F | E | D
Metformin
Ophtalmology

Ophtalmology


Retinopathy and exercise


Level of DR Acceptable activities Discouraged activities Ocular reevaluation
No DR Dictated by medical status Dictated by medical status 12 months
Mild NPDR Dictated by medical status Dictated by medical status 6-12 months
Moderate NPDR Dictated by medical status Activities that dramatically elevate blood pressure  Power lifting  Heavy Valsalva 4-6 months
Severe NPDR Dictated by medical status Activities that substantially increase systolic blood pressure, Valsalva manoeuvres, and active jarring  Boxing  Heavy competitive sports 2-4 months(may require laser surgery)
PDR Low-impact, cardiovascular conditioning Swimming  Walking  Low-impact aerobics  Stationary cycling  Endurance exercises Strenuous activities, Valsalva maneuvers, pounding or jarring  Weight lifting  Jogging  High-impact aerobics  Racquet sports  Strenuous trumpet  playing 1-2 months(may require laser surgery)
DR, diabetic retinopathy; NPDR, nonproliferative diabetic retinopathy; PDR,proliferative diabetic retinopathy.

American diabetes Association: Clinical Practice Recommendations 2003. Diabetes Care 2003 (26) S75.
 

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