The American Diabetes Association states that a graded exercise (or stress) test may be helpful if you are beginning a moderate- to high-intensity physical activity program, particularly if you are at high risk for cardiovascular disease, based on one of the following criteria:
Age over 35 years
Age over 25 years and you have had Type 2 diabetes for more than 10 years or Type 1 diabetes for more than 15 years
Presence of any additional risk factors for coronary artery disease, such as high blood pressure, high blood-fat levels, or family history of heart disease
Presence of microvascular disease, including retinopathy (diabetic eye disease) or nephropathy (diabetic kidney disease)
Peripheral vascular disease (poor circulation to areas of the body outside the heart and brain, such as the legs, feet, arms, kidneys, or stomach)
Autonomic neuropathy (damage to nerves that control automatic functions in the body)
Adapted from American Diabetes Association: Clinical Practice Recommendations 2004. Physical Activity/Exercise and Diabetes. Diabetes Care 27:S58–S62, 2004.
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