scholarly journals Manoeuvres for management of diabetes

2019 ◽  
Vol 7 (2) ◽  
pp. 656
Author(s):  
Amod Hansdak
Keyword(s):  
Blood Sugar ◽  
Blood Stream ◽  
The Body ◽  
Dietary Control ◽  
Lifestyle Modifications ◽  
Hypoglycaemic Agents ◽  
Modifiable Factor ◽  
Sugar Levels ◽  
Calf Muscles

Type 2 diabetes is the scourge of our times. Globally there are over 425 million diabetics which is projected to rise to 629 million by 2045, suffering devastating consequences resulting in significant morbidity and mortality.1-3Bringing blood sugars down can be challenging. Dietary control, lifestyle modifications and exercise can help but these can be difficult to implement.4 Medically, drugs are the usual method of bringing blood sugar levels under control but they come with their attendant risks and ongoing costs.5 Apart from drugs, the main arsenal against diabetes is exercise but due to one reason or another it is not very popular or practical. In the absence of antidiabetic medications and episodic exercises there seems to be no alternative left. So, when a person is unable to exercise or is not on hypoglycaemic agents, he is rendered defenceless against the deleterious effects of raised blood sugar levels. Regardless, muscles form the frontline defence against diabetes since muscles are the main modifiable factor in utilization of glucose by the body which they can do even in the absence of insulin.6,7 Hence, muscles need to be the first line agents to fight diabetes. However, the muscles need to be activated when the blood sugars are high, that is, within minutes or hours after meals rather than exercising in the morning or evening when the blood sugar may be relatively low. The question is ‘How do we get the muscles to start using up glucose right when it enters the blood stream?’ This is where the manoeuvres described below can help since these can be done almost anytime and anywhere. Following are the proposed manoeuvres:Calf contractions: Alternate contractions of calf muscles of each leg while sitting, giving a good squeeze to the calf muscles. Alternatively, one or both calves can be contracted and held for some time. This manoeuvre can be done even while lying in bed.Pectoral pressure: One or both pectorals can be contracted and held for 30-60 seconds-longer the better. The strength of contractions will depend on one’s motivation and ability. Alternatively, moderate contractions can be maintained for a longer duration.Shoulder squeezes: The back has some of the strongest muscles which can be used to ‘pulverise’ the sugars. In this method the person can sit slightly bent forwards and the shoulders are pulled back and held in that position for 30-60 seconds.These manoeuvres can be done either singly or combined with other manoeuvres described or with dietary modifications, regular exercises or medications for greater efficacy.Of course, like the antidiabetic medications, these manoeuvres need to be titrated, especially when combined with hypoglycaemic agents, otherwise they can lead to hypoglycaemia.8 Even without antidiabetic medication they have the ability to cause hypoglycaemia, if done excessively. Once the muscles get used to these manoeuvres it will be easier for them to use glucose and keep blood sugars down.

scholarly journals MANAGEMENT THROUGH AYURVEDIC MEDICATIONS AND LIFESTYLE MODIFICATION (PATHYASEVANA AND YOGASANA) IN A CASE OF POST-COVID COMPLICATION DIABETES MELLITUS (TYPE 2 DM): A SINGLE CASE STUDY

2021 ◽  
Vol 9 (10) ◽  
pp. 2619-2628
Author(s):  
Prajakta D. Nimje ◽  
Vidya Wasnik (Thatere) ◽  
Sumeeta Jain
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Pancreatic Beta Cells ◽  
Lifestyle Modification ◽  
Single Case ◽  
Sweet Taste ◽  
Treatment Result ◽  
Lifestyle Modifications ◽  
Sugar Levels

