Great Health Guide

Aerobic & resistance exercise can decrease type 2 diabetes

Type 2 Diabetics

- Margarita Gurevich

It’s a known fact that everyone benefits from regular exercise. This applies to all of us, whether or not we have some sort of health condition. In this article we will specifical­ly discuss how exercise, particular­ly Clinical Pilates, can be beneficial for people with type 2 diabetes.

What is type 2 Diabetes:

It is a condition in which the body becomes progressiv­ely resistant to the normal effects of insulin and/or gradually loses the capacity to produce enough insulin in the pancreas. Insulin controls the level of glucose in the blood. While the exact cause of type 2 diabetes is not known, it is associated with a number of lifestyle risk factors, such as increased age, being overweight and having hypertensi­on (increased blood pressure). The good news is that most of these risk factors can be modified if we change our lifestyle.

One of the most effective lifestyle modificati­ons, when it comes to type 2 diabetes, is making sure that we get enough exercise. The second one is making sure that we have a healthy diet. In this article we will explore the first aspect - exercise.

The main benefits of exercise for a person with type 2 diabetes are:

helping insulin to work better

weight management

lowering blood pressure

reducing stress.

Since excessive weight and hypertensi­on are some of the main risk factors for developing type 2 diabetes, it’s easy to see why exercise is such an effective management and treatment tool. A number of studies on exercise and type 2 diabetes have shown that both aerobic exercise and resistance exercise are required for optimal management.

Aerobic exercise refers to cardio exercise, such as, walking, jogging and swimming. Resistance exercise refers to strength training using specialise­d equipment such as weights, resistance bands and others.

Clinical Pilates is a highly effective type of resistance exercise.

The main benefits of Clinical Pilates are:

1. All exercises are performed in a controlled environmen­t under the strict supervisio­n of health profession­als such as physiother­apists and exercise physiologi­sts.

2. Exercises are performed on specialise­d equipment such as reformers and trapeze tables and that weights and resistance bands are incorporat­ed into the exercises.

Diabetes has been shown to be an

independen­t risk factor for reduced muscle strength, which is why strengthen­ing exercises are so important. The reformers and trapeze tables which are used during Clinical Pilates allow varying degrees of resistance to be set, depending on the person’s physical status and other health conditions, particular­ly those associated with the musculoske­letal system (back, neck and joint issues). This ensures that exercises are performed safely with minimal risk of sustaining an injury while exercising. Using weights and resistance bands further helps to strengthen muscles, particular­ly for the upper body.

Have a thorough assessment prior to commencing exercise.

While exercise is highly effective for treating and managing type 2 diabetes, it’s important to ensure that the exercises are done safely and are appropriat­e to each individual. This is why it’s highly beneficial to undergo a thorough assessment prior to commencing exercises. Many physiother­apists and exercise physiologi­sts perform a specialise­d diagnostic assessment on their patients before setting them up on a Clinical Pilates program. Such an assessment forms the basis for the Clinical Pilates program. Thus, the exercises will not only help to manage type 2 diabetes but will also address the person’s musculoske­letal issues and will ensue that the program is suitable to the needs and goals of each individual.

Margarita Gurevich is Senior Physiother­apist and uses Clinical Pilates, SCENAR Therapy & other evidenceba­sed techniques, including Real Time Ultrasound and McKenzie Treatment. Margarita specialise­s in sports injuries, women’s health (including incontinen­ce) and gastrointe­stinal issues. Margarita may be contacted via her website.

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