Stop Balancing on a BOSU Ball: What the Research Actually Says About Unstable Surface Training

Let’s get one thing straight: balancing on a BOSU ball is not a badge of athleticism. Yet, I constantly see people in the gym doing squats or biceps curls on unstable surfaces thinking they're improving ankle strength, core function, or stability.

It’s a well-intentioned but misguided strategy. So, what does the research actually say about unstable surface training?

What Is Unstable Surface Training (UST) Really Training?

Unstable surface training—using tools like BOSU balls, wobble boards, or foam pads—adds instability to exercises, forcing the body to work harder to stay balanced. This does a few things:

• Increases neuromuscular coordination demands

• Engages the vestibular system and visual feedback

• Activates postural muscles through reflexive adjustments

• Requires greater core and small muscle engagement

Sounds like a win, right?

Not so fast.

The Ankle Stability Myth

Ankle sprains make up about one-third of all sports injuries, and the recurrence rate is shockingly high—up to 70%. A lot of this is due to poor proprioception—the body’s ability to sense joint position and movement.

So people assume that training on unstable surfaces improves proprioception and ankle stability.

But here's the problem: it doesn’t.

One study looked directly at proprioceptive training and found that exercises performed on unstable surfaces did not effectively improve proprioception or joint position sense. In other words, wobbling doesn’t equal proprioceptive adaptation (Wright & Arnold, 2012).

Strength Loss on Unstable Surfaces

Not only are you not improving ankle function—you might be compromising your strength, too.

A 2021 study found that grip strength and overall power output were significantly reduced when resistance exercises were performed on unstable surfaces (Zemková et al., 2021). That’s because your body’s focused on not falling over rather than producing force.

Another systematic review echoed this, concluding that unstable surface strength training has limited transfer to strength and power in stable, real-world conditions (Behm et al., 2015).

Translation: You’re getting worse at lifting and still not preventing that ankle sprain.

So What Should You Do for Ankle Stability?

There’s solid evidence that certain proprioceptive and strength training strategies actually reduce ankle sprain recurrence:

Controlled Strength Training

• Calf raises (bent and straight knee)

• Tibialis raises, toe walks

• Split stance and single-leg exercises with tempo

Sensory-Motor Work

• Eyes-closed balance drills on a firm surface

• Controlled single-leg deceleration (hop and stick)

• Multidirectional landing mechanics

Reactive & Perturbation Training

• External taps or light band perturbations while holding position

• Partner drills mimicking sport-specific movement

These strategies are rooted in actual performance and rehabilitation research (Schiftan et al., 2015), and more importantly—they help you move better, get stronger, and build confidence after injury.

Final Thoughts

Unstable surface training isn’t evil—it has its time and place, especially in rehab or return-to-play. But for most people chasing strength, resilience, or better ankle stability, it’s a poor substitute for well-designed, progressive training.

So unless your goal is to join Cirque du Soleil, maybe leave the BOSU ball alone.

Train smart. Get strong. Train. Play. Repeat.

References

Behm, D. G., Muehlbauer, T., Kibele, A., & Granacher, U. (2015). Effects of strength training using unstable surfaces on strength, power and balance performance across the lifespan: A systematic review and meta-analysis. Sports Medicine, 45(12), 1645–1669. https://doi.org/10.1007/s40279-015-0384-x

Behm, D. G., & Colado, J. C. (2012). Instability resistance training for health and performance. Strength and Conditioning Journal, 34(3), 33–48. https://doi.org/10.1519/SSC.0b013e31824f2552

Schiftan, G. S., Ross, L. A., & Hahne, A. J. (2015). Proprioceptive training for the prevention of ankle sprains: A systematic review and meta-analysis. Journal of Science and Medicine in Sport, 18(3), 238–244. https://doi.org/10.1016/j.jsams.2014.04.007

Wright, C. J., & Arnold, B. L. (2012). Fatigue and muscular performance during dynamic activities: A comparison of stable and unstable conditions. Journal of Athletic Training, 47(4), 407–416. https://doi.org/10.4085/1062-6050-47.4.16

Zemková, E., Jeleň, M., Čepková, A., & Uvaček, M. (2021). There is no cross effect of unstable resistance training on power produced during stable conditions. Applied Sciences, 11(8), 3401. https://doi.org/10.3390/app11083401

The Science of Sleep: How to Optimize Recovery and Performance

Sleep is one of the most critical, yet often overlooked, components of overall health and athletic performance. High-quality sleep is essential for physical recovery, cognitive function, and long-term well-being. Whether you're an athlete striving for peak performance or someone simply looking to improve daily function, optimizing sleep should be a top priority.

