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2023 Health History Please complete BOTH SIDES of this form, and return it prior to your first exercise session. Last name:First name:M.I.Street address:Apt. #:City:State:Primary phone:Email:Date
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How to fill out physical activityexercise and diabetes

01
Gather necessary information such as your current exercise routine, dietary habits, and medical history.
02
Consult with your healthcare provider to create an exercise plan tailored to your diabetes management.
03
Choose a variety of physical activities that you enjoy, such as walking, swimming, or cycling.
04
Set achievable goals for frequency and duration of exercise, starting with at least 150 minutes of moderate exercise per week.
05
Monitor your blood sugar levels before, during, and after exercise to understand how your body responds to physical activity.
06
Adjust your food intake or medication as needed, based on your blood sugar readings and the type of exercise performed.
07
Track your progress and make necessary adjustments to your exercise plan to stay on target.

Who needs physical activityexercise and diabetes?

01
Individuals diagnosed with type 1 or type 2 diabetes who are looking to manage their blood sugar levels.
02
People at risk of developing diabetes who want to maintain a healthy lifestyle.
03
Individuals with prediabetes seeking to prevent the onset of diabetes through lifestyle modifications.
04
All adults should aim for regular physical activity to support overall health, particularly those with unique health challenges.
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