Friday, April 27, 2012

OVERCOMING BARRIERS


A barrier is something that keeps you from doing something else.
If you're not active, it's likely that you have at least one reason why. Perhaps you've never been very active. Maybe you're afraid you'll get low blood glucose. Think about what's keeping you from being active and then check out some of our solutions to the most common barriers to physical activity.


Be sure and take time to click on the highlighted text which will take you to another article with helpful hits on that particular subject!
BarrierSolution
I don't have time to exercise for 30 minutes a day.
Think about your day – do you have available time slots?
Do as much as you can. Every step counts. If you're just starting out, start with 10 minutes a day and add more little by little. Work up to 10 minutes at a time, three times a day. You can also try for 15-minute spurts twice a day.
Make physical activity part of your daily routine. For example, walk or bike to work or to the store, exercise while you watch TV, take the stairs instead of the elevator, or do something active with your family to spend time together.
I’ve never been active.
Don’t discount your everyday activities. You may do more than you realize, such as housekeeping or mowing the lawn. Being active is more than just “exercise”.
Talk to your doctor about what exercise is safe for you and discuss how you can start.
Starting slowly is important and so is choosing activities that you enjoy. Over time, activity will get easier. You will find that you can increase the amount/intensity of physical activity you do.
I'm too tired after work.
Find a time when your energy is highest. You could plan to do something active before work or during the day. For example, you could try walking for 30 minutes during your lunch break a few days each week.
Remember that increasing the amount of physical activity you do will actually increase your energy.
I don't have the right clothes.
Wear anything that's comfortable as long as you have shoes that fit well and socks that don't irritate your skin.
I'm too shy to exercise in a group.
Choose an activity you can do on your own, such as following along with an aerobics class on TV or going for a walk.
Remember that every-day activities you do on your own like gardening and household chores get you moving and help burn calories.
I don't want to have sore muscles.
Exercise shouldn't hurt if you go slowly at first. Choose something you can do without getting sore.
Learn how to warm up and cool down.
Stretch before and after you do something active.
I'm afraid I'll get low blood glucose.
If you're taking a medication that could cause low blood glucose, talk to your health care provider about ways to exercise safely.
Walking hurts my knees.
Try chair exercises, swimming, biking, or an elliptical machine. These and other low-impact exercises may be less painful.
It's too hot outside.
If it's too hot, too cold, or too humid, walk inside a school or a shopping center.
Think of some other activities that are always available regardless of the weather like using a stationary bike, indoor aerobics classes, yoga videos at home, indoor swimming, stair climbing, calisthenics, or dancing.
It's not safe to walk in my neighborhood.
Find an indoor activity, such as an exercise class at a community center.
Think of activities you can do in the safety of your home.
I'm afraid I'll make my condition worse.
Get a checkup before planning your fitness routine. Learn what's safe for you to do.
I can't afford to join a fitness center or buy equipment.
Do something that doesn't require fancy equipment, such as walking, jogging, calisthenics, or using cans of food for weights.
Jumping rope and resistance band exercises are other activities that only require one piece of inexpensive equipment.
Look for inexpensive resources in your community like community education programs, park and recreation programs, walking trails, school running tracks, or worksite wellness programs.
Exercise is boring.
Find something you enjoy doing.
Mix it up. Try different activities on different days.
Exercise with someone else to keep you company.
If you can, try exercising while listening to music or watching television.
I don’t really know how to exercise.
Select activities that require few skills, like climbing stairs, walking, or jogging.
Take a class and develop new skills.
I don’t have the motivation to exercise.
Invite a family member or friend to exercise with you on a regular basis. You can also join an exercise group or class in your community.
Remember all of the benefits that come with being physically active.
Make a plan so you decide when you will do each type of activity. Be sure to set realistic goals and make a plan so you know what you are working toward.

How to Get the Most Benefit From Exercise


Ok, yes, again this is from the ADA and addresses the diabetic.  But, again, you don't have to be a diabetic to use these tricks and tidbits!  The main point is to "just get out there and MOVE your tushy"!
MOM  ;)

Whether you’re a regular gym rat or taking your first baby steps on the treadmill, managing both your exercise regimen and your blood glucose levels can be tricky. Of course, you know that exercise is a great way to keep yourself healthy—but how do you know if you’re too high or low to work out? When is the best time to work out? And why do you sometimes get those pesky high blood glucose levels post-workout?

Michael C. Riddell, PhD, is an exercise physiologist and associate professor in the Muscle Health Research Center at the York University School of Kinesiology and Health Science in Toronto. He has extensively researched the role of exercise in managing type 1 and type 2 diabetes, and he says the biggest hurdle in balancing exercise and blood glucose levels is motivation. Exercise is as important, he says, as diet and medication, and needs to be valued as such. In a study published in the March issue of the journalDiabetologia, Riddell and his colleagues found that with exercise, people with diabetes were able to control their blood glucose levels and live healthier lives—even if they remained above their desired A1C or weight-level goals.

What’s more, people with all types of diabetes are encouraged to do both aerobic (cardio) and weight-bearing (strength) exercise to become the healthiest they can be. And both types of exercise are generally safe for people with diabetes as long as they’re living free of complications of the eyes, kidneys, and nerves. So put on some sneakers and get after it!

