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Medical Forum / Diseases and Disorders / Diabetes / March 2007

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Cardiovascular exercise benefits

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Chris Malcolm - 18 Feb 2007 21:47 GMT
Two years ago, at age 62, having earlier had a heart attack and then
recently discovered I was diabetic, I decided to retire in order to
prolong my active life. For the first year I just enjoyed not having
to go the office, and took no specific exercise beyond my habitual
approx half hour a week cycling to local shops. I was also rather
pre-occupied with learning how to get my pp BG spikes down and if
possible reduce my neuropathy (it was possible).

This last year I deliberately tried to improve my cardiovascular
fitness by more often doing shopping etc. by bicycle. That averaged
out at around an hour's cycling a week, i.e. an extra half hour a
week. I have one of those bicycle computer things, and always log the
time and distance data to monitor progress. I've got cycling data
going back over the last ten years. Over the last nine and a half
years it shows a general gradual decline in fitness, punctuated by a
couple of severe drops caused by health problems. Doctors tell me this
happens as you get older :-(

Since I started making a point of cycling the extra half hour a week
in the last six months my cycling fitness has been steadily
improving. Last week it got back to the fitness of ten years ago,
before I got knocked back by overwork, age, and health problems. That
was no remarkable state of fitness, but it was very pleasing to be
able to recover pre-diabetic performance levels and imagine that in at
least one respect I'd got ten years younger :-)

Rummaging through my exercise records I discovered that in January
2005 I measured the response of my heart rate to a precise benchmark
exercise of doing 100 full bodyweight-only squats (i.e. right down
until bum on heel) in 400 seconds. That raised my heart rate to
135bpm, and I was close to being falling-down knackered.  So I tried
doing exactly that same exercise again. This time it raised my heart
to only 105bpm! And I wasn't tired, felt as though I could probably
have done another 50!

Wow, there's an improvement!

But wait a minute -- at that time in 2005 I was 10 pounds heavier!
(You see the advantages of keeping records? :-)

So I repeated the exercise several hours later carrying 10 pounds. And
this time by the time I reached 50 I was feeling as exhausted as at
the earlier 100. By the time I reached 100 I felt the same as I did in
2005 at 100. And this time my heart rate was 135bpm, same as in 2005.

So. no improvement? Well, not quite, because hanging onto 5lbs in each
hand is a bit more effort than carrying 10lbs well distributed in
body fat, and several hours wasn't quite enough to fully recover from
the previous exercise.

There's also the important question of recovery rate: how quickly does
the post-exercise elevated heart rate drop in the first two minutes? I
have a note from somewhere suggesting that >20bpm is good, and <12bpm
is bad, see a cardiologist. This recovery rate is significantly
diagnostic of heart attack risk.

In 2005 my recovery rate over the first two minutes was 18bpm, whereas
today it was 30bpm. That's a 50% improvement which suggests a
significantly reduced my heart attack risk. All done without drugs :-)

So, although cycling about the city for about an hour a week instead
of half an hour is a pretty mild form of exercise increase, it
nevertheless has had significant measurable benefits. I also
discovered to my surprise just what a considerable difference losing
just 10 pounds makes to carrying my bodyweight around. Interesting
that with the extra 10lbs I felt as fatigued in terms of heart and
legs at 50 squats as at 100 without them.

Having bothered to do all this arithmetic, I'm now much more
pleased with my progress and much more motivated to keep going. Just
like keeping detailed BG records, it makes it much easier to monitor
progress and keep motivated :-)

Last but not least, having told the good people of asd about this
progress, it's now going to be more difficult for me to backslide :-)

Of course some folk here do more exercise before breakfast than I do
in a week, and others couldn't do it in a month, but the point is that
I took a pretty small amount of cardiovascular exercise (half an hour
a week), doubled it for six months, and got substantial benefits.

Signature

Chris Malcolm        cam@infirmatics.ed.ac.uk              DoD #205
IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

Will, T2 - 18 Feb 2007 22:00 GMT
>Having bothered to do all this arithmetic, I'm now much more
>pleased with my progress and much more motivated to keep going. Just
[quoted text clipped - 8 lines]
>I took a pretty small amount of cardiovascular exercise (half an hour
>a week), doubled it for six months, and got substantial benefits.

