physiotherapy advice for diabetics

[omar77]

wat should be physiotherapy advice for a daibetic patient?

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[gcoe]

This Australian guideline gives comprehensive information on the best evidence for education and advice for type 2 Diabetes

http://www.diabetesaustralia.com.au/...ust%202009.pdf

Both aerobic exercise and progressive resistance training appear to be beneficial in T2 DM. While weight reduction is beneficial just partaking in physical activity without any actual weight loss is beneficial and in obese patients with T2DM this may be an achievable goal.

Here is a recent systematic review on the evidence for the different types of exercise:

Wiley Interscience Access Error Page

Here is a reference to a more specific review for progressive resistance training that appeared in the Australian Journal of Physiotherapy last year:
PEDro - Detailed Search Results

I can’t send you a link of the this review as it is less than a year old. However if you want a copy you can private message me with your email address and I can send you a copy.

Aerobic exercise and progressive resistance training have different biological effects on the control of diabetes, muscle tissue and cardiovascular system so I would recommend patient adopt a programme that includes both. However while exercise is an effective method of achieving glycaemic control as it can build muscle mass, reduce fat mass, reduce insulin resistance and improve vessel health, advice should take a broad view that includes, dietary, lifestyle, and self care (such as lower limb care)in order to achieve optimal health.