{"id":24810,"date":"2019-10-02T09:20:40","date_gmt":"2019-10-02T16:20:40","guid":{"rendered":"https:\/\/medfitnetwork.org\/public\/?p=24810"},"modified":"2019-10-02T09:21:59","modified_gmt":"2019-10-02T16:21:59","slug":"working-with-active-individuals-with-diabetes-who-use-insulin","status":"publish","type":"post","link":"https:\/\/medfitnetwork.org\/public\/all-mfn\/working-with-active-individuals-with-diabetes-who-use-insulin\/","title":{"rendered":"Working with Active Individuals with Diabetes Who Use Insulin"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignright size-medium wp-image-24812\" src=\"https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2019\/10\/diabetes-776999_960_720-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2019\/10\/diabetes-776999_960_720-300x200.jpg 300w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2019\/10\/diabetes-776999_960_720-768x512.jpg 768w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2019\/10\/diabetes-776999_960_720-600x400.jpg 600w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2019\/10\/diabetes-776999_960_720-400x266.jpg 400w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2019\/10\/diabetes-776999_960_720.jpg 960w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>Given that in the United States alone, there are close to 30 million people who have diabetes and five to 10 percent of those have type 1 diabetes (and must use insulin), many of your clients may be insulin users. What\u2019s more, a sizeable number of adults and youth with type 2 diabetes may take supplemental insulin as well. The reason that insulin use matters is that active individuals must balance out their blood glucose to be effective, and insulin can lower blood glucose too far and interfere with workouts and impair athletic performance.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As a fitness professional, how can you help these individuals be active? It is important that you understand a few key physiological concepts:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><b>Blood glucose<\/b><span style=\"font-weight: 400;\"> must be kept in a fairly tight range in order for individuals to be successfully active. This means that insulin and food may need to be adjusted to keep glucose from dropping too low or rising too high.<\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Insulin<\/b><span style=\"font-weight: 400;\"> is the only hormone that the body uses to lower blood glucose, while five other hormones can raise it. Circulating levels of insulin during exercise can have a huge impact on how blood glucose reacts to being active because both insulin and muscle contractions cause muscles to take up and use blood glucose.<\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Hypoglycemia <\/b><span style=\"font-weight: 400;\">is typically the biggest threat to performing optimally and can cause people to fatigue early or underperform during athletic endeavors. On the flip side, having blood glucose levels well above normal (<\/span><b>hyperglycemia<\/b><span style=\"font-weight: 400;\">) can also have a negative impact.<\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Carbohydrate<\/b><span style=\"font-weight: 400;\"> is the body\u2019s primary fuel during most moderate to vigorous activities. If an individual runs out of carbohydrate stores in muscles (glycogen) and \u201cbonks\u201d during an activity, performance will suffer.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">A sizeable number of <\/span><b>factors<\/b><span style=\"font-weight: 400;\"> impact an insulin user\u2019s blood glucose response to a given activity. Among other things, these include the type of activity, its intensity and duration, the frequency of being active, exercise timing, recent food intake, insulin \u201con board,\u201d environmental conditions, previous bouts of hypoglycemia, hydration status, and other bodily concerns. In other words, responses can vary\u2014even when someone does the same activity over again.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\"><img decoding=\"async\" class=\"alignright size-medium wp-image-18607\" src=\"https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2016\/12\/diabetes-fittness-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2016\/12\/diabetes-fittness-300x200.jpg 300w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2016\/12\/diabetes-fittness-570x380.jpg 570w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2016\/12\/diabetes-fittness-380x254.jpg 380w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2016\/12\/diabetes-fittness-285x190.jpg 285w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2016\/12\/diabetes-fittness.jpg 600w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>So, how can fitness professionals help these individuals the most?