Introduction:
Diabetes is a disease in which the body produces insufficient amounts of the hormone insulin. When diabetes is present, the blood sugar (glucose) level rises to dangerously high levels. High blood sugar levels can lead to a variety of health issues.
According to the Centers for Disease Control and Prevention, 34.2 million Americans (10.2%) had diabetes in 2018. Around 7.3 million of those affected could be completely unaware of their illness. Native Americans and African Americans have almost twice the prevalence of diabetes.
Diabetes was the seventh leading cause of death in 2017 in the US. In 2019, nearly 463 million adults worldwide were diagnosed with diabetes.
What Exactly Is Diabetes?
Diabetes (diabetes mellitus) is a condition in which the body fails to manufacture or use insulin properly. Sugar can penetrate cells to provide the energy needed for everyday tasks.
Too much sugar builds up in the blood when the pancreas does not produce enough insulin. This sugar build-up may also occur when muscle, fat, or liver cells do not respond to insulin properly. Hyperglycemia is the accumulation of sugar in the blood. It has the potential to be harmful to all cells in the body.
When cells don’t have enough sugar to use for energy, they use an excessive amount of fats as a substitute. Ketoacidosis is the medical term for this disease, which may cause malnutrition. There are three types of diabetes: type 1 diabetes, type 2 diabetes and type 3 diabetes.
Diabetes affects mostly children and young adults with type 1. The immune system attacks the pancreas’ insulin-producing cells (beta cells) in this form.
Type 2: diabetes can strike at any age and is normally avoidable. Insulin resistance develops in the cells of the body. The pancreas produces insufficient insulin to overcome resistance.
During pregnancy, women develop gestational diabetes. It affects African Americans, Native Americans, and Hispanic Americans more frequently. It is also more common in pregnant women who have a family history of diabetes.
Type 3: diabetes has an uncertain etiology. The following factors play a significant role in type 2 and gestational diabetes development:
- Poor dietary habits
- Obesity is an issue.
- Insufficient physical exercise
Diabetes can cause a variety of complications, which consists of:
- Heart disease is a serious condition.
- A heart attack occurs.
- Stroke is a medical term that refers to a form of stroke
- Blood pressure is too high.
- Kidney disease is a condition that affects many people.
- Neuropathy is a condition that affects the nervous system (nervous system disease). This can cause foot and hand pain, as well as damage to the inner ear nerves and balance issues.
- Peripheral vascular disease (PVD) is a form of vascular disease (a blood circulation disorder).
- Muscle frailty and physical function are reduced.
- Sores, ulcers, and infections are all common skin issues.
- Necrosis (cell death) is most common on the toes and feet.
- Amputations are a form of amputation.
Symptoms and Signs:
Diabetes patients can exhibit the following symptoms:
- Sores that take a long time to heal.
- The blood pressure is too high.
- Infections of the gums, skin, vaginal region, or bladder regularly
- Weight loss that hasn’t been clarified
Symptoms of diabetes include:
- Thirst can be increased
- Urination regularly
- The hunger is constant or serious.
- Fatigue is a common occurrence.
- Sweating is a common occurrence.
- In the feet and hands, there may be tingling, burning, or numbness.
- Vision is hazy.
- Muscle or joint pain is a common complaint.
- Rolling with cramping or pain in the arm or limping
- Deficiency
- Pain that lasts for a long time
What Is the Process of Diagnosis?
Diabetes is diagnosed by a doctor based on a test of the blood glucose level. When a person exhibits any of the signs and symptoms of diabetes, a doctor may order this test. If you have other risk factors, your doctor can order a test.
If you have diabetes, a physical therapist will help you manage your symptoms and offer therapies that are tailored to your specific needs and objectives. They will work with you to address physical issues that can be addressed by a customized fitness program.
What Would a Physical Therapist Do for You?
Physical trainers assist diabetics in participating in healthy and successful workout activities. This can aid in the reduction of blood sugar levels. Your physical therapist will assist you in improving your mobility, performing everyday tasks, and reducing discomfort. Physical exercise therapies can also speed up the healing of diabetes-related skin issues.
