scholarly journals Effects of Lower Extremity Exercises on Ankle-Brachial Index Values among Type 2 Diabetes Mellitus Patients

2020 ◽  
Vol 8 (E) ◽  
pp. 1-6
Author(s):  
Dewi Elizadiani Suza ◽  
Isni Hijriana ◽  
Yesi Ariani ◽  
Hariati Hariati
Keyword(s):  
Diabetes Mellitus ◽  
Lower Extremity ◽  
Vascular Disease ◽  
Peripheral Vascular Disease ◽  
Ankle Brachial Index ◽  
Joint Movement ◽  
Peripheral Vascular ◽  
Left Limb ◽  
Significant Difference

BACKGROUND: Diabetes mellitus (DM) is caused by more complications. One complication that often occurs is peripheral vascular disease. An early diagnostic to assess peripheral vascular disease is very important; measurement of the ankle-brachial index (ABI) is one of the non-invasive measures to assess the peripheral vascular disease risk in primary care and to identify the effect of lower extremity joint movement exercises on ABI values in Type 2 DM (T2DM) patients.AIM: The aimed to determine the effect of lower extremity on Ankle-Brachial Index Value among Type 2 Diabetes Mellitus Patients.METHODS: The method used was a quasi-experimental pre- and post-test group design without a control group. The sample was 35 T2DM patients using a consecutive sampling technique. The interventions given were lower extremity joint movement exercises which were performed actively once a day, with each movement ten repetitions and for 4 weeks of observation.RESULTS: There was a significant difference between pre and post the lower extremity joint movement intervention toward the value of the left limb ABI with mean pre 0.93 and post 1.02 (p = 0.00) and the value of the ABI in the right limb ABI with mean pre 0.92 and post 1.01 (p = 0.00) in patients suffering from DM under 10 years. There was a significant difference between pre and post the lower extremity joint movement intervention toward the value of the left limb ABI with mean pre 0.89 and post 1.98 (p = 0.00) and the value of the ABI in the right limb ABI with mean pre 0.88 and post 0.96 (p = 0.00) in patients suffering from DM over 10 years.CONCLUSION: Joint exercise can improve blood flow throughout the body, so it is important for T2DM patients to do regular joint exercise so that it is beneficial in improving health and preventing disability.

Nonatheromatous Peripheral Vascular Disease of the Lower Extremity in Diabetes Mellitus

Diabetes ◽  
1959 ◽  
Vol 8 (4) ◽  
pp. 261-273 ◽  
Author(s):  
S. Goldenberg ◽  
M. Alex ◽  
R. A. Joshi ◽  
H. T. Blumenthal
Keyword(s):  
Diabetes Mellitus ◽  
Lower Extremity ◽  
Vascular Disease ◽  
Peripheral Vascular Disease ◽  
Peripheral Vascular

scholarly journals CHRONIC LIMB ISCHEMIA

2018 ◽  
Vol 25 (02) ◽  
pp. 201-204
Author(s):  
Fawad Farooq ◽  
Shams Uddin Shaikh ◽  
Shahbaz Shaikh ◽  
Tariq Ashraf
Keyword(s):  
Vascular Disease ◽  
Peripheral Vascular Disease ◽  
Lower Limb ◽  
Ankle Brachial Index ◽  
Limb Ischemia ◽  
Peripheral Vascular ◽  
Vascular Intervention ◽  
Study Results ◽  
Significant Difference ◽  
Chronic Limb Ischemia

Background: The Ankle brachial index (ABI) measurements are commonlyused inscreening and management of Peripheral Vascular Disease. In recent studies, Anklebrachial index (ABI) is utilized as a predictor of future atherosclerotic vascular disease andall-cause mortality. Purpose: The purpose of this study was to investigate utility of pre andpost peripheral vascular intervention ankle-brachial index (ABI) assessmentinpatientswith thechronic limb ischemia. Study Design: Quasi experimental study. Setting: National Instituteof Cardio-Vascular Disease (NICVD), Karachi, Pakistan. Period: January 2013 to June 2014.Methodology: The study included 23 patients hospitalized. According to study inclusion/exclusion criteria, patients of chronic limb ischemia on clinical ground and the vascular lesionsof lower limb according toTrans-Atlantic Inter-Society Consensus (TASC scoreclassification II)were evaluated and recruited. The lesions were further classified into three types, Aortoilliac,Femoropopliteal andTibioperoneal. Ankle brachial index (ABI) was classified according toAmerican Diabetic Association. The study was approved by the ethical committee of NICVD.Data was analyzed using SPSS 20. Inc. Results: The mean age of the enrolled patients was57.86±6.56 years. Majority of the patients were male 18(78.3%). The commonly found peripherallesion was femoropopliteal in 9(39%), TASC grade A was commonwith 8 (62%) of cases. ABIscore done pre and post procedure showed a significant difference with a (p-value<0.05) andthere was an improvement of ABI scores in all the lesions after peripheral vascular intervention.Conclusion: The study results concluded that there was animprovement in ABI score afterintervention of peripheral vascular surgery for lower limb segment and recommended its utilityfor the assessment in Peripheral Vascular Disease intervention.

