Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

What activity is most appropriate for a 23-year-old with Type 1 diabetes and a history of proliferative retinopathy who wishes to start exercising?

1. Weight lifting

2. Jogging

3. Competitive sports

4. Swimming

The correct answer is: Swimming

Swimming is the most appropriate activity for a 23-year-old with Type 1 diabetes and a history of proliferative retinopathy. Proliferative retinopathy is a serious eye condition that can result from diabetes and may affect vision, particularly during high-impact or strenuous activities. Swimming offers a low-impact exercise option that minimizes the risk of injury and does not exert excessive pressure on the eyes, promoting safety while providing the benefits of cardiovascular fitness. Furthermore, swimming helps to regulate blood sugar levels, which is particularly important for individuals with diabetes. The buoyancy of the water reduces the stress on joints and blood vessels, providing a comfortable environment for exercise, especially for someone who might need to be cautious due to their medical history. The cooling effect of water also helps in managing body temperature and hydration, which is crucial for individuals engaging in physical activity. While weight lifting and jogging may involve more risk regarding blood pressure spikes or falls, competitive sports can lead to physical collisions or excessive exertion, both unsafe for someone with prone vision problems. Hence, swimming stands out as a suitable option that aligns with the individual's medical considerations while still motivating them to pursue a healthier lifestyle through exercise.