Wednesday, 22 April 2015 04:05

Diabetes Management

Good management of diabetes is crucial to prevent long-term complications such as:

  • Cardiovascular disease:
    • Heart – 2-3 times more likely to experience a cardiac event then non-diabetics.13397527641422238978_diabetes-ath.jpg
  • Retinopathy
    • Eyes – often leading to visual impairment.diabetic-retinopathy-large.jpg
  • Nephropathy
    • Kidneys – often leading to kidney failure.diab20kidney.jpg
  • Neuropathy
    • Nerves – generally hands and feet are affected and can lead to ulcers.diabetic_neuropathy_feet.jpg

 

The importance of a healthy HbA1c level for your heart:

CHD_Event_In_T2D.jpgDeath_From_CHD_In_T2D.jpg

 

 

 

 

 

 

 

 

 

 

 

What does this mean?

If your HbA1c level is 8.0 or greater, you have a 1 in 5 chance of having a cardiac event (heart attack, angina etc) compared to a 1 in 14 chance if your HbA1c is less than 6.0. Furthermore, your risk of dying from a cardiac event is 1 in 7 if your HbA1c is 8.0 or greater, compared with a 1 in 33 chance if your HbA1c is less then 6.0.

 

How does aerobic/cardio exercise help?

  • Improved blood glucose control:
    • Through regular exercise over a long period of time.
    • Immediate reduction in BGL’s because the glucose has been used as a fuel source.
  • Improve insulin sensitivity:
    • Exercise immediately increases cell sensitivity to insulin.
  • Reduction in body fat:
    • Weight loss increases insulin sensitivity and may reduce the amount of insulin or oral hypoglycemic medications needed.

 

How does resistance/strength exercise help?

  • Muscle contraction during resistance training has an insulin-like effect and improves the effectiveness of natural or medicated insulin.
  • Increased muscle mass and reduced adipose (fat) tissue, results in a healthier muscle:fat ratio.
  • More effective re-uptake of glucose.

 

Adelaide Exercise Physiology and Dietitian Services offer extensive knowledge in the area of Diabetes management, for both type 1 and type 2 diabetes.