Exercise Guidelines for Patients with Metabolic Disorders

A Comprehensive Guide to Safe Physical Activity

Endocrinology

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Last updated: Mar 24, 2025

Introduction

Physical activity is crucial for managing metabolic disorders, but it requires careful planning and monitoring. This guide outlines safe exercise practices for various metabolic conditions.

Before Starting

  • Obtain clearance from your endocrinologist
  • Have recent lab work reviewed
  • Ensure proper monitoring equipment is available
  • Wear a medical alert bracelet

General Exercise Guidelines

Frequency

  • Start with 3 sessions per week
  • Gradually increase to 4-5 sessions as tolerated
  • Allow rest days between sessions

Duration

  • Begin with 10-15 minutes
  • Progress to 30-45 minutes per session
  • Include warm-up and cool-down periods

Intensity

  • Start low-intensity (able to hold conversation)
  • Monitor heart rate (50-70% of max)
  • Progress gradually based on tolerance

Recommended Activities

Aerobic Exercise

  • Walking
  • Swimming
  • Stationary cycling
  • Low-impact aerobics

Strength Training

  • Body weight exercises
  • Light resistance bands
  • Weight machines (start light)
  • Free weights with supervision

Safety Precautions

Monitor These Signs

  • Blood glucose levels
  • Heart rate
  • Blood pressure (if applicable)
  • Signs of fatigue or distress

When to Stop Exercise

  • Feeling dizzy or lightheaded
  • Unusual shortness of breath
  • Chest pain
  • Severe fatigue

Special Considerations

For Diabetes

  • Check glucose before, during, and after exercise
  • Carry fast-acting carbohydrates
  • Exercise with a partner when possible

For Thyroid Conditions

  • Monitor heart rate closely
  • Stay hydrated
  • Avoid overheating

Progress Tracking

  • Keep an exercise log
  • Record vital signs
  • Note any symptoms
  • Track improvements

Contact Healthcare Provider If

  • Experiencing unusual symptoms
  • Unable to complete routine
  • Consistent fatigue post-exercise
  • New pain or discomfort

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