The Importance of Exercise with Type 2 Diabetes Mellitus
Today, type 2 diabetes mellitus is becoming more and more of a health issue for millions of people across the globe (Nadeau & Iyer, 2014). It is projected that, by 2025, over 300 million people in the world will have type-2 diabetes (Waryasz & McDermott, 2008). Type-2 diabetes is a condition in which the body builds up resistance to insulin meaning that the glucose in the blood cannot be effectively taken in by the insulin. This occurrence results in high blood sugar from the glucose not taken in, and left untreated, high blood sugar can destroy smaller blood vessels in the eyes, kidneys, and distal extremities. Also, when the blood vessels are destroyed and damaged, poor tissue perfusion occurs leading to poor wound healing (Waryasz & McDermott, 2008). However, these complications can be avoided and even reversed through adequate exercise and proper education given to patients on type-2 diabetes management which can be given through proper nursing education of type-2 diabetes patients or newly diagnosed type-2 diabetes patients.
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prevent complications in patients with type-2 diabetes is to exercise as the benefits are vast. Some of these benefits are increased insulin sensitivity, which means glucose is more easily taken in by insulin, and the ability to possibly even reverse type-2 diabetes (Nadeau & Iyer, 2014). Research has shown that aerobic exercise combined with resistance training can be highly effective. The research conducted found that those who perform aerobic exercise at 75% of the maximum heart rate along with resistance training at 8-repitition maximums can achieve greater effects of the exercise. Although the aforementioned plan is suggested as possibility the best, any mix of aerobic exercise and resistance training is better than either of the two training types by itself (Taylor, Fletcher, Mathis, & Cade, 2014). Furthermore, this does not mean that one form of exercise by itself is not effective as any sort of exercise is beneficial and should be implemented in anyone’s self-management, it just means that combining aerobic and resistance exercises are more beneficial (Yang, Scott, Mao, Tang, & Farmer, 2014). The problem that many type-2 diabetics currently face is that they don’t have the self-motivation and/or education to find a suitable plan of action (Nadeau & Iyer, 2014).
This means that many diabetics do not know how to go about exercising to minimize, or reverse their diabetes, and therefore, are not self-motivated or adequately treating their diabetes through exercise. It is not necessarily that those who do face this issue do not want to make a change and be healthy; rather it is that they are unsure where to begin or what to do. This makes people less motivated to make the change (Nadeau & Iyer, 2014). A large part of this problem is that healthcare providers, like nurses and physicians, are not disseminating information to the community effectively or educating their patients properly on how to self-manage their selves through exercise (Nadeau & Iyer,
2014). In order for the issue of type-2 diabetics not properly being self-motivated and exercising to be diminished, nurses and physicians need to start spreading valuable information to their communities. There are many different ways to accomplish this kind of task. Some of the possibilities would include community events, like 5k races, open conferences, school assemblies to name a few, that can teach those who suffer from type-2 diabetes how to self-motivate, self-manage, and properly exercise. Also, ensuring that the healthcare providers properly educate newly diagnosed type-2 diabetics on the importance exercising through educational pieces, like discharge teaching and educational booklets, is necessary. Healthcare providers need to inform these patients that there are many resources available, like support groups and mobile phone applications to help motivate, manage, and guide individuals (Waryasz & McDermott, 2008). One concern that I do have about the evidence based practice is that not everyone with type-2 diabetes is likely to be able to do aerobic exercise and/or resistance training due to other health issues or disabilities. This means that those patients who do fit under this issue cannot use this method to control or reverse their diabetes. With this being the case for some patients, other means of control must be sought as the discharge teaching, booklets, teachings, and other methods of teaching that would be given would be useless. A way I would change the evidence based would be what I had mentioned earlier: to ensure that all patients, who are diagnosed with type-2 diabetes are have type-2 diabetes and are being cared for, receive education on exercising aerobically and with resistance to control blood sugar, increase insulin sensitivity, and possibly even reverse the disease. Besides this suggestion, there is not anything else that I can think to change. I do believe some teaching is given almost anywhere a diabetic may be receiving treatment, but I believe that the teaching being given could be reinforced or given more effectively based on the research. As a nurse, I will make sure any type-2 diabetic patient I work with is fully and properly educated on their disease and how to properly manage it. I will teach them that exercise, aerobically and resistance, are equally important and should both be done if possible. Also, I will be sure to provide them will as many resources as I can to ensure that they are able to self-manage and self-motivate themselves. Some of these resources would be informing my patients of any local support groups, giving them any booklets or other texts that may help them understand better, and to answer any questions they may have about my teachings. In summary, it is important for individuals with type-2 diabetes to implement exercise in their lives because of the vast amounts of benefits to their health. Also, it is equally important for healthcare providers to include education about exercising and the many resources readily available. Finally, I will be sure to appropriately teach all my type-2 diabetic patients when I am a registered nurse about the importance of exercising (aerobically and resistance exercise if possible) to control blood sugar and possibly even reverse the disease. I will also be sure to include information to all these patients about the resources available in the community, like support groups or personal trainers for example. With these measures implicated, hopefully healthcare professionals can help those with type-2 diabetes self-motivate, self-manage, and learn what to do about their condition.
