I do not think is a big problem, be 22.50 mg/dl outside where it should notIt is a very big problem).
The most sensitive person (the 40 u. Per day) if it is confused in a single unit will be 45.00 mg/dl outside where it should be (which can be a more important problem since being 44.50 mg/dl out ofwhere it should mean being directly in hyperglycemia or hypoglycemia even if they are mild).

In terms of making mistakes with insulin doses, these mistakes are worse in a person the more sensitive to insulin and not the setback.

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DiabetesForo
02/22/2012 9:01 p.m.
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@owash I set an X in the "Feeling" box (feel good and that) and little else ...

Having cholesterol problems, problems with blood pressure or overweight problems are things that in principle have nothing to do with diabetes, you can have those problems without having diabetes.

The thread is called "type 1 diabetes and sport" and I think you are talking about things like that if the sport is a waste of time (words of the endocrine of @ray-ban) for someone with DM1 or if it is something super important, as important as to become a fundamental pillar of the treatment of DM1.

Is it possible to have those problems (cholesterol, T.A., overweight) and also have diabetes?Yes And physical exercise can help in those problems?Possibly yes, but I think the one who started the thread asks about exercise and DM1 without further ado.

So far "feeling", "insulin dose" and "improves glycemia" (it seems that improves them:?: But you have to monitor more:-/, I am escaping something in this improvement ...).

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DiabetesForo
02/22/2012 9:48 p.m.
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Returning to the "practical" that I think is what we are looking for in the all forum;), Because the theory we already know it left over you a link in case they can help a little

There are three interviews about "diabetes and sport" that perhaps clarify any doubt.

Roa I know someone with diabetes that runs marathons and ultrafond mountain tests, there is no mystery, there is a lot of training behind, an enviable physical form: D and much knowledge of their body and their diabetes that allows them to perform the sport withabsolute normality.

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DiabetesForo
02/23/2012 7:16 a.m.
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Hello.
Recently I went to the endocrine for a routine review, and I asked him about physical exercise, sport and that, that if it was good to control glycemia and/or prevent the complications of diabetes;What I answered is that the physical exercise was only good if you were type 2 or if you always did the same days and on the same time ???I really are not a machine, and I look unable to be so extinct with my exercise schedule, what I do and with it is to do sports 3 days per week in the afternoon, but the time can vary and the days often vary....
You who think or rather what experience you have, I feel better physically, and I would say that my glycemia are well controlled TB thanks to exercise;But with what the endocrine told me, I don't know if it is worth doing sports, beyond the typical partisan with friends ......

Change endocrine.

Someone who says that physical exercise is not good for a type 1 diabetic, sincerely, it is an endocrine evil.It doesn't inspire me any confidence.
The regular (to be able to be daily) of physical exercise has already been demonstrated more than validated as a diabetes treatment tool;Like medication or diet.The famous chair with the three legs from which if you remove one, the chair falls.Well that.

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HanSolo
02/23/2012 10:21 a.m.

ISCI / debut: 1986 / HbA1c: 5,5%

  

@Owash I set an X in the "Feeling" box (feel good and that) and little more ...

Have cholesterol problems, problems with blood pressure or overweight problems are things that in principle have nothing to do with diabetes, you can have those problems without having diabetes.B>

The thread is called "type 1 diabetes and sport" and I think you are talking about things like that if the sport is a waste of time (words of the endocrine of @ray-ban) for someone with DM1 or if it is something super important, as important as to become a fundamental pillar of the treatment of DM1.

Is it possible to have those problems (cholesterol, T.A., overweight) and also have diabetes?Yes And physical exercise can help in those problems?Possibly yes, but I think the one who started the thread asks about exercise and DM1 without further ado.

So far "feeling", "insulin dose" and "improves glycemia" (it seems that improves them:?: But you have to monitor more:-/, I am escaping something in this improvement ...).

In the blue I think you are wrong.
I think you place diabetes in a kind of absolute value, where only glycems matter.And that is not so.

Patients with diabetes have a higher risk of cardiovascular disease that is comparable to that of a patient who has already had a myocardial infarction.
Cholesterol control to the recommended levels is one of the most beneficial actions to reduce cardiovascular risk in diabetes patients.
Cholesterol levels must be minor in diabetics than in people who are not.
And we could say the blood pressure.

I leave some, but cardiovascular risk factors are: diabetes, cholesterol, hypertension, obesity and smoking.
As much as we want one of those factors we already have it (type 1 or type 2 diabetes) ... As much as we want to lower the glycemia, they will always be above those of a person are diabetes.
So we want to have a complication directly related to diabetes (cardiovascular disease) we must control the rest of risk factors.

Therefore, if we accept that physical exercise is directly related to a better control of cholesterol, hypertension and obesity because we will have better diabetes control, either type 1 or type 2.

