You should only progress the client if you, as a professional feel he/she is
ready for more intense exercise. Try to increase the amount of weight, or
decrease the amount of rest in between sets so you can see if she's making any
A good tactic for these types of clients is to create a circuit. In a circuit
you can easily control the variables of rest, and intensity (weight) and
determine if progress is being made.
This is superior to progressing this type of client by creating a more complex
workout because you can easily gauge whether or not she's making progress.
As opposed to using tri-sets or supersets with different exercises, etc.
Creating a training program that achieves results incorporates much more than
having a good program on paper.
You must hold your client accountable for her actions outside of your
training sessions which include exercise, nutrition, rest and recovery.
Ask her 20 questions every time you or have her keep a journal so you and most
importantly your client know the good & bad decisions and actions she makes.
Use a program which includes and focuses on the basic exercises which work
the large muscle groups first. Then you can add supplementary exercises
A good idea is to eventually ad combination exercises which
work large muscle groups at once so more work can be done during each training
session. Perform cardio after weight training. It may be a good idea
to have a carbohydrate drink during the cardio so a blood sugar crash is less
likely and she can devote full energy to her cardio.
Also, with an adult onset diabetic, make sure she has eaten 30-90 minutes
before the training sessions.