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THE ANTI-DIABETIC RUN Controlling & preventing type 2 diabetes with Physical Therapy IMPORTANT BENEFITS OF EXERCISE IN DIABETICS It prevents the onset of Diabetes Mellitus type 2(DM) in those at risk. It increases insulin sensitivity and decreases insulin requirements. It reduces risk of coronary heart disease in individuals with DM. Post-exercise hypoglycaemia could be a problem in people taking insulin and/or some oral hypoglycaemic medications (e.g. sulphonamides). A balance between carbohydrates consumption, medications before and after exercises, and intensity of exercise should be found by measuring blood glucose levels before, during and after exercise.(Refer the image below). GOOD TO KNOW For patients with diabetic complications such as proliferative retinopathy , one must avoid isometric weightlifting or exercises involving Valsava manoeuvre, head-down position or head jarring.  Patients with peripheral neuropathy should avoid jarrin...

INDIA IS GETTING TOO SWEET India is projected to be home to 109 million individuals with diabetes by 2035.          -  Indian Heart Association. 2015. There is a fourfold rise in the number of diabetics – from 108 million in 1980 to 422 million in 2014 and half of them live in India, China, USA, Brazil and Indonesia.  China, India and USA are among the top three countries with a highest number of diabetic population.   -The Lancet, 2017. National programme on prevention and control of diabetes in India: Need to focus , Verma et al, Australasian medical journal, 2012. Although India accounts for about 15% of the world's diabetes burden, its spending on healthcare related to diabetes is only 6.4% of worldwide spending; health resource allocations should reflect the burden of disease. Additional resources allocated to diabetes care should go toward stronger prevention efforts, diagnostic infrastructure (especially in rural a...

   REHABILITATING THE FAILED HEART No more FAKE & HYPED exercises. We bring you the most authentic & scientifically proved Physical therapy interventions from across the globe. CHECK THIS OUT. Aerobic interval training in patients with heart failure and an implantable cardioverter defibrillator: a controlled study evaluating feasibility and effect, European Journal of Preventive Cardiology: January 8, 2014, doi: 10.1177/2047487313519345 Conclusions: An AIT programme is feasible and seems safe in a well-treated, stable ICD population. Further, AIT for 3 months results in significantly increased aerobic capacity and endothelial function in this population.  Blumenthal et al, Effects of Exercise Training on Depressive Symptoms in Patients With Chronic Heart Failure: The HF-ACTION Randomized Trial, Journal of the American Medical Association Conclusions: Compared with guideline-based usual care, exercise training resulted in a modest reduction ...

HEART ATTACK KILLS 1 IN EVERY 33 SECOND  IN INDIA, WHAT ARE YOU WAITING FOR? QUICK FACTS  There are estimated 40 million heart patients in India.  25% of heart attacks occur under the age of 40. Heart attacks occur without warning in 50% of the cases. The death rate in those who reach a hospital and get modern treatment is five per cent. According to the World Health Organisation, non- communicable diseases (NCDs) or chronic diseases such as cancer, heart ailments, respiratory diseases and diabetes kill 38 million people globally every year.  Over 20% of the India’s population suffers from at least one of the NCDs, which would cost India an estimated USD 6.2 trillion from 2012 to 2030, a government report said. Men living in cities are three times more prone to heart attacks than people living in villages. As for women, the risk rises significantly after menopause. HEART ATTACK Vs. HEART FAILURE Heart failure (HF) is an abnormality ...

EXERCISE YOUR TENSION! As little as 30 minutes of moderate intensity activity can reduce systolic blood pressure by up to 20 mmHg, and longer bouts of up to 60 minutes have even greater effects. The effect persists for up to 24 hours after completing the activity. Flexibility and balance training component into all exercise prescription programmes is highly recommended & all major muscles groups should be stretched at least 2-3 times a day. ACSM guidelines . TAKING PRECAUTIONS IS ALWAYS BETTER Patients with BP ≥200/115 mm Hg should not exercise without a full exercise testing screen and medical supervision. β-blockers decrease exercise capacity and inhibit normal heart rate responses during maximal and sub-maximal exercise. Ca2+ channel blockers, Nitrates, and α-blockers can cause post exercise hypotension, a graduated cool down component should be emphasised for patients at risk. Avoid exercises that result in the ‘Valsalva manoeuvre’ such as isometr...

INDIA IS HYPER-TENSE. High blood pressure (BP) is one of the most important modifiable risk factors for cardiovascular diseases, which accounts for one in every eight deaths worldwide. It has been predicted that, by 2020, there would be 111% increase in cardiovascular deaths in India. KNOW YOUR BEST OPTIONS! CHECK THIS. GOVT Survey : Over 20% Indians Suffer from Hypertension & diabetes. The Indian Express, 2017 A health survey conducted  in 2015-16 across 26 states & union territories has found that more than fifth of India's 125 crore population suffers from diabetes & hypertension, with highest being Punjab at 35%, Sikkim 44.8% and Maharashtra 26%. BUT, PHYSICAL THERAPY CAN HELP  Effect of Aerobic Exercise Training on Blood Pressure in Indians: Systematic Review, Punia et al,Int J Chronic Dis. 2016;1370148. In a meta-analysis of 142 studies from rural and urban populations of India, it was concluded that hypertension is emerg...