Diabetes is an asymptomatic disease in most people, so there could be a good number of people who may not be aware of their diabetes before they caught COVID-19. Some studies state that in poorly resourced countries, as many as 50% of people with chronic illnesses, such as diabetes, are undiagnosed. Theoretically, COVID-19 can also cause diabetes as the pancreas have ACE2 receptors, which can enable SARS COV2 to enter the pancreatic beta cells, resulting in structural and functional damage. The present study is carried out to know the traditional Ayurvedic treatment for Diabetes Mellitus. For Diabetes Ayurvedic drugs, Pathyasevana and Yogic lifestyle are one of the best choices of management for their prime role in maintaining blood sugar levels and preventing Diabetes. The present study showed a significant effect on associated complaints. Objectives: - To study the effect of Ayurvedic medications and lifestyles modification (Pathyasevana and Yogasana) on Post Covid complications Type 2 Diabetes Mellitus. Materials and Methods: A 33-year-old male, reported to the Government Ayurveda college and hospital, Nagpur. With complaints of loss of appetite, weakness, sweet taste of mouth, mild polydipsia, mild polyurea excessive mental stress, and Insomnia for the last two months. For that, he had taken treatment of allopathic medicine for a few days, but he was not satisfied. He had been given Ayurvedic medications for 3 months. Appropriate modifications were done at diet and lifestyle as per Ayurvedic text. Proper Yoga protocol was provided to him. Fasting and Post Prandial blood sugar levels were measured by an electronic glucometer before and after treatment. Result: - Improvement in subjective and objective symptoms was found. Mild to moderate improvement was noted in weakness, sweet taste of mouth, mild polydipsia, mild polyurea, Insomnia was reduced. Conclusion: - Ayurvedic medicines and lifestyle modifications can be considered as a mainstream treatment in the case of newly diagnosed post covid diabetes mellitus. Keywords: Diabetes Mellitus, Post covid complication, Yogasana, Lifestyle modification.

scholarly journals AKTIVITAS FISIK, DURASI PENYAKIT DAN KADAR GULA DARAH PADA PENDERITA DIABETES MELLITUS (DM) TIPE 2

Jurnal GIZIDO ◽  
2020 ◽  
Vol 12 (1) ◽  
pp. 18-26
Author(s):  
Yessi Alza ◽  
Yuliana Arsil ◽  
Yessi Marlina ◽  
Lidya Novita ◽  
Niken Dwi Agustin
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Univariate Analysis ◽  
The Body ◽  
Activity Level ◽  
Fasting Blood Sugar ◽  
Cross Sectional ◽  
Sugar Levels

Diabetes mellitus (DM) is a chronic disease caused by the inability of the pancreas to produce enough insulin, or the body cannot effectively use the insulin produced by the pancreas. Regular aerobic physical activity in people with a diagnosis of DM can improve insulin sensitivity. The prevalence of DM in Indonesia based on Basic Health Research (Riskesdas) in 2018 is 10.9% while in Riau province occupies the third-highest rank in Indonesia. This study aims to determine the description of physical activity and blood sugar levels in people with type 2 diabetes mellitus at the Sidomulyo Health Center, Pekanbaru City. This study is descriptive with cross-sectional design. The sampling technique in this study was a total sampling of 24 people with DM type 2. Data collection for physical activity variables was carried out using a questionnaire included in PAL (Physical Activity Level). Measurement of blood sugar levels in patients with DM is done by taking respondent capillary blood then measured using a glucometer (Easy Touch GCU). Univariate analysis was carried out to analyze the variables of physical activity and blood sugar levels which were then presented in the form of frequency distribution tables and narratives. The results showed a description of the level of physical activity in respondents who suffer from DM as many as 16 people (66.7%) with mild physical activity levels, and 8 people (33.3%) with moderate levels of physical activity. Description of fasting blood sugar levels of respondents as many as 19 people (79.2%) had controlled fasting blood sugar levels, and 5 people (20.8%) had uncontrolled fasting blood sugar levels.

scholarly journals The Effect of Prolanis Exercise Activities on Decreasing Blood Sugar Levels in Diabetes Mellitus Patients

2021 ◽  
Vol 2 (2) ◽  
pp. 51-57
Author(s):  
Fitria Silvia ◽  
Mappeaty Nyorong ◽  
Miskah Afriany ◽  
Lucia Lastiur
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Physical Exercise ◽  
Blood Sugar ◽  
The Body ◽  
P Value ◽  
Electrolyte Balance ◽  
Control Groups ◽  
Sugar Levels