Although in the end, and I suppose you will agree with me, doctors talk about probabilities not for certainties ... No one assures 100% that exercising regularly does not have a heart attack or an stroke, but surely you have less ballots in the macabrelottery.

A couple of links:
- Link ... ediatrica/ <!--M ->
. Link ... -Insulina/</a

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DiabetesForo
02/23/2012 1:49 p.m.
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Physical exercise is good for everyone to have diabetes.A couple of posts without saying it and it seems that there is some confusion, I will have to put it in this and the following (if there is more) to avoid those confusion.

@owash I do not know where you get that I have a vision where only glycemia matter, but not only for this thread, in any post of my forum.
In this thread I have been talking about how the exercise affects the DM1 and I have spoken mainly about two things that I have labeled as "feeling" (upward scrolling bar and can be read) and "insulin dose" (displacement barup and can read) and in those two things I do not talk about glycemia.
From slippthat monitor more) is an improvement (always from the point of view of DM1).
Out of that I give an explanation about insulin sensitivity and errors because someone has (or had) a wrong idea about that (upward scroll bar and can be read) and in principle that explanation has nothing to do with whatExercise and DM1.

Regarding the phrase that you highlight in blue, that phrase does not have an explicit way or implicit anything of that supposed vision that only glycems matter, that phrase says absolutely nothing more than what is in it.

Moreover, at the end of everything you have said, it can be interpreted that if you have DM1 and you do not have any of those other problems (cholesterol, t.a., overweight, ...) you end up opinion almost as those that we think that theExercise is overvalued as a tool for the treatment of DM1, because exercise supposedly helps those things but if you don't have those things ... Anyway ...

Like other things in this world of diabetes sometimes the same thing must clarify it if you are talking about that thing and DM1 or if you are talking about that thing and DM2.
Example: Eating common sugar, a type 2 must be told that it escapes whenever you can of rapid absorption carbohydrates (bone, better not coma) but a type 1 does not care (you can eat it without problem).
The same thing according to a type 1 or a type 2 has a nuance, because with the exercise the same: for the DM2 the exercise personally seems very good and in that case if I put it at the same level of other things (such asthe treatment or diet) but only if we are talking about exercise and DM2 for DM1 putting it at the same level as the treatment or diet seems excessive to me, for the DM1 doing exercise is fine but we do not flip it.

Does the exercise harm any type of diabetes?No, come on ... I don't think.
Does it favor all types of diabetes?(This is a good question, namely what is the answer).

You end up reading many times "Exercise is good for diabetes", "exercise is good for diabetes", "exercise is good for diabetes" ... but nobody specifies anything, neither the type of diabetes or anything.

@Gondrovo when reading the common sugar you can rescue that story that you have told several times "in the eighty -beak year they told me no and I is what I do" it is worth, you are very free to do what you want but I imagineThat after the years you have realized that what they told you is a "no, because not" but well ... what I wanted to tell you is something referring to that analogy of the chair and the four legs and such ...

When you are within this, too many brochures, pamphlets, mini-guides even posters, all those educational things, that "the four legs of a chair ...", "the four fundamental pillars ... "," The four wheels of a car ... "By force of reading itYou end it by storing even the minimum as a PQ spring "until it sounds good" (my case is or was the four-wheel) and the years go by and more brochures, more pamphlets, more mini-guias and endsReading more posters or the same posters more times (more consultations, more times in the same waiting room with the same posters, in short ...) do not fool yourself, it is not our harvest at all, we are recorded but recorded butOur is not.

With this I do not say that those four things that refer to do not exist (education, treatment, diet, exercise) that exist, what would squeak me is that those four legs / pillars / wheels are the same size and I think thatWhen these brochures, pamphlets, mini-guias, posters are created, what they try.

Over the years I have been seeing that the most important thing (and therefore should be represented with larger size) is education, treatment and diet have a slightly lower size than education and are linked to each other (and with education)And finally the exercise has the smallest of everyone's size and would link it at least with education, all linked to education, everything emanates from education (in the average DM2 education fails and with that it fails everything as sure you have been able to verify andIf in a DM1 education fails then you are almost in them and surely you have also been able to check it).
When trying to represent that (which seems to me a more real representation) in brochures, pamphlets, mini-guias, posters, what gives me: a chair with four different legs (which does not stand standing), four pillars of different size (whichThey do not use even to decorate) and a car with four different wheels (that sure or starts) and of course ... that does not "sell", that does not come so easily, what comes is the other.

I say this because I was one of those who jumped like a spring repeating as a parrot about "the four wheels of a car ...", I have seen that you are more of those of "the four legs of a chair ..."For my part for a long time I try not to do it, but there is each one with what he does with the common sugar 8).

