Physioterapical recovery of type 2 Diabetes

Received Date: Dec 02, 2019 / Accepted Date: Dec 06, 2019/ Published Date: Dec 09, 2019 Abstract Increased morbidity of type 2 diabetes has reached pandemic proportions. One of its alternative therapies is physiotherapy recovery. Through a physiotherapy recovery program, associated with the diet, type 2 diabetes can be controlled. The present study, applied on a study group and a control group of 10 subjects each, confirmed that a physiotherapy recovery program of type 2 diabetes can control the variables used: glycemia, glycosylated hemoglobin and body mass, reducing (until giving up) to drug treatment.


Introduction
Type II diabetes is a pathology commonly found in the world, with increasing morbidity (we could say an epidemical one). Diabetes mellitus is a chronic condition characterized by increased blood glucose levels, associated with increased risk for various diseases and severe complications. Manifested by polydipsia, polyuria and polyphagia. Diabetes mellitus type 2 is characterized by decreased tissue permeability for insulin, appearing usually after the age of 40 years (being called "the elderly diabetes"), being incriminated in appearance, improper nutrition (high fat), obesity and physical inactivity.
The current treatment of type 2 diabetes 1. The literature highlighted the importance of the interdisciplinary team. So, are described, as components of this treatment • Diet -specific carbohydrate -poor regime. • Medicationanti diabetic drug substance • Physical activity -by its two results: glucose consumption (as a quick source of metabolic energy generation) and improvement of the permeability of the tissue to insulin • Psychotherapy, necessary as support for lifestyle changes • Activities of care (nursing)specific measures of the nursing profession, achieving decreased incidence of complications of this disease.
Page: 39 www.raftpubs.com 2. Actually, a person suffering from type 2 diabetes is treated just by one person: the diabetologist. He recommends drug therapy, non-personalized diet and a lifestyle change (from a sedentary to an active one).

General data
The study was developed between 01.02.2019 -31.08.2019, in "St. Pantelimon" Emergency Clinical Hospital, Bucharest, Romania and was performed by an interdisciplinary team, consisting of 2 nurses, 1 endocrinologist, 1 gastroenterologist and 1 physiotherapist. The team was led by Sergiu Teodorescu, licensed registered nurse. The study group consisted of 10 patients and the control group as well as 10 patients, men between the ages of 40-60 years, with type 2 diabetes discovered during the last 2 years, without others major pathologies.

Ethics
The study was developed in compliance with the principles of ethics and deontology, based on the following acts

The statistical analysis followed
• variables: glucose, glycosylated hemoglobin, body mass.
• graphs and Pearce coefficient.

Study hypothesis
The use of an individualized exercise program, doubled by a sustained diet, determines the blood glucose level regulation.

Study description
The subjects of this study were diagnosed, during 2017-2019, with type 2 diabetes. The subjects have had an unhealthy living style: sedentary, with an unhealthy diet (quality, quantity and nutrition program), ailing of occupational stress. Recommendations received from the diabetologist were: • Metformin hydrochloride as a drug therapy (500 mg 3 times / day).
• Diet (printed regime, used by all the patients with type 2 diabetes).
• "physical activity". • The first control after 1 month, the second after 3 months and third one after six months.
Starting by 01/02/2019, the subjects were helped to transform the "physical activity" recommendation in to a physiotherapy recovery program, adapted for type 2 diabetes.
Thus, following the instructions on diet and those related to medication, they kept the following physiotherapy recovery program:

Strength exercises
• Crunches -a series has 10 cycles of movement. • Squats -a series has 5 cycles of movements.
• Pushups -a series has 5 cycles of movements.

Ride exercises
• Walk: distance between 2 and 6 km; were used (alternative) 1.5 kg ankle weights. • Jogging: started from a distance of 400 m, reaching 3.5 km. About the medical treatment, the first daily dose reduction was recommended by the diabetologist, who said that this is the minimum dose, the subject following to remain with 1 g of Metformin hydrochloride / day for the rest of his life (where the diseases evolution remaining favorable). Further, the drugs doses reduction until suspending, was made against to the diabetologist prescription.
The diabetologist has recommended "physical activity", without any explanations.  Page: 42 www.raftpubs.com  Should be noted the body shaping effect of this program (obtained as a side effect of the proposed one). So, the subjects medium body weight, during the study, it is as follows:  Page: 43 www.raftpubs.com  Page: 44 www.raftpubs.com accepted as normal (see Table 3, Figure 1, Figure 2 and Figure 3). 6. The evolution of the correlation of the Pearson coefficient (shown in Table 4) for the evolution of the two groups (research and control) shows that, if at first the statistical significance was very low, after six months, the statistical significance became very strong. This confirms the hypothesis of the study.