Diabetes exercises are physical exercises designed according to age and physical status and are part of the treatment of diabetes mellitus. When a person does physical exercise in the muscles of the body, the heart system and blood circulation and breathing are activated. Therefore, the body's metabolism, fluid and electrolyte balance and acid base must adjust. Muscles will use free fatty acids and glucose as a source of energy or energy. When physical exercise begins glucose originating from muscle-muscled glycogen when physical exercise starts being used as a source of energy. Assessing the effect of the implementation of prolanis exercise activities on reducing blood sugar levels in patients with Type 2 Diabetes Mellitus in Puskesmas Padangmatinggi in 2019. This type of research is quantitative with a quasi-experimental design that designs using one group pretest-posttest, when this study was conducted in January-April year 2020. The population in this study were all patients with diabetes mellitus who follow prolanis gymnastics in Padangmatinggipuskesmas with purposive sampling technique, namely the determination of the sample by specifying specific characteristics consisting of 15 intervention / experimental groups and 15 control groups 15 people The results showed that there was an effect of the application of prolanic exercise activities to reduce blood sugar levels in patients with type 2 diabetes at Padangmatingi Public Health Center in Padangsidimpuan with a P-Value of 0.007, and there were differences in blood sugar levels in the intervention and control groups with a P. Value of 0,000.

scholarly journals The Influence of Diabetic Foot Exercise on Sugar Levels In Type 2 Diabetes Mellitus Patients at Tanjung Buntung Public Health Center 2018

2018 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Rizki Sari Utami Muchtar ◽  
Indah Triyani Dingin
Keyword(s):  
Public Health ◽  
Health Center ◽  
Blood Sugar ◽  
Diabetic Foot ◽  
The United States ◽  
The Body ◽  
Public Health Center ◽  
The World ◽  
Sugar Levels

Diabetes is a chronic disease that occurs either when the pancreas does not produce insulin or when the body is not effective enough in producing insulin. The International Diabates Federation (IDF) shows that the number of people who suffer diabetes in Indonesia is estimated at 10 million and half seventh rank highest in the world, Indonesia is the 4th country with the highest prevalence of diabetes in the world after India, China and the United States. The phenomenon found in the Tanjung Buntung Public Health Center working area in 2017 was 420 of them, 206 men and 214 people. This study aims to determine the influence of diabetic foot gymnastics on blood sugar levels with the research design using the Quasi experimental method with pretest and posttest without control research method, by sample collection using total sampling the sample of 20 respondents. The statistical test in this study uses the Paired T-Test which is tested first in the Shapiro-Wilk normality test. The results of it study indicate a decrease of 196.85 with a value of ρ-value of 0.000 or > 0.05. obtained a decrease average in blood sugar levels before diabetic foot exercises 239.60 mg / dL with poor criteria and after exercise 196.85 mg / dL with moderate criteria. Therefore it can be concluded that there is the influence of diabetic foot exercise on blood sugar levels in type 2 DM patients. Advice from researchers is expected to always be held diabetic foot exercise ini Tanjung Buntung’s health center to  reduce blood sugar levels in patient with type 2 diabetesmellitus

scholarly journals Relationship Of Stress Levels And Diet With Blood Sugar Levels In Patients Of Type 2 Diabetes Mellitus

2020 ◽  
Vol 9 (1) ◽  
pp. 241-247
Author(s):  
Ninik Ambar Sari ◽  
Ceria Nurhayati ◽  
Sri Anik Rustini
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Blood Sugar ◽  
Fasting Blood Glucose ◽  
Sampling Technique ◽  
The Body ◽  
Cross Sectional ◽  
Sugar Levels

Diabetes mellitus type 2 is a condition in which the body tissue doesn’t respond to the action of insulin. Type 2 DM can cause complications if it doesn’t managed properly, good DM management behavior for patients needs to be done by maintaining a healthy diet and stress will increase blood sugar levels. This study uses analytic cross sectional design. The sampling technique in this study was purposive sampling of 60 respondents. Data processing using the SPSS program with the Spearman Rho test. Results: a correlation between stress level and fasting blood glucose level of type 2 diabetes mellitus patients with a correlation value of 0.544, which is located between 0.4 - <0.6, is in the medium category. While the statistical test for diet obtained a significant number or ρ = 0.002 then Ho is rejected, H1 is accepted.