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DiabetesForo
02/24/2012 7:28 p.m.
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Man, you say that cholesterol, tension and obesity have nothing to do with diabetes.That is why it leads me to conclude, erroneously by what you explain to me, that diabetes is only glycemia.

I think that post -back and in the latter (what of quotear is not my thing) Picho to refine a little why the recommendation of exercising for type 1 diabetes is good, continuing with the theme of the post.
And that is what I have tried to do by stating (with different links) that practicing physical exercise is good for type 1 diabetes because it improves and prevents ( although it is not at that time ) the valuesof cholesterol, blood pressure and overweight/obesity, reducing insulin resistance or improving insulin sensitivity (as you want to say).

And why is it so?
Because blood pressure is directly related to the appearance of nephropathy.
Another link, in case those before have not been clear: Link

Because cholesterol and obesity are directly related to atherosclerosis.
Another link:
where I extract: Hence the need to be very active in the prevention and/or treatment of the other cardiovascular risk factors, especially smoking.

In addition, secondarily, physical exercise improves mood (endorphins) ... and I remember that patients with type 1 diabetes usually have the depression index higher: Link

It is true that monitoring more frequently attempts against the quality of life, at least in type 1 (because type 2 different governments no longer give them the opportunity to become glycemias).
And it is that glycemic monitoring must be the first or second most hated by which we have diabetes.Going to 6 controls to 8, although it may seem a bullshit for someone who does not click on my fingers, this is an extra load ... and after time this "nonsense of 2 more glucemias" can be very annoyingBecause you end up saturated and seeing only reactive strips, glucometers and figures.

The chair simile, I see it as education is support and seat ... the pharmacological treatment, diet, exercise and regular medical controls such as the 4 legs that come together from the seat and support.
Without support and without a seat you are uncomfortable ... you can maintain, but badly sitting and not for an indefinite time.
With 3 legs you can still stay but you will end up making more effort to sustain yourself, you will end up getting tired and falling.

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DiabetesForo
02/25/2012 3:28 a.m.
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Talking about increasing the number of monitoring if exercised ... I went from 6 or 7 with much more unpredictable values ​​to 2 or 3 a day.Of course, with TNT permission, my expriencies will only serve as guidance to people who are in an early state of their diabetes with the possibility of honeymoon.I put you a "X" in the "the ready that knows everything".

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JoseManuel
02/25/2012 9:57 a.m.
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I don't understand this post ...

Do you doubt that in general someone who does sport monitors more?

Do you take badly that someone tells you that for your particular situation of "honeymoon" some things you have commented are not within the most general case?Well nothing, thanks for the end of your post, I think that in addition to marking an X in the "Feeling" box (feeling good exercising and that) we create a box "someone has told me that I am in 'honeymoon' and IHe has sat badly "and we put another X.

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DiabetesForo
02/25/2012 3:07 p.m.
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Hello good!!
I wanted to ask you what do you think of the Pilates?I explain myself, next Monday I will start doing it, and I do not know how the teacher is, if we get cane or not ... and my question is whether this exercise will be enough or it would be good, especially for diabetes to perform other types ofExercise of perhaps more intensity.

All the best!

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RAKE
09/29/2017 9:04 p.m.

DM1 desde 1992, con 9 añitos; Tresiba 10, Apidra en función de HC
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I spent a year in Pilates classes and it's very good.It is harder than it seems, especially at the beginning.The first days you have tremendous hostels.It went great to my back.At work I am sitting all day and it hurt a lot and with the Pilates I would hurt only from time to time.It is an exercise to strengthen the muscles, especially the core (abdominal, lumbar ..) that helps you a lot to maintain a good postures.During classes they have a lot of posture and breathing.
I see it as a good exercise although if you have time I would do something else.Some weights or with your body weight to strengthen the entire body (squat, flexions, dominated, ...) and some cardio.
If you have never done weights you can see online videos that explain the technique well.There is a very good YouTube channel of a weight of the weights called Powerexposive.It has many videos where it explains in great detail the technique of each exercise.

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Yessica_A
09/30/2017 12:53 a.m.

DM1 desde 2003 | Toujeo + Humalog | FreeStyle 2 | HbA1c 5.5

  

It is clear that exercise is good for everyone, with diabetes it is clear that improves weight, glycemia (who has them badly), cholesterol, blood pressure (I had an anterior infarction in 2013), which you haveWhat to do more controls, it is clear, if you are not an unconscious, but that does not mean that you do not compensate, maybe in your case if, if you want not to do controls, then do not do any and while you do not fall you will begood.I prefer to get more controls and have better general health, which is what the exercise does, who thinks that it is better because it needs less controls because they do so.The endocrine has no idea.Basic diabetes formation, control depends on: exercise, diet and insulin.

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MIGUELANGELRUIZ
09/30/2017 3:35 p.m.
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