Firstly, with diabetic client I’d be very consistent about time and BS reading prior to exercise. This will help a lot to keep her positive and energized. Some do better at night.
Outdoor track allows for limitless possibilities of fun training! I’d likely approach from a cross training or HIIT standpoint. Just keep her moving for the time you have, rest is active, walking around the track.
I’d start something like 10 foundation/base exercises like squat, goodmorning, modified push up, modified pull up with band, seated press (with some weight), (multidirectional)lunges or ones she’s good at, arm running drills, dips, seated crunches and maybe a flight of steps done for 10 reps on then 30 seconds rest x 4 sets. Next, I’d walk for about 3-4 minutes after each exercise, letting her recover. Later you can turn that into other high intensity drills for cardio as she gets more fit.
Therefore you’d have 4 minutes on~ resistance, followed by 4 minutes on~ cardio, done at a 1:1 ratio.
Super creative? Perhaps not, but a great place to start with this type of client.
It’s difficult to give exercise ideas for the situation without knowing other risk factors.
My first instinct would be a walking program with slow/small progressions along with very light weight work, if any at all.
I’m unclear about what you mean when you say heart diabetes meds…
I would definitely be in contact with her doctor for do’s and don’t.
There are contraindications when working with a client such as this.
I second Sue’s suggestion. It sounds to me that you have a client with diabetes and cardiovascular disease. On the assumption that she is also rather deconditioned, maybe overweight, you have a client who would be in the ‘high risk’ category.
She has been cleared for activity; but that only means that she should exercise at the level appropriate for her conditioning. If you want to do outdoor activities, take a light resistance band and use breaks in the walking for some light work. Monitor her very closely.
If in doubt, refer back to her physician for more specific recommendations.
I like the idea of being outside and taking your client to a different location other than the gym–as it can help boost mood for you client. I do also agree with Sue and Karin. Although your client has clearance for participation in an exercise program, I would start with the client’s current fitness level. You also need to take into consideration any medications, and any other injuries or orthopedic issues she has before she starts her program.
A simple walking program to start may be suitable, and I would introduce some light resistance to her. You could take a light resistance band and use it to do exercises at the “corners” of the track. As your client gets stronger, you could also vary the walking pace for each lap (or half lap, etc..) you do.
Simply starting her program very slowly–and lending an ear if she needs to talk–is a great starting point.
Best to you and your client.