How do you choose a trainer if you have diabetes?

I’m a personal trainer with over 20 years of experience, and I have several clients with diabetes to whom I provide in-home services. Based on my years of experience, I have some advice on selecting a trainer for people with diabetes.

Your doctor has probably told you that physical exercise is an important component of your treatment, but it’s important that you pick the venue and fitness pro that’s right for you. Make sure that the person you’re considering has experience with the issues that affect you–not just diabetes, but other factors like mobility level, age, obesity, etc. Make sure they have a holistic mindset with respect to helping you reach your fitness goals. Some Doctors only prescribe medicine and don’t ask questions beyond that, and some trainers just want you to exercise as much as possible without considering other lifestyle factors.

In my experience, people with diabetes know their bodies better than anyone. They can tell when their sugar is high or low and make adjustments. As a trainer, I can’t prescribe actual treatment, but I can tell clients about herbs that some people use to help manage their blood sugar, like cinnamon bark. I can also provide advice on what to shop for at the store–organic food is best.

Make sure that your trainer includes functional training–that is, training focused on balance, movement efficiency, etc. These things are important for your whole lifestyle, and they’re not part of every exercise program (although they should be in my opinion.)

Last but not least–does this person respect you? Training someone compromised by a chronic illness isn’t something that every super-healthy fitness pro is mentally ready to do. Make sure you get a feel for them first.

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Relaxation: What’s the best way to de-stress

Most people, when they imagine relaxation, imagine inactivity.  Hot baths, meditation, Netflix and chill, sitting by a pool, drink in hand–all of these are popular forms of relaxation, and they all involve parking oneself in one spot.  My approach is different.  I suggest getting outside and getting active to relax.  Walking, gardening, and sports are all ways to get out of your head and into a relaxed state.

Most people wouldn’t normally think of brisk activity as a way to relax, but it’s truly the best way.  Studies have shown that exercise can reduce anxiety more effectively than anti-anxiety drugs, especially over the long term.  Relaxation isn’t just a mental state, either, it’s a physiological one, and exercise is shown to reduce physiological signs of stress by lowering blood pressure and reducing levels of cortisol, a stress hormone.  Exercise also causes the body to release endorphins, natural chemicals that produce a feeling of well-being and reduce pain in the body.

Sometimes the long-term goals of fitness can be hard to keep in focus.  When that happens, it’s good to also remember the short-term feeling of well-being that exercise brings about.  If you think about it in the right way, and focus on the right feelings, exercise doesn’t just have to be about delayed gratification.  It can also be an immediate relief from life’s stressors.

What about protein powder?

I was recently asked what I thought was the best protein powder.  Protein powder comes in a few forms, and it’s a popular nutritional supplement, especially for people who consider themselves bodybuilders.  I don’t consider myself a bodybuilder, and I’m not a big fan of protein powders in general.  Here’s my take on them:

Be careful with protein powder.  Protein has to be processed by the liver in order to be useful to your body, and too much of it–especially animal protein–can cause renal toxicity in the long term.  High-protein diets were a big deal a decade ago, but they are not healthy or balanced.  

If you’re going to supplement with protein, plant-based protein is best, and if I were going to take it in concentrated form (which I rarely do) I would choose spirulina.  It’s extracted from algae, and it’s got all 22 amino acids plus some great phytonutrients like chlorophyll.  It’s also much more environmentally friendly than animal protein, since it produces 400 times the protein per acre than beef cattle.  It’s anti-inflammatory, and unlike soy protein, it’s easy to find clean, organic, non-GMO sources.  Spirulina protein is already broken down into amino acids for easy absorption, and it won’t stress your liver and kidneys like whole animal protein will.  That’s one reason that I’ve been getting most of my protein from plants and sea vegetables for the past 20 years.

I can’t talk about protein powder without talking about whey.  Whey is a byproduct of cheese manufacturing that was formerly considered toxic waste.  Where I live, whey was routinely dumped into sewers until it was made illegal to do so, and in fact some cheese manufacturers were fined for continuing to dump whey in the sewers.  The dairy industry and the department of agriculture decided that when needed to be disposed of some other way, and through clever marketing, it was transformed into a premium nutrition product.  Whey protein isn’t great stuff, despite its reputation as a complete protein.

You should get most of your protein from the food you eat, which should be clean, organic, and mostly plant-based.  You shouldn’t have to add anything fancy to good natural nutrition–that’s what your body wants, and it’s what you should eat.

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Treadmills and Ellipticals: What are the limitations?

It’s hot out now, but before you know it, it’s going to be winter again, and for most people that means moving their exercise routine indoors.  Treadmills and elliptical machines can be a practical way to maintain conditioning in colder months, but exercising on them is different from moving on solid, unmoving ground.

What are the drawbacks of treadmills?

