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1、What is Diabetes? Diabetes mellitus is a metabolic disorder characterized by chronic hyperglycemia with disturbances of carbohydrate,fat and protein metabolism resulting from defects of insulin secrection ,insulin action or a combination of both.Defects of insulin secrection Insulin resistence hyper
2、glycemiaWeight,exercise,diet, genetically susceptible,stress,immune-mediated destruction of insulin secreting cells Insulin Insulin is the key hormone concerning the regulation of glucose uptake from blood into most cells, including skeletal muscle cells and adipocytes.InsulinInsulin Resistence Insu
3、lin resistance refers to a suppressed or delayed response to insulin and is generally a post-receptor phenomenon, due to a defect in cells that respond to insulin,rather than on insulin productionInsulin ResistenceInsulin ResisitenceSymtomsIt prevent with symtomatic hyperglycemia,but is frequently d
4、iagnosed in asymptomatic patients during a routine medical examination or patients present with clinical manifestations of a late complications.Complications Heart Renal Other complications may include: Cerebral infarction Diabetic neuropathy(Diabetic nephropathy) Foot ulcers The risk of infection D
5、iagnosisFasting glucose levelOGTT 2h glucose levelGlycated haemoglobin(HbA1C) Abnormal glucose tolerance was also a major risk factor for progression to diabetes and cardiovascular disease.TreatmentPlasma glucose monitoring Oral antidiabetic drugs and insulinExercise diet management education Rehabi
6、litationProblems :1 Hyperglycemia or insulin resistence2 Neuropathy: peripheral Autonomic abnormal sensation muscle weaknessGoals:1 Help lower blood/serum glucose level2 Deal with complications caused by hyperglycemiaTraining Methods: Aerobic training Resistence trainingPrescriptionTraining Methods:
7、 brisk walking/ergometerDuration: more than 30 miu,exluding warm up and cool down periods more than 5 miuFrequency: At least 3 times per week Course: More than 6 weeksIntensity: Maximal heart rate = 220 - your age 70% of Maximal heart rate = 0.70 x max HR 85% of Maximal heart rate = 0.85 x max HR Exercise training sessions with lower intensityand longer duration was more suitable for diabetes patientsAttention Hypoglycemia should be prevented with great caution. So you should pay attention to the training time,intensity,and the muscles you trained.
