Gabe Mirkin, M.D.
Thirty-five percent of all Americans will develop diabetes,
which can cause heart attacks, strokes, blindness, deafness,
impotence, amputations, kidney failure and sudden death. Three
studies show why virtually all diabetics should exercise. The first
study shows that exercising before a meal markedly reduces the
rise in blood sugar that usually peaks 20 minutes after you eat
(Lipids in Health & Disease, October 2005). The second shows
that exercise lowers HBA1C in diabetics (Journal of Obesity,
October 2002), while the third shows that exercise lowers high
blood pressure (Medicine & Science in Sports & Exercise,
August 2005)
When you eat, your blood sugar level rises. In diabetics,
most of the damage is done within 20 minutes after you eat
because that’s the time that blood sugar levels are at their
highest. The higher blood sugar rises, the more sugar sticks on
cells. Once sugar is stuck on a cell, it can never get off. It is
eventually converted to a poison called sorbitol that destroys the
cell. This cell destruction causes all of the horrible side effects of
diabetes.
Doctors measure the amount of sugar stuck on cells with
a blood test called HBA1C. The first goal in treating diabetes is
to use drugs and diet to get HBA1C below 6. Since blood sugar
levels are highest 20 minutes after you eat, you should do
everything possible to prevent the high rise in blood sugar that
follows meals. The only places that your body can store sugar
are in your muscles and your liver. After you eat, sugar goes
from your intestines into your bloodstream. Then if your muscles
are empty from exercise, the sugar can pass into your muscles.
However, if your muscles are full because you do not exercise,
the sugar has no place to go and blood sugar rises to very high
levels to stick to cells and destroy your body.
Exercise is also vital for diabetics because it helps to
control blood pressure. Eighty percent of diabetics die of heart
disease, and anything that increases risk for heart attacks puts
diabetics in danger. High blood pressure is a major risk for heart
attacks and strokes. Since exercise lowers high blood pressure,
it helps to prevent heart attacks and thus to keep diabetics alive.
January 8, 2006