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Diagnosed with PCOS and Diabetes, feel shortness of breath and tightness in chest. What type of exercise should I do?

Hello Dr. I am 46 yrs. old, 5 3 and 222 pounds, with PCOS and newly diagnosed Diabetes . I KNOW I need to lose weight and I am eating healthier, no simple carbs. My question is about exercise. Currently, even doing house work makes me feel short of breath and I sometimes feel tightness and mild pain in my chest. I ve had EKG and stress test.... all is well. What types of exercise should I do and for how long?
Asked On : Sun, 10 Mar 2013
Answers:  2 Views:  55
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General & Family Physician 's  Response
Exercises are divided in two types
1... Dynamic or aerobic exercises
2.... Static or anaerobic exercises.
Walking,jogging,cycling,swimming etc are examples of aerobic exercises.
Weight lifting is a anaerobic exercise.
For diabetic patients,aerobic exercises are ideal as in these exercises large amount of energy is spent gradually over a period of time.
Depending upon the patients age,sex,physical condition and cardiovascular status,aerobic exercises are selected.
For older diabetics,brisk walking is safe and easy.
For younger and fitter diabetics,one can chose amongst running,swimming,tennis,cycling etc.

Ideally 30 to 45 minutes of aerobic exercises should be done without breaks.
One can start gradually with 10 minutes a day in first week and then gradually go upto 45 minutes in 3 to 4 weeks.
Exercise should be strenuous enough to raise your heart beats to 75% of maximal heart rate ( MHR ) for 10 to 15 minutes.
MHR is 220 minus your age.
So for you it is 220-46=174 and 75% of 174 is around 130.
So you can do strenuous exercises for 10 to 15 minutes and keeping our heart rate maximum at 130.

Apart from exercises,you must take METFORMIN to reduce insulin resistance and for diabetes control.
Go for calorie reduction.
Talk to your doctor for the prescription of medicines.
Answered: Sun, 10 Mar 2013
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  Anonymous's Response
Hi friend,
Welcome to Health Care Magic

If you are breathless, it is difficult to prescribe any exercise. How did you do Stress test? - like that you can do treadmill at home
Brisk walking at least half an hour a day / minimum 5 days a week / has been found helpful.

See a lung specialist / have Spirometry (lung function test) - for possible causes.

Stict diet is more important to reduce.

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Sun, 10 Mar 2013
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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