Diabetes: Getting Started With Exercise

Getting started with exercise is easier than you think. Simple and small movements can get you started on a regular exercise routine. You don't need to join a gym to start moving. Choose an activity you enjoy. Start slowly and set small goals. Work activity into your daily life. Talk with your doctor before you begin an activity program. This is to be sure you are balancing your insulin doses (or medicines) with eating and an increase in activity levels.

If you're not used to being active, start with gentle movements while you watch TV. Raise your arms and legs while seated. Then repeat for 5 to 10 minutes. With time, add some slow walking. Even taking the stairs instead of the elevator can help you be healthier. These types of brief activities are great ways to get started. They can help lower your blood sugar level, strengthen your heart, and improve your energy.

Your goal, especially at first, is to keep your activity simple. Slowly work up to 30 minutes of activity a day. But you don't need to do it all at once. Break it up into smaller chunks of time. For instance, you can be active in 3, 10-minute sessions a day. You can also combine being active with the other things you need to do. For instance, stand up from your desk and walk around often when at work. Or go for a walk around the mall before you shop.

Choose activites that you like to do and that fit into your schedule. Here are some tips:

• Get off the bus one or two stops early and walk the rest of the way.
• Run small shopping errands on your bike.
• Go for a 10-minute walk after each meal.
• Park your car in the space farthest from where you're going.
• Get a pedometer that records the number of steps you take. Make a goal for the number of steps you take each day. Increase your goal a little each week.

Safety tips include:

• Warm up before you start and cool down when you're done.
• Carry or wear identification (ID) that says that you have diabetes. This could be a medical ID necklace or bracelet.
• Carry a cell phone with you. This is helpful if you need to call for help.
• Drink water before, during, and after your exercise.
• Eat 1 to 2 hours before you exercise, if instructed.
• Check your blood sugar before and after you exercise, if instructed. Check your blood sugar if you feel symptoms. You can see how much exercise can lower your blood sugar even without medicines. Ask your doctor about an insulin pump. Some insulin pumps allow you to lower your basal insulin dose during times you are exercising.
• Carry fast-acting sugar with you in case you have low blood sugar.
• Wear socks and well-fitting shoes. Try to find socks that can pull moisture away from your feet. Check your feet for blisters or redness after exercise.
• Think about the weather in your area. At times, you may need to choose indoor rather than outdoor activities.
• Stop the activity if you feel any pain, shortness of breath, or lightheadedness.

Mix fitness with fun. The more fun you have, the more likely you are to stick to your plan. You can have a better blood sugar level along with an active, fun day. Try these tips:

• Choose an exercise that you enjoy and can do easily.
• Join a social club that goes for walks or does other physical activities.
• Go bird watching or do something else that gets you outdoors.
• Put on some music and dance.
• Have family or friends join in your physical activity.