All Together Now
Time It Right. Your type of diabetes may indicate the best time of day to exercise. Riddell says people with type 1 may want to consider exercising when their insulin levels are a little bit lower—say, first thing in the morning, before taking insulin and eating breakfast. People with type 2 may especially benefit from physical activity after meals, which can tame blood glucose spikes. That said, getting physical activity regularly is more important than when you do it.

Safety Note
Check with your health care provider before making big changes in your exercise plan, which could require adjustments in your meds, foods, or other treatment.
Test It Out. If you’re prone to lows, know your blood glucose trend before you bounce, boogie, or bowl. People using multiple daily insulin injections or a pump might start testing two hours before exercise, every 30 minutes or so, Riddell suggests. This gives you an idea of which direction your blood glucose is headed before you begin your workout. Then, to protect yourself from going too low or too high, test every 30 minutes during exercise. While that might feel frustrating, it will give you important data (see Understand Spikes, opposite).

Count the Minutes. Both the American Diabetes Association and the American College of Sports Medicine recommend that everyone get 150 minutes of aerobic exercise a week. Those activities are healthiest when they use large muscle groups, Riddell says—think walking, cross-country skiing, swimming, and rowing. Using big groups of muscles helps burn calories and lower blood glucose levels. Do some weight-bearing exercises three times a week to complete your physical activity. Weight-bearing activities involve putting a load on your bones, either your own body weight or external weights. “We know that having a healthy skeletal muscle mass is very important, but [aerobics] don’t build muscle,” Riddell says. “So we have to complement [aerobics with strength training]. We’ll live longer, more independently, and we’ll have much more energy throughout the day.”

NEW OR RETURNING TO EXERCISE

Feels Like the First Time
So maybe this is the first time you’ve ever gotten active. Or maybe it’s just been a long time since you followed an exercise routine. Deciding to make a change is the first step toward a healthier lifestyle. But don’t overwhelm yourself by trying to take on too much. 

Set Goals. Any exercise is good, of course, but if you don’t have a map, you’ll never get anywhere. Setting small goals, Riddell says, can help you see results and feel accomplishment. Maybe you want to lower your fasting blood glucose or lose a couple of pounds within a month’s time. Those are very attainable goals, and once you reach one, you’ll be inspired to keep going.

Start Small. You don’t have to run a marathon, or even a 5K. “If you start slowly, by doing just 15 minutes of aerobic-type activity daily, or anything longer than 10 minutes, that’ll have some benefit,” Riddell says. Aerobic exercise is as simple as brisk walking, riding a bicycle, or jogging. If you can do 10 minutes of aerobic exercise three times a week, you’re already on your way. When you can do that, add a little more time each day, until you’re getting 30 minutes of aerobic exercise every day.

Mind Your Muscles. All exercise routines should include some strength training, in which you’re working and building your muscles with weight-bearing activity. You don’t need dumbbells or any special equipment—the weight of your body counts. “People who are starting to exercise can get a lot of benefits by just doing the motion without any weights,” says Charlotte Hayes, MMSc, MS, RD, CDE, CES, author of The “I Hate to Exercise” Book for People With Diabetes. For example, you can sit in a chair and do a leg lift. “For people who are deconditioned, after 10 or 15 times, they’ll start to feel their muscles working,” she says. You can fill up water bottles and use them as weights, too. And don’t forget, you can do  sit-ups or push-ups for free, in your home, with no equipment necessary. Hayes suggests doing them while watching TV in the evenings.

Stress Less. Diabetes management can take its toll, mentally. Riddell suggests yoga or tai chi to help manage stress while getting in some physical activity; these routines also improve flexibility and balance.

EXPERIENCED WITH EXERICSE
Take It to the Limit

Step It Up. So you’ve been walking the same 45-minute loop in your neighborhood four times a week, for months now. It’s time to kick it up a level, because just as you get bored with your regular routine, so do your muscles. “It is a good idea to mix it up because you become overall more fit when you challenge your body to do something new,” Hayes says. Consider doing intervals: Hayes suggests walking very briskly for three minutes, then at your usual pace for a couple of minutes. Repeat for the length of your workout. You could also try incorporating an exercise class into your routine.

Find a Buddy. Having someone to cheer you along is a major motivator, especially if you’re getting the Same Ol’ Workout Blues. Support groups for people with diabetes can be a great way to get the motivation you need. Alexis Jacobs, 37, of Santa Monica, Calif., is a marathoner with type 1. To stay motivated and get exercise tips, she has made friends through the Diabetes Exercise and Sports Association. “Obviously, you learn from the doctor, but you learn more from collaborating with other people who have the same lifestyles,” she says. “For me, it’s inspiring. It’s motivation to stay in good control.”

Understand Spikes. 
Some people, particularly those with type 1 diabetes, might find that their blood glucose levels are higher after exercising and require some fine-tuning of insulin. Confusing! Those blood glucose spikes are called the exercise whip: When you vigorously exercise for just a few seconds or minutes, the adrenaline released during that activity can cause blood glucose levels to go up, and sometimes stay up for hours in recovery. “If you do exercise that combines both [short bursts of energy and longer, low- or mid-intensity exercise],” says Riddell, “that has been shown to have a moderating effect, which is really nice.”

Prepare for Lows. You can go low during and even hours after exercise, so have a plan ready. Test your blood glucose frequently. Eating a snack before exercise may help. Talk to your doctor about how best to manage your medications.