Physical exercise is an effective measure to prevent and treat chronic diseases. Compared with patients who perform at least 7 hours of physical activity a week, patients who have less than 1 hour of physical activity per week or are not active at all have a double the risk of cardiovascular events. People who have not exercised in the last 3 months have a total case fatality rate doubled compared with those who have exercised.
So, how should people with chronic diseases do exercise? What needs attention? Li Wanmei, deputy chief physician of the Department of Endocrinology, Guangzhou Twelfth People’s Hospital, stated that these matters should be noted before, during and after exercise:
Preparation before exercise
Do a cardiopulmonary function check and make sure that there is no problem before choosing the right exercise. Choose loose sweat-absorbing cotton clothing, wear moderate-sized shoes and loose cotton socks, carry sugar cubes, choose a better and safe venue, and choose indoor sports when the weather is bad.
In addition, carbohydrates should be supplemented based on blood sugar before exercise. If blood glucose is more than 14mmol/l and ketone bodies are present, exercise should be avoided; if blood glucose is more than 17mmol/l, but there are no ketone bodies, exercise caution when exercising; if blood glucose is less than 5.6mmol/l, you should add 10-15 grams of carbohydrates ( 1 piece of fruit or 3 pieces of graham biscuits), wait for 5 to 10 minutes, blood sugar> 5.6mmol/l before exercising.
During and after exercise
Ensure adequate body water during exercise. Replenish water when the weather is hot, but not drink too much water at once. Drink some water after 30 minutes of exercise, preferably plain water or mineral water.
Bring a medical assistance card. Cut a 10 cm x 8 cm rectangle with slightly harder paper, and write on it your diabetes condition, name, unit, address, phone number, and emergency contact name and phone number. It should also specify the first aid measures that need to be implemented on you, such as feeding you sugar cubes in your jacket pocket. The rescue card should be hung around the neck or placed where it is easy for rescuers to find.
Put on dry clothes immediately after exercise to prevent colds. Monitor blood sugar changes and replenish carbohydrates in a timely manner within 24 hours based on blood sugar levels.
Make exercise records. If you feel unwell, ask the doctor to adjust the exercise prescription accordingly.