-IBIS-1.7.6-
tx
endocrine system
diabetes mellitus
Physical Therapies
exercise
Regular exercise will improve insulin sensitivity and assist in decreasing body fat.
assess CV fitness: via submax. stress test
aerobic exercise program: need to do exercise same time of day or carefully regulate food and insulin for an insulin dependent diabetic
NIDDM: Individuals who exercise regularly are significantly less likely to develop NIDDM. Likewise, regular aerobic exercise will always provide benefit as part of a treatment program
IDDM: Individuals who are insulin-dependent often require less insulin when they exercise regularly.
CAUTION: Exercise can induce low blood sugar levels, or, in some individuals, exercise can also increase blood sugar levels. Consequently, diabetics should always consult a health care professional before initiating an exercise program.
hydrotherapy
constitutional hydrotherapy
heat to extremities is CONTRAINDICATED, instead use hot pack to groin and upper thighs
salt glow
short cold bath
manipulation
Chapman's reflex: check and treat between ribs 7-8 by sternum both sides, then check and treat between T7, T8
Spondylotherapy: concussion T11 alternate with L2 for 3 min or concuss T7 alternate with T2 for 3min
spine: check and align T8, T10, 11, 12 (avoid adjustment to atlas)
electrical and oscillating
footnotes
Bell DSH. Exercise for patients with diabetes - benefits, risks, precautions. Postgrad Med 1992;92:183-196 (Review)
Grimm J-J, Muchnick S. Type I diabetes and marathon running. Diabetes Care 1993;16:1624. (Letter)
Helmrich SP, Ragland DR, Leung RW, Paffenbarger RS. Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus. N Engl J Med 1991;325:147-152.
Hersey III WC, Graves JE, Pollack ML, et al. Endurance exercise training improves body composition and plasma insulin responses in 70- to 79-year-old men and women. Metabol 1994;43:847-854.
Rasmussen OW, Lauszus FF, Hermansen K. Effects of postprandial exercise on glycemic response in IDDM subjects. Diabetes Care 1994;17:1203.