Diabetes
Diabetes Rehabilitation
The need for Diabetes education and rehabilitation continues to escalate.
Total Population: 23.6 million people—7.8 percent of the American population—have diabetes.
Diagnosed: 17.9 million people
Undiagnosed: 5.7 million people
"Diabetes is fast becoming the epidemic of the 21st century," the report said.
The condition occurs when the body cannot produce or use insulin properly to process sugar. It already affects 246 million people worldwide, up from 30 million two decades ago. "Wherever poverty and a lack of sanitation drive families to low cost-per-calorie foods and packaged drinks, Type 2 diabetes thrives," the federation said in a statement. Overweight and obesity are risk factors for Type 2 diabetes. http://www.cbc.ca/health/story/2006/12/04/diabetes.html . Read More >
For diabetes patients who cannot attend a diabetes rehabilitation program:
Rehabilitation Systems offers a unique online diabetes rehabilitation training program, developed to serve patients seeking their own program. Scientifically-based restorative principals and practices fill your training program, organized to create a pathway to increased independence, skills for living, and quality of life. This is a 12 session training program with online-health-coaching to strengthen your learning and performance process. Read More >
Diabetes and Exercise -- Keeping Your Blood Glucose Levels in Check
Exercise is beneficial for all people with diabetes because it helps lower blood glucose levels. As a result, people with type 1 diabetes may need less insulin, and people with type 2 diabetes may be able to control their diabetes without medication. Exercise has other benefits as well. It helps improve cardiovascular fitness and provides a sense of psychological well-being.
However, exercise requires careful planning and monitoring, particularly for people who take oral medication or insulin to control their diabetes. These individuals may need to make adjustments to their medication and food intake to prevent blood glucose levels that are too low (hypoglycemia) or too high (hyperglycemia) during exercise.
If you have diabetes, be sure to talk to your doctor before beginning an exercise program or making any changes to your medication or diet. Getting in the habit of exercising regularly may be difficult at first, but the benefits can be great for people with diabetes.
Exercise and Diabetes, Position Stand by the American College of Sports Medicine
SUMMARY
Physical activity, including appropriate endurance and resistance training,
is a major therapeutic modality for type 2 diabetes. Unfortunately, too often
physical activity is an underutilized therapy. Favorable changes in glucose
tolerance and insulin sensitivity usually deteriorate within 72 h of the last
exercise session; consequently, regular physical activity is imperative to
sustain glucose-lowering effects and improved insulin sensitivity. Individuals
with type 2 diabetes should strive to achieve a minimum cumulative
total of 1000 kcalzwk21 from physical activities. Those with type 2 diabetes
generally have a lower level of fitness (V˙ O2max) than nondiabetic individuals,
and therefore exercise intensity should be at a comfortable level (RPE
10–12) in the initial periods of training and should progress cautiously as
tolerance for activity improves. Resistance training has the potential to
improve muscle strength and endurance, enhance flexibility and body
Rehabilitation Program Development
Rehabilitation Program Development:
By far, the On-Site Workshop is the most effective method of delivering customized rehabilitation programs for any rehabilitation organization. The settings which experience the greatest outcomes from specialized rehabilitation programs are skilled nursing, assisted living, physical therapy and rehabilitation, and home health care organizations. Specific rehabilitation programs are optimized in the following organizations:
- Cancer Rehabilitation offered by hospitals, outpatient rehabilitation clinics, and community fitness organizations (LAF/YMCA).
- Pulmonary Rehabilitation offered by hospitals, physician owned practices, skilled nursing, assisted living, outpatient rehabilitation clinics, and home health care organizations
- Heart Failure Rehabilitation offered by home health care organizations, skilled nursing, assisted living, and outpatient rehabilitation clinics.
- Diabetes Rehabilitation offered by home health care organizations, skilled nursing, assisted living, outpatient rehabilitation clinics, and community fitness organizations (YMCA).
Telemedicine applications for Home Health Care
J Telemed Telecare 1997;3:65-66 doi:10.1258/1357633971930427 © 1997 Royal Society of Medicine Press http://jtt.rsmjournals.com/
Telemedicine applications for home health care
Ilene Warner
Home health care in the USA is one of the most rapidly growing segments of the health-care market. Telehealth seeks to reduce some of the inefficiencies of home health care in various ways, including replacing certain nursing visits with video visits, collecting vital-signs data remotely, improving medication compliance and patient education. The use of telehealth in home health-care settings will provide a means of interacting in a client-centered manner, promoting client autonomy through education and improved communications.
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