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Editor’s Note: Phil Graham (BSc, CISSN) is a certified sports nutritionist and competitive body builder. Learn more of his training tips on his site Diabetic Muscle and Fitness. This is a basic overview of how muscle tissue is built and the important considerations people living with diabetes need to make in order to maximize their muscle growth potential. This advice is suitable for anyone interested in improving the look of their body or for the professional bodybuilder and athlete looking to increase performance. How do you build muscle? Throughout our life, muscle mass increases as we age up until a certain point. This is naturally dictated by our day-to-day activity, genetics and the influence of key hormones. Everyone has the [[https://abcnews.go.com/search?searchtext=potential|potential]] to build muscle. However, some people want to build more muscle than others. This is largely for aesthetic and sporting performance reasons. To accelerate muscle growth, there needs to be a stimulus.



Weight-resistance training serves as the perfect stimulus for muscle growth. While the body’s muscles are challenged on a daily basis through movements like squat, deadlift, press and pull. Not many of these movements are loaded heavily or frequently enough to stimulate substantial gains in muscle mass. This is where scheduled weight training comes into play. Through frequent training exposure, the body adapts itself to deal with loaded movements by increasing its physical strength through newly acquired muscle mass. Load and  [[https://bbarlock.com/index.php/Why_A_TENS_Unit_WON%E2%80%99T_Help_You_Build_Muscle|Prime Boosts]] training frequency are the limiting factors to muscle growth; however, for the body to make the most out of a regular load training stimulus, another process must come into play. In order for the body to adapt to a specific training stimulus it must have adequate recovery resources available. Recovery needs increase according to stress demand. Therefore, as training load and frequency increase, recovery demands also increase. When you add something in (training wise), you need to add something else in (recovery wise).



You also need to consider additional life stressors will impede recovery and muscle growth. Diabetes is one of them! While all the above may sound familiar. It’s easy to overlook the effect of diabetes on the muscle building process. I see so many people with diabetes struggle to build muscle mass and increase their physical strength. Often times, they are left disheartened and end up jeopardizing their well-being. I want to highlight the three biggest problems people with diabetes face when it comes to getting the most out of weight training and building a better looking body. Lack of insulin hinders the body’s ability to store and utilize nutrients (fuel) properly. Uncontrolled diabetes is a state of undernutrition. If nutrients can’t get into cells both performance (stimulus) and recovery capacity are jeopardized, which limits muscle growth. High blood glucose levels increase protein breakdown and reduce protein synthesis. These are the two most important biological processes when it comes to building muscle.



Low blood glucose will steal energy and mental focus making training difficult. It’s essential to obsess over your blood glucose control. Do all you can to keep blood glucose levels in healthy range. This requires dedicated monitoring of blood glucose levels in response to medication and dietary intake. Instead of tracking aimlessly, feedback the data to your healthcare team and do your best to identify patterns when blood glucose levels dip or rise into unhealthy ranges. Anticipate and react appropriately next time round. People who take [[https://www.caringbridge.org/search?q=injectable%20insulin|injectable insulin]] run the risk of taking too much and  [[https://wikimontessori.org/wiki/Is_There_Anywhere_Plausible_Left_To_Publish_It|Prime Boosts]] too little. Too little insulin and blood glucose goes high into hyperglycemia. Too much insulin and blood glucose plummets into hypoglycemia. The greatest risk of hypoglycemia in people using injectable insulin is during aerobic exercise. This is due to the low-stress nature of the exercise which doesn’t bring about an increase in glucose-raising hormones typically produced during higher intensity exercise.