RT Book, Section
A1 Goodman, Catherine
A1 Helgeson, Kevin
SR Print(0)
ID 1133951774
T1 Diabetes Mellitus, Type 2
T2 Exercise Prescription for Medical Conditions: Handbook for Physical Therapists
YR 2011
FD 2011
PB McGraw-Hill Education
PP New York, NY
SN 9780803617148
LK fadavispt.mhmedical.com/content.aspx?aid=1133951774
RD 2024/04/19
AB This  condition  is  due  to  cellular  resistance  to  insulin  and  deficient  insulin  secretion,  which  results  in  a  state  of  hyperglycemia.  A  fasting  blood  glucose  level  of  >126  mg/dL  indicates  diabetes,  with  levels  of  100  to  125  mg/dL  possibly  indicating  a  state  of  prediabetes.1  Age,  obesity,  and  a  sedentary  lifestyle  are  the  main  risk  factors  for  developing  type  2  diabetes  mellitus.  The  risk  of  atherosclerosis  leading  to  cardiovascular  and  peripheral  vascular  disease  is  increased  in  this  population,  with  long-term  complications  that  include  kidney  damage,  retinopathies,  and  neuropathies.  The  lack  of  physical  activity  is  a  key  risk  factor  for  these  clients  and  is  closely  linked  to  their  becoming  deconditioned,  overweight,  or  obese.2  This  lack  of  physical  activity  diminishes  clients'  skeletal  muscle  ability  to  use  glucose,  and  clients  become  more  susceptible  to  chronic  inflammatory  conditions  that  will  limit  their  mobility.  Long-term  control  of  hyperglycemia  is  assessed  by  the  percentage  of  glycated  hemoglobin,  known  as  the  A1C  test.  Hemoglobin  A1C  percentages  should  be  assessed  at  least  twice  per  year  to  determine  the  client's  disease  status.