{"id":11138,"date":"2020-04-03T13:02:27","date_gmt":"2020-04-03T11:02:27","guid":{"rendered":"https:\/\/latam.patiadiabetes.com\/en\/?p=11138"},"modified":"2020-12-07T18:13:55","modified_gmt":"2020-12-07T16:13:55","slug":"diabetes-coronavirus-risk-group-tips","status":"publish","type":"post","link":"https:\/\/latam.patiadiabetes.com\/en\/diabetes-coronavirus-risk-group-tips\/","title":{"rendered":"Diabetes and coronavirus. Risk group and Tips"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1\"><h1>Diabetes and COVID-19: a particularly at-risk group and some tips<\/h1>\n<blockquote>\n<p style=\"text-align: left\">While the risk of being infected with coronavirus is the same for everyone, the consequences for people with diabetes could be much more severe<\/p>\n<\/blockquote>\n<p style=\"text-align: justify\">The British Diabetes Association (<a href=\"https:\/\/www.diabetes.org.uk\/about_us\/news\/coronavirus\" target=\"_blank\" rel=\"noopener noreferrer\">Diabetes UK<\/a>)\u00a0 one of the most highly regarded institutions in the world&#8217;s diabetes field,\u00a0sustains that anyone with diabetes, whether type 1, type 2 or gestational, is at risk of developing a serious disease if they catch the infection, although in the end the way in which each patient may be affected will vary from person to person&#8230; so how does anyone else? Well, no, like anyone who doesn&#8217;t have diabetes, no.<\/p>\n<p style=\"text-align: justify\">Everything points to the fact that the group of people with diabetes seems to be particularly sensitive, not so much because of the probability of being affected by the coronavirus infection, but probably because of suffering greater complications once infected. And even for having a significantly higher probability of death in relation to the general population without diabetes. Or at least that seems to be the case from the epidemiological data of a disease with which we have only been living for 4 months.<\/p>\n<\/div><div class=\"fusion-text fusion-text-2\"><h2>Still\u00a0a theory, but it could be feasible<\/h2>\n<p style=\"text-align: justify\">A very recent publication in The Lancet on the most common comorbidities of people who have died in China from COVID-19 echoes three studies conducted to date:<\/p>\n<ul style=\"text-align: justify\">\n<li><a href=\"https:\/\/www.thelancet.com\/journals\/lanres\/article\/PIIS2213-2600(20)30079-5\/fulltext\">The first<\/a>, in a group of 52 patients admitted to intensive care units, 22% of them had diabetes.<\/li>\n<li><a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMoa2002032\">The second<\/a>, out of a total of 1099 patients with confirmed disease, of which 173 had more severe symptoms, 16.2% had diabetes mellitus.<\/li>\n<li><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/all.14238\">The third<\/a>, of 140 patients admitted to hospital with COVID-19, 12% had diabetes.<\/li>\n<\/ul>\n<p class=\"alignleft\" style=\"text-align: justify\"><a href=\" \" rel=\"attachment wp-att-11022\"><img decoding=\"async\" class=\"lazyload wp-image-11022 alignleft\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27334%27%20height%3D%27186%27%20viewBox%3D%270%200%20334%20186%27%3E%3Crect%20width%3D%27334%27%20height%3D%27186%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2020\/03\/fusion-medical-animation-rnr8D3FNUNY-unsplash-1-300x169.png\" alt=\"coronavirus covid-19\" width=\"334\" height=\"186\" \/><\/a>In fact, these three studies have shown that patients with the most frequent comorbidities associated with the most severe cases and deaths from COVID-19, i.e. patients with diabetes or hypertension, are frequently treated with drug therapy (for their diabetes or hypertension) based on <a href=\"https:\/\/medlineplus.gov\/ency\/patientinstructions\/000087.htm\">the use of angiotensin converting enzyme (ACE) inhibitors.<\/a> It is a known fact that this type of drug, ACE, promotes an increase in the expression of a family of enzymes that are precisely those proteins used by the SARS-CoV-2 virus to bind to target cells. Therefore, it has been proposed &#8211; and I emphasize this expression of &#8220;it has been proposed&#8221; &#8211; that the use of pharmacological strategies based on ACE for the treatment of diabetes or other\u00a0foods could negatively affect these patients who, for this reason, could be victims of\u00a0severe consequences derived from infection by this or other pathogenic coronaviruses in humans.<\/p>\n<\/div><div class=\"fusion-text fusion-text-3\"><h2>In addition to the theoretical problems, other more real ones<\/h2>\n<p style=\"text-align: justify\">The fact is that patients with diabetes face two particularly complicated scenarios when faced with COVID-19. Both refer to the increasing difficulty in controlling blood glucose, the first only in the case of people with diabetes who have been infected, and the second, which will affect all patients, derives from the situation of universal confinement to which the entire population is subject.