More than 96 million U.S. adults (38.0%) have prediabetes (PreDM) and 36 million have type 2 diabetes (T2DM). Lifestyle changes have been shown to delay or prevent those with prediabetes from going on to develop T2DM, and individuals with T2DM also benefit significantly from a well-designed exercise program. It’s important that exercise professionals collaborate with a patient’s care team to align the exercise prescription with the individual’s treatment plan, medications and eating pattern.
This module, from the Exercise is Medicine® (EIM) Online Course, is designed to help the learner understand the complex interactions between blood glucose, insulin and physical activity to help clients/patients with PreDM or T2DM adopt and maintain a physically active lifestyle.
After completing this module, participants will be able to:
- Explain the basic pathophysiology of PreDM and T2DM;
- Paraphrase or describe to patients the purpose and benefits of being physically active based on their individual needs and condition;
- Determine the appropriate dosage, frequency, intensity, time, and type of physical activity needed to manage and/or prevent PreDM and T2DM and be able to communicate this to the patient and the health care team;
- Describe how to individualize an exercise plan for individuals with PreDM and T2DM, based on assessment data, special needs, personal considerations and potential contraindications;
- Explain how commonly prescribed pharmacological agents may affect the individual’s response to exercise and how a change in activity could potentially interact with or affect responses to pharmaceutical interventions;
- Understand when to refer a client/patient back to their health care provider or a member of the diabetes care team.
Veronica Brady, Ph.D., FNP-BC, BC-ADM, CDCES, is an assistant professor at UTHealth Houston as well as a nurse practitioner at MD Anderson Cancer Center. She has worked in the area of diabetes for over 20 years and is a certified diabetes care and education specialist.
Mary E. Sanders; Ph.D.; CDCES®; ACSM-RCEP, CEP®; FACSM; is a clinical assistant professor and exercise physiologist at the University of Nevada, Reno School of Medicine. As certified diabetes care and education specialist, she works as a member of the health care team to promote healthy lifestyles for individuals with PreDM and T2DM.
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