Type 2 diabetes is considered to be a disease of lack of exercise (physical inertia). Exercise interventions can significantly reduce the incidence of diabetes.
Some studies have shown that exercise can have a beneficial effect on appetite. Exercise can also improve the level of dietary control in physically inert individuals. In diabetic patients, moderate exercise burns energy and leads to smoother glycemic control. Diet and exercise are the cornerstones of treatment for diabetic patients, and patients with type 2 diabetes combined with hypertension are often obese. Exercise and weight loss are very important parts of life interventions for this group of patients. Weight loss has a significant effect on lowering blood pressure. A variety of aerobic exercises can be helpful in controlling blood pressure.
How to exercise safely when diabetes is combined with hypertension?
First, as with other diabetic patients, the patient’s status needs to be evaluated by a specialist before exercising to select an appropriate exercise regime. Smooth blood glucose control and monitoring of blood glucose before and after exercise and during discomfort are required to prevent hyperglycemia or hypoglycemia from occurring. It is recommended that the best exercise program for patients with type 2 diabetes is a combination of aerobic exercise and resistance training. Aerobic exercise is preferable to low to moderate intensity rhythmic exercise. Walking, jogging, cycling, swimming and moderate intensity gymnastics (e.g. aerobics, tai chi, etc.) can be chosen; some recreational ball games (e.g. badminton, table tennis, bowling) can also be chosen.
What are the requirements for exercise in patients with combined hypertension? When the blood pressure is ≥180/120 mmHg, it is included in the category of contraindication to exercise. When blood pressure is controlled at ≤160/100, relaxation training (e.g., tai chi and yoga) and aerobic exercise, such as walking and swimming, are recommended at low to moderate intensity under professional supervision. Avoid breath-holding movements or high-intensity exercise.
Moderate exercise can be very beneficial for patients with diabetes combined with hypertension. However, it is important to pay attention to how your body feels before, during and after exercise, and not to overexert your body. Excessive exercise can raise blood sugar and blood pressure. If you are not feeling well, you should stop exercising, monitor your blood sugar and blood pressure immediately, and treat them accordingly.