<\/p>\n<p style=\"text-align: justify\">In the case of infection by COVID-19 -or by any origin- one of the responses to situations of metabolic stress consists of an increased release of glucose into the bloodstream. The added problem in cases of diabetes is that, as is easily predicted, this increase in blood glucose will not be managed in the same way as in non-diabetic patients, and will lead to a sustained increase in blood glucose values. The British Diabetes Association explains in <a href=\"https:\/\/www.diabetes.org.uk\/Guide-to-diabetes\/Life-with-diabetes\/Illne\" target=\"_blank\" rel=\"noopener noreferrer\">this link<\/a> how to manage diabetes when you are sick in any circumstance.<\/p>\n<p style=\"text-align: justify\">In relation to the confinement situation, we cannot forget that in most cases this will mean a reduction in the possibilities of being active. Let us not forget that physical activity is <a href=\"https:\/\/latam.patiadiabetes.com\/en\/diet-and-physical-activity-gestational-diabetes\/\" target=\"_blank\" rel=\"noopener noreferrer\">one of the most powerful\u00a0tools\u00a0<\/a>with which to face both the risk of suffering from diabetes, and the same once it has been diagnosed.<\/p>\n<\/div><div class=\"fusion-text fusion-text-4\"><p style=\"text-align: justify\">Staying active without leaving home, which is a new situation (as it is for most of the diabetic population or not) is a challenge. However, we have consulted with <a href=\"https:\/\/twitter.com\/JorgeGarBas\" target=\"_blank\" rel=\"noopener noreferrer\">Jorge Garcia Bastida<\/a>, a physical trainer, who has offered us some alternatives for more basic levels:<\/p>\n<h3><strong>STRETCHES:<\/strong><\/h3>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"width:30.6666%; margin-right: 4%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"1024\" height=\"768\" title=\"1.1.0\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271024%27%20height%3D%27768%27%20viewBox%3D%270%200%201024%20768%27%3E%3Crect%20width%3D%271024%27%20height%3D%27768%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2020\/03\/1.1.0.png\" alt class=\"lazyload img-responsive wp-image-16778\"\/><\/span><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_2_3 2_3 fusion-two-third fusion-column-last\" style=\"width:65.3333%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-5\"><h3><strong>Lying on the ground:<\/strong><\/h3>\n<p style=\"text-align: justify\">1.Face up, hug both legs, take air through our nose, for 5 seconds, and release it through\u00a0the mouth for another 5 seconds. Repeat 5 times (<a href=\"https:\/\/www.respirapilates.com\/ejercicios-pilates-para-la-zona-lumbar\/\" target=\"_blank\" rel=\"noopener noreferrer\">PHOTOS<\/a>).<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"width:30.6666%; margin-right: 4%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><img decoding=\"async\" width=\"1024\" height=\"768\" title=\"1.2.0\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271024%27%20height%3D%27768%27%20viewBox%3D%270%200%201024%20768%27%3E%3Crect%20width%3D%271024%27%20height%3D%27768%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2020\/03\/1.2.0.png\" alt class=\"lazyload img-responsive wp-image-16780\"\/><\/span><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_2_3 2_3 fusion-two-third fusion-column-last\" style=\"width:65.3333%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-6\"><p style=\"text-align: justify\">2. Face up and keeping one leg on the floor, raise the other leg, holding it with hands at the back of the thigh, until we notice a stretch (without pain) at the back of the thigh. Take air through the nose, for 3 seconds, release it through the mouth for another 3 seconds, we lower the leg. Repeat the process with the other leg <a href=\"https:\/\/youtu.be\/h_yZV27H684\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>WATCH\u00a0VIDEO<\/strong><\/a>.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"width:30.6666%; margin-right: 4%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><span class=\" fusion-imageframe imageframe-none imageframe-3 hover-type-none\"><img decoding=\"async\" width=\"1024\" height=\"768\" title=\"1.3.0\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271024%27%20height%3D%27768%27%20viewBox%3D%270%200%201024%20768%27%3E%3Crect%20width%3D%271024%27%20height%3D%27768%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2020\/03\/1.3.0.png\" alt class=\"lazyload img-responsive wp-image-16782\"\/><\/span><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_2_3 2_3 fusion-two-third fusion-column-last\" style=\"width:65.3333%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-7\"><p style=\"text-align: justify\">3. Lying on your side, bring the heel of your upper leg towards your buttock (it is important that your back does not arch), holding your foot, until you notice that the front of your thigh is stretched (the quadriceps and hip flexors). Take air through the nose, for 3 seconds, release it through the mouth for another 3 seconds.