Increased flexibility

Neural factors

Muscle hypertrophy

Eccentric adaptations

Refer him to a registered dietitian.

Refer him to a doctor for medical clearance.

Refer him to a mental health practitioner.

Recommend he begin a moderate intensity exercise program.

Explain to your client that lapses are normal, and help him find strategies to anticipate and manage future lapses.

Explain to your client that it is extremely important to stay on track and to avoid lapses at all costs.

Explain to your client that lapses happen and are usually the reason for lack of success in most people's exercise efforts.

Explain to your client that his workout is probably not the right one for him and that another workout program will likely help prevent lapses.

Has a resting systolic pressure greater than 160 mm Hg.

Often experiences dizziness after standing quickly from a supine position.

Experiences headaches during high intensity exercise.

Has systolic pressure greater than 110 mm Hg at any time.

Flexion of the lumbar spine

Rotation of the lumbar spine

Compression of the abdomen

Expansion of the abdomen

Inject insulin into the muscle the client anticipates working as this will speed the reaction of glucose absorption into cells.

Limit fluid intake before, during, and after the workout to prevent hyponatremia.

Avoid exercise if blood glucose levels are less than 300 mg/dL and ketosis is present before exercise.

Exercise at the same time every day and ingest additional carbohydrates if glucose levels are less than 100 mg/dL.

Hip adductors

Plantar flexors

Latissimus dorsi

Gluteus medius