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Exercising with Type 1 Diabetes: The Insulin-Food Balance Challenge 

by Sheri Colberg, Ph.D., FACSM
Addressing how to balance blood glucose levels during (and after) exercise with type 1 diabetes is not new. In fact, it is likely the KEY topic to address to be successful at being physically active if you take exogenous insulin and want to prevent hypoglycemia or hyperglycemia during exercise. Strategies include changing in insulin doses and/or supplementing with food, either of which can be done in myriad ways depending on the activity, timing and more.

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5 Key Exercises for People with Diabetes 

By Sheri R. Colberg, PhD
It pays to get your core muscles — the muscles around your trunk and pelvis — in better shape, if only to keep your balance.  Having a strong body core means you’ll be better able to manage any physical undertaking, even just grocery shopping or a round of golf.  What’s more, core exercises are an important part of a well-rounded fitness program including aerobic and resistance workouts, and they’re easy to do at home on your own.  

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Treating the Whole Patient

We were running a clinical study on erectile dysfunction. An 68-year-old male with obesity came in looking for help for his ED, so he thought he might qualify for the study. He had not had a medical workup for some time and wasn't aware of any underlying diseases. I recommended he be screened for diabetes....

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Preventing Potential Drug Interaction with a Drug With UNIQUE Directions 

We were following up with a person with type 2 diabetes who was recently started on the new oral formulation of the GLP-1 receptor agonists semaglutide (Rybelsus®). This patient had a 12-year history of type 2 diabetes as well as several comorbidities that included hypertension, hyperlipidemia, obesity (BMI = 33 kg/m2), knee osteoarthritis, and hypothyroidism. The patient was previously resistant to initiating a GLP-1 receptor agonist due to his hesitancy toward self-injection. He agreed at his last primary care visit to start a trial of oral semaglutide to improve his glucose control and lose some weight....

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