Self Management of Diabetes

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Type 2 diabetes is a chronic illness which has a decreased insulin sensitivity as well as poor glucose control. It is considered by many to be at epidemic stages and the number one public health crisis in our time. It affects more than 9% of the population and Hispanics over the age of 50 may have an incidence rate of over 30% of their population (Vincent, 2009)…

Introduction

Obesity is a major risk factor for the development of diabetes and the numbers of people that are becoming obese is increasing rapidly. It is the major cause of premature mortality and morbidity due to cardiovascular, renal, ophthalmic and neurological disease. It is widely accepted that control of the lifestyle situation including diet and exercise decrease the risk of complications and control the Hg1c (Porth & Matfin, 2007). This paper will discuss recent studies affecting the overall Hg1c with combined strength and aerobic exercise programs.
Self management of diabetes includes diet, exercise, medication, and blood sugar control. Exercise, however has been shown to be highly important. Lean muscle mass improves Hg1c (Sigal, Kenny, Boule et.al. 2007). There has been some controversy in determining whether that exercise should be aerobic or strength or both. In researching this, studies relating to diet and other controls were eliminated and a search was conducted for supporting evidence that both types of exercise included in routines for these patients improved overall blood glucose control and limited complications from the disease. Five peer reviewed studies were retained from many found as they included both exercise routines against controls.
Historically, aerobic exercise has been used to attempt to improve glucose levels in diabetic pati ...
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