Insulin, Blood Sugar, and Movement: Endocrine Basics

Blood sugar control is one of the most common reasons people see an endocrinologist. Insulin is the key hormone involved. It helps move glucose (sugar) from your blood into your cells for energy.

When the body becomes less responsive to insulin (insulin resistance), glucose can stay higher in the blood. Over time, this can lead to type 2 diabetes and other health issues.

The good news: movement is one of the most powerful tools that supports insulin function — when it’s done safely and consistently.

Educational info only. If you use insulin or glucose-lowering medication, get professional advice before changing exercise.

What exercise does for glucose

When you move your body:

  1. Muscles use glucose for fuel
  2. Your body becomes more insulin-sensitive for hours after
  3. Over time, you may store more glucose in muscles (as glycogen)
  4. You often improve energy, sleep, and appetite control

This is why a small walk after meals can be surprisingly effective for many people.

The three types of movement that help most

1) Walking (especially after meals)

Walking is underrated. It’s easy to repeat, low injury risk, and helps reduce blood sugar spikes.

Try this:

  • 10–20 minutes after your biggest meal
  • or 5–10 minutes after each meal if that suits your day

2) Strength work (building and keeping muscle)

Muscle helps “buffer” glucose. More muscle usually means better glucose handling.

Beginner-friendly approach:

  • 2–3 sessions per week
  • full-body basics
  • focus on form and steady progression

3) Cardio (steady, moderate)

This supports heart health and metabolic fitness. It can be cycling, swimming, brisk walking, or anything safe.

Aim for:

  • 2–4 sessions a week
  • moderate intensity most of the time
  • add harder work only if recovery is good and it’s appropriate

Safety notes that matter in endocrine care

Hypoglycaemia risk

If you take insulin or certain medications, exercise can drop glucose levels.

Helpful steps (with medical advice):

  • check glucose around sessions
  • carry fast-acting carbs (if advised)
  • learn your personal patterns
  • avoid stacking intense sessions without recovery

Feet, nerves, and circulation

People with diabetes can have nerve issues or circulation problems.

Helpful habits:

  • proper footwear
  • check feet regularly
  • choose lower-impact options if needed

Blood pressure and heart risk

Always get clearance if you have cardiovascular issues.

The “most useful” weekly structure (simple and realistic)

A practical plan many people can stick to:

  • 2–3 strength sessions/week
  • most days: steps (a daily baseline)
  • 2–3 moderate cardio sessions/week
  • short walks after meals when possible

You don’t need perfect. You need repeatable.

A sample week (adjust for your life)

  • Mon: strength + short walk
  • Tue: 30 min walk after dinner
  • Wed: strength + light cardio
  • Thu: steps + mobility
  • Fri: strength + easy walk
  • Sat: longer walk or swim
  • Sun: recovery + gentle movement

The biggest “secret” for long-term results

People who win don’t do more. They do it longer.

Consistency improves:

  • insulin sensitivity
  • body composition
  • blood pressure
  • confidence and mood
  • the ability to keep going

Next reads

Exercise and hormones: the simple guide

Stress and sleep: cortisol-friendly movement