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©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.
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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.
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American Diabetes Association
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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
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