How many hours should you sleep a night?

Research generally suggests that most adults should aim for 7 to 9 hours of sleep per night to maintain overall health, with individual needs varying based on factors like age, lifestyle, and genetics. For athletes, the recommendations can differ slightly due to the physical demands placed on their bodies.

• General population:

  • Adults: 7–9 hours per night

  • Teens: 8–10 hours per night

  • Children: 9–11 hours per night

• Athletes:
  Athletes often require more sleep for recovery, muscle repair, and optimal performance, with some research suggesting that 8–10 hours per night may be ideal, especially for those who train intensely or frequently

The Importance of Sleep for Health and Performance

Physical Recovery and Performance

Sleep is when the body undergoes the majority of its repair and recovery processes. During deep sleep (slow-wave sleep), the body increases the release of human growth hormone (HGH), which is crucial for muscle repair, bone growth, and tissue regeneration (Leeder et al., 2012). Additionally, inadequate sleep can lead to decreased glycogen storage, reduced muscle protein synthesis, and impaired immune function, all of which can negatively impact athletic performance (Halson, 2014).

For athletes, studies have shown that sleep deprivation leads to reduced reaction time, impaired motor function, decreased endurance, and an increased risk of injury (Fullagar et al., 2015). A study on basketball players found that increasing sleep duration improved sprint times, shooting accuracy, and overall performance (Mah et al., 2011).

Cognitive Function and Decision-Making

Cognitive function is just as critical as physical performance, especially in sports that require strategic thinking, quick reactions, and split-second decision-making. Poor sleep has been linked to impaired memory, decreased attention span, and slower reaction times (Walker, 2017). For athletes, this means a diminished ability to anticipate plays, make precise movements, and adapt to in-game situations.

Hormonal Balance and Mental Health

Sleep plays a vital role in regulating hormones, including cortisol (the stress hormone) and testosterone. Sleep deprivation increases cortisol levels, which can lead to elevated stress, impaired recovery, and increased fat storage (Samuels, 2008). At the same time, sleep is necessary for optimal testosterone production, which is important for muscle growth, strength, and recovery.

Additionally, inadequate sleep is linked to mood disturbances, increased risk of depression and anxiety, and overall reduced well-being. A well-rested athlete is not only physically prepared but also mentally sharper and more resilient.

How to Optimize Sleep for Better Recovery and Performance

1. Maintain a Consistent Sleep Schedule

Going to bed and waking up at the same time every day helps regulate your body’s internal clock (circadian rhythm), leading to better sleep quality. Inconsistent sleep patterns can disrupt recovery and performance (Dijk & Archer, 2009).

2. Create an Ideal Sleep Environment

• Keep it Cool: The optimal room temperature for sleep is between 16-19°C (60-67°F). I personally take this to the next level by opening all bedroom windows before bed to maximize cool airflow

• Eliminate Light: Darkness signals the brain to produce melatonin, a hormone that promotes sleep. Use blackout curtains or an eye mask

• Reduce Noise: White noise machines or earplugs can help block disruptive sounds. I sleep with an air purifier on, which not only improves air quality but also provides soothing background noise

• Incorporate Plants: Snake plants are a great addition to the bedroom as they improve air quality by filtering toxins and increasing oxygen levels, which can promote better sleep

3. Minimize Screen Time and Optimize Lighting

Blue light from phones, tablets, and TVs suppresses melatonin production and interferes with sleep quality. Try to avoid screens at least 60 minutes before bedtime or use blue light filters (Chang et al., 2015).

