Professor Liu Ruihong of the Second Xiangya Institute of Central South University
Professor Liu Ruihong of the Second Xiangya Hospital of Central South University at the 9th China Chronic Disease Management Conference In the intervention forum, a report was published on “Therapeutic Therapy for Diabetes”.
Diabetes is a recognized health problem worldwide, with an incidence rate of 10.9% in China.
In China, the majority of patients with diabetes are type 2 diabetes, accounting for more than 90%. Type 2 diabetes is a chronic endocrine and metabolic disorder characterized by multiple factors, including metabolic disorders, dyslipidemia, and elevated blood sugar.
The role of exercise in the prevention and treatment of diabetes
The treatment of diabetes, including diabetes knowledge education, diabetes self-monitoring, diet therapy, exercise therapy, drug therapy, also known as the “five car “. Among them, exercise therapy is an essential one. Studies have shown that lack of exercise is an independent risk factor for type 2 diabetes and a trigger for metabolic syndrome. Both American Sports Medicine and the American Diabetes Association highly recommend sports, especially regular aerobic exercise as an important means of prevention and treatment of type 2 diabetes.
The therapeutic effect of exercise on diabetes is manifested in three points. One is to increase the content of glucose transporter 4 and enhance the function of skeletal muscle to glucose. Second, it can improve insulin resistance and increase insulin sensitivity. Third, it can prevent diabetes complications and improve the quality of life of patients.
Traditional aerobic exercise therapy
Traditional aerobic exercise therapy includes the following: walking exercise therapy, swimming exercise therapy, Tai Chi exercise therapy, Ba Duan Jin exercise therapy, ball Exercise therapy, aerobics exercise therapy. These are common exercise therapies that are free to choose based on your physical condition and preferences.
Emerging aerobic exercise therapy
1, sports game therapy
is popular in foreign countries called sports game therapy, sports game therapy is mainly for these sports, other The movements are monotonous and tasteless, which can improve the interest of sports. A foreign scholar has done a test, which is a sports interactive game machine that can improve the control of blood sugar metabolism in type 2 diabetes and improve its quality.
Sports game therapy Compared with other boring sports, sports games can greatly enhance the sports interest of patients with type 2 diabetes and make training more sustainable. Foreign studies such as Kempf confirmed that the interactive sports game Wii Fit Plus can improve blood glucose metabolism control and quality of life in patients with type 2 diabetes.
2. Square dance therapy
The action of square dance is simple and easy to learn, and it is easy to stimulate the interest of patients to participate in training. At the same time, the exercise intensity meets the intensity of aerobic exercise of the American Diabetes Association (55%). -79% HRmax) or the maximum heart rate reserve (40%-74%).
3, Taiji Softball
Taiji Softball Therapy was initiated in 1991 by Associate Professor Bai Wei of Shanxi Jinzhong Health School. It is a combination of Tai Chi exercise and tennis and badminton techniques. Tai Chi ball sports.
4, whole body vibration therapy
Started in the Russian space program, it refers to the use of external mechanical vibration and external impedance load stimulation to cause the body muscles to oscillate, generate nerve adaptation, to improve the nerves Training methods for muscle function. According to the direction of vibration, vibration training can be divided into three modes: vertical, horizontal and oscillating vibration with the horizontal plane as the axis. It has gradually evolved into an effective training method for people.
Precautions before exercise:
A comprehensive physical examination and discussion with the doctor to determine the type of exercise and amount of exercise, and to select sports equipment and venues.
Precautions during exercise:
1. Warm up for 15 minutes, pay attention to heart rate during exercise;
2. Pay attention to drinking during exercise. Some open white water to supplement the consumption of water and oxygen;
3. If there is fatigue, dizziness, palpitation, chest tightness, belching, sweating, leg pain and other discomfort, stop exercising in time;
4. At the end of the exercise, do another 10 minutes of recovery activities.
1. The exercise time and exercise intensity are relatively fixed;
2. Those who have the condition are best tested before and after exercise. Blood sugar;
3. Carry candy with you to avoid hypoglycemia;
4. Carry a diabetes card with your name, age, address, phone number, etc.
There are many emerging aerobic exercise therapies, how to pay attention to the novelty of sports forms, to improve the enthusiasm of patients with type 2 diabetes to participate in sports training, and consider The safety and risk of exercise, the prevention of sports injuries or hypoglycemia events, and how to determine the aerobic exercise effects of different doses, different strengths, and different durations are the main problems in current type 2 diabetes exercise therapy. Therefore, exercise prescriptions for diabetic patients should be personalized.