Training for any event that involves strenuous activity, whether for longer than an hour or in short intense bursts, involves adaptation and management. All athletes find that training and competing affects them differently, and those with diabetes find that learning how diabetes is affected by the activity is an important part of the process.
If you have had diabetes for a long time or are over 35, you may wish to ask your GP for a physical examination before you start a training programme. If you usually see a diabetes care team, discuss your plans with them.
People with diabetes can be prone to foot and circulation problems. You need to ensure you are wearing appropriate footwear for your activity.
For example:
- If you are cycling
visit a specialist cycling shop.
- If you are running
visit a specialist running shoe shop for computerised analysis to find the best footwear for you, or contact a running club for advice.
Check your feet after exercise and watch out for blisters and discomfort. See a state-registered chiropodist if you develop any problems. Don’t use methyl salicylate or any medication that contains a localised painkiller because this can mask any problems.
When swimming
keep moving whilst in the water. Cramps can occur after a short rest in cold water, usually coming on with the first strong kick off when restarting. Dry off quickly when you finish - don’t hang about getting cold.
If you are training seriously for outdoor sports you are likely to have to exercise in the cold and the wet. No gear is completely water or windproof, but wearing appropriate clothes can change an unpleasant experience into a great achievement. Choose fabrics that keep moisture away from your skin and don’t get heavy when wet. Any sportswear shop will be able to advise you.
Build up your times and distances slowly (adding five to 10 minutes every week to your training program, for example). There are lots of books and magazines to follow, or you could join a club and adopt a sensible training programme that is right for you. Aim to train three to five times a week.
When training, you may find it useful to carry a ‘bumbag’, small rucksack or a plastic container such as an ice-cream carton that contains a blood glucose testing kit, identification, money for emergencies, food, glucose tablets, drinks, etc. Cyclists may wish to get a bag that attaches to their saddle.