4.8.0.0 Ex­er­cise in the Pres­ence of Spe­cif­ic Long-‍term Com­pli. of DM

4.8.1.0 Retinopa­thy

See Sec­tion 11 “Mi­crovas­cu­lar Com­plications and Foot Care” for more in­for­ma­tion on these long-‍term com­pli­ca­tions.

Retinopa­thy

If pro­lif­er­a­tive di­a­bet­ic retinopa­thy or se­vere nonpro­lif­er­a­tive di­a­bet­ic retinopa­thy is pre­sent, then vig­or­ous-‍in­ten­si­ty aer­o­bic or re­sis­tance ex­er­cise may be contrain­di­cated be­cause of the risk of trig­ger­ing vit­re­ous hem­or­rhage or reti­nal de­tach­ment (158). Con­sul­ta­tion with an oph­thal­mol­o­gist prior to en­gag­ing in an in­tense ex­er­cise reg­i­men may be ap­pro­pri­ate.