\u00a0Lay on the other side and perform the same process with the other leg (<a href=\"http:\/\/www.womanspace.es\/estiramiento-de-cuadriceps\/\" target=\"_blank\" rel=\"noopener noreferrer\">link<\/a>).<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"width:30.6666%; margin-right: 4%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><span class=\" fusion-imageframe imageframe-none imageframe-4 hover-type-none\"><img decoding=\"async\" width=\"1024\" height=\"768\" title=\"1.4.0\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271024%27%20height%3D%27768%27%20viewBox%3D%270%200%201024%20768%27%3E%3Crect%20width%3D%271024%27%20height%3D%27768%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2020\/03\/1.4.0.png\" alt class=\"lazyload img-responsive wp-image-16784\"\/><\/span><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_2_3 2_3 fusion-two-third fusion-column-last\" style=\"width:65.3333%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-8\"><p>On all fours:<\/p>\n<p style=\"text-align: justify\">4. Rest our hands, knees and feet on the floor (on a soft surface, such as a mat or cushion). From there, raise the back up, taking air through the nose for 3 seconds, and lower the back down to its extension, releasing the air for 3 seconds through the mouth. (This exercise is known as &#8220;cat-camel&#8221;)\u00a0 <a href=\"https:\/\/youtu.be\/K9bK0BwKFjs\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>WATCH\u00a0VIDEO<\/strong><\/a>.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-9\"><h3>STRENGTH AND ENDURANCE EXERCISES<br \/>\nThe circuit is composed of 4 exercises that will alternate in the order indicated and will be repeated 5 times.<\/h3>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"width:30.6666%; margin-right: 4%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><span class=\" fusion-imageframe imageframe-none imageframe-5 hover-type-none\"><img decoding=\"async\" width=\"1024\" height=\"768\" title=\"2.1.0\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271024%27%20height%3D%27768%27%20viewBox%3D%270%200%201024%20768%27%3E%3Crect%20width%3D%271024%27%20height%3D%27768%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2020\/03\/2.1.0.png\" alt class=\"lazyload img-responsive wp-image-16786\"\/><\/span><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_2_3 2_3 fusion-two-third fusion-column-last\" style=\"width:65.3333%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-10\"><p><strong style=\"font-size: 16px\">Lying on the floor:<\/strong><\/p>\n<p style=\"text-align: justify\">1 Bend knees 90 degrees, and leaning our hands and the soles of feet on the ground, exert force on the ground, raising hips from the ground (back should remain neutral, without movement) with a controlled movement for 2-3 seconds, and lowering them for 2-3 seconds. Repeat 8 times\u00a0<a href=\"https:\/\/youtu.be\/_leI4qFfPVw\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>WATCH\u00a0VIDEO<\/strong><\/a>.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"width:30.6666%; margin-right: 4%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><span class=\" fusion-imageframe imageframe-none imageframe-6 hover-type-none\"><img decoding=\"async\" width=\"1024\" height=\"768\" title=\"2.2.0\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271024%27%20height%3D%27768%27%20viewBox%3D%270%200%201024%20768%27%3E%3Crect%20width%3D%271024%27%20height%3D%27768%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2020\/03\/2.2.0.png\" alt class=\"lazyload img-responsive wp-image-16788\"\/><\/span><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_2_3 2_3 fusion-two-third fusion-column-last\" style=\"width:65.3333%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-11\"><p style=\"text-align: justify\">2.\u00a0In the same position as above, but with the hands pointing to the ceiling, raise one leg until it reaches 90 degrees (the back should remain neutral, without movement) with a controlled movement for 2-3 seconds, and lower it for 2-3 seconds. Repeat 8 times <strong><a href=\"https:\/\/www.youtube.com\/watch?v=g_BYB0R-4Ws\" target=\"_blank\" rel=\"noopener noreferrer\">WATCH VIDEO<\/a><\/strong>.