Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

What is the most appropriate exercise precaution for patients with proliferative retinopathy?

1. Exercise beyond only what is needed for ADL's

2. Swimming and other prone physical activities should be avoided

3. Resistance training should not be included in the exercise regimen

4. Intensity exercise programs should be cleared by a cardiologist

The correct answer is: Resistance training should not be included in the exercise regimen

In patients with proliferative retinopathy, the condition can lead to changes in the blood vessels of the retina, increasing the risk of bleeding or retinal detachment during high-pressure activities. Therefore, the most appropriate exercise precaution is to avoid resistance training, which typically involves heavy lifting and can increase intraocular pressure. This activity may exacerbate the risk of complications in individuals with proliferative retinopathy. Other activities like swimming are generally considered safer for such patients, as they do not require the same type of exertion that could raise intraocular pressure significantly. It's also important for these patients to engage in light to moderate physical activity that aids in overall health without putting undue stress on the eyes. For any patient, including those with proliferative retinopathy, it is crucial to have a tailored approach to exercise that considers individual health concerns and limitations. Consulting with healthcare professionals can help create safe and effective exercise plans, but the avoidance of resistance training is a significant precaution for patients with this eye condition.