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SOLACE PHYSIOTHERAPY CENTRE PHYSIOTHERAPY IN DIABETES: 

SOLACE PHYSIOTHERAPY CENTRE PHYSIOTHERAPY IN DIABETES ROLE OF PHYSIOTHERAPY BY-NUPUR ARORA

DIABETES: 

DIABETES Diabetes is a chronic disease Characterized by high blood glucose levels High blood glucose levels may result from The body not producing insulin (Type 1) Insulin in the body not working effectively (Type 2)

Risk Factors: 

Risk Factors Genetic or Hereditary No or low physical activity Improper food habits Obesity – excess waist size Age greater than 45 years Gestational diabetes High level of bad(LDL)cholesterol Blood pressure at or greater than 140/90 mmHg Pre-diabetes or Impaired glucose tolerance

It is easier to maintain your health than regain it . . .: 

It is easier to maintain your health than regain it . . .

We now must plan physical activity into our schedule: 

We now must plan physical activity into our schedule

Getting Started: 

Getting Started Check with your doctor if you: Are over age 35 Have had diabetes more than 10 years Have high blood pressure, heart disease, poor circulation, or other diabetes complications

Types of exercise: 

Types of exercise Aerobic exercises Flexibility or stretching Balance exercises Strengthening exercises

Everyday exercises: 

Everyday exercises

Everyday Stretching: 

Everyday Stretching

Balancing and Strengthening Exercises: 

Balancing and Strengthening Exercises

Effect of Physical Activity on Blood Glucose: 

Effect of Physical Activity on Blood Glucose Physical activity usually lowers blood glucose Physical activity can raise your blood glucose if: your BG is >250 mg/dl before your exercise and you have ketones you’re starting a new vigorous exercise program

Physical activity lowers blood glucose in type 2 diabetes by helping: 

Physical activity lowers blood glucose in type 2 diabetes by helping muscle cells become more sensitive to insulin keep the liver from producing too much glucose build more muscle you lose weight and keep it off

Benefits of Activity : 

Benefits of Activity Improve blood glucose control M aintain healthy bones, muscles, joints Decreases bone loss Increases strength and flexibility Help you loose weight Improve sense of well-being Help keep your heart healthy Improve fitness Reduce risk of dying prematurely

Complications of Diabetes: 

Complications of Diabetes Retinopathy (blindness) Neuropathy(Nerve damage) Foot ulcers(wound) Frozen Shoulder Heart or Cardiovascular Disease Hypertension Nephropathy (Kidney Problems) Erectile Dysfunction Gestational Diabetes (During Pregnancy)

Diabetic Retinopathy: 

Diabetic Retinopathy Diabetic retinopathy is a eye disease where there is damage to the blood vessels in the retina. It is leading cause of blindness.

Exercising With Retinopathy (Eye Disease): 

Exercising With Retinopathy (Eye Disease) Caution Strenous exercise Heavy lifting and straining High-impact aerobics Bending your head below your waist – toe touching Choose Moderate, low-impact activities: walking cycling water exercise Moderate daily chores that don’t require lifting or bending your head below your waist

Diabetic peripheral neuropathy: 

Diabetic peripheral neuropathy Peripheral neuropathy is nerve damage in the arms and legs. Symptoms - numbness or insensitivity to pain or temperature a tingling, burning, or prickling sensation sharp pains or cramps extreme sensitivity to touch, even light touch loss of balance and coordination These symptoms are often worse at night

Did You Know ?: 

Did You Know ? In life time it is estimated that a human being walks about 1,50,000 KM equaling to almost 4 times around the world

Exercising With Neuropathy (Nerve Disease): 

Exercising With Neuropathy (Nerve Disease) Caution Weight-bearing, high impact, strenuous, or prolonged exercise: jogging/running step exercise jumping exercise in heat/cold Choose Low impact, moderate activities: biking swimming chair exercises stretching light to moderate daily activities

Diabetic foot ulcer: 

Diabetic foot ulcer Diabetic foot ulcer is commonly seen in 15% of patients suffering from diabetes. A diabetic foot ulcer is an open wound which occurs on the bottom of the foot. Diabetes is one of the major causes of non traumatic lower extremity amputations.

Exercises: 

Exercises

Prevention and Education: 

Prevention and Education DO’S INSPECT THE FEET DAILY USING MIRROR WASH FEET DAILY WITH WATER APPLY LOTION, OIL TO FEET AFTER DRYING AVOID EXTREMES OF TEMPERATURE HAVE YOUR FEET CHECKED AT EVERY CLINIC VISIT INSPECT SHOES DAILY FOR DEFECTS/ FOREIGN BODIES CHANGE SHOES OFTEN REGULAR SKIN AND NAIL CARE DONT’S WALK BAREFOOT SMOKE STEP INTO THE BATH BEFORE CHECKING THE WATER TEMPERATURE USE HEATING PADS PERFORM BATHROOM SURGERY USE CHEMICAL AGENTS TO TREAT CORN OR CALLUSES WEAR NEW SHOES FOR MORE THAN AN HOUR AT A TIME

Frozen Shoulder: 

Frozen Shoulder Frozen shoulder is a condition in which there is progressively worsening of pain and stiffness in the joint causing immobility of the shoulder. use severe discomfort or limited movement.

Symptoms Of Frozen Shoulder: 

Symptoms Of Frozen Shoulder Shoulder pain; usually a dull, aching pain Limited movement of the shoulder Difficulty with activities such as brushing hair, putting on shirts/bras Pain when trying to sleep on the affected shoulder

Exercises: 

Exercises

Exercising With Heart Disease: 

Exercising With Heart Disease Caution: Very strenuous activity Heavy lifting or straining Exercise in extreme cold or heat Choose: Moderate activity such as walking, swimming, biking, gardening Moderate lifting, stretching

Exercising with Hypertension (high blood pressure): 

Exercising with Hypertension (high blood pressure) Caution Very strenuous activity Heavy lifting or straining Choose Moderate activity like: walking weight lifting with light weights stretching Make sure your blood pressure is in control first

Exercising With Nephropathy (Kidney Disease): 

Exercising With Nephropathy (Kidney Disease) Caution Strenuous activity Choose Light to moderate activity like walking, light housework, gardening, water exercise

Exercise Safely: 

Exercise Safely Check your blood glucose before and after exercise Don’t exercise if your blood glucose is too high or too low Carry carbohydrate to treat low blood glucose if you are at risk Stop exercising if you feel pain, lightheaded, or short of breath Wear proper shoes for the activity to reduce the risk of injury

Slide 35: 

Avoid strenuous activity in extremely hot, humid, or cold weather Include warm-up and cool-down sessions Drink plenty of fluid

Words of the Wise...: 

Words of the Wise... One step and another step. I am slow but I am steady.” “One step, another step. One step and another. Slow and steady.” “One step and another. I can do it!” “ I am slow but I am steady. And I am the winner !” The Tortoise in The Tortoise and the Hare

Words of the Unwise...: 

Words of the Unwise... I can take a little rest.” “ Zzzzzzzzzzzzzzzzzzzz .” The Hare in The Tortoise and the Hare