One of my biggest nighttime game-changers has been switching all bedroom lights to red light bulbs. Red light has been shown to have minimal impact on melatonin production, making it an ideal choice for nighttime lighting. I even installed red puck lights in the bathroom to prevent harsh light exposure when brushing my teeth or washing my face at night.

A dimly lit bedroom bathed in a warm red glow from red light bulbs, creating a calming atmosphere ideal for restful sleep.

4. Prioritize a Pre-Sleep Routine

Establishing a wind-down routine can signal to your body that it’s time for rest. Consider:

• Reading a book for 30-60 minutes before bed (this has been a game-changer for me)

• Practicing deep breathing or meditation

• Gentle stretching or mobility work

5. Manage Caffeine and Alcohol Intake

Caffeine has a half-life of 5-6 hours, meaning it can stay in your system for a long time. Avoid consuming caffeine at least 6 hours before bed. While alcohol might make you feel sleepy, it disrupts REM sleep and overall sleep quality (Roehrs & Roth, 2001).

6. Try Magnesium Spray for Relaxation

Another tip worth trying is applying magnesium spray to the bottoms of your feet before bed. Magnesium plays a key role in muscle relaxation, stress reduction, and sleep regulation. Some people find it helps improve sleep onset and quality, making it a great addition to your nighttime routine.

7. Use Sleep Tracking to Optimize Habits

Wearable technology and sleep tracking apps can provide insights into sleep patterns and help identify areas for improvement. Tracking heart rate variability (HRV) and sleep duration can help athletes understand their recovery needs better (Walsh et al., 2021).

Final Thoughts

Sleep is a fundamental pillar of health and performance. It impacts everything from physical recovery and injury risk to cognitive function and hormonal balance. Prioritizing high-quality sleep through consistent habits, proper sleep hygiene, and lifestyle adjustments will enhance athletic performance, mental clarity, and long-term health.

Investing in better sleep isn’t just about feeling well-rested—it’s about optimizing your body’s ability to perform and recover at its highest potential. Train hard, recover smart, and sleep well.

References

• Chang, A. M., Aeschbach, D., Duffy, J. F., & Czeisler, C. A. (2015). Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness. Proceedings of the National Academy of Sciences, 112(4), 1232-1237.

• Dijk, D. J., & Archer, S. N. (2009). Circadian and sleep-dependent aspects of memory performance. Progress in Brain Research, 169, 107-135.

• Fullagar, H. H., et al. (2015). Sleep and recovery in team sport. Int. J. Sports Physiol. Perform., 10(8), 950-957.

• Walsh, N. P., et al. (2021). Sleep and the elite athlete. Int. J. Sports Physiol. Perform., 16(5), 572-573.

• Walker, M. P. (2017). Why We Sleep: Unlocking the Power of Sleep and Dreams. Scribner.

Why Strength Training Is Essential for Women in Their 30s

If you’re a woman in your 30s, you’ve likely started to hear the term “muscle loss” more often—and for a good reason. Beginning in your 30s, women can lose about 3-5% of muscle mass per decade if they’re not engaging in strength training. This decline, known as sarcopenia, doesn’t just affect your ability to stay active but also impacts your metabolism, bone density, and overall quality of life. So let’s talk about why lifting weights and building muscle is one of the best things you can do for your body and your long-term health.

What Does It Mean to Build Muscle?

Building muscle isn’t about looking bulky—it’s about preserving and enhancing your lean body mass. Muscle is metabolically active tissue, meaning it burns calories even when you’re at rest. The more muscle you have, the more energy your body uses throughout the day, which can make it easier to manage body fat levels. Additionally, having more muscle mass supports joint health, improves posture, and helps you maintain independence as you age.

Why Muscle Loss Matters

Starting in your 30s, your body naturally begins losing muscle mass unless you actively work to maintain or build it. This decline can:

• Lower your metabolism: Less muscle mass means fewer calories burned at rest.

