Balancing High-Intensity vs. Moderate Exercise for Blood Glucose Control

Exercise is crucial in managing blood glucose levels for individuals with Diabetes, but not all exercise is created equal. High-intensity and moderate-intensity workouts affect the body’s glucose regulation differently. Understanding these physiological differences can help fitness professionals tailor exercise programs for their clients.

The Science of High-Intensity Exercise

High-intensity exercise, such as interval training or heavy resistance work, significantly demands the body's energy systems. This type of exercise relies heavily on stored glycogen and triggers the release of stress hormones like adrenaline and cortisol, which can temporarily increase blood glucose levels. However, the post-workout period often leads to improved insulin sensitivity and lower glucose levels as the muscles replenish their glycogen stores.

Key Considerations for Clients with Diabetes:

  • Short-Term Spike: Expect temporary blood glucose elevation during high-intensity activities. This is normal and not typically harmful for clients without complications.

  • Long-Term Benefit: Regular high-intensity workouts enhance insulin sensitivity and glucose metabolism, leading to better long-term glucose control.

  • Monitoring Is Key: Continuous Glucose Monitors (CGMs) can help track how a client’s glucose responds to high-intensity workouts, providing data to adjust intensity or recovery strategies.

The Benefits of Moderate-Intensity Exercise

Moderate-intensity exercise, such as brisk walking, cycling, or yoga, primarily relies on aerobic energy systems. These activities promote steady glucose utilization and are less likely to cause drastic fluctuations in blood glucose levels. Due to its predictability and safety, moderate exercise is often considered the cornerstone of Diabetes management.

Key Considerations for Clients with Diabetes:

  • Consistent Glucose Control: Moderate-intensity workouts typically lower blood glucose levels during and after exercise.

  • Stress-Free Management: These activities are less likely to cause post-exercise hypoglycemia, making them ideal for individuals new to exercise or those with poorly controlled glucose levels.

  • Sustainable Routine: Moderate-intensity exercise is often easier to sustain for extended periods, improving adherence to a fitness plan.

Structuring an Exercise Plan for Glucose Regulation

Balancing high-intensity and moderate-intensity workouts can optimize blood glucose control and overall fitness. Here’s an example structure:

Day 1: High-intensity interval training (HIIT) – 20 minutes
Day 2: Moderate-intensity steady-state cardio – 45 minutes
Day 3: Rest or low-intensity activity like yoga
Day 4: Resistance training with moderate weights – 30 minutes
Day 5: Moderate-intensity cardio – 40 minutes
Day 6: High-intensity circuit training – 25 minutes
Day 7: Active recovery – light walking or stretching

Key Safety Tips

  1. Pre-Exercise Monitoring: Always check blood glucose levels before starting high-intensity activities to avoid hyper- or hypoglycemia.

  2. Carbohydrate Adjustments: If glucose levels are lower before exercise, advise clients to consume a small carb snack.

  3. Hydration and Electrolytes: Dehydration can impact glucose regulation, so encourage clients to hydrate adequately, particularly during intense workouts. We recommend Biolyte, which has 6.5 times more electrolytes than other leading drinks.

  4. Recovery Snacks: Post-workout nutrition should include protein and carbohydrates to stabilize glucose levels.

Final Thoughts

High-intensity and moderate-intensity exercise each offer unique benefits for managing blood glucose levels. By balancing both forms of exercise and personalizing plans based on CGM data, fitness professionals can help clients achieve better glucose control and long-term health outcomes.

Encourage your clients to confidently embrace their fitness journey and ensure they feel supported with a well-rounded approach tailored to their needs.

The Additive Space

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Our ideas come from a variety of places, but mostly extensive travel and too many coffee shops too count! ;)

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AMANDA DAVIS

Amanda previously worked as a Certified Operations Controller for the International Space Station (ISS) at NASA's Payload Operations Integration Center. During this time, she oversaw biotechnology-based experiments and payloads operating in Low Earth Orbit (LEO) on the ISS. These included, but were not limited to, cardiovascular and stem cell growth and manipulation in zero-gravity space environments. She holds a Bachelor of Science degree in Civil Engineering with an emphasis on transportation and structures and over 6 years of experience in this field.

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Travis began his professional career as a wildland firefighter team lead in the Rocky Mountains of Montana. He holds a Bachelor of Science degree in Mechanical Engineering with 6+ years of experience at NASA’s Marshall Space Flight Center as an award-winning Liquid Propulsion Design and Test Engineer. He specialized in utilizing metal, polymer and resin additive manufacturing while at NASA and holds NASA patents in that field. After being chosen as a George J. Mitchell Scholar, he earned a Master of Science degree in Biomedical Engineering from Trinity College Dublin, with a focus on Medical Device Design and earned his Private Pilot license during his time at NASA.

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Common Challenges Clients with Diabetes Face in Fitness Programs

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How to Structure Workouts for Clients Using CGM Data