If you have Type 2 diabetes, the best time for you to get physical activity is after you finish your meals. But current physical activity guidelines don’t yet reflect this new knowledge.
When people with Type 2 diabetes walk after eating, blood glucose levels averaged a drop of 12 percent more than at any other time of the day. This is the conclusion ofa randomized crossover studythat the journal糖尿病学首先在2016年十月的研究报告的主要作者安德鲁·雷诺兹博士，人类营养，新西兰Otago大学部网上公布，给我发了全文。
The carb effect
The researchers prescribed walking to 41 people with Type 2 diabetes in two-week blocks, separated by a month. The people in the study were instructed to walk either for 30 minutes a day or to walk for 10 minutes after each main meal, starting within five minutes after they finished eating. When they took their 10-minute walks, their post-meal blood glucose levels averaged 12 percent lower than when they took a 30-minute walk at sometime during the day.
“Most of this effect came from the highly significant 22 percent reduction in blood sugar when walking after evening meals, which were the most carbohydrate heavy, and were followed by the most sedentary time,” Dr. Reynolds wrote me by email.
150 minutes per week
The American Diabetes Association’s (ADA) most recent身体活动的建议for all adults with diabetes is to get at least 150 minutes per week of moderate-intensity aerobic physical activity. It recommends that people spread the activity over at least three days of the week with no more than two consecutive days without exercise. But the ADA doesn’t advise any particular time.
这项新的研究可能会或可能不会导致目前的身体活动准则的修订版。但它已经证实至少有两个人的轶事经验 - 我已故的妻子和我。
Catherine’s experience
“I well remember when my late wife Catherine asked what she could do when her blood glucose meter showed that her level was above 200 about an hour after dinner one night,” I wrote in the article “Easy Steps to Diabetes Control” on HealthCentral.com in 2013.
“我建议我们周围散步block. When we got back home, she tested again, and her level was almost down to normal.”
Catherine wasn’t taking insulin injections then. So physical activity was the only tool she had to bring down her level when it got out of hand.
Don’t wait
Actually, Catherine and I waited too long that evening to manage her blood glucose. Studies that I reported in 2006 in the article “新的时间来检验血糖水平” show that people with diabetes reached peak levels about 72 or 74 minutes after a meal. Catherine’s peak level would have been much less if we had gone for a walk right after dinner.
The higher blood glucose levels that people with diabetes have after meals are more important than high fasting levels for many people, I reported in the article “When is the best time of day to test?” in 2005. Studies show that high blood glucose levels after meals have a greater impact on A1C levels among people who have their diabetes under good control than among those with poor control.
When activity helps most
When A1C results are on the low side — less than 7.3 percent — post-mealtime glucose contributes about 70 percent of the A1C (a正常level is below 6.0). However, when A1C results are high — greater than 10.2 percent — fasting blood glucose contributes 70 percent of the A1C value.
Aim for normal
Even if your A1C level is still quite high, it makes sense to help bring it down to normal. An easy way to help reduce your level is to walk right after you eat. This is especially important when you eat a lot of carbs.
大卫Mendosa是记者谁在1994年得知自己患有2型糖尿病，这是他现在写的完全。他撰写了成千上万的糖尿病的文章，两本书吧，创建one of the first diabetes websites, and publishes the monthly newsletter, “Diabetes Update.” His very low-carbohydrate diet, current A1C level of 5.1, and BMI of 19.8 keeps his diabetes in缓解without any drugs.
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