• Increase fat storage: Without strength training, your body composition can shift toward higher fat percentages, even if your overall weight doesn’t change.

• Impact daily function: Everyday tasks like carrying groceries or playing with kids can become harder.

• Weaken bones: Muscle-strengthening exercises stimulate bone growth, reducing the risk of osteoporosis.

The Science Behind Strength Training

Research consistently shows that strength training is one of the most effective ways to combat muscle loss. Unlike cardio, which primarily burns calories during the activity, strength training creates a lasting metabolic boost through a process called excess post-exercise oxygen consumption (EPOC). This means your body continues to burn calories as it repairs and rebuilds muscle tissue after your session.

The Misconceptions About “Toning”

Many women express a desire to “get toned,” but what does that really mean? “Toning” is simply a combination of building muscle and reducing body fat to reveal that muscle. To achieve this, you need to lift weights with enough intensity to stimulate muscle growth and follow a consistent, progressive program. Activities like switching up workouts every week or focusing solely on cardio won’t build the muscle needed for that “toned” look.

Benefits of Building Muscle for Women in Their 30s

1. Improved Metabolism: More muscle mass means your body burns more calories throughout the day.

2. Fat Loss: Muscle tissue uses energy, helping you burn fat more efficiently.

3. Bone Health: Weight-bearing exercises strengthen bones and reduce the risk of osteoporosis.

4. Hormonal Balance: Strength training can improve insulin sensitivity and regulate other hormones tied to stress and metabolism.

5. Mental Health: Lifting weights has been shown to reduce anxiety, improve mood, and boost confidence.

6. Longevity: Strength training supports better balance and mobility, reducing the risk of falls and injuries as you age.

Common Mistakes That Sabotage Progress

• Going Through the Motions: Lifting without intention or intensity won’t challenge your muscles enough to grow.

• Chasing the Burn: Prioritize progressive overload (gradually increasing weights, reps, or sets) over just “feeling the burn.”

• Skipping Rest Periods: Adequate rest between sets allows you to lift heavier, which promotes muscle growth.

• Not Tracking Progress: Without tracking, it’s hard to measure improvement or identify areas to adjust.

• Inconsistent Programming: Random workouts won’t deliver the same results as a structured plan.

How to Build Muscle Effectively

1. Lift Heavy: Don’t be afraid of heavier weights. Training close to failure (when you can’t do another rep with good form) is key.

2. Progressive Overload: Gradually increase the challenge by adding weight, reps, or sets over time.

3. Consistency: Stick with a program for several weeks to master exercises and track improvements.

4. Nutrition Matters: Fuel your body with enough protein and carbs to perform well and recover effectively. Aim for about 0.7-1.0 grams of protein per pound of body weight daily.

5. Rest and Recovery: Sleep is essential for muscle repair and growth. Aim for 7-9 hours per night.

A Plan for Your 30s and Beyond

By incorporating strength training into your routine, you’re not just building muscle—you’re investing in your future health. Focus on compound movements like squats, deadlifts, presses, and rows that target multiple muscle groups. Combine these with accessory exercises to address specific areas, and don’t forget to celebrate your progress along the way.

If you’re unsure where to start, consider working with a coach to create a tailored program. At Avos Strength, we specialize in helping women build strength and confidence with evidence-based training plans that fit your lifestyle. Let’s take the guesswork out of your training and help you build a stronger, healthier you.

Ready to lift? Let’s get started!

How Many Steps Should You Walk a Day?

Walking is often recommended as a simple yet effective form of exercise. But how many steps should you aim for each day? Whether you're counting steps or tracking minutes, the answer varies based on your fitness level and goals. Let’s break down the benefits of walking and why this common movement is important for everyone, regardless of conditioning level.

The Benefits of Walking

Walking is one of the most natural movements for humans. Our bodies are designed to walk, and in today’s increasingly sedentary world, we need to move more than ever. Walking is often undervalued, but it offers many benefits, including:

• Improved Mental Health: Regular walks, especially outdoors, can reduce stress, anxiety, and symptoms of depression.

