Blood sugar issues
Hello Doctor: I am in the prediabetic stage, with blood glucose levels around 110, and I have not yet developed diabetes.
Therefore, I want to establish a regular exercise routine to prevent the onset of diabetes.
I have a question regarding the recently popular TABATA interval training, which claims that four minutes of exercise can provide the same benefits as 30 minutes of traditional exercise.
However, I have heard that the first 15 minutes of exercise are crucial for metabolizing glucose, and only after that does the body start to burn other sources of energy.
So, my question is: Is the four-minute TABATA interval training effective for lowering or controlling blood sugar levels, or is it necessary to engage in at least 30 minutes of conventional exercise, such as jogging, for it to be beneficial? Thank you!
Lin Sen, 30~39 year old female. Ask Date: 2019/05/31
Dr. Xiao Yongxun reply Family Medicine
Dear Mr.
Lin Sen:
1.
TABATA is primarily a form of high-intensity interval training (HIIT); it involves performing maximum intensity exercise for 20 seconds, followed by a 10-second rest, repeated for a total of 8 rounds, resulting in an overall duration of about 4 minutes.
It combines aerobic exercise with strength training for a full-body workout.
The goal is to exert maximum effort in a short period to achieve the benefits equivalent to an hour of exercise.
2.
According to the "Evidence-Based Guidelines for Adult Obesity Prevention and Management" published by Taiwan's Ministry of Health and Welfare in November 2018, high-intensity interval training (HIIT) is defined as aerobic exercise performed at an intensity between 80-100% of maximum heart rate, lasting from 1 to 4 minutes.
When compared to moderate-intensity continuous training, which has been the traditional recommended exercise model, the results indicate that short-term HIIT (less than 12 weeks) can improve maximal oxygen uptake, diastolic blood pressure, and fasting blood glucose levels in overweight or obese individuals.
Long-term HIIT (at least 12 weeks, three times a week) can lead to improvements in waist circumference, body fat percentage, resting heart rate, systolic and diastolic blood pressure in overweight or obese individuals.
However, the fat loss effects of short-term HIIT do not surpass those of moderate-intensity aerobic exercise.
From a time efficiency perspective, HIIT may require nearly 40% less time than moderate-intensity aerobic exercise, making it a more efficient weight loss method.
3.
Clinically, it is important to consider the patient's health status, age, regular exercise habits, lifestyle, and mental stress levels.
It is still advisable for individuals to start with walking, jogging, swimming, or cycling, gradually progressing to avoid potential accidents.
After all, the original design of high-intensity interval training was aimed at enhancing athletic performance and efficiency.
If you have further questions, it is recommended to discuss them in detail with your family physician.
Reply Date: 2019/05/31
More Info
Tabata workouts, a form of high-intensity interval training (HIIT), have gained popularity for their efficiency in burning calories and improving cardiovascular fitness in a short amount of time. The typical Tabata protocol consists of 20 seconds of maximum effort followed by 10 seconds of rest, repeated for a total of 8 rounds, culminating in just 4 minutes of exercise. This raises an important question for individuals, especially those at risk for diabetes, about the effectiveness of such short workouts in managing blood sugar levels.
Research indicates that exercise, in general, plays a crucial role in blood sugar regulation. For individuals with prediabetes or those at risk for developing type 2 diabetes, regular physical activity can help improve insulin sensitivity, lower blood sugar levels, and reduce the risk of progression to diabetes. Traditional recommendations often suggest at least 150 minutes of moderate-intensity aerobic exercise per week, which translates to about 30 minutes on most days. However, the landscape of exercise recommendations has evolved with the introduction of HIIT, including Tabata.
Studies have shown that high-intensity interval training can be effective in improving metabolic health markers, including blood glucose levels. For instance, a review of literature suggests that HIIT can lead to significant reductions in fasting blood glucose and improvements in insulin sensitivity, even when the total exercise time is less than that of moderate-intensity continuous training. This means that while traditional exercise regimens are beneficial, shorter, more intense workouts like Tabata can also yield positive results.
The concern regarding the initial 15 minutes of exercise primarily relates to the body's energy utilization. During the first 15 minutes of moderate exercise, the body tends to rely on glycogen stores for energy, which can lead to a temporary increase in blood glucose levels. However, with high-intensity workouts like Tabata, the body engages in anaerobic metabolism, which can lead to a more significant post-exercise effect known as excess post-exercise oxygen consumption (EPOC). This phenomenon can enhance calorie burning and improve glucose metabolism even after the workout has concluded.
For someone in your situation, with a fasting blood sugar level around 110 mg/dL, incorporating Tabata workouts could be a valuable addition to your exercise routine. However, it is essential to consider a few factors:
1. Frequency and Consistency: While Tabata can be effective, it should not be the sole form of exercise. A balanced routine that includes both high-intensity workouts and moderate-intensity activities (like brisk walking or jogging) is ideal. Aim for at least 150 minutes of moderate exercise per week, supplemented by 1-2 sessions of HIIT.
2. Monitoring Blood Sugar Levels: It’s crucial to monitor your blood sugar levels before and after workouts to understand how your body responds to different types of exercise. This can help you tailor your routine to what works best for you.
3. Diet and Lifestyle: Exercise alone may not be sufficient to control blood sugar levels. A balanced diet, rich in whole foods and low in processed sugars, along with adequate hydration and sleep, is vital for overall metabolic health.
4. Consultation with Healthcare Providers: Before starting any new exercise regimen, especially if you have prediabetes or other health concerns, it’s advisable to consult with your healthcare provider. They can provide personalized recommendations based on your health status and fitness level.
In conclusion, Tabata workouts can be an effective tool for managing blood sugar levels, especially when combined with a comprehensive approach that includes diet and lifestyle modifications. While the short duration of Tabata may seem insufficient compared to traditional exercise recommendations, the intensity and metabolic benefits can contribute positively to your overall health and help prevent the progression to diabetes.
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