Journal of Diabetes and Metabolic Disorders7Exercise Prescription in Patients with Diabetes Type 2230230AEsteghamatiMHassabiFHalabchiMBagheri20151005Sedentary life style is considered as a main risk factor for DM-II. The role of regular exercise is appreciated in both primary prevention and treatment. Diabetic people can benefit from physical activity in order to have a better control on blood glucose level, lipid profile, body weight, and blood pressure. Furthermore, psychological improvements may follow such as decreasing anxiety or depression and improvement of sleep quality.Different kinds of training including aerobic, resistive, and flexibility exercises could be recommended, but some parameters like intensity, duration, and frequency of exercises as well as safety measures should be explained to the patient when prescribing an exercise program.A thorough medical evaluation is required before starting an unaccustomed exercise program in order to modify it, as needed.It is recommended that diabetic people participate in moderate aerobic (40-60% Vo2max) and resistive (30-50% 1RM) exercises 3-5 and 2-3 sessions per week, respectively. However, it is a general recommendation, and an expert in exercise therapy should tailor the program with respect to individual conditions.https://jdmd.tums.ac.ir/index.php/jdmd/article/view/230https://jdmd.tums.ac.ir/index.php/jdmd/article/download/230/1Journal of Diabetes and Metabolic Disorders7Effect of processed Berberis vulgaris in apple vinegar on blood pressure and inflammatory markers in type 2 diabetic patients231231MGolzarandMEbrahimi-MamaghaniSRArefhosseiniAAli Asgarzadeh20151005Background: Hypertension and increased inflammatory markers in type 2 diabetic patients are two major risk factors of cardiovascular diseases. Therefore, management of these two cardiovascular diseases risk factors is of the first magnitude in type 2 diabetic patients. This study was aimed to determine effect of processed Berberis vulgaris on blood pressure and inflammatory markers in type 2 diabetic patients.
Methods: Type 2 diabetic patients were recruited into a clinical trial (n =57) and randomly assigned into 3 groups: 1) processed B. vulgaris (n =19), daily consumption of 1 Tsp processed B.vulgaris in apple vinegar, 2) apple vinegar group (n =19), daily consumption of 2 Tsp apple vinegar and 3) control group with no intervention. Nutritional intake, anthropometric indices, inflammatory markers and systolic- and diastolic blood pressure were measured at the baseline and the end of 8th week.
Results: At the end of 8 weeks, mean of nutritional intake, anthropometric indices, hs CRP concentration, systolic- and diastolic blood pressure did not change in processed B.vulgaris, apple vinegar and control groups significantly. Interleukin-6 concentration did not shift in processed B.vulgaris and control groups but in apple vinegar group decreased significantly.
Conclusion: These findings had shown processed B.vulgaris had no effect on systolic- and diastolic blood pressure but apple vinegar had positive effect on interleukin-6. Nevertheless, further investigations about B.vulgaris effect on blood pressure and inflammatory markers are necessary.https://jdmd.tums.ac.ir/index.php/jdmd/article/view/231https://jdmd.tums.ac.ir/index.php/jdmd/article/download/231/2Journal of Diabetes and Metabolic Disorders7Encouraging Development of Care of Diabetic Patients(Perspective)232232BLarijani20151005
In the Name of God, the Compassionate, the Merciful
Some scientific evidence shows that the role of the elite graduates of endocrinology and metabolism in developing the care of diabetic patients has not been as distinct as that of some other interventions and the services of other medical specialties involved in offering services for this group of patients. Although these studies have not been performed here, they deserve attention.Diabetic patients suffer from a chronic illness. Chronicity of this disease, on one hand, and its short- and long-term complications, on the other hand, entails more specific care than in acute diseases.There are efforts underway to systematize submission of services, education, etc all over the world, and the issue varies proportionate to the health systems, medical costs and the manner of submitting the private and public services. But, some basic principles are evident in lots of these interventions, including:1- Insistence on education and encouraging the patients to participate are fundamental to submitting service to these patients; and various kinds of education are the pillars on which the care of diabetic patients lies.2- Other elements of note are team and multidisciplinary approach toward these patients. Regarding the long course and the complications of diabetes mellitus, the patient has various needs including physical and mental ones in addition to prescribing medicaments such as insulin, which are not surmountable by unilateral attitudes of endocrinology and metabolism specialists.Paying attention to this element has enabled to create serious changes in submitting services to diabetic patients. It seems that, despite creation of a convenient bed for realization of this matter across the country, the mentioned tasks are not so easy ones, but, moving toward these objectives and paying attention to these elements and other significant issues in controlling the chronic patients, such as registration and recording the data and having software to organize the patients' data and to make easier following them up seem necessary and can promote the control of our diabetic patients more seriously.Although the diabetic patients need our support and endeavor for their being medicated, but, our ever-increasing and sympathetic efforts along with that of treatment team are humane and moral.https://jdmd.tums.ac.ir/index.php/jdmd/article/view/232https://jdmd.tums.ac.ir/index.php/jdmd/article/download/232/3