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-14 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"width:30.6666%; margin-right: 4%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><span class=\" fusion-imageframe imageframe-none imageframe-7 hover-type-none\"><img decoding=\"async\" width=\"1024\" height=\"768\" title=\"2.3.0\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271024%27%20height%3D%27768%27%20viewBox%3D%270%200%201024%20768%27%3E%3Crect%20width%3D%271024%27%20height%3D%27768%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2020\/03\/2.3.0.png\" alt class=\"lazyload img-responsive wp-image-16790\"\/><\/span><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_2_3 2_3 fusion-two-third fusion-column-last\" style=\"width:65.3333%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-12\"><p>On all fours:<\/p>\n<p style=\"text-align: justify\">3. Rest our hands, knees and feet on the floor (on a soft surface, such as a mat or cushion). From there, raise one arm, forward until it is in line with the trunk, with a controlled movement for 2-3 seconds, and lower it for 2-3 seconds. Repeat 8 times for each arm <strong><a href=\"https:\/\/youtu.be\/yf8d41oBBZ4\" target=\"_blank\" rel=\"noopener noreferrer\">WATCH VIDEO<\/a><\/strong>.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-16 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"width:30.6666%; margin-right: 4%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><span class=\" fusion-imageframe imageframe-none imageframe-8 hover-type-none\"><img decoding=\"async\" width=\"1024\" height=\"768\" title=\"2.4..0\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271024%27%20height%3D%27768%27%20viewBox%3D%270%200%201024%20768%27%3E%3Crect%20width%3D%271024%27%20height%3D%27768%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2020\/03\/2.4..0.png\" alt class=\"lazyload img-responsive wp-image-16792\"\/><\/span><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-17 fusion_builder_column_2_3 2_3 fusion-two-third fusion-column-last\" style=\"width:65.3333%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-13\"><p>Stand:<\/p>\n<p style=\"text-align: justify\">4. We place ourselves in front of a low step (or in its absence the carpet edge to serve as a guide) and we must climb to the step (or the carpet) taking a step with one foot, and then a step with the other foot. In a continuous way, we leave the carpet, taking a step backwards with one foot, and then with the other foot. So we go in and out of the carpet for 1 minute. The pace should be similar to that of a brisk walk. Every week, you can increase the time of execution by 30&#8221;. <a href=\"https:\/\/youtu.be\/ZM_jKjyV9Fg\" target=\"_blank\" rel=\"noopener noreferrer\">WATCH VIDEO<\/a><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-18 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-14\"><blockquote>\n<h3 style=\"text-align: justify\">In addition, the NHS, the British National Health Service, provides a number of interesting resources for doing <a href=\"https:\/\/www.nhs.uk\/conditions\/nhs-fitness-studio\/?tabname=other-fitness-plans\" target=\"_blank\" rel=\"noopener noreferrer\">different types of exercise<\/a>, especially when you <a href=\"https:\/\/www.nhs.uk\/live-well\/exercise\/gym-free-workouts\/\" target=\"_blank\" rel=\"noopener noreferrer\">do not have a gym or cannot leave your home.<\/a><\/h3>\n<\/blockquote>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-19 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-first\" style=\"width:48%; margin-right: 4%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-15\"><h2><strong>Nutritional advice <\/strong><\/h2>\n<p style=\"text-align: justify\">A few weeks ago the Spanish Academy of Nutrition and Dietetics issued a position paper &#8220;Dietary recommendations in the face of infection and in the case of mild patients&#8221;, in which seven key messages were developed from a main generic idea: &#8220;The dietary recommendations for COVID-19 are identical to those addressed and have always been addressed to the general population in a normal situation&#8221;.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-20 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-last\" style=\"width:48%;margin-top:0px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-16\"><p><img decoding=\"async\" class=\"lazyload alignnone size-full wp-image-11145\" src=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2020\/04\/tabla-eng.png\" data-orig-src=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2020\/04\/tabla-eng.png\" alt=\"Dietary recommendations\" width=\"569\" height=\"620\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27569%27%20height%3D%27620%27%20viewBox%3D%270%200%20569%20620%27%3E%3Crect%20width%3D%27569%27%20height%3D%27620%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2020\/04\/tabla-eng-275x300.png 275w, https:\/\/latam.patiadiabetes.com\/wp-content\/uploads\/2020\/04\/tabla-eng.png 569w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 569px) 100vw, 569px\" \/><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-21 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-first\" style=\"width:30.6666%; 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