\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Gain a basic understanding of how all these factors can impact exercise. No insulin user is going to expect his or her personal trainer, health coach, or other educators to understand the unique nuances of their management, but as the professional in the room, you should understand what is possible.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Learn to recognize the signs and symptoms of hypoglycemia and know when your client is most likely to experience it and know how to assist someone in treating hypoglycemia, should assistance be required.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Be ready to adjust their workouts when situations arise that warrant it. Some days they may simply feel better than others as a result of how their blood glucose has been managed before working out or while they are active.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Finally, keep in mind that while blood glucose responses may be somewhat predictable over time, every day is potentially a new day when it comes to balancing insulin use and exercise.<\/span><\/li>\n<\/ul>\n<h4><strong>Learn more&#8230; join Dr. Colberg for a <a href=\"https:\/\/www.medfitclassroom.org\/product\/athletes-with-diabetes-using-insulin\/\" target=\"_blank\" rel=\"noopener noreferrer\">webinar<\/a> on this topic:<\/strong><\/h4>\n<p><a href=\"https:\/\/www.medfitclassroom.org\/product\/athletes-with-diabetes-using-insulin\/\" target=\"_blank\" rel=\"noopener noreferrer\"><img decoding=\"async\" class=\"alignnone wp-image-24811 size-full\" src=\"https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2019\/10\/colbergwebinar.jpg\" alt=\"\" width=\"900\" height=\"83\" srcset=\"https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2019\/10\/colbergwebinar.jpg 900w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2019\/10\/colbergwebinar-300x28.jpg 300w, https:\/\/medfitnetwork.org\/public\/wp-content\/uploads\/2019\/10\/colbergwebinar-768x71.jpg 768w\" sizes=\"(max-width: 900px) 100vw, 900px\" \/><\/a><\/p>\n<hr \/>\n<p><b><em>Sheri R. Colberg, PhD, FACSM<\/em><\/b><em><span style=\"font-weight: 400;\">, is the author of <\/span><span style=\"font-weight: 400;\">The Athlete\u2019s Guide to Diabetes: Expert Advice for 165 Sports and Activities<\/span><span style=\"font-weight: 400;\"> (the newest edition of <\/span><span style=\"font-weight: 400;\">Diabetic Athlete\u2019s Handbook<\/span><span style=\"font-weight: 400;\">), available through <a href=\"https:\/\/us.humankinetics.com\/products\/athlete-s-guide-to-diabetes-the\" target=\"_blank\" rel=\"noopener noreferrer\">Human Kinetics<\/a><\/span><span style=\"font-weight: 400;\">, <a href=\"https:\/\/amzn.to\/2IkVpYx\" target=\"_blank\" rel=\"noopener noreferrer\">Amazon<\/a><\/span><span style=\"font-weight: 400;\">, Barnes &amp; Noble, and elsewhere. She is also the author of <\/span><span style=\"font-weight: 400;\">Diabetes &amp; Keeping Fit for Dummies<\/span><span style=\"font-weight: 400;\">. A professor emerita of exercise science from Old Dominion University and an internationally recognized diabetes motion expert, she is the author of 12 books, 28 book chapters, and over 415 articles. She was honored with the 2016 American Diabetes Association Outstanding Educator in Diabetes Award. Contact her via her websites, <a href=\"http:\/\/SheriColberg.com\" target=\"_blank\" rel=\"noopener noreferrer\">SheriColberg.com<\/a> and <a href=\"http:\/\/DiabetesMotion.com\" target=\"_blank\" rel=\"noopener noreferrer\">DiabetesMotion.com<\/a>.<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Given that in the United States alone, there are close to 30 million people who have diabetes and five to 10 percent of those have type 1 diabetes (and must use insulin), many of your clients may be insulin users&#8230;<\/p>\n","protected":false},"author":136,"featured_media":18607,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[83,54,134,198],"class_list":["post-24810","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all-mfn","tag-diabetes","tag-exercise","tag-fitness","tag-fitness-professionals"],"jetpack_publicize_connections":[],"_links":{"self":[{"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/posts\/24810","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/users\/136"}],"replies":[{"embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/comments?post=24810"}],"version-history":[{"count":0,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/posts\/24810\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/media\/18607"}],"wp:attachment":[{"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/media?parent=24810"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/categories?post=24810"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medfitnetwork.org\/public\/wp-json\/wp\/v2\/tags?post=24810"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}