• Better Joint Health: Walking helps lubricate the joints, which can reduce stiffness and discomfort, particularly in those with arthritis.

• Increased Caloric Burn: While walking may not burn as many calories as intense exercise, it can still help with weight management.

• Enhanced Cardiovascular Health: For some individuals, walking is an excellent way to improve heart health.

Walking in Nature: A Double Benefit

Walking in nature offers an additional layer of benefits. Research shows that being in green spaces can reduce stress, lower blood pressure, and improve mood. The color green has a calming effect on the nervous system, promoting relaxation and reducing anxiety. Walking among trees, plants, and natural landscapes allows you to reset mentally, giving your brain a break from the overstimulation of daily life. So, if possible, try to walk outside in nature to enjoy these mental and emotional benefits.

Walking: Is It Always Cardio?

For someone who is deconditioned (hasn’t exercised regularly), walking can provide a significant cardiovascular benefit. It can elevate their heart rate into a zone where their body adapts, improving their heart and lung capacity over time. This makes walking an accessible entry point into fitness for many.

However, for those who are more conditioned, a leisurely stroll is unlikely to challenge the cardiovascular system. While walking remains beneficial, it may not elevate the heart rate high enough to prompt the adaptations typically associated with cardiovascular exercise. In these cases, faster-paced walks, hills, or other forms of more intense exercise may be needed for those specific cardio benefits.

Walking Isn’t Just About Cardio

Even if walking doesn’t improve your cardiovascular fitness, it’s still important for overall health. Walking is essential for mobility, circulation, and mental clarity. Regular walking helps combat the harmful effects of sitting, which has been linked to various health risks, including heart disease, diabetes, and even premature death.

Walking helps you stay active throughout the day, which is more important than you might think. Modern lifestyles tend to be highly sedentary, with long periods spent sitting at work, in transit, or at home. Even if walking doesn’t challenge your cardiovascular system, it’s an essential habit for staying healthy.

Don’t Forget to Swing Your Arms!

Another often overlooked aspect of walking is the importance of swinging your arms. In our modern world, where many of us hold our phones or keep our hands in our pockets, the natural arm swing can easily be forgotten. However, swinging your arms as you walk is essential for proper body mechanics. It promotes torso rotation, helping your spine move more naturally, and increases hip extension, allowing for a more efficient gait. This arm movement also helps balance and propel your body forward, making your walk more effective and biomechanically sound.

How Many Steps Should You Aim For?

You've likely heard the recommendation to walk 10,000 steps a day. However, this number is somewhat arbitrary. It originated from a Japanese marketing campaign in the 1960s and has since become a widely accepted target. But it’s not a magic number.

The truth is, your step goal depends on where you’re starting from. If you’re currently not walking much at all, aiming for 10,000 steps right away may feel overwhelming. Instead, start with a smaller, more manageable number. For example, 6,000 steps per day could be a great starting point for some people. Over time, gradually increase your step count as your fitness level improves.

Walking in Terms of Minutes

If you prefer tracking time rather than steps, the Canadian Physical Activity Guidelines recommend that adults get at least 150 minutes of moderate-to-vigorous aerobic activity per week, which can include brisk walking. This breaks down to about 30 minutes of walking five days a week. You can split this into shorter bouts throughout the day to make it more manageable.

However, remember that for walking to count as moderate activity, it needs to raise your heart rate. For someone who’s conditioned, a brisk pace or walking uphill may be necessary to achieve this.

What Does the Science Say?

Recent research supports the idea that you don’t need to hit 10,000 steps daily to reap the health benefits. A 2021 study published in the journal JAMA Network Open found that walking 7,000 steps per day was associated with a lower risk of mortality compared to fewer steps. Other studies suggest that even 4,000-5,000 steps per day can improve health outcomes, especially when combined with more vigorous activity.

The key takeaway from recent literature is that every step counts, and the more you walk, the better. However, pushing yourself to an arbitrary goal like 10,000 steps may not be necessary, especially if you’re starting from a lower baseline.