  1. Strained shin muscles–The moving belt of a treadmill “grabs” your lead foot more quickly than if the surface was still and your leg muscles had to pull your body forward.  This motion mimics walking or running downhill more than running on a flat surface.  It puts strain on the front shin muscle, which has to work harder to decelerate the leg.  To compensate, strengthen the front of the shins by spending some time walking backward.
  2. Weakening glutes–Your glutes don’t have to work as hard to pull your leg back each stride on a treadmill.  You’re not doing your butt any favors this way.
  3. Tighter hip flexors and low back pain–The fact that you’re under-working your glutes means that you’re overworking your front hip flexors in turn.  This leads to an imbalance and a shortening of these hip flexors, which leads to an increased arch in the lower back, which leads to pain.  To compensate, you should do extra work to strengthen your glutes.  Lunges are the best way to do this.  When you do any treadmill exercise, also do at least five lunges on each side.  Another way to compensate is to do some bridges: lie on your back with your arms crossed or at your sides.  Put your feet on the ground, with your knees gently bent.  Use your glutes (squeeze!) to lift your hips and back off the ground.  Count to three as your hips come up, count to three while you hold the bridge, and count to three again as you lower your hips back down.  Do three sets of 8-15 reps, three times a week.
  4. Tighter achilles and calf muscles–The motion of the belt causes an increase in heel-strike and greater flexing in the foot.  This can cause shortening of the calf muscle.  Foam roll the calves to help them relax and stretch out.
  5. Injuries–Treadmills are one of the most common causes of injuries in fitness centers, and they are the number one cause of injury in the cardio equipment category.  According to the U.S. Consumer Product Safety Commission, there were 72,900 injuries associated with treadmills between 2012 and 2014.

What about ellipticals?

Using an elliptical does not allow your foot to move naturally.  The motion of an elliptical uses far fewer muscles than running does, especially the hip muscles.  These muscles are designed to work together, and when you exercise some of them without exercising all of them, you can develop your body in a way that makes you more prone to injury.  The arm movements of an elliptical aren’t natural either, and they can lead to neck, shoulder, and back pain.  Ellipticals can also cause repetitive-motion injury or exacerbate certain existing conditions.  They are one-size-fits-all, so people with narrow hips may have to spread their legs farther apart, and people with broader hips may have to bring their feet closer together into an unnatural stance.

If you can, it’s best to exercise by doing things your body was built to do–like walking, lifting, pulling, pushing, and so forth.  If you must use mechanical exercise equipment, make sure you perform exercises to compensate for the imbalances they create: stretching and foam rolling are key, and lunges can help reduce the risks of treadmills.

Always be improving

This past week, I attended the Perform Better 3 Day Summit in Providence, RI, with 1,200 trainers, therapists, and chiropractors. Together, we took in the latest knowledge from industry
leaders like Dr. Greg Rose, the founder of the Titleist Performance institute.
In any field, it’s important to invest in yourself. I invest my time, money, and travel in my profession
because I value being the best trainer I can be. It’s important to me personally to be constantly
improving. Obviously I want to be a more successful trainer from a business standpoint, but more
importantly, refining and expanding my skills is personally fulfilling.
One of the things we focused on at the summit is the idea that structure dictates function or
dysfunction. The goal of golf fitness is to build and refine your structure (body) to the point where
it is in balance and optimized for golf. If your body is out of alignment at the start of a golf swing,
chances are you’re going to be out of alignment at the end, too. Misalignment like this can result
in excessive wearing on joints and connective tissue. Joint replacement surgeries are at an all
time high right now, and if you keep yourself in the right shape for your sport, you can avoid being
a part of that statistic.
If you are in a rotational sport like golf, you need explosive control at impact, and proper
deceleration control to reduce injuries and bad shots. Your joints need to be limber in all three
planes of motion. Incorporate a dynamic warmup
before golf and do a body check. When I say
“body check,” I mean scan your body with your senses, and note anything that feels out of
alignment. Adjust your posture and your swing accordingly.

How can the current you help your future self?

I was recently asked by a reporter whether I had tips to share with younger people in their 20’s and 30’s to help them stay healthy as they grow older.  I thought about it, and it’s something that’s fundamental to my life’s work.  Fitness professionals like me are in the business of helping your current self do favors for your future self.  I’m going to share some of the tips I have to help you age more gracefully here:

When it comes to exercise, consistency is key, and the key to consistency is convenience. Don’t over stress about getting thirty minutes to an hour a day of exercise. Make sure you get five to ten minutes every day. Fit it in wherever you can, just make sure you some exercise every day. If you feel good or if you have time to do more, go for it. Just make sure you anchor that habit with five to ten minutes of some exercise every day.