Your physical therapist will go through your blood glucose levels and look for any cuts on your skin. They will also perform a thorough examination of your:
- Determination
- Flexibility
- Endurance
- Equilibrium
- Feeling on the skin (especially in the feet)
They’ll use the results of these assessments to create a tailored care plan that discusses your specific issues and requirements. Your treatment plan might be able to support you:
1. Movement:
Your physical therapist will choose various exercises and medications to assist with the restoration of normal movement. These could start with passive movements performed by the physical therapist to gently move your joints. They will assist you in progressing to self-administered active exercises and stretches.
2. Strength:
Your physical therapist will show you the proper exercises to help you regain strength gradually and safely.
3. Flexibility:
If any muscles are tight, the physical therapist will help you stretch them gently. They will show you how to increase your versatility.
4. Endurance:
It’s important to regain your stamina. Inactivity can cause you to become weak. Your physical therapist will give you exercises that will help you recover the energy you need to resume your daily activities.
5. Balance and coordination:
To avoid falling, you must regain your sense of equilibrium. Coordination is often essential for day-to-day tasks and jobs. Your physical therapist will show you how to regain your coordination and strengthen your equilibrium.
6. Walking ability:
The ability to walk. Your physical therapist will help you walk more comfortably by changing your shoes or applying orthotics (supportive inserts) to your feet and ankles. They can teach you how to walk safely with a walker or cane if necessary.
7. Pain levels:
Physical therapy is a safe method of treating chronic pain. Your physical therapist can employ a variety of techniques and technologies. They will advise you on the most appropriate and healthy exercises to manage and reduce your pain. Your physical therapist will show you how to protect sore areas from diabetic nerve pain by teaching you how to protect them (neuropathy).
8. Blood glucose levels:
Physical activity, such as prescribed exercise, may aid in blood sugar reduction. To help you monitor and lower your blood sugar, your physical therapist can develop a healthy, customized exercise program for you.
9. Healing of sores:
To aid in the healing of sores, the physical therapist will use bandages, dressings, lotions, and treatments. They should even inspect your shoes for proper fit and condition. They’ll show you how to check your feet and skin regularly to avoid blisters and sores.
10. Home exercise:
You’ll learn how to strengthen and stretch your muscles from your physical therapist. They will even show you how to do aerobic exercises at home on your own. Your workout routine will be tailored to your individual needs. Following the instructions for these exercises will help you heal faster.
11. Ability to perform daily living and work activities:
Your physical therapist will talk to you about your activity goals and use them to help you set recovery goals. Your recovery plan will assist you in achieving your objectives in the easiest, quickest, and most successful manner possible.
12. If Surgery is Necessary:
If the symptoms of diabetes cause a part of your body to become too weakened, you may need to have it amputated. Your physical therapist will help you prepare for surgery and recover from it.
They will assist you with managing pain and healing more quickly. Your physical therapist will also assist you in becoming more familiar with prosthetics. They will assist you in regaining your walking capacity and returning to an active lifestyle as soon as possible.
Is it possible to prevent this injury or condition?
Since the cause of type 1 diabetes has yet to be discovered, it cannot be avoided (s). Type 2 diabetes can often be avoided by:
- Maintaining a healthy weight in comparison to your height
- Obesity can be avoided by following a balanced diet.
- Physical activity daily
A physical therapist can help you prevent type 2 diabetes by creating a customized fitness schedule. If you already have diabetes, they will also help you control it.
You will lower the chances of getting diabetes by doing the following:
- Exercisingdaily.
- Every week, engage in the prescribed amount of physical activity.
- Eat a well-balanced diet (and be aware of and reduce sugar intake).
Which Physical Therapist Do I Require?
Through preparation and training, all physical therapists are trained to help people who have diabetes or are at risk of developing it.
Find a PT, an online platform created by the American Physical Therapy Association to help you find a physical therapist with specialized clinical experience in your area, will help you find a physical therapist.
When searching for a physical therapist (or any other health care provider), keep the following in mind:
- Seek advice from relatives, colleagues, or other healthcare professionals.
- When making an appointment with a physical therapy facility, inquire about the physical therapists’ experience with diabetic patients.
- Prepare to explain the symptoms in as much detail as possible during your first appointment with the physical therapist, as well as what makes them worse.
Final Verdict:
Consumers should have access to information that will help them make healthcare decisions and brace them for a consultation with their healthcare provider, according to the American Physical Therapy Association.