Start Where You Are

If you’re new to walking or have been inactive, don’t be discouraged if you’re not hitting 10,000 steps. Start with what’s achievable for you. If that’s 2,000 steps a day, that’s great! Gradually increase your steps each week as your fitness improves. You’ll still enjoy significant health benefits even at lower step counts, and consistency is more important than perfection.

The Bottom Line

Walking is one of the most accessible forms of movement available to us, but its impact depends on your fitness level and goals. For some, it’s an excellent cardiovascular workout, while for others, it’s a way to stay active, improve mental clarity, and combat the sedentary lifestyle. Instead of focusing on an arbitrary number of steps, find a level that works for you and build from there. Whether it’s in terms of steps or minutes, walking more is always a step in the right direction—just don’t forget to swing your arms and, if possible, get out in nature!

Train. Play. Repeat.

At Avos Strength, our vision is simple: to help people stay strong, active, and healthy as they age so they can continue doing what they love. Whether it’s playing tennis, hiking, gardening, or keeping up with your grandkids, our mission is to ensure you maintain the strength and mobility needed to live a fulfilling life.

All too often, we see individuals who, as they get older or experience injuries, lose the ability to engage in the activities that bring them joy. It could be something like tennis elbow, an injured knee, or shoulder pain that sidelines you from sports, hobbies, or just staying active. These setbacks can be frustrating and lead to a mindset focused on what you *can’t* do rather than the wide range of options still available.

Our approach is different. We believe that staying active is key to a happy, healthy life. That’s why we work with our clients to build a strong foundation, addressing not just the symptoms but the root cause of limitations, so you can get back to doing what you love. The goal isn’t just to train—it’s to regain the freedom to play, explore, and move without restrictions.

Too often, we hear stories like “I don’t have my Sunday tennis group anymore because half of them are injured” or “My teammate can’t play because of a shoulder issue.” If you have friends or family in this situation, share your success as an Avos Strength client. Let them know how building strength and resilience has allowed you to continue pursuing your passions and staying active, no matter what challenges come your way.

Our mission is clear: train for a lifetime of activity, play with freedom, and repeat the process. As we age, staying strong and active is the key to unlocking all the opportunities that life has to offer. So, whether it’s reclaiming your Sunday tennis match, playing with your grandchildren, or simply being able to move without pain, we’re here to help you train, play, and repeat—today and every day forward.

Exercise and Type 2 Diabetes: Benefits, Recommendations, and Safety Considerations

Exercise is one of the most effective tools for managing type 2 diabetes. Not only does it improve blood sugar control, but it also enhances overall health and well-being. However, if you or someone you coach has type 2 diabetes, it’s essential to understand how to exercise safely and effectively. In this post, we’ll explore the benefits of both cardio and strength training, the recommended frequency of each type of exercise, and important considerations for a safe workout routine.

Why Exercise is Crucial for Managing Type 2 Diabetes

Type 2 diabetes is characterized by insulin resistance, where the body either doesn’t produce enough insulin or can’t use it efficiently. This leads to high blood sugar levels, which can cause long-term health issues if left uncontrolled. Exercise helps by improving insulin sensitivity and allowing muscles to better use glucose, which can lead to more stable blood sugar levels.

Cardio and strength training are the two primary types of exercise that offer unique benefits for managing diabetes:

Benefits of Cardio Exercise

Cardiovascular exercise, such as walking, cycling, or swimming, is excellent for:

• Improving Insulin Sensitivity: Regular aerobic exercise helps your body use insulin more effectively, lowering blood sugar levels.

• Lowering Blood Sugar Levels: Cardio uses glucose as a primary energy source, helping to stabilize levels during and after exercise.

• Enhancing Heart Health: With a higher risk of heart disease, those with diabetes benefit greatly from cardio’s positive effects on heart function, blood pressure, and cholesterol.

• Supporting Weight Loss: Cardio burns calories, which helps in managing body weight and reducing fat, especially around the abdomen, which is closely linked to insulin resistance.

Benefits of Strength Training

Strength training, such as weightlifting, bodyweight exercises, or resistance band workouts, offers these benefits:

• Increased Muscle Mass: Muscle tissue is a major site for glucose storage and use, so building muscle can enhance long-term blood sugar control.

