-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.