Penerapan Senam Kaki Diabetik Untuk Menurunkan Kadar Gula Darah Pada Pasien Diabetes Melitus Tipe 2

2021 ◽  
Vol 1 ◽  
pp. 1686-1690
Author(s):  
M. Zakky Febriyan ◽  
I Isytiaroh
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Blood Sugar ◽  
Diabetic Foot ◽  
Health Workers ◽  
The Body ◽  
Sugar Levels

AbstractDiabetes mellitus is a condition of increasing blood sugar levels that exceed 140 mg/dl. The purpose of this case study is to describe the application of giving diabetic foot exercises to reduce blood sugar levels in the body in patients with type 2 diabetes mellitus. The design of this scientific paper uses a case study method with 2 clients suffering from type 2 diabetes mellitus with blood sugar above 140 mg. /dl in Poncol Village and in Karangsari Village, Batang Regency. The intervention carried out was giving diabetic foot exercises for 4 days and once a day. Evaluation was carried out to determine the decrease in blood glucose using a glucometer. The results of the study showed a decrease in blood sugar in both clients, for client 1 there was a decrease in blood sugar from 220mg/dl to 135mg/dl and for client 2 there was a decrease in blood sugar from 250mg/dl to 137mg/dl. The conclusion of this case study shows that diabetic foot exercises can reduce blood sugar levels in patients with type 2 diabetes mellitus. Suggestions for health workers are expected to teach diabetic foot exercises to reduce blood sugar levels in patients with type 2 diabetes mellitus.Keywords: blood sugar, diabetes mellitus, foot exercise AbstrakDiabetes mellitus merupakan kondisi kenaikan kadar gula darah yang melebihi 140mg/dl. Tujuan dari studi kasus ini adalah menggambarkan penerapan pemberian senam kaki diabetik untuk menurunkan kadar gula darah dalam tubuh pada penderita diabetes mellitus tipe 2. Rancangan karya tulis ilmiah ini menggunakan metode studi kasus dengan subjek 2 klien yang menderita diabetes mellitus tipe 2 dengan gula darah diatas 140mg/dl di Desa Poncol dan di Desa Karangsari Kabupaten Batang. Intervensi yang dilakukan adalah pemberian tindakan senam kaki diabetik selama 4 hari dan dilakukan satu kali sehari. Evaluasi dilakukan untuk mengetahui penurunan glukosa darah menggunakan alat ukur glukometer Hasil studi menunjukan adanya penurunan gula darah dalam tubuh pada kedua klien, untuk klien 1 mengalami penurunan gula darah dari 220mg/dl menjadi 135mg/dl dan untuk klien 2 mengalamai penurunan gula darah dari 250mg/dl menjadi 137mg/dl. Simpulan studi kasus ini menunjukan bahwa senam kaki diabetik mampu menurunkan kadar gula darah pada penderita diabetes mellitus tipe 2. Saran bagi tenaga kesehatan diharapkan mengajarkan senam kaki diabetik untuk menurunkan kadar gula darah pada penderita diabetes mellitus tipe 2. Kata kunci : diabetes mellitus, gula darah, senam kaki

scholarly journals Pengaruh Pelayanan Kefarmasian di Rumah pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Wilayah Kota Yogyakarta

2020 ◽  
Vol 10 (2) ◽  
pp. 126
Author(s):  
Nur Rasdianah ◽  
Suwaldi Martodiharjo ◽  
Tri Murti Andayani ◽  
Lukman Hakim
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Medication Adherence ◽  
Glycemic Control ◽  
Blood Sugar ◽  
Fasting Blood Sugar ◽  
Level Of Knowledge ◽  
Sugar Levels

The increasing prevalence of diabetes mellitus (DM) in Indonesia requires participation of all parties including pharmacists. This study aims to determine the impact of the implementation of home pharmacy service guidelines for patients with type 2 diabetes mellitus on the level of knowledge, medication adherence, therapeurical satisfaction and glycemic control. This study used a quasi-experimental design with one group pre-test and post-test design involving 37 patients with type 2 diabetes mellitus who met the requirements of inclusion and exclusion criterias. The Diabetes Knowledge Questionnaire (DKQ-24) and the Diabetes Medication Satisfaction Tool (DMSAT) were used for collecting the data. Patient adherence was measured using a pillcount method and fasting blood sugar levels (FSB) data were obtained from the laboratory results. The study was conducted in two community health centers and patient’s home in the Yogyakarta Municipality area. The data were analysed using Wilcoxon and Spearman test. The results showed the change of the level of knowledge, medication adherence, therapeutic satisfaction and glycemic control before and after intervention of pharmacy services at home. The average decreasing of fasting blood sugar levels 17.09 mg/dL ± 1.43

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