How to start yoga with diabetes
Yoga can be fun, healthy and calming. It is a mind-body discipline that people have practiced for thousands of years, and even a little progress can bring a sense of ease and calm. If you have diabetes, you can enjoy it too, as long as you start with a few sensible precautions.
How can you learn yoga?
You can find audio and video recordings that teach breathing and relaxation techniques at health food stores, bookstores, online and by mail order. It is probably fine to learn breathing and relaxation from a recording or a booklet, but do not try the yoga postures without a skilled teacher. A teacher can correct you, warn you when necessary and help you adapt poses to your body.
It is worth spending some time finding an instructor who is right for you. Your diabetes educator or another health care professional may be able to recommend one. Ask for referrals as you would for any professional you might consult. Yoga instructors do not have to be certified, but many are, through a range of different programs. Ask prospective teachers whether they are certified. A certified teacher is not necessarily better than one who is not, but it is something to consider.
How can you exercise safely with diabetes?
Most people with diabetes can exercise safely, but all physical activity carries some risk. These precautions help to tip the balance in your favor.
Have a medical check-up before you start, especially if you have heart disease, are over 35, have high blood pressure or high cholesterol, smoke, or have a family history of heart disease. Your doctor will tell you whether you need tests such as an exercise stress test with an ECG, which is more likely if you plan vigorous activity.
Tell your doctor about any symptoms that you notice during or after exercise, such as discomfort in your chest, neck, jaw or arms, nausea, dizziness, fainting, unusual shortness of breath or short-term changes in vision.
If you have diabetes-related complications, ask your health care team about special precautions. Consider exercising in a medically supervised program at first if you have peripheral vascular disease, retinopathy, autonomic neuropathy or kidney problems, and ask which poses to avoid.
Learn how to prevent and treat low blood glucose (hypoglycemia). If you take insulin or diabetes pills that can cause lows, check your blood glucose before, during and after exercise. Blood glucose can keep dropping for hours afterward. Keep fast-acting carbohydrate, such as glucose tablets or juice, within reach.
If you have type 1 diabetes and your blood glucose is above 250 milligrams per deciliter, check for ketones. Do not exercise if moderate or large amounts of ketones are present, because activity can raise the risk of ketoacidosis, a medical emergency.
Always warm up and cool down, and avoid exercising outdoors when the weather is extremely hot and humid, or extremely cold. Be careful with hot yoga rooms. Check your feet afterward for sores or blisters.
What can yoga do for you?
Gentle yoga can be a way to move more, relax and manage stress. It does not replace your medication, your meal plan or the advice of your health care team, so keep following them and share your plans. If you are curious about the basics, our post on what yoga is is a good place to start, and our guide to basic yoga postures shows some of the poses you may learn. For more on living with diabetes, see our posts on diabetes and diabetes-friendly recipes.
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