Exercise is Medicine

​Diabetes Type 2

Exercise and healthy eating behaviors have immediate and long-term beneficial effects on the management of diabetes. An appropriate exercise program can lower daily blood glucose, A1c and thus allows individuals with diabetes to better control the disease and reduce the risk for development of diabetes related medical conditions such as heart disease, peripheral neuropathy, balance disorders, vision loss, dementia and more.  Research shows that a combination of resistance training and aerobic training generally is best for patients with diabetes, and that exercise program be individualized and progressive. Exercise training can have the same effect on blood glucose as many of the diabetes drugs without the side effects.


Benefits of exercise for people with Type 2 Diabetes can be achieved through a few basic guidelines that establish the frequency, intensity, duration, mode, and the rate of progression for aerobic and resistance training.


Benefits of Exercise

  • Better mood

  • Higher quality of sleep

  • Improving various cardiovascular risk factors such as cholesterol and triglycerides

  • Better control of blood glucose; lower daily blood glucose and lower A1c.

  • Decreased medication. Clients have been able to lower dosage of medication and even eliminate having to take medication to control blood glucose.

  • Weight-loss, fat-loss and improved metabolism

  • Improved circulation

  • Reduced blood pressure

  • Improved physical function, including balance and mobility

  • Can help reverse the signs, symptoms, and even diagnosis of Type 2 Diabetes.


Preventing Type 2 Diabetes

Lifestyle intervention and behavior change have been shown to be the most effective methods for reducing Type 2 Diabetes risk (New England Journal of Medicine).


Taking control of and managing diabetes

When you hire any of our advanced certified personal trainers to help you prevent or better manage your blood glucose. We first obtain a medical release from your health care provider to ensure that it is safe for you to exercise. 


We ask you to complete a Health Medical History Questionnaire, and blood test results that include your A1c, cholesterol and triglyceride levels. If you have additional medical conditions such as high blood pressure, problems with bones or joints, arthritis, we need to know this as well. When you are 60 or older, we may also ask if received a recent bone density test. During your initial session we take baseline vital signs, and depending on your medical condition we do additional testing to better able to design a safe, effective and progressive exercise program that meets your health, fitness and your wellness goal. 



Advances in research within the last 10 -12 years have provided the information about the specific ways individuals with fibromyalgia need to move and exercise to minimize loss of function and enhance quality of life.


Typical fitness workouts that might provide a small amount of post-exercise soreness in healthy beginners can in fact produce delayed onset of muscle soreness in fibromyalgia patients that is so severe and leads to an ongoing cycle of exertion, flare, recovery, exertion and flare that will frustrate their best efforts in attempts to get stronger, more functional and fit. Modification of your previous or old exercise habits are a must to achieve success.


Exercise avoidance

Physical inactivity leads to de-conditioning, reducing movement even more, which decreases in overall strength and fitness, disfunction, increasing pain, falls, body- fat weight gain which increases risk for developing related chronic medical conditions and disease. 


Breaking this cycle is possible when the focus of the exercise program is on making long-term gains. When fibromyalgia-specific-modifications are in place, gradual improvements in function and fitness is possible. 

Consistent exercise is key to success
Secret to improvement is consistency over time and a
voiding inconsistent and over-intense training. Starting and stopping an exercise program because of too much pain is frustrating. Starting slow and with very gradual progressions and by being consistent in exercises frequency provides benefits. 


When you have additional medical conditions your exercise program needs to be adjusted for those issues.

We strive to develop exercise programs that are safe, effective and beneficial to all your medical conditions. 


Benefits and tips for exercise and fibromyalgia:


  • Release tight muscles and produce increased mobility, better posture, and less pain near joints
  • Reduce overall fatigue and improved sleep

  • In some individuals exercise may help control pain

  • Research shows that strengthening muscles, including muscles that hurt causes no structural damage

  • Focus on 'health' training and not sports training.

  • To include gentle stretching as part of your daily routine

  • Using correct exercise technique and appropriate posture 

  • Include a variety of activities and exercise to reduce repetitive movement

  • Avoid cold and heat that can trigger a flare-up

  • Dress in layers

  • Stay hydrated, drink water throughout your day and during your workout

  • When you are new to exercise; at the end of your workout session you should feel you could have done more

  • Breathing, posture, flexibility and relaxation

  • Balance and muscle strengthening exercise

  • Low impact cardiovascular endurance ( walking, bicycling, water aerobics or swimming)

  • Monitoring of exercise intensity by paying attention to your inner feeling of exertion (not leg discomfort or labored breathing), and using RPE - rating of perceived exercise to monitor your exercise intensity

Parkinson's Disease

Delay the Disease the # 1 Parkinson's Exercise Program was developed at Ohio Health and is an evidence-based functional fitness exercise program for Parkinson's Disease. Delay The Disease program optimizes physical function and helps to delay the progression of symptoms.  


Several of our personal trainers and physical therapist received certification in the Delay The Disease Parkinson's Exercise Program and can create interdisciplinary exercise training and wellness programs that will be modified throughout the disease and the aging process to provide maximal benefit. 

Delay the Disease Exercise Program is individualized and can helps our clients:

  • Move about with ease and confidence in a crowd

  • Get out of bed or rise from a chair independently

  • Improve handwriting

  • Dress independently

  • Diminish worry that stiffness, slow steps and other symptoms are obvious

  • Regain a sense of moving with normality