Your workout should include five fundamental motions: pushing, pulling, rotating, squatting, lunging. No need to break your back, just make sure you get it in every day. It’s good to get exercise in around the edges of your day, too. Do simple things like parking the car farther away from the store to force yourself to walk more, take the stairs instead of the elevator, keep exercise tubing in a convenient place and do back pulls or other simple exercises during downtime. All of it adds up, and all of it helps forestall the aging process.

Here’s something you can do when you’re younger that will pay off greatly when you’re older: practice better posture. Bad posture is a leading cause of back pain and other chronic pain, and we’re all at risk from sitting at computers and looking at our phones. Keep mindful of the way you are sitting. Better yet, do less sitting and more standing straight up, with your shoulders back and eyes eyes forward.

In terms of nutrition, what you eat is more important than how much you eat. You can eat as much as you want, just make sure that what you’re eating is mostly organic fruits and vegetables and other whole foods. You should eat minimally-processed food, without chemical dyes, preservatives, etc.

These guidelines are fairly simple, but if you work on making them habits, you’ll be making a great investment in the health of your future self.

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Staying Healthy on Vacation

Vacations are about relaxing a feeling good, and staying fit and healthy plays a big role in that.  I’m a certified personal trainer, I’ve been a fitness pro for 21 years, and I happen to have just gotten back from a vacation in Florida.
Staying fit on vacation is not so hard.  My whole life is about fitness, and I never skip my daily workout no matter where I am.  That said, even if you can’t make that happen, it’s best to choose activities on your vacation that are, well, active.  I enjoy long walks on the beach–it’s relaxing and great exercise.  Go hiking, walking, biking, skiing, swimming, whatever it is that lets you get active while you’re enjoying your destination.
Something most people don’t consider is that a big part of fitness is regular old health, and to that end, I become what a lot of people would consider a germophobe while I’m traveling.  I wipe down the knobs and remote controls in the hotel room, the chairs in the airport–almost anything I touch.  It might seem unusual, but it’s the best way to avoid traveler’s diarrhea and other unpleasant illnesses that could throw a kink into your health and good time.
A lot of people decide that since they’re on vacation, they can eat fried, processed, nasty food and give themselves a pass.  That’s definitely not the way to go.  High salt, high fat, processed restaurant food might taste good sometimes, but it’s going to make you feel unhealthy.  Your job on vacation is to recover from the stress of daily life, not make it worse by eating food that’s going to give you heartburn now and heart disease and diabetes later.  Find a grocery or health food store and stock up on healthy, organic food to fuel yourself with.  Staying healthy and staying happy are closely related.  In fact, they’re almost the same thing, so if you’re going to treat yourself, it should be in a way that sticks to your goals of staying healthy and fit.

Cultivating your mind-body connection in the garden

I love green and growing things. Gardening is an excellent way to get active. You probably know by now that I focus on functional fitness, meaning fitness that’s grounded in balanced, natural movement, that helps you stay injury-free and fit for daily life. Gardening is a great way to reinforce and enjoy the benefits of functional fitness.

You can get good cardio from raking and mowing, digging and weeding are great resistance exercises, and just walking around on the natural surface of the garden promotes balance and stability. Gardening burns a fair amount of calories, too. A 175 lb. person burns over 200 calories per hour while gardening.

Here are some tips to make the most of your time out in the garden:

-Warm up and stretch before gardening. Walk around for a few minutes and do some light stretches before gardening. Not only will this reduce your risk of injury while gardening, it also makes gardening more effective as a fitness-promoting exercise.
-Don’t do any one activity for too long. Alternate different tasks every fifteen or twenty minutes to prevent repetitive strain injury and to keep different muscle groups warm.
-Don’t try to do all the hard work in one marathon session. Doing so is a surefire way to get aches and pains.
-Use ergonomic tools. Good, comfortable gardening tools help keep you from injuring yourself through repetitive motion, and you’re also less likely to cut yourself or strain muscles when you have enough leverage and a good grip on your gear.
-Lift with your knees, not your back! Enough said.
-Alternate sides while you’re working. Switch your grip from hand to hand while raking, digging, or hoeing. This will promote muscle balance and coordination.
-Protect yourself from sun and strain. Wear sunscreen, a hat, and sunglasses. Drink lots of water. Wear good work gloves. Try not to garden in the middle of the day when the sun is hottest.
-Avoid twisting while you lift or reach. Twisting the body while lifting or reaching is one of the most common ways people injure themselves, and it’s also one of the most preventable. Stay mindful of what you’re doing and where you are.

Speaking of mindfulness, the benefits of getting outside go beyond physical fitness. It’s been shown that getting out into the natural environment reduces anxiety and increases creativity. Here’s a meditation you can do to get in that zone:

Sit on a chair or bench in good posture. Place your feet flat on the ground and your hands on your lap. Inhale through your nose as you count up to four. Pause at the top of your breath and slowly exhale through your mouth as you count down from four. Repeat, each time adding a count until you reach a count of eight. This will help relax your mind and body and make an excellent pre- or post-gardening ritual.

