Physical Activity for Children/Adolescents with Diabetes (1 & 2) & Pre-DM -
ANSWER At least 60 minutes per day of moderate to strenuous aerobic activity.
At least three times a week, engage in intense muscular and bone-strengthening
activities.
Physical Activity for Adults with Diabetes: ANSWER 150 minutes of moderate to
intense aerobic activity weekly (across at least three days).
At most two consecutive days without activities.
75 minutes of strenuous aerobic activity each week (if appropriate).
2-3 weekly resistance workout sessions on nonconsecutive days.
All individuals should reduce sedentary time (interrupt every 30 minutes for BG
benefit).
Flexibility and balance training are recommended 2-3 times per week for older
persons with diabetes.
Potential contraindications for diabetes and exercise: ANSWER Retinopathy (risk
of vitreous haemorrhage or retinal detachment).
Peripheral neuropathy (examine feet and wear protection)
,Autonomic neuropathy (a complete heart evaluation)
Diabetic renal disease (an abrupt rise in urine albumin excretion), although no
special workout limits are required.
DM and Psychosocial Care - ANSWER Should be incorporated patient-centred and
delivered to all those diagnosed.
may include attitudes, expectations about medications and outcomes, affect or
mood, quality of life, financial, social, and emotional resources, and mental history.
Critical periods to examine DSMES - ANSWER 1. At the diagnosis
2. Annually
3. When difficulties develop.
4. When shifts in care occur
Behaviour Management for Diabetics - DSMES
MNT
Physical activity.
Smoking cessation
Psychosocial Care
Pharmacotherapy for type 2 diabetes: ANSWER Metformin first (cheap cost).
Early insulin therapy if there is evidence of catabolism, hyperglycemia, and A1c >
10%.
,SGLT-2 inhibitors or GLP-1 agonists in individuals with CVD, renal disease, or
heart failure.
DPP–4 inhibitors - weight-neutral type II diabetes medicine.
Ends in -gliptin
(Januvia)
Better GI tolerance than Metformin.
Thiazolidinediones are a low-cost type II diabetes medication that might cause
weight gain.
Sulfonylureas (Glyburide, Glipizide, Glimepiride) are low-cost.
Injections that impact POMC neurons and cause satiety
SGLT2 inhibitors: Canagliflozin (Invokana)
Dapagliflozin (Farxiga)
Empagliflozin (Jardiance)
, hinders the reabsorption of glucose and water in the renal tubules.
Assessment of Obesity Management in Type II Diabetes: ANSWER Annual BMI
calculations (more regularly if necessary).
Inpatient evaluation may be required if the deterioration in the medical state is
linked to considerable weight gain or loss (medication use, food consumption,
glycemic status).
For patients with severe weight-related stress, extra measures should be taken to
ensure privacy.
Obesity Management in Type II Diabetes (short-term) - ANSWER Diet, PA, and
BT planned to achieve and sustain >/= 5% weight loss (3-5% is the minimal
benefit).
>/= 16 sessions in six months.
Create a 500-750 kcal deficit (individualized meal planning)
Individual or group situations.
Very low-calorie diets (</= 800 kcal) are administered only to carefully selected
patients.
Obesity Management in Type II Diabetes (Long-Term) - ANSWER For >/= 1-year
weight maintenance:
- Minimum monthly contact
- 200-300 minutes per week of physical activity.
-self-monitoring
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper luzlinkuz. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €11,20. Je zit daarna nergens aan vast.