Please note

that these recommendations have been produced specifically to help people with, or at risk of, a long term condition, aiming to do moderate activity only.

Pre-Diabetes prescription

Pre-Diabetes and Physical Activity

In Pre-diabetes (or Impaired Glucose Tolerance) blood sugar levels are raised beyond the normal range but not at the level seen in diabetes. However, if you have pre-diabetes, your risk of developing diabetes and cardiovascular disease (such as heart disease, peripheral vascular disease and stroke) is increased. Physical activity can protect you from developing diabetes 1. There is a 30 – 40% lower chance of developing diabetes in moderately active people compared with those who are sedentary 2. Just by doing more and eating healthier you are improving your body’s ability to control blood sugar and reducing the effects of other risk factors for disease such as high blood pressure, high cholesterol levels and body fat. Now is the ideal time to make a real positive lifestyle change for your health. Whether you lose weight or not, regular physical activity will benefit your health.

Regular physical activity also gives you more energy, builds confidence and can help you to sleep more soundly at night. You can combine your activity time with family and friends or use it as an opportunity to reflect on things and listen to your favourite music.

Physical Activity Recommendations for inactive adults with pre-diabetes

Aim to do the following three types of activity:
  • Aerobic activity at relative moderate intensity for at least 150 minutes (2 hours and 30 minutes) a week – one way to approach this is to do 30 minutes on at least five days each week.
  • Muscle strengthening activity on two or more days a week which work all major muscles groups (legs, hips, back, abdomen, chest, shoulder and arms)
  • Flexibility exercises on a daily basis
Do not worry if you struggle to meet the Guideline, because by trying to become more active, you are still gaining some health benefits.

The Three Types of Activity and Pre-diabetes

You may find the following weekly approach useful if you have been inactive for a while.

Aerobic activity

aerobic

Aerobic activity, also known as endurance activity, is when large muscle movements, maintained over a period of time, make the heart and lungs work harder.

Activity? – Any type that you can maintain comfortably is ideal. Choose exercises that you enjoy, such as walking, cycling or group fitness classes. Starting off with some walking, static cycling or swimming will avoid too much joint overload if you are overweight and have joint pain.

How long (duration)? – You can split your total activity amount into minimum bouts of 10 minutes if needed. If you have been inactive for a long time, start with short daily amounts and increase this as your body allows and you feel more confident. Remember not to sit for hours. A regular break from sitting every hour is healthy.

How hard (intensity)? – Progress slowly to a relatively moderate-intensity activity. When doing moderate intensity activity you will feel warm, mildly out of breath and mildly sweaty. The ‘talk test’ is a simple way to measure moderate intensity. This means that you can still talk, but not sing, during the activity.

How often (frequency)? – If you aim to do 30 minutes per day then do this at least 5 times per week so that you reach the 150 minutes total per week. Distribute the sessions over the week and aim to have no more than 2 consecutive days without physical activity. When you start any new activities make sure you give your body enough time to recover and adapt between sessions.


Muscle Strengthening

strengthening

Simple strength training on at least 2 days a week is important for health if you have pre diabetes. It helps to control blood sugar and improves the action of the body’s own insulin. Stronger, larger muscles use up more calories for energy so it can help maintain your body fat. Some activities, such as climbing stairs, digging the garden or walking up hill, combine aerobic and muscle strengthening types.

These activities should work all the major muscle groups in your body such as legs, hips, back, chest, abdomen, shoulders and arms. When strengthening a muscle group, begin by familiarising the movement with little or no load.

If you are using weights such as dumbbells, try to do at least 1 set of 8-12 repetitions per activity. The correct weight choice is the one which is hard to complete by the end of the set. A repetition is one complete movement of an activity, like doing a sit up or bicep curl.


Flexibility Exercises

stretching

Daily flexibility exercises can prevent pain, stiffness, and injury of muscles and joints. People often experience a sense of wellbeing and relaxation during flexibility exercises. Some quick and simple movements can be found in our separate exercise sheet. Yoga, Tai Chi and Pilates are examples of some activities which combine strength and flexibility as well as balance training.


Safety considerations

  • If you are starting from a sedentary lifestyle, initial activity should be low intensity and short duration e.g. 10 minutes. Increase your level of activity gradually to avoid injury
  • Stop exercising if you feel dizzy, sick, unwell or very tired.
  • See a doctor if you are having dizziness, black outs, breathlessness on mild exertion or chest pains.

Please see the following safety considerations if you have other long term health conditions.

Disclaimer

This leaflet has been provided for information only. ALWAYS check with your doctor if you have any concerns about your condition or treatment. Prescription4exercise.com is not responsible or liable, directly or indirectly, for ANY form of damages whatsoever resulting from the use (or misuse) of information contained in or implied by this information.

Further reading

  • Start Active, Stay Active – a report on physical activity for health from the four home countries ‘ Chief Medical Officers. UK Department of Health, July 2011. www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128209>
  • ACSM’s Guidelines for Exercise Testing and Prescription, American College of Sports Medicine, 2009

References:

  1. Exercise and Type 2 Diabetes. ACSM and ADA Joint position statement. Medicine and Science in Sports and Exercise 2010; 42 (12): 2282-2303
  2. Department of Health and Human Services (2008) Physical Activity Guidelines Advisory Committee Report, Washington, DC: US Department of Health and Human Services

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