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Get off the Couch and Work Your Core: 10 Exercises for Core Fitness

By Sheri R. Colberg, PhD

If you suffer from diabetes, you already know that staying fit greatly benefits your health. Yet, many of the complications caused by diabetes can make it difficult to get the exercise you need; in fact, they can make a normal exercise routine difficult or even dangerous. For example, peripheral neuropathy (numbness in the feet caused by nerve damage) may affect your balance and put you at risk for a fall, or could lead to slow-healing ulcers that keep you inactive. On top of that, diabetes patients may have heart disease symptoms or vision problems that make getting up and going for a walk more risky than helpful.

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Exercise Intervention

You are reviewing lifestyle modifications with a 42-year-old, relatively sedentary patient who has been newly diagnosed with prediabetes. Your screening for any cardiovascular risk factors was negative, so she has agreed to a 3-month trial of dietary modifications and increased physical activity. Structured exercise interventions and modest weight loss have been shown to lower the risk of developing type 2 diabetes in high-risk populations by an average of: A. 22% B. 35% C. 58% D. 70% Follow the link for the answer.

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Insulin vs Other Treatment Options

Are you more likely to add a basal insulin to the treatment plan for a patient with type 2 on two oral meds with an A1c of 8% for 5 months, BMI of 30, or add another medication besides insulin? More likely to add insulin More likely to add another med besides insulin Follow the link to share your opinion.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #114: Diabetes and Sleep Apnea Part 4

OSA and glucose metabolism: OSA and dysglycemia have similar risk factors (namely obesity) and hence it is not surprising that these conditions co-exist. However, not all obese patients have both conditions and many patients have one and not the other. Hence, understanding this association and the mechanisms that underpin this relationship is important to understand the pathogenesis of OSA and T2DM. There are many studies that have examined the association between snoring, as a surrogate marker of OSA, and different aspects of glucose metabolism; here, however, we will mainly focus on studies that validated the presence and severity of OSA using more accurate methods.

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