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演示文稿演讲PPT学习教学课件医学文件教学培训课件
Management Meds Careful monitoring of blood glucose and attention to balancing food intake and meds are needed for safe participation. Watch for hypoglycemia – the effects of both insulin and oral agents may cause. If exercise sessions are due to exceed 60’, test blood glucose during exercise. Should avoid exercise if blood glucose level is below 60. Recommendations for Programming Must be individualized Predictable and consistent in frequency, intensity, and time Type I – daily exercise recommended for best sugar regulation Shorter duration (20-30’) Type II – 3-5x/wk Lower intensity, longer duration Be aware of contraindications for exercise such as illness or infection. Be on guard for hypoglycemia. Special Considerations Insulin adjustments by physician only. Insulin dosage may be warranted 30-60 minutes ahead of session. Those with type I must consider food intake with exercise. In general, 1 hour of exercise requires an additional 15 g of carbohydrates before OR after exercise. If exercise is vigorous or of longer duration, an added 15-30 g of carbohydrates for every hour may be needed. Be aware of proper precautions such as glucose tabs, hydration, foot care, medical identification. Inject into the non-exercising limbs The Hypertensive Client Overview ~ 50 million individuals have an elevated blood pressure or are taking meds for it. In these people, the risk of heart disease increase progressively with higher levels of both systolic and diastolic blood pressure. Hypertension is based on the average of 2 or more readings taken at each of 2 or more visits after an initial screening. Effects on the Exercise Response Usually see a rise in the systolic blood pressure from baseline in those with hypertension who are not medicated. The response may be exaggerated or diminished in certain people. Those will hypertension will usually have a higher systolic blood pressure than those who don’t have hypertenstion. The diastolic blood pressure may not change or may
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