3.3.2. Aerobic exercise

It is suggested that increasing energy expenditure by aerobic exercise will decrease heart rate, blood pressure and increase exercise tolerance. For the majority of individuals, it will be noble to plan for a 30 minutes per day exercise for about 3–5 days a week. It is advisable that you can exercise for 5–10 minutes a day, and work up to more time each week if you have not been very active recently. They can also vary their activity for the . A 10-minute walk exercise after each meal is also marvelous.

Here are some useful aerobic exercises:

In type 1 diabetes mellitus, distal lower extremity peripheral neuropathy typically becomes symptomatic after many years of chronic extended hyperglycemia. However, it will be usually obvious after only a few years of well-known poor glycemic control in patients with type 2 DM. Sometimes it may even be recognized at diagnosis. Clinical features of peripheral neu-

• Sensory: Sensory symptoms like burning pain, tingling sensation, numbness, pain and paresthesia appears symmetrically and commonly at the nerve endings of the longest nerves. It is prevalent in the lower extremities and feet. These symptoms usually develop

• Motor: characterized by flaccid paralysis, diminished deep tendon reflex, muscle weak-

• Autonomic: It is manifested by features of cardiovascular, gastrointestinal and genitouri-

Physical therapy can improve the overall quality of life of DM patients with peripheral neuropathy and alleviate them from the symptoms of diabetic neuropathy. It is also improve

Physical therapists can also recommend assistive devices such as braces and splints to enhance balance and posture. Splinting is often used in the treatment of compression mononeuropathies, such as carpal tunnel syndrome. Research has shown that strengthening exercises for peripheral neuropathy moderately improve muscle strength in people with DPN. In addition, exercises to help peripheral neuropathy, when done regularly, may reduce neuropathic pain and can help control blood sugar levels. A combination of aerobic and strength exercises are shown to be effective to improve both the strength and balance of individuals with diabetic peripheral

It is suggested that increasing energy expenditure by aerobic exercise will decrease heart rate, blood pressure and increase exercise tolerance. For the majority of individuals, it will be noble to plan for a 30 minutes per day exercise for about 3–5 days a week. It is advisable that you can exercise for 5–10 minutes a day, and work up to more time each week if you have not been very active recently. They can also vary their activity for the . A 10-minute walk exercise after each

ropathy can be categorized in three: sensory, motor and autonomic symptoms.

muscle strength, joint mobility, balance, coordination and physical function.

• To improve and increase the muscle strength, endurance and power

To maintain and improve functions by using a range of motion

before motor symptoms such as weakness.

ness and loss of balance and coordination.

nary systems dysfunction.

174 Diabetes Food Plan

3.3.1. The goals of physiotherapy treatment

• To improve balance and stability

neuropathy [45].

3.3.2. Aerobic exercise

meal is also marvelous.

• To prevent falls and fall related injury

