Exercise and Diabetes. Sheri R. Colberg

      

      Director, Book Publishing, Abe Ogden; Managing Editor, Greg Guthrie; Acquisitions Editor, Victor Van Beuren; Production Manager, Melissa Sprott; Copyediting, Cenveo; Composition, ADA; Cover Design, Kim Woody; Printer, Versa Press, Inc.

      ©2013 by the American Diabetes Association, Inc.® All Rights Reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including duplication, recording, or any information storage and retrieval system, without the prior written permission of the American Diabetes Association.

      Printed in the United States of America

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      The suggestions and information contained in this publication are generally consistent with the Clinical Practice Recommendations and other policies of the American Diabetes Association, but they do not represent the policy or position of the Association or any of its boards or committees. Reasonable steps have been taken to ensure the accuracy of the information presented. However, the American Diabetes Association cannot ensure the safety or efficacy of any product or service described in this publication. Individuals are advised to consult a physician or other appropriate health care professional before undertaking any diet or exercise program or taking any medication referred to in this publication. Professionals must use and apply their own professional judgment, experience, and training and should not rely solely on the information contained in this publication before prescribing any diet, exercise, or medication. The American Diabetes Association—its officers, directors, employees, volunteers, and members—assumes no responsibility or liability for personal or other injury, loss, or damage that may result from the suggestions or information in this publication.

      The paper in this publication meets the requirements of the ANSI Standard Z39.48-1992 (permanence of paper).

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      American Diabetes Association

      1701 North Beauregard Street

      Alexandria, Virginia 22311

      DOI: 10.2337/9781580404853

      Library of Congress Cataloging-in-Publication Data Colberg, Sheri, 1963- Exercise and diabetes : a clinician's guide to prescribing physical activity / Sheri R. Colberg, PhD, FACSM. pages cm Includes bibliographical references and index. ISBN 978-1-58040-485-3 (alk. paper) 1. Diabetes--Exercise therapy. 2. Diabetics--Rehabilitation. I. Title. RC661.E94C652 2012 616.4'620642--dc23 2012038644

      eISBN: 978-1-58040-507-2

       For my loving husband, Ray, and my three wonderful sons, Alex, Anton, and RayJ.Thanks for your nonstop support and boundless love.

Contents

       Why This Book?

       Key Terms

      I. Getting Started with Physical Activity

       Chapter 1: Diabetes, Physical Activity, Exercise, and Fitness Overview

       Chapter 2: Pre-Exercise Evaluation and Assessment

       Chapter 3: Daily Lifestyle Activity

      II. Prescribing Exercise by Activity and Diabetes Type

       Chapter 4: General Principles of Aerobic Exercise Prescription

       Chapter 5: Aerobic Exercise Rx for Type 2 Diabetes

       Chapter 6: Aerobic Exercise Rx for Type 1 Diabetes and Latent Autoimmune Diabetes in Adults

       Chapter 7: Aerobic Exercise Rx for Gestational Diabetes

       Chapter 8: Resistance Exercise Rx for Type 1 and Type 2 Diabetes

       Chapter 9: Combined Aerobic and Resistance Training for Adults with Diabetes

       Chapter 10: Other Physical Activities for All Types of Diabetes

      III. Preventing Acute Exercise-Related Problems

       Chapter 11: General Diabetes Management with Physical Activity

       Chapter 12: Hypoglycemia Treatment and Prevention

       Chapter 13: Hyperglycemia and Dehydration Concerns

       Chapter 14: Balancing Insulin Use with Physical Activity

       Chapter 15: Other Medication Effects on Physical Activity

      IV. Exercising with Comorbid Health Issues

       Chapter 16: Obesity, Orthopedic Limitations, and Osteoarthritis

       Chapter 17: Cardiovascular Diseases

       Chapter 18: Peripheral Neuropathy, Ulcers, and Amputations

       Chapter 19: Autonomic Neuropathy

       Chapter 20: Retinopathy and Other Diabetic Eye Diseases

       Chapter 21: Microalbuminuria, Nephropathy, and End-Stage Renal Disease

      V. Staying Physically Active for Life

       Chapter 22: Female-Only Concerns and Pregnancy with Preexisting Diabetes

       Chapter 23: Older Adults

       Chapter