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Diabetes Mellitus And Physiotherapy

Diabetes is a metabolic disorder. Impaired glucose metabolism in which glucose is underutilized and blood glucose level become abnormally elevated (Hyperglycemia)

TYPES OF DIABETES:

TYPE 1 DIABETES:

  • It is diagnosed in childhood
  • Here body makes little or no insulin. Daily injection of insulin may be required

TYPE 2 DIABETES:

  • This occur in adulthood (over 40 years)
  • Pancreas does not make enough insulin for blood glucose level
  • This is because of metabolic syndrome and obesity

GESATIONAL DIABETES:

  • Diabetes during pregnancy

PRE DIABETIC:

  • The glucose reaches higher than the normal but not high enough to diagnosis

HOW EXERCISE HELP DIABETES

  • It lowers blood glucose level
  • Improves body ability to use insulin
  • Reduce insulin requirement
  • Control Diabetes
  • Reduce risk of heart disease

PRESCRIPTION OF EXERCISE:

Many diabetics are overweight, have joint and cardio vascular issues

  • Physiotherapist teach patient specific exercise to improve function and glycemic control
  • Manual therapy for musculoskeletal problems
  • Advice and assess on foot wear and walking retraining to alleviate pressure on feet
  • Pain during nerve impairment is treated with Electrical stimulation
  • Exercise to help and manage pain.

IMPORTANCE OF PHYSIO EXRCISE IN DIABETES:

Exercise is important for overall health and wellbeing. 

  • Physiotherapist help patient to exercise safe and minimize the risk of injury. Individually tailored exercise prescription is important in Diabetes Mellitus.
  • The exercise help patients to overcome complications like neuropathies, skin break down, foot ulcers,arthritis,frozen shoulder back pain associated with Diabetes

EXERCISE GUIDELINES (ACSM)

AEROBIC EXERCISE: 150 min/week at least 3 days/week

This activity alone do not deliver full benefit of exercise with type 2 Diabetes

RESISTED EXERCISE: Strength training 2-3 days/Week

This is effective for weight loss.

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