Although there are many drugs available to treat diabetes and vascular complications, exercise has been demonstrated to be a safe, effective method to reduce risk of heart disease and diabetic complications. Findings from clinical studies also suggest that physical activity may delay or prevent the development of type 2 diabetes.
Type 2 diabetes mellitus is a chronic medical condition that is associated with many risk factors for heart attack including elevated glucose, high blood pressure, high LDL ("bad") cholesterol, and low HDL ("good") cholesterol.
People with diabetes are often (but not always) overweight. Scientists and doctors have learned over the years that if people exercise, they can gain better control of their glucose levels, improve blood pressure and cholesterol levels, decrease risk of a heart attack, and live a longer, healthier life.
However, there are special considerations for people with both type 1 and type 2 diabetes who are going to begin an exercise program. The American Diabetes Association recommends that people with diabetes undergo a comprehensive medical evaluation with diagnostic studies before embarking on a fitness program.
If you have diabetes and one or more of the following risk factors, your physician may recommend an exercise stress test before starting your exercise program:
Age 35 or older
Age 25 or older and have had type 2 diabetes for over 10 years or type 1 diabetes for over 15 years
Any risk factor for coronary artery disease
Proliferative retinopathy or nephropathy
Peripheral vascular disease
Scientists have recognized that people with diabetes and an abnormal stress test are at higher risk for dying and having a heart attack in the future. Therefore it is important that you consult a physician before beginning an exercise program.
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