Hi Chris,

Those are remarkable achievements... My hat is off to you! All that
record keeping and arithmetic maies me dizzy...

Please, though, don't do it for us here on asd... Do it for yourself
and for life!

Will, T2
Chris Malcolm - 19 Feb 2007 03:33 GMT
>>Having bothered to do all this arithmetic, I'm now much more
>>pleased with my progress and much more motivated to keep going. Just
[quoted text clipped - 8 lines]
>>I took a pretty small amount of cardiovascular exercise (half an hour
>>a week), doubled it for six months, and got substantial benefits.

> Hi Chris,

> Those are remarkable achievements... My hat is off to you! All that
> record keeping and arithmetic maies me dizzy...

> Please, though, don't do it for us here on asd... Do it for yourself
> and for life!

I've been doing it for ten years. Ten years ago was when I first
started falling into the clutches of chronic diseases I was unlikely
to recover from. I like analysing data the way some people like doing
crosswords. It's an added bonus if it's my own health records & I can
learn something from them.

Signature

Chris Malcolm        cam@infirmatics.ed.ac.uk              DoD #205
IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

hemyd - 19 Feb 2007 05:57 GMT
> Two years ago, at age 62, having earlier had a heart attack and then
> recently discovered I was diabetic, I decided to retire in order to
[quoted text clipped - 76 lines]
> I took a pretty small amount of cardiovascular exercise (half an hour
> a week), doubled it for six months, and got substantial benefits.

I discovered that although my badly injured and deteriorated ankle prevented
me from jogging or even walking long distances, I could ride a bicycle with
no problems. I soon found it an excellent way of lowering bg spikes. Being a
technician and driving from service call to service call, I rode the bike
only on the weekends and in the evening. In 2004 I started a desk job, and
at the beginning of 2005 I started commuting to work on my bicycle, about 10
miles each way. Since then I've done over 10,000 miles of cycling. Having
turned 59 last week, I reckon that's not bad. Had some dodgy bg highs as a
result of some of the rides, also started Lantus, then Novolog, but have
managed to overcome the problems and fit the bike riding in nicely. I have
no doubt about the cardio benefit, which you have found yourself.

I wish you many years of happy cycling! (You realise you may have to give it
up when you turn 90, don't you.........?)   : )

Henry M.
Age 59, Type 2, Diagnosed 1995
Managing diabetes through diet, exercise,
Gliclazide (sulph), Metformin,
Lantus and, recently, Novolog.
(remove 'spam' to reply)
Chris Malcolm - 19 Feb 2007 11:57 GMT
In alt.support.diabetes hemyd <mydspamhen@optusnet.com.au> wrote:

[snip]

>> Since I started making a point of cycling the extra half hour a week
>> in the last six months my cycling fitness has been steadily
[quoted text clipped - 3 lines]
>> able to recover pre-diabetic performance levels and imagine that in at
>> least one respect I'd got ten years younger :-)

[snip]

> I discovered that although my badly injured and deteriorated ankle prevented
> me from jogging or even walking long distances, I could ride a bicycle with
[quoted text clipped - 7 lines]
> managed to overcome the problems and fit the bike riding in nicely. I have
> no doubt about the cardio benefit, which you have found yourself.

> I wish you many years of happy cycling! (You realise you may have to give it
> up when you turn 90, don't you.........?)   : )

You may be right. The oldest cyclist I've met on the road was 84. He
was setting off from a youth hostel (you don't *have* to be young to
stay in one :-) to cycle 30 miles to the next one on his
itinerary. Part of a cycling holiday he took every summer.  He cycled
pretty slowly, but looked as though he might possibly be able to keep
going for a few more years before he fell off :-)

There's quite a few elderly cyclists use the cycle racks at my local
supermarket. I'm sure there's several in their 70s. In fact one of
them must be, because I know she's seven years older than me :-)

Signature

Chris Malcolm        cam@infirmatics.ed.ac.uk              DoD #205
IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

hemyd - 19 Feb 2007 19:53 GMT
> In alt.support.diabetes hemyd <mydspamhen@optusnet.com.au> wrote:
>
[quoted text clipped - 43 lines]
> supermarket. I'm sure there's several in their 70s. In fact one of
> them must be, because I know she's seven years older than me :-)

Usually when I ride along our many cycling tracks here in Melbourne, I'll
meet scores of "older" people, from my age upwards, even in their 80s.
Good on them!

