There is always a large amount of discussion around diabetes and its prevalence in today’s society. This blog will focus on the role insulin plays within the body and how defects in insulin production, insulin action or both may affect your clients. Insulin is a hormone secreted from the pancreas and its role is to facilitate the uptake and utilization of glucose by the cells and prevent the breakdown of glycogen. In other words, insulin decreases blood sugar levels. Insulin is countered by another hormone secreted from the pancreas called glucagon, which opposes the effects of insulin by increasing blood sugar levels. So when blood glucose levels are high, insulin is released and glucose is removed from the blood to bring levels back down to a normal range. Glucagon is released when blood glucose levels are too low and stimulates the release of glucose from the liver. Both insulin and glucagon work together through the use of opposing actions to keep blood sugar levels within normal ranges. When insulin isn’t being produced or functioning properly, this balancing act between insulin and glucagon no longer takes place on its own and if untreated will result in chronically elevated blood glucose levels. A blood glucose level greater than 126 mg/dl indicates diabetes. There are three types of diabetes that are all the result of defective insulin production or action. Type 1 Develops when the body’s immune system destroys the cells responsible for insulin production (Not producing enough insulin) Can develop at any age, but most often in children Requires regular insulin injections or pump Makes up 5 to 10 percent of all diagnosed cases Type 2 Most common form (90 to 95 percent of all diagnosed cases) Initially presents as insulin resistance (cells do not use insulin properly) Pancreas gradually loses its ability to produce insulin 75 percent of people with type 2 diabetes are obese Gestational Diabetes Glucose intolerance that occurs during pregnancy Present in 7 percent of all pregnancies A woman has a 40 to 60 percent greater chance of developing diabetes after experiencing gestational diabetes Almost 8 percent of the population has diabetes, which means it is likely that you may be working with a client who has been diagnosed with diabetes. The benefits of exercise are substantial and well-documented, and it is important for you to understand what is taking place within the body to help your clients reach their health-related goals.