I have a 49-year-old client who is hyperglycemic and obese. His doctor referred him to the gym, and he wants to start training as soon as possible. What kind of program should I give him?
The definition of Hyperglycemia is “Abnormally high blood sugar usually associated with diabetes.”
The reason I've provided this definition is to bring to light the fact that you not only have a 49 year old obese, hyperglycemic male client, you also have a borderline diabetic (i.e., his pancreas is about to check out!).
It is important to understand that obesity and diabetes (as well as many other chronic degenerative diseases) are huge red flags and essentially symptoms/manifestations of:
- Postural/orthopedic stress (due to excessive weight)
- Digestive dysfunction (excess body fat is a display in inefficient energy conversion)
- Hormonal dysregulation (everything we eat has a hormonal consequence)
- Generalized toxicity (toxins the body cannot properly deal with get stored in body fat)
- Energetic/spiritual blockage(s) (the holding/storing of energy[fat & calories] can represent a repressing of the soul's natural desire to express and create)
- Many possible others...
It’s no surprise that your first priority must be nutrition. In order to help stabilize your client's blood sugar and help increase/restore his insulin sensitivity, it will be crucial that he learns his Metabolic Type (MT). There are three levels of metabolic typing; I believe your client's situation surpasses the benefits of level 1. Ideally your client should be tested at level 2 or even 3 if it's deemed necessary. To take these advanced MT tests, go to www.healthexcel.com. You'll find everything you need there. It will also be helpful to read the book "The Metabolic Typing Diet" by Wolcott & Fahey. Generally speaking, MT's whole premise is to balance blood sugar by combining the right types and ratios of quality macronutrients (i.e., carbs - proteins - fats).
For some great introductory information on leaky gut syndrome as well as the basic foundational health principles that your client must immediately implement into his life and a list of several great holistic medical professionals that could greatly help your client, please read my recent Q&A article on “Fibromyalgia.”
In regards to your question about exercise, it is important to understand that being diagnosed with Hyperglycemia (pre-diabetes) is a serious sign that the body needs time to rest, heal and recover. At first, your program should likely be very "passive" including vitality restoring exercises such as proper stretching, deep breathing and/or Qi-Gong. Any exercise that is too aggressive will rob healing energy, blood and it's nutrients from the internal organs that desperately need them and send them to the appendages, creating a deficiency and hence more unneeded stress. To determine how intense your exercise programming should/can be, your client's total body stress load must be assessed. The book "How to Eat, Move & Be Healthy!" by Paul Chek has a complete self-assessment system for nutrition, exercise and lifestyle factors that will allow you and your client to assess total body stress load and set up a baseline for his programming. I simply cannot be any more specific than this – it depends on the assessment(s).
Other recommended reading/resources:
- Chek, P. You Are What You Eat. Audio Compact Disc Series. C.H.E.K Institute, 2003.
- Chek, P. "You Are What You Eat." (3-part article series) Online. www.PTontheNET.com, Internet. 2003.
- Hittner, N. The Brutal Truth On: Nutrition, Exercise, & Lifestyle. Audio CD Series & Program Manual. FOUR HEALTH Consulting (available at www.fourhealth.info), 2005.
- Wolcott, W. "To succeed at Any Diet, You Must Know Your Metabolic Type." (Parts 1 & 2) Online. www.mercola.com, Internet. 2002.