How to Start with Yoga
You can get audio or video tapes that give breathing
instruction and teach relaxation techniques at health food
stores, bookstores, and by mail order. It's probably fine
to learn breath and relaxation from a tape or booklet, but
don't try the yoga exercises without a skilled teacher. He
or she can make corrections, caution you when necessary,
and help you to adapt poses, if you need to.
It will be worth it to you to spend a little time finding
an instructor who is right for you. Your diabetes nurse
educator or other health care professional may be able to
recommend a yoga instructor. Get referrals for a yoga
instructor as you would for any professional you might wish
to consult.
Yoga instructors aren't required to be certified, but many
are, through many different programs. Ask prospective teachers
if they are certified. A certified teacher isn't necessarily
better than someone who isn't certified, but it's something to
consider.
Yoga is fun, healthy, and calming. It's a wise way handed
down over several thousands of years. There is little danger in
yoga, and even a little progress brings with it freedom and
peace of mind.
Although most people with diabetes can exercise safely,
exercise involves some risks. To shift the benefit-to-risk
ratio in your favor, take these precautions:
Have a medical exam before you begin your exercise program,
including an exercise test with EKG monitoring, especially if
you have cardiovascular disease, you are over 35, you have high
blood pressure or elevated cholesterol levels, you smoke, or
you have a family history of heart disease.
Discuss with your doctor any unusual symptoms that you
experience during or after exercise such as discomfort in your
chest, neck, jaw, or arms; nausea, dizziness, fainting, or
excessive shortness of breath; or short-term changes in
vision.
If you have diabetes-related complications, check with your
healthcare team about special precautions. Consider exercising
in a medically supervised program, at least initially, if you
have peripheral vascular disease, retinopathy, autonomic
neuropathy, or kidney problems.
Learn how to prevent and treat low blood glucose levels
(hypoglycemia). If you take oral agents or insulin, monitor
your blood glucose levels before, during, and after
exercise.
If you have type I, and your blood glucose is above 250
milligrams per deciliter, check your urine for ketones. Don't
exercise if ketones are present, because exercise will increase
your risk of ketoacidosis and coma.
Always warm up and cool down.
Don't exercise outdoors when the weather is too hot and
humid, or too cold.
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