Before You Start Your Diabetes Exercise Plan

Fitness has a special role for people with diabetes. Being fit means getting healthier by adding activity to your day. Talk with your doctor before getting started. They may want you to have a checkup before you are more active. Also, your doctor may want you to have some tests first. This helps you and your doctor learn how you will respond to a fitness program. Ask your doctor if they know of good programs that can monitor your response to the fitness program, at least for the first few weeks.

A checkup helps ensure that your fitness plan will bring you the most benefit. It also lowers the risks that may come with physical activity. As part of your checkup:

• You may have a test called a hemoglobin A1C. The HbA1c or A1C test measures your average sugar (glucose) level over 2 to 3 months. A1C is often given as a percentage. But it is now also given as a number that shows your estimated Average Glucose (eAG). The eAG gives you a number that is like the numbers listed on your daily glucose monitor.
• Your doctor may check your heart with a resting electrocardiogram (ECG). Diabetes can cause heart problems. But a fitness program can help prevent some of them from happening. Being fit can also help improve your cholesterol and blood pressure levels.
• Your doctor may check your feet. People with diabetes can have problems with their feet. Your doctor can check your feet before you become more active. Take time to find shoes that will support your feet well while you exercise. Wear socks that fit well. Wear socks that pull moisture away from your skin.

An exercise stress test can show how your heart responds to activity. It can show what level of exercise is right for you. You will have small electrodes placed on your chest. You will then walk on a treadmill or ride an exercise bike. Your heart rate is checked. You may also be asked about any discomfort or pain you may feel while you exercise during this test. If you have this test, your doctor will give you more details.