Exercise, Complications and Issues Flashcards
why is PA good treatment for diabetes
increases insulin sensitivity and insulin/non insulin dependent transport via higher expression of glut on cell surface
recommended exercise amount?
150 min mod/vig exercise per week
-spread over min 3 days a week, dont go more than 2 days without
-resistance 2x week
considerations needed for insulin dosages when working out?
risk of hypoglycemia
-reduce insulin intake
or
-add 10-15g CHO for every 0.5-1 hour workout
how much would u reduce insulin dosage for light, mod, rig activity?
10-20%
30-40%
50% or more
depends on individual tbh
explain the relationship between hyperglycemia and acute illness
hyperglycemia
=low immunity/wound healing and more oxi stress
= acute illness
=inflamm, stress hormones, less activity
=changes in insulin activity, less responsive
= more hyperglycemia
can you explain some important things to consider when treating a child with t1 or t2 diabetes?
what causes GDM?
how would low glycemic control affect the mother? fetus?
Things to consider when managinf GDM treatment
- very closely monitor
- Add PA and diet changes
- 2 weeks later if still not controlled = meds
- Want to monitor WEIGHT GAIN/ TRIMESTER not BMI
- check 6 weeks post partum to check if back to normal levels
how might management of treatment be different for someone who already had pre exsiting diabetes?
skip the PA and diet changes
directly add insulin or metformin (medical managament)
Some things to consider for elderly diabetic patients treatment plans?
individualized plans - make regimens that will reduce dosing errors, hypoglycemia and cognitive issues
want to prevent hypoglycemia as mch as possible bc causes lots of cognitive impairment
= higher glycemic targets used
more flexible, liberal diet
key parts of a hypoglycemia diet
individualized = trial and error
limit sugar and alcohols
eat more thru out day
increase fat and protein for slower stomach emptying and absorption rate