So get outside, enjoy the weather, and get active! Just take it easy, drink plenty of water, and make sure to smell the roses.

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TPI Test #8: The Cervical Rotation Test

This is the last in our series of TPI Performance tests.  If you haven’t read the other seven, you should check some out at www.FunctionFitness.com/2016/05.  The idea behind these tests is that a TPI golf fitness professional can use them to assess your physical strengths and weaknesses, and isolate where you may have problems with your golf swing on that basis.  You can also do them yourself for fun, and just to get an idea of where you stand.

So, what’s the cervical rotation test?  It’s a test we can do to check the mobility of your neck and upper back, which is important for a smooth golf swing with a full range of motion.

Here’s how to do it:
Stand up perfectly straight with your feet together, toes pointing forward.  Keeping your head level, rotate it as far as possible to one side, now tilt your head down and try to touch your chin to your collarbone.  Don’t open your mouth or try to close the gap by moving your shoulder up.  Now do it on the other side.  If you can touch your chin to your collarbone on both sides (without it hurting,) then you have full bilateral  cervical rotation.  If not, you could have issues with your spine, or you might just have tight muscles that need to be worked on.

If your mobility is limited in this test in any way, the first thing you can do is make sure you’re maintaining healthy posture as much as possible in your daily life.  You can check out the video below if you need some tips.  Otherwise, here are some exercises you can do to help out:

Stand up straight, place one hand flat across the small of your back, with the palm out.  Using the other hand, reach up and across the top of your head.  Gently pull the top of your head away from arm that’s behind your back, just enough to feel a stretch.  This will help stretch and loosen muscles on the side of your neck.  Another easy stretch you can do will be to stand up straight, turn your head to the side, and tilt your head to look up at the ceiling.

These stretches can help loosen and lengthen any tight muscles that could be inhibiting your motion.


That’s it for this week!  Drink lots of water and stay on top of your game!

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TPI Test #7: The Lat Test

This is part of a series on the eight tests that a TPI-certified golf fitness professional will perform to evaluate your body’s readiness for golf.  This week, we’re going to talk about the Lat test.

The latissimus dorsi muscle group forms a large, roughly triangular slab starting from the top of your buttocks and extending up under your shoulder blades.  When we talk about exercising our “core”, most people think of abs, but the lats are equally important to think about where core strength is concerned.  Your lats aren’t just important to core stability, they’re also part of your arm strength, since they are connected to your humerus (upper arm bone.)

Here’s how to perform this test:

  • Put yourself in a “wall-sit” position, with your knees bent almost–but not quite–at a 90 degree angle.  Make sure you’re not on a slippery floor and you have good traction.
  • Hold your hands straight out in front of you, with your thumbs pointing up toward the ceiling and your elbows completely straight.
  • Start raising your arms up slowly.  Raise them until one of these four things happens: your elbows bend; your lower back starts to arch off the wall; you feel pain or discomfort; your arms touch the wall above your head.

If you have a trainer performing the test with you, they will measure the angle where you have to stop raising, and based on that measurement, they can determine the level of mobility in your lats.  For a less scientific way of measuring, have a friend look at you from the side.  If your arms don’t reach up high enough to block your nose from view, you have less than 120 degrees range of motion.  If your arms just cover your nose, then you have 120 degrees of motion.  If your hands pass your nose but don’t make it to the wall, you have somewhere between 120 and 169 degrees range of motion.  If you made it all the way to the wall, then you have at least 170 degrees range of motion, which is the PGA tour average.

Here are some good exercises to increase mobility in this test:

Floor Slides:

  • Lay on your back, with your knees bent and the soles of your feet on the floor.
  • Reach your arms straight out from your body, then bend your elbows up at a 90 degree angle, like you’re doing a “field goal” pose.
  • Slide your arms up and down ten to twelve times, keeping your lower arms parallel to your torso.

Child’s pose:

  • Kneel on the floor.
  • Lean all the way forward and reach your arms out in front of you on the floor.
  • Lift your hips up and put your head down.
  • This is a yoga pose called “child’s pose.”  You should feel the stretch in your shoulders and your lower back.

Exercise Ball Reach:

  • Get on your knees with an exercise ball in front of you.
  • Reach forward on to the exercise ball with your right hand.
  • Roll the ball out as you reach with your hand, resting your arm on top and reaching across the ball to the left, so that your right hand is reaching on a diagonal to the left.
  • Repeat on the other side, with your left hand reaching across to the right.

These simple stretches can increase the mobility and flexibility of your lats, and therefore increase the power of your swing.

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