Exercise Prescription

1
Exercise Prescription

• Chapter 9

2
Exercise Prescription for Diabetes

• Type of prescription depend on type of diabetes
• Type I
• Relatively rare compared to type II
• Cannot produce insulin must inject
• Known as insulin dependant diabetes mellitus
  (IDDM)
• Type II
• Common (becoming more common each year)
• Insulin resistance (ineffective at moving glucose
  into the cell)
• Used to be only in older adults now in all ages
  including children
• Treatment matrix exercise ? insulin injections

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Exercise Prescription for Type I Diabetes

• The main goal is to reduce the risk of
  cardiovascular disease and increase overall
  fitness.
• All IDDM clients are considered high risk and
  should see a doctor prior to beginning an
  exercise program.
• Hypoglycemia is a major concern (insulin
  exercise).
• P133
• P134 Table 9.1
• Unplanned activities - recommend consuming 20-30
  grams of CHO for each 30 minute of activity.

4
Exercise Prescription for Type II Diabetes

• Less likely to experience hypoglycemia from
  exercise compared to Type I
• Type II clients are just as inclined to have
  medical complications. Ensure your client is
  evaluated by doctor before starting an exercise
  program.

5
Exercise Prescription for Type II Diabetes

• Number one goal burn calories (most with type
  II diabetes are obese)
• 1. Improve sensitivity to insulin
• 2. Reduce body fat
• Main focus of prescription should center on
  increasing duration

6
Exercise Prescription for Type II Diabetes

• Frequency- Seven days per week
• Intensity- One the client can maintain for a long
  period of time (light to moderate)
• Time- One hour
• Type- Cardiorespiratory then resistance