Glucose is a sugar that plays a big part in a human’s health and well-being. This sugar is a major source of energy for the body’s brain and cells. The Cells that receive energy from glucose help in the building of the body’s muscle and tissue. Although glucose may be important to the body too much of this sugar can cause a chronic condition called Diabetes. Diabetes, also known as Diabetes mellitus, is a chronic condition that is caused by too much sugar in the blood. This condition can affect all age groups. In fact, in 2010 a survey was taken by the National Diabetes Information Clearinghouse, on the number of newly diagnosed diabetes. Out of 1,907,000 people: 24.38% were ages 20-44, 55.17% were ages 45-64, and 20.45% were ages 65 and greater. Diabetes is a very serious condition, and it can be deadly if left untreated. This paper will help better educate the reader on the signs and symptoms, the testing process, and the management of diabetes.
As fitness professionals working with individuals with diabetes there are numerous considerations we must contemplate. For one thing we need to realize we are part of a team approach for these individuals. We need to be very cognizant that we operate within our own scope of practice, as diabetes is a disease that requires specialized approaches from physicians, dietetic experts and fitness professional for each individual’s situation. In addition to this we need to make sure before accepting the responsibility of training a diabetic client, that we have the proper diabetes education and proper certifications. The diagnosis of Diabetes is one that can shake the client to their core and stir every feeling and emotion the person could possibly experience and possibly completely overwhelm the individual. It’s vitally important that they learn to re-establish a sense of control and literally learn new survival skills. (Zrebiec) No matter if it is a parent of a child who has been recently been diagnosed or an adult who just heard the news regarding their own health, the initial situation is the same. To these people it’s going to be like taking a post-graduate course in diabetes management (Zrebiec) and exercise is going to become big part of it. However, this need for an appropriate exercise plan will bring about its own set of challenges due to the complicated nature of the disease. As individuals with diabetes they face some of the same challenges other parties face when exercise is something they know they need to do. They too face challenges of lack of time, lack of energy or will power, they may feel they lack the skills or even the resources. However, when it comes to a teen becoming more involved in exercise there may be two o...
...revention through awareness and education is achieved via the work of government initiatives such as the National Diabetes Services Scheme and health campaigns including Measure Up. The NDSS also works to improve the self-management of diabetes. Physiotherapists also have a role in the management of diabetes through implementing exercise programs. An evidence-based approach was used to create the proposed exercise program that aimed to manage the high blood glucose levels associated with insulin resistance in type 2 diabetes (Sigal et al., 2007). It utilized both aerobic and resistance training in accordance with current knowledge of the most effective dosages for the population group. Physiotherapists must work alongside other healthcare professionals such as dietitians and general practitioners to provide optimal support and management for patients with diabetes.
When the blood glucose is higher than the normal levels, this is known as diabetes disease. The body turns the food we eat into glucose or sugar and use it for energy. The insulin is a hormone created by the pancreas to help the glucose get into the cells. The sugar builds up in the blood because either the body doesn’t make enough insulin or can’t well use its own insulin (CDC, 2015). In the United States diabetes is known as the seventh leading cause of death. There are different types of diabetes. However, there are two main types of diabetes and these are; Diabetes type 1 and Diabetes type 2 (CDC, 2015).
Interestingly no significant differences were identified between the experimental and comparison groups in terms of knowledge, adaptation, and program satisfaction. However, diabetes self-care activities significantly improved (p = .02) for the experimental group (p. 316).
