Estimates by U.S. government are that two out of every five Americans will develop type 2 diabetes. This increases the lifetime risk of type 2 diabetes to 40 percent for both men and women. The financial cost of diabetes was $174 billion in the United States in 2007 and will significantly surpass this amount by 2015. As a healthcare clinician you are likely to encounter many patients that have diabetes and its associated diseases.
40 percent of the men and women in the United States will develop type 2 diabetes during their lifetime. ~CDC
Healthcare clinicians are being called upon by health officials to address this public problem. Obesity, inactivity and high sugar foods together are the leading cause of type 2 diabetes. Physical therapists are in a unique position to involve their diabetic patient in a program that will improve their blood glucose levels. A 2010 research study demonstrated that a combination of aerobic and resistive exercise was more affective that aerobic or resistive exercise performed separately for lowering HbA(1c) levels in type 2 diabetic patients. A 2011 meta-analysis demonstrated that structured exercise training that consists of aerobic exercise, resistance training, or both combined is associated with HbA(1c) reduction in patients with type 2 diabetes. Structured exercise training of more than 150 minutes per week is associated with greater HbA(1c) declines than that of 150 minutes or less per week. Encouraging your patient to exercise, integrating both appropriate aerobic and resistive exercises will improve the sensitivity of the muscle receptors to insulin. Encouraging your patient to make better food choices, including avoiding sugary drinks, refined flour and processed foods and eating higher fiber whole foods and monitoring their body weight/BMI, the patient will see improvements in the status of their diabetes. As physical therapists we are in a unique position to make a difference. No other profession spends 45-60 minutes 2-3 times per week and has as much ‘say so’ about their patients’ exercise/activity habits and can advise on a healthy BMI and encourage improved food choices.
My next entry will address how to get more fiber into your diet. One of the secrets to weight loss!
Latest posts by Jeff Gilliam, PT, PhD, OCS (see all)
- The White Elephant in the Clinic - July 26, 2018
- Physical Therapists Advising Patients on a Healthy Lifestyle - July 24, 2017
- Encouraging Your Patient to make a Healthy Lifestyle Change - December 16, 2016
- How to Address Obesity in the Patient with Osteoarthritis of the Weight Bearing Joints - October 15, 2016
- Increasing and Activating Whole Body Muscle Mass Reduces Insulin Resistance - August 8, 2016