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Clinical Focus:Respiratory Care
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December 2010
Clinical Focus: Respiratory Medicine
  • Asthma and the athlete
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doi: 10.3810/psm.2004.01.80
The Physician and Sportsmedicine: Volume 32: No.1
Physical Activity and Type 2 Diabetes
Tailoring Exercise to Optimize Fitness and Glycemic Control
Krishna V. Bahaskarabhatla, MD, MSc; Richard Birrer, MD, MPH
Abstract: Physical activity decreases insulin resistance and can aid in both preventing type 2 diabetes mellitus and managing the disease. Before patients with type 2 diabetes begin an exercise program, they should undergo a preparticipatory clinical assessment and screening for micro- and macrovascular disease. Patients older than 35 and those with additional cardiovascular risk factors, peripheral vascular disease, long-standing disease, or peripheral neuropathy should have an exercise stress test. Adequate glycemic control and selection of appropriate physical activity, such as brisk walking or swimming, are essential to avoid associated complications. Patients on diabetes medications should monitor blood glucose levels and adjust their diet to minimize fluctuations in blood glucose during exercise.

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