The Phoenix

PT helps patients with diabetes to improve their quality of life

- By John R. Mishock, PT, DPT, DC Dr. John Mishock is one of only a few clinicians with doctorate-level degrees in both physical therapy and chiropract­ic in the state of Pennsylvan­ia.

Approximat­ely 30.3 million Americans, or 9.4 percent of the population, have diabetes mellitus. Twentyfive percent of all Americans age 65 and older have diabetes. Even young people are affected by diabetes, with 193,000 Americans under the age of 20 having the disease. The cost to manage and treat diabetes is a staggering $327 billion annually, according to the CDC National Diabetes Stat Report 2017.

Diabetes comes in three types (Type 1, Type 2 and Gestationa­l). Regardless of the type, your body normally breaks down the carbohydra­tes we eat into glucose. Glucose is the fuel the body uses for energy. The cells need insulin hormone, which is the key to open up the door to allow body tissues to use the glucose. With diabetes, either your body doesn’t make enough insulin (Type 1), or it does not efficientl­y use the insulin it produces (Type 2).

A proper diet is essential to managing diabetes. The diet should include lean proteins, whole grains and healthy fats. Beyond the diet, it is essential to exercise. Proper exercise can improve glucose sensitivit­y and transport and, in some cases, reduce diabetes medication use. Exercise has also been shown to improve fitness and reduce obesity, reduce cardiovasc­ular disease, decrease some types of cancers and improve confidence.

For diabetics, the goal would be to get 30 to 60 minutes of aerobic activity be performed most days or a minimum of 150 minutes per week. Moderatein­tensity resistive training should be performed two times per week with eight to 12 repetition­s, working major muscle groups of the core (abdominals/hips), upper and lower body. Exercise should be avoided if the insulin levels fall below 100 mg/dl or above 250 mg/dl.

Often, starting exercise is difficult. This is where your physical therapist can help. Physical therapists have a doctorate-level education and are experts in body function and exercise. A short course of physical therapy can get the diabetic patient started on a safe exercise program that will enhance the individual’s health and their quality of life.

We can help!

If pain is limiting you from doing the activities you enjoy, call Mishock Physical Therapy at 610327-2600 for a free phone consultati­on. Email your questions to mishockpt@comcast.net. Visit our website, mishockpt.com, to learn more about our treatment philosophy, our physical therapy staff and our six convenient locations in Gilbertsvi­lle, Skippack, Phoenixvil­le, Barto, Limerick and Stowe (Pottstown).

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