Effects of Resistance Training on Neuropathy in Adults with Type 1 Diabetes : A systemised literature review
ElMansuri, Rami (2023)
2023
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-202401011000
https://urn.fi/URN:NBN:fi:amk-202401011000
Tiivistelmä
With type 1 diabetes mellitus (T1DM), patients' blood glucose levels are unstable, a chronic medical illness caused by the body's inability to make insulin. Although insulin therapy is necessary, glycaemic control and general health issues people with T1DM must deal with. Exercise that concentrates on building muscle, known as resistance training (RT), has become recognised as a beneficial addition to traditional diabetes care. However, it is yet to be utilised to its fullest potential by physiotherapy compared to conventional aerobic exercises.
The objective of this thesis was to conduct a systemised literature review highlighting the advantages, risk factors and shed light on the utilisation of RT for adults with T1DM in a physiotherapy approach.
The literature review first shows that resistance exercise improves glycaemic control by raising muscle uptake of glucose, improving insulin sensitivity, and decreasing high blood sugar after meals (postprandial hyperglycaemia). RT also aids in preserving a healthy body weight and increases muscular mass, essential for controlling metabolism and lowering risk factors like high blood pressure. Furthermore, RT lowers inflammation and supports healthy blood circulation, enhances the neuromuscular system, which improves general physical health and eases the strain on nerves while maintaining nerve function, thus preventing neuropathy in adults with T1DM.
In conclusion, RT may play a significant role in a complete strategy aimed at preventing neuropathy in adult patients diagnosed with T1DM. Physiotherapists should think about suggesting and implementing resistance exercises within diabetic management programs. This strategy, when paired with appropriate diabetic care and awareness of glucose levels before, during, and after the activity, may lower the risk of diabetic neuropathy and significantly improve the general health and quality of life of adults with T1DM. Further research is needed to understand the impact of RT on adults with T1DM from a physiotherapy approach.
The objective of this thesis was to conduct a systemised literature review highlighting the advantages, risk factors and shed light on the utilisation of RT for adults with T1DM in a physiotherapy approach.
The literature review first shows that resistance exercise improves glycaemic control by raising muscle uptake of glucose, improving insulin sensitivity, and decreasing high blood sugar after meals (postprandial hyperglycaemia). RT also aids in preserving a healthy body weight and increases muscular mass, essential for controlling metabolism and lowering risk factors like high blood pressure. Furthermore, RT lowers inflammation and supports healthy blood circulation, enhances the neuromuscular system, which improves general physical health and eases the strain on nerves while maintaining nerve function, thus preventing neuropathy in adults with T1DM.
In conclusion, RT may play a significant role in a complete strategy aimed at preventing neuropathy in adult patients diagnosed with T1DM. Physiotherapists should think about suggesting and implementing resistance exercises within diabetic management programs. This strategy, when paired with appropriate diabetic care and awareness of glucose levels before, during, and after the activity, may lower the risk of diabetic neuropathy and significantly improve the general health and quality of life of adults with T1DM. Further research is needed to understand the impact of RT on adults with T1DM from a physiotherapy approach.