Situations in which diabetics should avoid vigorous physical activities

Physical activities cannot be the same for every one all the time, in some special cases especially In type 1 diabetes, exercise can worsens hyperglycemia (>300mg/dl) and ketosis. Vigorous activities are best avoided.
Things to be noted in:
Hypoglycemia
Patients on insulin are at risk, added carbohydrate consumption is required if pre-exercise glucose levels are less than 100mg/dl and for patients on other medicines, preventive measures are not required
Retinopathy
Vigorous aerobic or resistance exercises- contraindicated and there is a risk of developing vitreous hemorrhage or retinal detachment.
Peripheral neuropathy
Excess physical activities may lead to loss of protective sensation; also there is a high risk of skin break down, infection and Charcot joint destruction. It is best advised to go for non- weight bearing exercises like Swimming, bicycling, arm exercises etc.
Autonomic neuropathy
Physical activities here can increase the exercise induced injury and also it can decrease cardiac responsiveness, postural hypotension, impaired thermoregulation, impaired night vision due to impaired pupillary reaction and unpredicted carbohydrate delivery from gastroparesis.
The best solution is to individualize the physical activity according to the cardiac status.
Some Special precaution to be kept in mind
**Feet should be inspected for any cuts blisters and infection
**Avoid exercises in extreme hot and cold climates
**Avoid exercises during periods of poor metabolic control
Benefits of exercise
**Improvement in insulin sensitivity
**Reduction of height
**Reduction in weight
**Improvement in lipid profile
**Improvement in cardiovascular function
**Sense of well being

Disclaimer: All opinions and Information published here is for medical education only. It is not intended as and does not substitute for medical advice. If you are a patient, please see your doctor for evaluation of your individual case. Under no circumstances will the authors be liable to you for any direct or indirect damages arising in connection with use of this website

In many developing countries, children with diabetes suffer because insulin and other diabetes supplies are not affordable or sometimes not even available.
The International Diabetes Federation's Life for a Child Program supports the care of close to 1000 children in the following countries: Tanzania, Rwanda, Democratic Republic of Congo, Nigeria, Azerbaijan, Nepal, India, Sri Lanka, Philippines, Papua New Guinea, Fiji, Uzbekistan, Bolivia, Mali, Ecuador, Sudan and Cameroon.

Participants in the Life for a Child Program partially-sponsor the neediest children at diabetes centers in these countries. This sponsorship enables the children to receive the clinical care and diabetes education they need to stay alive. The centers provide thorough clinical and financial feedback.

The goals of the Program are to provide:
* Sufficient insulin and syringes
* Blood glucose monitoring facilities
* Appropriate clinical care
* HbA1c testing
* Diabetes education
* Technical support for health professionals (if requested)

Some centers need support for all these areas; others need support for some components.
Many children with diabetes in developing countries die soon after diagnosis. Many others face the burden of complications while still young. Life for a Child encourages governments to establish appropriate care to safeguard the future of children with diabetes.

Funds are donated by the International Diabetes Federation through sale of World Diabetes Day merchandizing, individuals, associations, Rotary International, and companies working in diabetes. Most individual donors contribute a dollar a day. Support is provided to recognized diabetes centers to purchase insulin and syringes, and provide monitoring and education. Financial trails and the health outcomes of the children are carefully monitored.
Our goal is to double the number of children supported by the end of 2008. Help us save children with diabetes. Donate online at http://www.lifeforachild.org/ or through the purchase of World Diabetes Day merchandize.
Source: www.lifeforachild.org
Disclaimer: All opinions and Information published here is for medical education only. It is not intended as and does not substitute for medical advice. If you are a patient, please see your doctor for evaluation of your individual case. Under no circumstances will the authors be liable to you for any direct or indirect damages arising in connection with use of this website