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Physical Activity

Physical Activity and Exercise for Diabetics: Diabetes in Control answers key questions about the uses and challenges of physical for diabetes management, including:
– How physical activity affects diabetes patients
– How/when a healthcare professional should or should not use exercise as a treatment for diabetic patients
– What does a healthcare professional needs to know to enhance the safety of physical activity for diabetes patients

Practical Diabetes Care, 3rd Ed., Excerpt #30: Hypertension Part 5 of 5


David Levy, MD, FRCP Diuretics Thiazide diuretics have been the mainstay of antihypertensive treatment since the first potent thiazide was introduced in 1957, and have often been the agents against which other drug classes have been compared in important clinical trials [18]. They are especially useful in low-renin (salt-sensitive) states, for example older people, and black or obese patients. Resistant hypertension (see below), common in these groups, is frequently due to inadequate diuretic therapy. Despite half a century of use, disagreement continues about their optimum dosing and whether blood pressure lowering effects and cardiovascular benefits are common to all agents in the class. There is continuing controversy about their potential metabolic disadvantages – concern about these, together with their low pharmaceutical profile, prevents their being used in many patients – but there is no evidence that these in any way blunt their cardiovascular benefits, even in people with diabetes (Box 11.7). They are as effective in reducing coronary events as any other class of antihypertensive agents, but in ALLHAT were more effective in reducing heart failure and stroke than lisinopril or amlodipine...

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Physical Activity Decreasing Risk of Comorbidities?

Exercise inversely correlated with HbA1c, diabetic ketoacidosis, BMI, and dyslipidemia in type 1 patients…. Barbara Bohn and colleagues from the University of Ulm in Germany looked at a cohort study with 18,028 adults with type 1 diabetes. Participants were classified according to their physical activity. The results of the study …

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Physical Activity During Pregnancy Reduces Gestational Diabetes Risk 30%

Those women who continued to exercise throughout their pregnancy achieved an even higher risk reduction… Gestational diabetes and excessive maternal weight gain are associated with many negative outcomes for both the mother and the baby including: pre-eclampsia, hypertension and preterm birth. Expectant mothers who are diagnosed with gestational diabetes are …

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