Henry M.
dorsy1943 - 20 Feb 2007 11:21 GMT
> > Two years ago, at age 62, having earlier had a heart attack and then
> > recently discovered I was diabetic, I decided to retire in order to
[quoted text clipped - 105 lines]
>
> - Show quoted text -

My mother was ninety and in an assisted living facility and managed to
exercise a bit on the stationary bike they had there.  I joined a gym
and use their stationary bikes. Right now I bike about 6 miles but I
don't know if that is the same as biking outdoors. Where I live, it is
a lot safer than riding outside. It lowers my blood sugar and I am
wondering why you had problems with high blood sugars because of the
bike riding.

Dolores
Ricavito - 19 Feb 2007 16:31 GMT
> Two years ago, at age 62, having earlier had a heart attack and then
> recently discovered I was diabetic, I decided to retire in order to
[quoted text clipped - 81 lines]
> IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
> [http://www.dai.ed.ac.uk/homes/cam/]

Chris, just wanted to say that I find your posts such as this very
reassuring somehow.  It gives one a positive feeling to read about
another's journey from the brink of ill health to good health.  The
weather here is getting warmer, and I think I'll get the old lady bike
down from where it is hanging in the garage.  I'm separated from my
office by 15 miles of freeway and major expressways, so I'll never
venture to bike to work, but I can always enjoy cycling for pleasure
in my neighborhood.

Best,

Ricavito
Nicky - 19 Feb 2007 22:34 GMT
>In 2005 my recovery rate over the first two minutes was 18bpm, whereas
>today it was 30bpm. That's a 50% improvement which suggests a
>significantly reduced my heart attack risk. All done without drugs :-)

That's the most impressive stat to me (apart from your excellent
record keeping!) - it means you can train much longer, and more
effectively, than you could a couple of years ago, meaning that you've
more than kept up with any increasing decrepitude on account of your
advanced years :D Congratulations!

Nicky.
T2 DX 05/2004
A1c 5.5%  BMI 25 D&E
100ug Thyroxine
Chris Malcolm - 31 Mar 2007 02:47 GMT
> This last year I deliberately tried to improve my cardiovascular
> fitness by more often doing shopping etc. by bicycle. That averaged
> out at around an hour's cycling a week, i.e. an extra half hour a
> week. I have one of those bicycle computer things, and always log the
> time and distance data to monitor progress. I've got cycling data
> going back over the last ten years.

Actually it's twelve years.

> Over the last nine and a half
> years it shows a general gradual decline in fitness, punctuated by a
> couple of severe drops caused by health problems. Doctors tell me this
> happens as you get older :-(

> Since I started making a point of cycling the extra half hour a week
> in the last six months my cycling fitness has been steadily
[quoted text clipped - 3 lines]
> able to recover pre-diabetic performance levels and imagine that in at
> least one respect I'd got ten years younger :-)

And today I got back to the level of cycling fitness I had in 1996. At
this rate of progress I estimate it will take me another two years to
exceed my 1995 level, because that was a *lot* higher. It was in 1995
that sundry health problems surfaced and knocked me down. Although I
was diagnosed daibetic two years, going by the neuropathy I'd
obviously been diabetic for some years previously.  If I wasn't
diabetic in 1995, then at the very least the metabolic syndrome
started to bite me pretty hard in 1995.

Signature

Chris Malcolm        cam@infirmatics.ed.ac.uk              DoD #205
IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

Nicky - 31 Mar 2007 10:21 GMT
>And today I got back to the level of cycling fitness I had in 1996. At
>this rate of progress I estimate it will take me another two years to
>exceed my 1995 level, because that was a *lot* higher.

Congratulations, Chris! Nice going!

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.5%  BMI 25
 
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