scholarly journals The effects of isometric exercises and stretching on postural stability in Non–Insulin Dependent Diabetes Mellitus patients with diffuse symmetrical sensory motor neuropathy

2009 ◽  
Vol 65 (2) ◽  
Author(s):  
S. Nenkova ◽  
A. Stewart ◽  
J. Potterton ◽  
P. Becker
Keyword(s):  
Diabetes Mellitus ◽  
Postural Stability ◽  
Insulin Dependent Diabetes Mellitus ◽  
Dependent Diabetes Mellitus ◽  
Control Group ◽  
Motor Neuropathy ◽  
Sensory Motor ◽  
Insulin Dependent ◽  
Experimental Group ◽  
Niddm Patients

The purpose of this study was to explore the effects of isometric exercises and stretching on postural stability in Non – Insulin Dependent Diabetes Mellitus (NIDDM) patients with diffuse symmetrical sensory motor neuropathy. Patients were assigned to an experimental group and amatched control group. The experimental group received isometric exer-cises and stretching three times weekly for 12 weeks in addition to routine medication and dietary advice. A t the end of this period, this group wascompared with the control group, which received routine medication anddietary advice only. Measurements of muscle strength of quadriceps, ham-strings, ankle plantar and dorsiflexors, and Romberg’s test for postural sta-bility were carried out before and after the 12 weeks intervention. The study showed that isometric exercises and stretching for the lower extremities improved postural stability (p = 0.00)and strength of the quadriceps (p = 0.001) hamstrings (p = 0.001) dorsiflexors (p = 0.001) plantarflexors (p = 0.001)in NIDDM patients with diffuse symmetrical sensory motor neuropathy. This exercise regimen also had a loweringeffect on blood glucose level (p = 0.00).  In conclusion it seems that the simple exercise intervention described in thisstudy may be of benefit to these patients if incorporated into their management programmes.

Evaluation of Two Approaches to Educating Elementary Schoolteachers About Insulin-Dependent Diabetes Mellitus

1989 ◽  
Vol 15 (6) ◽  
pp. 510-513 ◽  
Author(s):  
Harriett M. Gesteland ◽  
Sharon Sims ◽  
Rob N. Lindsay
Keyword(s):  
Diabetes Mellitus ◽  
Elementary School ◽  
Elementary School Teachers ◽  
Insulin Dependent Diabetes Mellitus ◽  
Dependent Diabetes Mellitus ◽  
Control Group ◽  
School Teachers ◽  
Media Center ◽  
Insulin Dependent ◽  
The Media

Two approaches to better educate elementary schoolteachers about children with diabetes were tested. One group of teachers was given a program consisting of a video, pamphlets, and a question- and-answer session. The second group was informed that these materials were available to them in the media center. A 22-point questionnaire was used before intervention and 8 to 10 weeks later. Although both groups showed significant improvement compared with the control group, the improvement was slight and not felt to be clinically satis factory. We conclude that mass education of elementary school teachers is ineffective and that other approaches need to be developed.

scholarly journals Clinical and echocardiographic characteristics of patients with diabetic cardiomyopathy

2004 ◽  
Vol 61 (3) ◽  
pp. 259-266
Author(s):  
Zoran Perisic ◽  
Mirko Burazor ◽  
Goran Radjen ◽  
Lazar Todorovic ◽  
Zorka Burazor ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Cardiomyopathy ◽  
Insulin Dependent Diabetes Mellitus ◽  
Left Ventricular ◽  
Dependent Diabetes Mellitus ◽  
Control Group ◽  
Duration Of Diabetes ◽  
Left Ventricular Dimensions ◽  
Experimental Group ◽  
Ventricular Dimensions

