Non-pharmacological Approach to Diabetics
What Diabetes really is
It
is a disorder of the metabolism causing excessive thirst and the production of
large amounts of urine.Diabetes Mellitus or simply diabetes, is a group of metabolic
disorders characterized by high levels of blood glucose resulting from defects
in Insulin production or it’s action or both. These effective exercise ensure
both musculoskeletal and cardio-respiratory fitness.
Diabetes epidemic is increasing in size and complexity day by day, which
increases the realization that physicians alone are unable to provide the care
required by the people affected with diabetes. Only a multi-disciplinary team
approach can prevent, control and treat diabetes and other complications
caused by it. Physiotherapists can assess, diagnose, treat and manage
musculoskeletal manifestations and other complications associated to diabetes.
How Physiotherapy works in
Diabetes
Lifestyle modification and Exercises
Lifestyle modification
includes intensive exercise, is more effective in case of preventing diabetes
than pharmacological approach. Many diabetics are overweight and have joint or
cardiovascular problems. Physiotherapists are able to help people to plan an
individual and optimized exercise programe in order to maintain normal blood
glucose level and to achieve optimal weight.
Neurological impairment
Diabetic amyotrophy is a type
of neuropathy that involves muscle wasting and weakening specially at the thighs.
Diabetic neuropathy, Carpal tunnel syndrome and sciatica are other neurological
conditions that are common in diabetic patients. Physiotherapy
has a major role in management of these conditions too.
Diabetic amyotrophy |
Pain management
Most people with diabetes suffer from musculoskeletal conditions like frozen shoulder, back pain or osteoarthritis. Sometime diabetes - induced obesity also leads to knee pain, ankle pain etc. Physiotherapy offers various effective non-pharmacological approaches for pain relief. Diabetics often have pain from several conditions including nerve impairment, musculoskeletal conditions, etc which can be controlled and eliminate by sensory desensitization, T.E.N.S, I.F.T, U.S.T, Wax bath, Cryotherapy, Whirlpool bath and specialized exercise protocols.
Skin care
Diabetics are more prone to
develop skin wounds like cuts, blisters, ulcers, pressure sore. Counseling of
the patient on skin care, wound care, pressure point avoidance and spotting
trouble signs in important. In case of existing wound, wound debridement and
management for ulceration is necessary.
Diabetic Foot and Foot care
A physiotherapist plays an
important role in preventing and managing foot problems. It starts with
selecting proper footwear, modification of shoe, use of crutches or splints to
walking, re-training, teaching proper gait and posture along with proper
off-loading for early healing. Unfortunate people who have undergone an
amputation, the physiotherapist helps with post-operative pain relief,
rehabilitation, limitation of disability and the optimum use of prostheses.
Another approach towards
diabetes is supporting diabetics and encouraging healthy eating habits, avoid
high sugar contained foods or drinks, stop smoking and alcohol intake. Plan
them an exercise program and encourage them to do it every day or
alternatively.
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