Therapy of lower extremity infections with ciprofloxacin in patients with diabetes mellitus, peripheral vascular disease, or both

1989 ◽  
Vol 86 (6) ◽  
pp. 801-808 ◽  
Author(s):  
Lance R. Peterson ◽  
Leann M. Lissack ◽  
Kenneth Canter ◽  
Claudine E. Fasching ◽  
Connie Clabots ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Lower Extremity ◽  
Vascular Disease ◽  
Peripheral Vascular Disease ◽  
Peripheral Vascular ◽  
Patients With Diabetes

scholarly journals Prevalence of peripheral artery disease in diabetes mellitus: research article

2017 ◽  
Vol 5 (11) ◽  
pp. 4881
Author(s):  
Vinod Tyagi ◽  
Abhishek Gupta ◽  
Naman Bansal ◽  
S. K. Virmani
Keyword(s):  
Diabetes Mellitus ◽  
Vascular Disease ◽  
Peripheral Vascular Disease ◽  
Peripheral Artery Disease ◽  
Ankle Brachial Index ◽  
Ankle Brachial Pressure Index ◽  
Peripheral Vascular ◽  
Peripheral Artery ◽  
Pressure Index ◽  
Artery Disease

Background: Peripheral artery disease is a major macrovascular complication of diabetes mellitus. Patients with diabetes mellitus have an increased prevalence of PAD. The ankle brachial pressure index is an easy, non invasive and often under utilised tool for diagnosis of PAD.Methods: In the present study, 100 patients from Western Uttar Pradesh with diabetes mellitus were enrolled to find out prevalence of peripheral vascular disease using ankle brachial pressure index and study the associated risk factors.Results: 59 percent of the subjects were female and 41 percent were male. Ankle-brachial index (ABI) examination of patients indicated Abnormal (ABI= <0.9), in 40 cases.Conclusions: it can be concluded that peripheral vascular disease in Diabetes Mellitus is more commonly associated than is generally believed.

scholarly journals Analysis of drug prescription appropriateness according to the STOPP/START criteria of the elderly patients with type 2 diabetes mellitus in the endocrinology department of a multi-speciality hospital

2020 ◽  
pp. 47-56
Author(s):  
A. I. Kochetkov ◽  
V. A. De ◽  
N. Yu. Voevodina ◽  
M. V. Chachiashvili ◽  
A. V. Grishina ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Elderly Patients ◽  
Vascular Disease ◽  
Peripheral Vascular Disease ◽  
Peripheral Vascular ◽  
Start Criteria ◽  
History Of

To assess the appropriateness of prescribed drugs according to the STOPP/START criteria of elderly patients with type 2 diabetes mellitus (T2DM) in the endocrinology department of a multi-speciality hospital.Medical records of 136 patients ≥65 years old with T2DM hospitalized in the endocrinology department of  the multi-speciality hospital (Moscow, Russia) were analyzed according to  the «STOPP/START» criteria.The analysis of  prescription leaflets has identified 30 potentially not recommended drugs (46 patients [33,8%]), the use of which should be avoided in certain clinical situations. Also the analysis has identified 175 medications that should be considered for elderly patients with certain conditions (89 patients [65,4%]). The most frequent identified STOPP criteria were: «Glibenclamide or chlorpropamide or glimepiride with T2DM» (23,3%); «Non-steroidal anti-inflammatory drug (NSAID) with history of peptic ulcer disease or gastro-intestinal bleeding, unless with concurrent histamine H2 receptor antagonist, proton pump inhibitors or misoprostol» (13,3%) and «NSAID with estimated glomerular filtration rate 20–50 ml/min/1.73m2» (3%). The most frequent START criteria were: «Statin therapy with a documented history of coronary, cerebral or peripheral vascular disease, where the patient’s functional status remains independent for activities of daily living and life expectancy is >5 years» (25,1%); «Сlopidogrel with a documented history of cerebral or peripheral vascular disease» (18,9%); «Aspirin with a documented history of atherosclerotic coronary disease in patients with sinus rhythm» (18,3%).In  patients ≥ 65 years old with T2DM potentially not recommended drugs are often administrated and there are no prescriptions for some appropriate drugs required in certain clinical settings. The findings give evidence of the need to optimization of pharmacotherapy in elderly and senile patients with T2DM. This adaptation will improve the patients’ quality of  life and avoid wasteful spending.

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