B.(Sub-point) Type-2 diabetes after a long time can affect the body’s blood vessels leading to damage to both small and big vessels just like Type 1 diabetes. (SUB-SUBPOINT) Damage to the small blood vessel leads to microvascular problems, while harm to the large vessels result in macrovascular effects (Lisa, 2016). Impaired blood vessels do not transfer blood as supposed to, which results in other complications, like vision loss, kidney damage and nerve damage. Macrovascular problems with Type 2 diabetes are a buildup of plaque, which results in a heart attack, blocked vessels in legs and a stroke (Lisa, 2016). Type 1 diabetes has the same complications as Type 2 resulting in the same effect on the important organs in the body, like the heart, nerves, vision, kidneys and both the tiny and large blood vessels ( Mayo Clinic Staff,
In recent years, diabetes education has become an integral part of diabetes treatment (Piccinino et al, 2015). The 2012 National Standards for Diabetes Self-Management Education (DSME) defines education as an exchange of knowledge, tools and practices that will address client needs. Patients need information about their illness, side effects, complications and how to care for it. Diabetes education must be effective and accurate in quality, content, and method (Atak & Arslan, 2005). Diabetes education should happen concurrently with diagnosis and throughout treatment for a patient and should involve a structured program.
Norris SL, Lua, J, Smith SJ, Schmid CH & Engelgau, MM 2002, ‘Self- Management Education for Adults With Type ‘Diabetes’, Diabetes Care, Vol. 25 no.7, July, pp.1159-1171.
Diabetes insipidus known for being an uncommon disorder used by the body for it to control the water levels and is distinguished by the passage of the large volumes of diluted urine and the occurrence of an excessive thirst. (Nordqvist, 2010) The regulation of intake of water and excretion is to assist in maintaining the extracellular fluid tonicity inside a thin range and being essential for the function of the cell. (Nordqvist, 2010)When water balance is maintained, it is primary dependant in an intact thirst mechanism, vasopressin synthesis and the renal tubular responsiveness to vasopressin action. The cause of diabetes insipidus is by occurring problems with a hormone called ADH antidiuretic hormone also referred as vasopressin.
Polonsky, W.H (2006). ’Encouraging effective self-management in diabetes.’ In: k101 An introduction to health and social care, resources, Block 3, pg19, Milton Keynes, The open university.
Diabetes mellitus is a group of metabolic disorders which is characterized by hyperglycemia due to insulin deficiency or resistance or both reasons. (1) According to that diabetes mellitus can be divided as type I and type II. This is common and its incidence is rising, 171 million people had diabetes in 2000 it is expected this condition to be doubled in 2030. It is spread in all the countries and therefore has become a major burden upon healthcare facilities. (2)
Diabetes Mellitus is a disease in which the pancreas produces little or no insulin. Insulin is a hormone that helps the body’s tissues absorb glucose which is sugar, so it can be used as a source of energy. Glucose levels build up in the blood and urine which causes excessive urination, thirst, hunger, and problems with fat and protein metabolism in a diabetic person. Diabetes is very common in the United States; it is the seventh leading cause of all deaths. Women have been diagnosed with diabetes more than men. There are two forms of diabetes, Type one and Type two diabetes. Type one diabetes is when the body does not produce insulin or produces it in very small quantities. This usually occurs in younger people under twenty years of age, mostly around puberty. Type two diabetes is when the body’s balance between insulin production and the ability of cells to use insulin doesn’t work properly. This is more common than type one; about 90-95% people in the United States have it. There are no cures for diabetes now but there are many researchers investigating factors through new technologies to cure them. Meanwhile, technological advancements are being made to keep glucose at a good level for diabetes.
Diabetes mellitus refers to a group of diseases that affect how your body uses blood glucose, commonly called blood sugar. Glucose is vital to your health because it's an important source of energy for the cells that make up your muscles and tissues. Glucose comes from two different sources, your liver and food. It's also your brain's main source of fuel. Glucose is made and stored in the liver. When your blood sugar gets low then your liver will use the stored glucose to keep your blood sugar level normal. If you have diabetes it means you have too much glucose in your blood. This is where insulin comes in. Diabetes is a growing epidemic in America's many nutritional diseases. There are a few factors that can cause or increase a person's chance of getting diabetes. Poor nutritional choices are a big factor in the cause of diabetes. The sad part is the increase is happening to the young children and teenagers in America. I will talk about what diabetes is, the increase in diabetes and why it’s so high, the complications that follow the diagnosis, and how it can be treated or reduced with diet and exercise.
With this being said, in order for people to keep up or switch to a healthier lifestyle, it is necessary to educate people on this topic and how diabetes can affect you or your close one. There are many ways to educate people on diabetes. Many people do not know what diabetes is or how someone can get it. For people to get inform about diabetes, people can do online research, read books, and go to their doctor. There is internet access everywhere nowadays, and people can easily access the internet by pulling out their phone or going on their computer.
Accurate information will help you with practically everything in life, from purchasing the right type of car to managing your diabetes. The more you learn about any topic, the better your odds are of handling it properly. Handle your diabetes the right way by using the tips and tactics contained in the text below.