Few recommendation to keep in note when starting training program with diabetic clients.
1. Check the severity of the disease
2. pre workout meal is the most important part to take care off.
3. Starting training with low intenisty cardio with 50 to 65 % of MHR
4. Include low intensity and maximum volume weight lifting training.
5. Blood Pressure and Heart Rate to Monitor on Daily Basis.
6. Ketogenic diet can be the best option to start with.
7. Exercise 3 to 5 days in a week
8. Hydration is one of the most important factor during training.
I would say the most important thing to consider after clearance is how well controlled their blood sugar levels are throughout the day. It is important for them to keep track of their blood sugar reaction to exercise sessions and to relay this information to their physician for guidance in adjusting their medication accordingly. I recommend they take classes on lifestyle adjustments for people living with diabetes. Many have taken the class prior to deciding to work with a fitness instructor, but I recommend they contact the teacher again and discuss the change in activity if applicable. In general, there isn’t much difference in program design or implimentation. I have worked with people with diabetes who achieved amazing results and even several athletes. While not the norm, these clients had no problem with very high intensity training.
Also, education (my mantra) is always the most important part of working with clients who have challenges. You can never learn too much. Good luck.
Get a release from a doctor. Are they type 1 or type 2? Do they have have an insulin pump or do they take a shot? Have glucose tablets on hand just in case blood sugar gets low. Know the signs of low and high blood sugar. Work with them to find out what works best nutrition-wise pre and post workout. Research the condition and learn as much as you can about it.
Hello Matthew Tompkins,
Another consideration is how to speak to a diabetic: they are “people with diabetes” not a “diabetic.” Also, let them decide how intense they are able to exercise, so as not to discourage them; but, at the same time, keep a close eye on them for symptoms.
Remember that slow and steady wins the race; there is no need to overdo something. The body will most likely make faster gains without pushing too hard. Listen to the body.
I keep emergency contact information and supplies with me at all times for all clients; since, diabetes is many times not diagnosed…yet.
Natalie aka NAPS 2 B Fit.
Very good answers so far. The portable sugar that I carry is the little gel-packs of runner’s energy gel. “Goo,” is a popular brand, by Gatorade I think. Maybe have you client choose what perks them up the best and have that at hand just in case.
I’ve only had to use it once, and it was for another trainer’s client (at their request), but it was sure handy!