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
- Diabetes during pregnancy
- 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.