The aim of this study was to evaluate clinical and echocardiographic characteristics of patients with diabetic cardiomyopathy. The study included 72 patients, divided into two groups. The experimental group consisted of 32 diabetics, while 40 gender and age-matched healthy subjects were in the control group. In the experimental group there were 17 patients with insulin-dependent diabetes mellitus, and 15 patients with non-insulin-dependent diabetes mellitus. The average duration of diabetes mellitus was 9.53 years. All the patients underwent the following diagnostic procedures: standard laboratory tests, 12-lead ECG, chest X-ray, 24-h Holter ECG, and complete echocardiographic examination. More frequent appearance of ventricular rhythm disturbances (65,6% vs. 47,5%), increased heart rate (78.3 ? 8.2 vs. 72.1 ? 4.6 beats per minute), and alteration of diastolic (56.25% vs. 12.5%) and systolic function (43.8% vs. 0%) was registered in patients with diabetes, compared to the control group. Experimental group was divided, according to their left ventricular dimensions, into two subgroups: the subgroup with normal left ventricular dimensions, and the subgroup with the increased left ventricular dimensions. Patients with the increased left ventricular dimensions not only had significantly lower ejection fraction (37.4 ? 7.0 vs. 61.3 ? 4.2%), but also had significantly longer duration of diabetes (12.6 ? 5.8 vs. 8.01 ? 3.01 years), worse quality of glycoregulation (13.1 ? 2.5 vs. 10.4 ? 2.1%), and higher Shapiro?s microvascular complications index (2.7 ? 1.26 vs. 0.68 ? 0.56). High degree of correlation was also found between the duration of diabetes left ventricular ejection fraction (-0.86), and left ventricular mass (0.86). The similar level of correlation was shown with Shapiro?s index (-0.77 and 0.88), as well as with morning glycaemia (-0.57 and 0.41). According to the obtained results it could be concluded that the changing rate of diabetic cardiomyopathy was in direct correlation with the quality of diabetes control, the duration of diabetes, and the presence of complications in other organs.

Distinct Associations of HbA1c and the Urinary Excretion of Pentosidine, an Advanced Glycosylation End-product, with Markers of Endothelial Function in Insulin-dependent Diabetes mellitus

1998 ◽  
Vol 80 (07) ◽  
pp. 52-57 ◽  
Author(s):  
Ronald Smulders ◽  
Casper Schalkwijk ◽  
Ab Donker ◽  
Victor van Hinsbergh ◽  
Johan TeKoppele ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Endothelial Function ◽  
Urinary Excretion ◽  
Insulin Dependent Diabetes Mellitus ◽  
Insulin Dependent Diabetes ◽  
Dependent Diabetes Mellitus ◽  
Control Group ◽  
Advanced Glycosylation End Products ◽  
Insulin Dependent ◽  
Advanced Glycosylation

SummaryDysfunction of the vascular endothelium is considered an early step in the development of diabetic angiopathy. Hyperglycaemia results in endothelial dysfunction, both through direct effects of glucose and through formation of advanced glycosylation end-products (AGEs). We hypothesized that the effects of glucose and AGEs on endothelial function in insulin-dependent diabetes mellitus (IDDM) are distinct and are reflected by distinct plasma markers of endothelial function. We therefore measured plasma levels of von Willebrand factor (vWF), soluble (s) E-selectin and vascular cell adhesion molecule-1 (sVCAM-1), and evaluated the relationship with HbA1c and urinary excretion of pentosidine, an AGE product, in 56 patients with IDDM. Urinary pentosidine excretion was higher in the diabetic than in a control group (n = 60) of similar age (P <0.0001) and showed a steeper increase with age (P <0.02 vs controls). In the diabetic group, sE-selectin was correlated to HbA1c (r = 0.52, P <0.0001), whereas sVCAM-1 was not (r = 0.11, P = 0.47). In contrast, sVCAM-1 showed a trend towards a correlation with log (pentosidine excretion) (r = 0.27, P = 0.06), whereas sE-selectin did not (r = –0.16, P = 0.27). Log(vWF) was correlated to HbA1c (r = 0.50, P <0.0001) and tended to correlate with log (pentosidine excretion) (r = 0.25, P = 0.07). Multivariate analyses with both pentosidine and HbA1c as independent variables showed significant associations of sE-selectin with HbA1c, of sVCAM-1 with pentosidine, and of log(vWF) with both HbA1c and pentosidine (all P-values <0.02). Our results imply that the effects of glucose and AGEs on the endothelium can be reflected by distinct endothelial markers. Plasma sE-selectin may reflect short-term effects of glucose on the endothelium, sVCAM-1 the effects of AGEs, and vWF the combined effect of glucose and AGEs.

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