How Diabetic Kidney Patients Should Train: When to Check Glucose, When Not to Train, the Science of Post-Meal Walking, Protecting Feet and Eyes, and Adjustments for Insulin and SGLT2 Users
People with diabetes and kidney disease gain the most from exercise (glucose, blood pressure and albuminuria all improve) but must manage three special problems: hypoglycaemia, foot injury and retinopathy. Based on ADA 2025 and KDIGO 2022, this article explains how to read glucose before, during and after exercise, why post-meal walking works, when not to train, how insulin and each glucose-lowering drug class interact with exercise, and gives a sample week.