Cautions If Complications Exist
Reviewed by CDE Mehandi Sharma · Updated
Complication rates differ dramatically by subtype, so this article applies to some readers and not others.
If you have GCK-MODY, complications are uncommon — 1% had clinically significant microvascular complications in one comparison, against 36% in Type 2 diabetes — so in most cases there is nothing here to work around.
If you have a progressive subtype with long-standing diabetes, or HNF1B with kidney involvement, the following applies as it would in any diabetes.
Nerve damage in the feet. Wear well-fitting closed shoes, never exercise barefoot, and check your feet before and after — an injury you cannot feel is the real risk.
Eye disease. Some activities, particularly heavy straining, need modifying. Get specific advice rather than guessing.
Kidney disease. Moderate activity is generally encouraged, and the starting point and pace should be set with your doctor.
Heart disease. Same principle — activity is beneficial and the plan should be agreed.
Stop and seek help for chest pain or pressure, unusual breathlessness, dizziness, or sudden changes in vision.