Diabetes Mellitus II

Diabetes mellitus refers to a group of metabolic diseases characterized by high slant sugar (glucose) levels that result from defects in insulin secretion, or action, or both. (Mathur, 2009) This chronic medical chassis occurs when the production of insulin, a hormone released by the pancreas in order to regulate the blood sugar levels, is absentminded or insufficient. Two major types of diabetes argon 1. ) type 1 diabetes which requires the affected individual to be insulin-dependent as his pancreas has been damaged by auto-immune attacks, making it unable to release the hormone and 2. type 2 diabetes which is also called non-insulin diabetes mellitus as the patient ofs who suffer from this disease croupe still produce their own insulin.As a matter of fact, for the latter, excessive amounts of insulin are produced by the body. This, however, damages the beta cell, the part of the pancreas that releases insulin, and causes the depletion of the production of insulin in the long run. This paper al first for charge on diabetes mellitus 2, the causes of this chronic disease as well as the physiological limitations that it can impose on a persons motion program.It allow for also include the symptoms that a fitness instructor must(prenominal) watch out for when training an individual suffering from type 2 diabetes. This information will be used to cr sweep awaye an exercise program for a subject with this chronic disease. In this section, the intensity, frequency, age and the method for determining how the program should progress will be identified. Any prescribed medication that may affect the persons performance should also be considered in the creation of this program.Although diabetes mellitus II is coined adult-onset diabetes as it normally develops in adults who are forty years and above, the number of children who meet been diagnosed with this disease has also change magnitude in number. Although genetics or complications during pregnancy may p lay a piece in the development of this disease, obesity is still identified as the major cause of this problem. An individual who has a Body cud Index (BMI) that is 20% higher than the ideal has a higher chance of becoming diabetic.Other major venture factors associated with diabetes are age, family history, race, a history of previous impaired glucose tolerance (IGT) or impaired fasting glucose (IFG), hypertension, a history of gestational diabetes mellitus (GDM) and polycystic ovarian syndrome. (Votey & Peters, 2009) In the past, people ages 40 and above are more prone to this disease. But, now, due to the sharp gain in the number of children with this disease, this might as well be considered as a pediatric disease. A persons family history should also be considered when determining a persons risk to acquire this disease.People with first degree relatives who are diabetic can have a higher chance of acquiring this disease. They may have acquired the gene that stimulates the production of a protein that inhibits the role of insulin in cellular glucose transport. A persons ethnic group can also increase a persons risk of acquiring this disease. Afro-Americans, Hispanic Americans, Pacific Islanders, American Indians and Asians have a higher chance of becoming diabetic. A persons blood pressure and cholesterol level can also determine if he is prone to diabetes.People with a blood pressure of 140/90 mmHg and above, a cholesterol level of 35 mg-dL-1 or below or a triglycerol level of 250 mg-dL-1 will have a higher risk of becoming diabetic. (McArdle, p. 452, 2007) For people with type 2 diabetes, an increase in glucose levels occur because of relative insulin deficiency or the insufficient production of insulin by the pancreas, insulin resistance or the settle in the effects of insulin on peripheral tissues, especially muscles, or a combination of these two problems.Of course, insulin resistance, doesnt necessarily mean that a person has diabetes. This, h owever, can cause diabetes in the long run, especially if the persons diet is rich in simple carbohydrates. Because of insulin resistance, glucose is converted to triacylglycerol and is stored as fat. Since fat cells have a tendency to be insulin-resistant due to its reduced insulin receptor density, the persons insulin resistance can carry out a level that exceeds the upper limit output of the pancreas.Both resistance and aerobic training can help in the management of these factors by improving insulin are glucagon responses. Since skeletal muscles consume a lot of glucose, approximately 70 to 90% of the glucose present in the body, resistance training which increases muscle mass can increase insulin sensitivity, confidential information to better glucose control. Endurance training, on the other hand, maintains the blood level of insulin and glucagon during exercise closer to quelling values. (McArdle, p. 451, 2007)Ideally, the management of diabetes involves dieting, physica l exertion and taking in the prescribed medication, if there is any. There are, however, virtually cases when the blood sugar level of the patient is withal high and exercise needs to be put off. At the same time, although exercise can be very beneficial to diabetics, it can be counterproductive if the condition of the client is not examined properly. sooner a client is given a program, the instructor must first make sure that he has his doctors consent.The instructor should also know if the client has the following complications retinal hemorrhage, increased proteinuria, acceleration of microvascular lesions, cardiac arrhythmias, ischemic heart disease, excessive blood pressure during exercise, postexercise orthostatic hyerptension, increased hyperglycemia, increased ketosis, prat ulcers, orthopedic injury related to neuropathy and accelerated degenerative joint disease. The exercise should be adjusted ground on these factors.Obese individuals, for example, should be given le sser weight-bearing exercises. At the same time, they should also be given long-lived shack periods in order to avoid increase in blood pressure. People with heart and blood pressure problems must not be allowed to exercise when the temperature is as well as high or the atmosphere is too humid. They should also be given ample rest in between sets. They should also avoid isometric exercises as well as exercises that involve raising the weight over contribute or holding positions wherein the head is lower than legs.Aside from the risks caused by complications, the instructor should also pay attention to signs of hypoglycemia, especially if the client is taking in insulin or oral hypoglycemic agents. Mild hypoglycemia is characterized by trembling or shakiness, nervousness, palpitations, increased sweat and excessive hunger. People with moderate hypoglycemic reactions experience headaches, irritability and abrupt mood changes, impaired density and attentiveness, mental confusion and drowsiness.In severe cases, the individual becomes unresponsive and unconscious and experiences convulsions. For such instances, the instructor must be attentive to these symptoms so that he can react immediately. Since some patients take -blocker medication, hypoglycemic unawareness should be expected and it is up to the instructor to make the client stop exercising, measure his glucose level and have him eat some simple carbohydrates like hard candies and sugar cubes if hypoglycemia is confirmed. The client should then be asked to rest for ten to fifteen minutes.After that, his glucose level should once again be measured before allowing him to continue the exercise regiment. Another risk that should be avoided is late-onset hypoglycemia wherein the diabetics blood sugar remains low even after four to forty-eight hours has passed. This can happen if the clients exercise is too strenuous for him. For this reason, high-intensity exercise should not be administered to a diabetic i ndividual, especially if he has been prescribed some insulin or hypoglycemic agents.He should begin with a low-intensity program that gradually increases in intensity. Changes in intensity must be made after a period of three to six weeks so that the individual would be given enough time to adjust. According to Erikksons schooling (Janot & Kravitz, 2009), doing some resistance training twice a week is enough to show results. Beginning with this frequency is also advisable as the instructor would be given the time to observe the clients reaction to the exercise. He would also be able to clear him of late-onset hypoglycemia.The study done by Ishii and his colleagues (Janot & Kravitz, 2009) shows that the range of the load given to diabetic individuals should be 40 to 50% of their 1 rep max. They should do around 2 sets of 25 repetitions. And, they should be given 30 to 120 seconds of rest in between sets. Based on the FITT principle, people with type 2 diabetes can have 3 to 5 times a week of aerobic exercise. The intensity should be 40 to 60% of the maximum HR and the duration should be around 30 to 60 minutes, unless the person is taking hypoglycemic agents or insulin.