Structured therapeutic education in diabetes: is it time to re-write the chapter on the prevention of diabetic complications?

Gazzaruso, Carmine; Fodaro, Mariangela; Coppola, Adriana

doi:10.1007/s12020-016-0947-0

Cited by 20 publications

(9 citation statements)

References 22 publications

(40 reference statements)

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“…The glycemic benefits of RT can be, in fact, quite modest (an approximate decline in HbA1c of 0.5%), thus exercise cannot represent the sole "advocated" intervention, but it should be an adjunctive to both nutritional and medical therapies. Futhermore, when the disease is exacerbated by complications, a therapeutic patient education (TPE) is urgently needed in order to crucially prevent and reduce fatal events (mostly because of cardiovascular events) [75,76] and the overall disability-free life expectancy. These education programs can have a greater effect on disability-free years than total life expectancy, among adults with diabetes [77].…”

Section: Comprehensive Educational Programs In the Management And Carmentioning

confidence: 99%

May the force be with you: why resistance training is essential for subjects with type 2 diabetes mellitus without complications

Codella

Ialacqua

Terruzzi³

et al. 2018

Endocrine

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Physical activity, together with diet and pharmacological therapy, represents one of the three cornerstones in type 2 diabetes mellitus treatment and care. The therapeutic appeal of regular physical activity stems from: (i) its non-pharmacological nature; (ii) its beneficial effects on the metabolic risk factors associated with diabetes complications; (iii) its low costs. Evidence accumulated in the last years suggests that aerobic training-endurance training-constitutes a safe modality of intervention, achievable, and effective in diabetes treatment, whenever it is not limited by comorbidities. Aerobic training exerts insulin-mimetic effects and has been shown to lower mortality risk too. Anaerobic, intense physical activity, such as that of strength or power sports disciplines, is not univocally recognized as safe and simple to realize, however, it is important in stimulating energy and glucose metabolism. According to recent evidence, high-intensity training may be prescribed even in the face of cardiovascular diseases, peripheral vascular disease, or osteoarthritis. Some studies have shown resistance training to be more efficient than aerobic exercise in improving glycemic control. This review explores the most up-to-date indications emerging from literature in support of the beneficial effects of strength stimulation and resistance training in patients with type 2 diabetes without complications.

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Section: Comprehensive Educational Programs In the Management And Carmentioning

confidence: 99%

May the force be with you: why resistance training is essential for subjects with type 2 diabetes mellitus without complications

Codella

Ialacqua

Terruzzi³

et al. 2018

Endocrine

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“…Qualitative evidence has reported, on balance, that continuous monitoring in T1D led to improved exercise management. (53) Furthermore, patient education on how exercise can acutely and chronically influence changes to blood glucose management has been demonstrated to be efficacious (54)(55)(56). Whilst specific evidence for CR participants with DM is needed in evaluating blood glucose monitoring, in T2DM such monitoring before and during the exercise session as part of tailoring the mode, intensity and type of exercise has been shown to minimise acute glycaemic disturbances and improve chronic glycaemic exercise could be initiated first, while if glucose levels were on the lower end (i.e.…”

mentioning

confidence: 99%

Acute glycaemic management before, during and after exercise for cardiac rehabilitation participants with diabetes mellitus: a joint statement of the British and Canadian Associations of Cardiovascular Prevention and Rehabilitation, the International Council for Cardiovascular Prevention and Rehabilitation and the British Association of Sport and Exercise Sciences

et al. 2020

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Type 1 (T1) and type 2 (T2) diabetes mellitus (DM) are significant precursors and comorbidities to cardiovascular disease and prevalence of both types is still rising globally. Currently,~25% of participants (and rising) attending cardiac rehabilitation in Europe, North America and Australia have been reported to have DM (>90% have T2DM). While there is some debate over whether improving glycaemic control in those with heart disease can independently improve future cardiovascular health-related outcomes, for the individual patient whose blood glucose is well controlled, it can aid the exercise programme in being more efficacious. Good glycaemic management not only helps to mitigate the risk of acute glycaemic events during exercising, it also aids in achieving the requisite physiological and psycho-social aims of the exercise component of cardiac rehabilitation (CR). These benefits are strongly associated with effective behaviour change, including increased enjoyment, adherence and self-efficacy. It is known that CR participants with DM have lower uptake and adherence rates compared with those without DM. This expert statement provides CR practitioners with nine recommendations aimed to aid in the participant’s improved blood glucose control before, during and after exercise so as to prevent the risk of glycaemic events that could mitigate their beneficial participation.

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“…Es importante considerar que los pacientes con diabetes que acuden a las UMF del primer nivel de atención siguen teniendo un alto riesgo de complicaciones microvasculares y macrovasculares, ya que presentan obesidad, descontrol metabólico y dislipidemia. Es necesario un tratamiento integral para motivar a los pacientes al cuidado de su enfermedad y el logro de objetivos 33 .…”

Section: Resultsunclassified

La educación multimedia como apoyo en el manejo de pacientes con diabetes tipo 2. Estudio cuasi experimental

Aguila¹,

Velázquez-López²,

Goycochea-Robles³

et al. 2018

CIRU

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Structured therapeutic education in diabetes: is it time to re-write the chapter on the prevention of diabetic complications?

Cited by 20 publications

References 22 publications

May the force be with you: why resistance training is essential for subjects with type 2 diabetes mellitus without complications

May the force be with you: why resistance training is essential for subjects with type 2 diabetes mellitus without complications

La educación multimedia como apoyo en el manejo de pacientes con diabetes tipo 2. Estudio cuasi experimental

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