Exertional or "foot strike" hemolysis is another problem often encountered in athletes. Exertional hemolysis was initially described in endurance runners but is also seen in swimmers, rowers, and weightlifters. Hypothesized mechanisms for red blood cell (RBC) destruction include trauma secondary to impact, turbulence in the blood vessel, acidosis, and elevated temperature encountered in working muscles. Diagnosis is made with an elevated mean corpuscular volume (MCV) and reticulocyte count and a low haptoglobin level. Treatment consists of mitigating impact by having the athlete run in biomechani-cally correct shoes and on cushioned surfaces and by recommending slow, incremental increases in training (Telford et al., 2003).
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All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.