International Research journal of Management Science and Technology

  ISSN 2250 - 1959 (online) ISSN 2348 - 9367 (Print) New DOI : 10.32804/IRJMST

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EXERCISE AND TYPE 2 DIABETES

    1 Author(s):  DR.KANCHAN SOLANKI

Vol -  6, Issue- 10 ,         Page(s) : 81 - 84  (2015 ) DOI : https://doi.org/10.32804/IRJMST

Abstract

{1} Introduction -Exercise and Type 2 Diabetes Physical activity guidelines for Asian Indians  Physical inactivity should be avoided as far as possible  Pre-participation medical consultation is recommended for those with chronic conditions or those who are symptomatic  Inactive people should start slow and gradually increase physical activity  Brisk walking (walking at an intensity wherein an individual finds speaking difficult but not impossible) is preferred initial mode of exercise and as this does not require any special training or equipment

  1. Treatment Recommendations
  2. Assess feet of people with diabetes as part of an annual review: 
  3. History of previous foot ulceration or amputation, symptoms of peripheral arterial disease, physical or visual difficulty in self-foot-care. 
  4. Foot deformity (hammer or clawed toes, bone prominences) and footwear; visual evidence of neuropathy (dry skin, callus, dilated veins) or incipient ischemia; nail deformity or damage. 
  5. Detection of neuropathy by 10-g monofilament lor 128-Hz tuning fork); a biothesiometer is an option for quantitative assessment (cut-off point for ulcer risk >25 volts); non-traumatic pin-prick. 
  6. Palpation of foot pulses (dorsalis pedis and posterior tibial) and capillary return time; Doppler ankle: brachial pressure ratio (<0.9 for occlusive vascular disease) may be used where pulses are diminished to quantify the abnormalily. 
  7. Discuss the reasons for foot review with each person with diabetes as part of the foot-care educational process. 
  8. Agree a foot-care plan based on the findings of annual foot review with each person with diabetes. 
  9. Assess and provide necessary foot-care education according to individual need and risks of ulcer and amputation. 
  10.                                    

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