Exercise is often understood to be one of the best ways to assist in managing type 2 diabetes. However, it is also beneficial for managing type 1 as it can improve heart health and insulin sensitivity.
This, according to Anthony Crozier (Health and Wellbeing Specialist at Future Fit Training), is because exercise has an insulin-like effect that enhances the uptake of glucose into body cells, even when insulin levels are low. Additionally, for those in the pre-diabetic category, regular exercise may also reduce the risk of developing the disease and relying on clinical treatment.
Following on from our last blog about the key statistics and facts surrounding how personal trainers can help clients manage diabetes, this blog will cover how exercise can improve diabetic clients physical, mental, and social health.
This blog will cover how exercise affects the health of diabetic clients:
For clients who are not used to regular activity, it's essential that the functional exercises are similar to those that mimic everyday life.
The aim should be to improve their quality of life by developing areas that they struggle with. Anthony has suggested that trainers consider the following:
If your dis clients are not used to regular exercise, then having the confidence to begin training, and stick to their goals, can be challenging.
As shown in a study in 2018, exercise has been incredibly beneficial to boosting the mental health of clients with diabetes and reducing levels of stress. Being mindful of a client’s confidence and self-esteem will significantly impact how they respond to the workouts.
It’s important that your clients understand why the exercises are right for them and that they won’t aggravate any existing injuries or health conditions associated with diabetes or obesity.
Even when social distancing, having a sense of community will significantly impact your client’s training. Staying connected to other clients who have diabetes and giving them a place to communicate and support one another can be very beneficial.
“This may sound strange, but I can guarantee that people never used to come to my classes in the local church because they loved the exercise part! What they loved was the interaction that they had with similar aged, similar conditioned and like-minded others – it gave people a reason for attending and enhanced adherence. I am a big advocate of group-based activity if it is functional and well planned." Anthony Crozier
“Although exercise is recommended, we need to retain our professionalism and screen patients vigilantly before exercising.
There are lots of reasons why we should not exercise all the time. These reasons are called ‘contraindications to exercise’, where activity at that time could make a client’s condition worse.
Examples you may be able to verbally screen for before a session could be:
Once you have screened the patient, you can start with some exercise. Although there are recommended guidelines for diabetic fitness clients from sources such as the American College of Sports Medicine (ACSM), it is important that you treat ALL patients individually and work to their abilities.”
While exercise and diabetes are highly complex, the need to understand how to train clients with diabetes and other metabolic conditions has never been greater. Being able to significantly impact your client’s mental, physical, and social health will see you grow in confidence as a trainer and develop essential skills.
“There are no shortcuts to gaining knowledge and experience. If you want to work within this field of expertise, I recommend that exercise professionals find a well-recognised, accredited qualification, observe clinical services in practice, and speak to as many people as possible who are specialists within this area of care.” Anthony Crozier