• Better Glucose Uptake: Resistance training increases insulin sensitivity, helping glucose enter muscle cells more effectively.

• Sustained Blood Sugar Control: The more muscle you have, the higher your resting metabolic rate, meaning your body uses more glucose even when you’re not exercising.

• Improved Bone and Joint Health: Strength training is vital for bone density, joint function, and long-term mobility, reducing the risk of falls and fractures.

How Often Should You Exercise?

For optimal diabetes management, a combination of both cardio and strength training is recommended:

Cardio (Aerobic Exercise)

• Frequency: 3-5 days per week.

• Duration: Aim for at least 150 minutes of moderate-intensity cardio (like brisk walking) or 75 minutes of vigorous-intensity cardio (like running) per week. This can be broken down into 30 minutes most days of the week.

• Intensity: Moderate to vigorous, depending on your fitness level and goals.

Strength Training (Resistance Exercise)

• Frequency: At least 2-3 non-consecutive days per week.

• Intensity: Perform 2-3 sets of 8-12 repetitions per exercise, targeting all major muscle groups (legs, back, chest, shoulders, arms, and core).

Combining cardio and strength training not only offers the best results for blood sugar control but also improves overall health and reduces the risk of complications associated with type 2 diabetes.

Safety Considerations: What Coaches and Clients Should Be Aware Of

While exercise is highly beneficial, there are some important considerations to keep in mind to ensure safety and effectiveness:

1. Blood Sugar Management:

• Pre-Exercise Check: Before starting exercise, check blood glucose levels. If levels are below 5.5 mmol/L (100 mg/dL), consider having a small snack to avoid hypoglycemia. If levels are above 13.9 mmol/L (250 mg/dL) and ketones are present, exercise should be avoided until levels stabilize.

2. Hypoglycemia (Low Blood Sugar):

• Symptoms of hypoglycemia include shakiness, dizziness, sweating, and confusion. Always have a fast-acting carbohydrate source (like glucose tablets or juice) available in case of low blood sugar.

3. Hyperglycemia (High Blood Sugar):

• Be cautious if blood sugar levels are very high (above 16.7 mmol/L or 300 mg/dL), as exercise could worsen symptoms. Monitor for signs like excessive thirst, fatigue, or blurred vision.

4. Medication Timing:

• Some diabetes medications can increase the risk of hypoglycemia during exercise. It’s important to time exercise sessions to avoid peaks in medication effects.

5. Hydration:

• Proper hydration is crucial, especially since dehydration can lead to elevated blood sugar levels. Drink water before, during, and after exercise.

6. Foot Care:

• Foot health is critical for people with diabetes. Proper footwear, regular foot inspections, and being mindful of any sores or blisters are essential.

7. Cardiovascular Health:

• People with diabetes have a higher risk of heart disease, so it’s important to monitor for any signs of cardiovascular distress, such as chest pain or shortness of breath.

8. Post-Exercise Monitoring:

• Blood sugar can drop hours after exercise, especially with high-intensity workouts. Encourage clients to monitor their levels for several hours post-exercise.

9. Progressive Intensity and Adaptation:

• Start gradually and adjust exercises based on the individual’s fitness level and health status. Modifications may be needed for those with joint issues or other complications.

10. Open Communication:

• Consistent communication between coach and client is key. Checking in about how the client feels during and after exercise ensures a safe and effective workout plan.

Conclusion

Exercise is a powerful tool for managing type 2 diabetes, and the combination of cardio and strength training provides the best results. With proper planning, monitoring, and awareness of the client’s condition, coaches can help individuals with type 2 diabetes enjoy the benefits of exercise while minimizing risks. Whether you’re focusing on improving insulin sensitivity, stabilizing blood sugar, or enhancing overall health, a balanced exercise routine can make a significant difference.

Remember: Always consult with a healthcare provider before starting a new exercise routine, especially if you’re managing a chronic condition like type 2 diabetes.