Page 86 - Petelin, Ana, and Šarabon, Nejc. 2018. Eds. Zdravje starostnikov / Health of the Elderly. Znanstvena monografija / Proceedings. Koper: University of Primorska Press
P. 86
avje starostnikov | health of the elderly 86 tive and surgical interventions, and rehabilitation after amputation. The goal
of treating femoral ulcers is to prevent amputation. Exercise is important when
the patient has diabetes, exercise can have effects on the body, reduces blood
sugar and maintains the physical activity of the patients. Moreover, improper
shooes and absence of later examination of the feet can cause additional prob-
lems to the patients with diabetes (Marolt, 2009).
Excessive physical activity can lead to undesirable fluctuations in blood
sugar. In any case, a consultation with a doctor is necessary, to what extent
physical activity is recommended (Ruhland, 1998). Only physical activity does
not sufficiently influence the metabolic regulation of diabetes. The basis for
treating diabetes is still proper nutrition and insulin doses, while incentives for
regular physical activity are a welcome and important addition. Sport therefore
influences our attitude towards health, nutrition and lifestyle, and consequent-
ly also on the regulation of diabetes (Battelino and Janež, 2007). Patients with
a physical activity program improve the quality of life - physically, emotionally
and socially. If there is a tendency to hypoglycaemia or even a poor recognition
of hypoglycaemia, the patient must take care of his own safety while engaging
in physical activity. Types of exercise where hypoglycaemia may be dangerous
(swimming, walking along an exposed mountain path, etc.) should be avoided.
It is advisable to consult your doctor, what kind of exercise is appropriate for
the individual (Lipnik, 2014).
In type 2 diabetes, progression of the ability of beta cells to eliminate in-
sulin results in insulin resistance. Most patients may have large abdominal,
overweight, elevated triglycerides, and high blood pressure. As a rule, there
are no visible signs of disease for several years. It usually lasts between 5 and
12 years before the disease is detected without the patient having any prob-
lems.
Diabetic foot is one of the most common complications of diabetes. The
term diabetic foot describes the changes that occur on the legs of patients with
diabetes (Hohnjec, 2011). It is a wound that does not start healing without ade-
quate professional care. Nerve damage causes a gradual loss of touch, hot and
cold, and pain. The foot becomes insensitive primarily on the fingers. Where
the pressure on the underlying soft tissue is formed, the cavity is formed.
Through cracks, infectious cusps enter the affected tissue and thus form puru-
lent infections and inflammation (Medvešček and Pavčič, 2009).
In association with the onset of type 2 diabetes, movement is a very impor-
tant protective factor. A diabetic patient is recommended at least 150 minutes of
aerobic exercise per week. Physical activity must be spread evenly throughout
the week. Promoting, gradual escalation of physical activity according to indi-
vidual’s wishes and moderation is very important (NIJZ, 2018). Regular phys-
ical exercise is one of the important strategies for treating a patient with dia-
betes and results in an increased cardiorespiratory function, reduced insulin
resistance, and a better blood lipid state (Anjana and Pradeep, 2017).
of treating femoral ulcers is to prevent amputation. Exercise is important when
the patient has diabetes, exercise can have effects on the body, reduces blood
sugar and maintains the physical activity of the patients. Moreover, improper
shooes and absence of later examination of the feet can cause additional prob-
lems to the patients with diabetes (Marolt, 2009).
Excessive physical activity can lead to undesirable fluctuations in blood
sugar. In any case, a consultation with a doctor is necessary, to what extent
physical activity is recommended (Ruhland, 1998). Only physical activity does
not sufficiently influence the metabolic regulation of diabetes. The basis for
treating diabetes is still proper nutrition and insulin doses, while incentives for
regular physical activity are a welcome and important addition. Sport therefore
influences our attitude towards health, nutrition and lifestyle, and consequent-
ly also on the regulation of diabetes (Battelino and Janež, 2007). Patients with
a physical activity program improve the quality of life - physically, emotionally
and socially. If there is a tendency to hypoglycaemia or even a poor recognition
of hypoglycaemia, the patient must take care of his own safety while engaging
in physical activity. Types of exercise where hypoglycaemia may be dangerous
(swimming, walking along an exposed mountain path, etc.) should be avoided.
It is advisable to consult your doctor, what kind of exercise is appropriate for
the individual (Lipnik, 2014).
In type 2 diabetes, progression of the ability of beta cells to eliminate in-
sulin results in insulin resistance. Most patients may have large abdominal,
overweight, elevated triglycerides, and high blood pressure. As a rule, there
are no visible signs of disease for several years. It usually lasts between 5 and
12 years before the disease is detected without the patient having any prob-
lems.
Diabetic foot is one of the most common complications of diabetes. The
term diabetic foot describes the changes that occur on the legs of patients with
diabetes (Hohnjec, 2011). It is a wound that does not start healing without ade-
quate professional care. Nerve damage causes a gradual loss of touch, hot and
cold, and pain. The foot becomes insensitive primarily on the fingers. Where
the pressure on the underlying soft tissue is formed, the cavity is formed.
Through cracks, infectious cusps enter the affected tissue and thus form puru-
lent infections and inflammation (Medvešček and Pavčič, 2009).
In association with the onset of type 2 diabetes, movement is a very impor-
tant protective factor. A diabetic patient is recommended at least 150 minutes of
aerobic exercise per week. Physical activity must be spread evenly throughout
the week. Promoting, gradual escalation of physical activity according to indi-
vidual’s wishes and moderation is very important (NIJZ, 2018). Regular phys-
ical exercise is one of the important strategies for treating a patient with dia-
betes and results in an increased cardiorespiratory function, reduced insulin
resistance, and a better blood lipid state (Anjana and Pradeep, 2017).
