There are two main types of diabetes, type I and type II. Type I  
diabetes is characterized by the pancreas making too little or no  
insulin. An individual with diabetes type I will have to inject  
insulin throughout the day in order to control glucose levels.  
Type II diabetes, also known as adult onset diabetes, is  
characterized by the pancreas not producing enough insulin to  
control glucose levels or the cells not responding to insulin.  
When a cell does not respond to insulin, it is known as insulin  
resistance. When a subject is diagnosed with type II diabetes,  
exercise and weight control are prescribed as measures to help  
with insulin resistance. If this does not control glucose levels,  
then medication is prescribed. The risk factors for type II  
diabetes include: inactivity, high cholesterol, obesity, and  
hypertension. Inactivity alone is a very strong risk factor that  
has been proven to lead to diabetes type II. Exercise will have a  
positive effect on diabetes type II while improving insulin  
sensitivity while type I cannot be controlled be an exercise  
program. Over 90% of individuals with diabetes have type II.   
Exercise causes the body to process glucose faster, which lowers  
blood sugar. The more intense the exercise, the faster the body  
will utilize glucose. Therefore it is important to understand the  
differences in training with type I and type II diabetes. It is  
important for an individual who has diabetes to check with a  
physician before beginning an exercise program. When training  
with a diabetic, it is important to understand the dangers of  
injecting insulin immediately prior to exercise. An individual  
with type I diabetes injecting their normal amount of insulin for  
a sedentary situation can pose the risk of hypoglycemia or  
insulin shock during exercise. General exercise guidelines for  
type I are as follows: allow adequate rest during exercise  
sessions to prevent high blood pressure, use low impact exercises  
and avoid heavy weight lifting, and always have a supply of  
carbohydrates nearby. If blood sugar levels get too low, the  
individual may feel shaky, disoriented, hungry, anxious, become  
irritable or experience trembling. Consuming a carbohydrate snack  
or beverage will alleviate these symptoms in a matter of  
minutes.   
Before engaging in exercise, it is important for blood sugar  
levels to be tested to make sure that they are not below 80 to  
100 mg/dl range and not above 250 mg/dl. Glucose levels should  
also be tested before, during, after and three to five hours  
after exercise. During this recovery period (3-5 hours after  
exercise), it is important for diabetics to consume ample  
carbohydrates in order to prevent hypoglycemia.   
Exercise will greatly benefit an individual with type II diabetes  
because of its positive effects on insulin sensitivity. Proper  
exercise and nutrition are the best forms of prevention for type  
II diabetics. It is important for training protocols to be  
repeated almost daily to help with sustaining insulin  
sensitivity. To prevent hypoglycemia, progressively work up to  
strenuous activity.   
As with individuals with type I diabetes, carbohydrates should  
also be present during training to assist in raising blood sugar  
levels if the individual becomes low.   
The information contained in this article is for educational purposes   
only and is not intended to medically diagnose, treat or cure any   
disease. Consult a health care practitioner before beginning any   
health care program.  
 
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