Despite the numerous benefits of physical activity, many diabetic patients are not meeting physical activity recommendation. There are barriers to physical activity among this group of patients. A barrier is something that keeps you from doing something else. If you’re not active, it’s likely that you have at least one barrier or reason why. Perhaps you’ve never been very active. Maybe you’re afraid that your blood glucose level will drop.
Think about what is keeping you from being active and then check out some of our solutions to the most common barriers to physical activity. Is there a solution for you? Below are identified barriers and solutions:
(1) I don’t have time to exercise for 30 minutes a day.
• Think about your day – do you have available time slots? Take advantage of any extra time that you may have and pencil in a workout. If you find yourself waiting for the kids to finish practice or watching their game from the sidelines, use that time to take a walk or pace while you watch.
• Do as much as you can. Every step counts. If you’re just starting out, start with 10 minutes a day and add more, little by little. Work up to at least 10-minute sessions, three times a day. You can also try for 15-minute sessions twice a day.
• Make physical activity part of your daily routine. For example, walk or bike to work or to the store, exercise while you watch TV, take the stairs instead of the elevator, or do something active with your family to spend time together.
(2) I’ve never been active.
• Don’t discount your everyday activities. You may be more active than you think. Housekeeping or mowing the lawn counts as activity. Being active is more than just planned exercise.
• If you have never been active or have not been active for a while, it is important to start slowly. If you feel unsure about your health, check with your health care provider before making big changes in your exercise plan.
• Starting slowly is important and so is choosing activities that you enjoy. Over time, the activities you do will get easier. You will even find that you can increase the duration and/or intensity.
(3) I’m too tired after work.
• Find a time when your energy is highest. You could plan to do something active before work or during the day. For example, you could try walking for 30 minutes during your lunch break a few days each week or hitting the gym early in the morning.
• Remember that increasing the amount of physical activity you do will actually increase your energy.
(4) I don’t have the right clothes.
• Wear anything that’s comfortable as long as you have shoes that fit well and socks that don’t irritate your skin.
(5) I’m too shy to exercise in a group.
• Choose an activity you can do on your own, such as following along with an aerobics program on TV or going for a walk.
• Remember that the everyday activities you do on your own like gardening and household chores get you moving and help burn calories.
(6) I don’t want to have sore muscles.
• Exercise shouldn’t hurt if you go slowly at first. Choose something you can do without getting sore.
• Make sure you warm up and cool down.
(7) I’m afraid my blood glucose level will drop too low.
• The people who need to be most careful about lows are people with type 1 and those who are on insulin or insulin secretagogues. If you’re taking a medication that could cause low blood glucose, talk to your health care provider about ways to exercise safely.
• Always be prepared. Make sure you’ve got some regular Gatorade, glucose tabs, or another fast-acting carbohydrate to treat a low if one should occur. Wearing a diabetes ID is another important safety precaution.
(8) Walking hurts my knees.
• Try chair exercises, swimming, biking, or an elliptical machine. These and other low-impact exercises may be less painful.
(9) It’s too hot outside.
• If it’s too hot, too cold, or too humid, walk inside at a school gym or a shopping center.
• Think of some other activities that are always available regardless of the weather like using a stationary bike, indoor aerobics classes, yoga videos at home, indoor swimming, stair climbing, calisthenics, or dancing.
(10) It’s not safe to walk in my neighbourhood.
• Find an indoor activity, such as an exercise class at a community centre.
• Think of activities you can do in the safety of your home.
(11) I’m afraid I’ll make my condition worse.
• Remember that getting enough physical activity is important for everyone’s general health – whether you have diabetes or not.
• Remember that exercise helps lower A1C and has many other health benefits.
• If you have certain complications from diabetes and are unsure about your health, talk to your doctor before making any big changes to your fitness routine.
(12) I can’t afford to join a fitness centre or buy equipment.
• Do something that doesn’t require fancy equipment, such as walking, jogging, calisthenics, or using water bottles for weights.
• Jumping rope and resistance band exercises are other activities that only require one piece of inexpensive equipment.
• Look for inexpensive resources in your community like community education programs, park and recreation programs, walking trails, school running tracks, or worksite wellness programs. Your employer is another place to check for discounts on gym membership or reimbursement for fitness-related activities.
(13) Exercise is boring.
• Find something you enjoy doing.
• Mix it up. Try different activities on different days, and make sure you pick an activity that you enjoy!
• Exercise with someone else to keep you company.
• If you can, try exercising while listening to music or watching television.
(14) I don’t really know how to exercise.
• Select activities that require few skills, like climbing stairs, walking, or jogging.
• Take a class and develop new skills.
(15) I don’t have the motivation to exercise.
• Invite a family member or friend to exercise with you on a regular basis. You can also join an exercise group or class in your community.
• Remember all of the benefits that come with being physically active.
• Make a plan so you decide when you will do each type of activity. Be sure to set realistic goals and make a plan so you know what you are working toward.
Data source: American Diabetes Association, 2013.