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How is exercise treated for diabetic nephropathy?

2017-07-26 10:42

Diabetic nephropathy is a very serious complication of diabetes. Exercise is an important non drug therapy for diabetes. Increasing physical activity in type 2 diabetes can lower the risk of chronic kidney disease and even reverse the impaired kidney function. But what kind of exercise, the amount of exercise and the time of exercise are based on the different circumstances of each diabetic patient.

Exercise intensity is the most important index in the treatment of diabetic nephropathy.

A total of 5700 patients with type 2 diabetes mellitus with normal renal function were enrolled in the study of diabetic nephropathy in the participating countries. The average age was 61 + 10.3 years, and they were all tested by exercise stress test. The energy metabolism equivalents were classified according to activity intensity: minimum intensity (< 5.5 METs), low strength (5.5-7.5, METs), moderate intensity (7.6-9.5, METs) and high strength (>9.5, METs). The prevalence of CKD and the risk of death declined gradually as the activity intensity increased. The researchers said the prevalence of CKD declined sharply when the activity intensity of the patients was from lowest to lowest. This suggests that exercise intensity may reduce the risk of diabetic nephropathy, reduce symptoms, and reverse important indicators.

In the exercise treatment of diabetic nephropathy, the individual frequency of exercise and the adjustment of time are the second major factors to control the glomerular filtration rate and to control and reverse the diabetic nephropathy.

This study was conducted to investigate the effect of exercise times on glomerular filtration rate in diabetic nephropathy. The researchers evaluated patients who had completed 12 weeks of aerobic or endurance training, and measured peak exercise capacity, biochemical markers, and blood pressure at baseline and at the end of the exercise program. The exercise ability and eGFR also showed changes after the end of the exercise program.

The results of exercise therapy in diabetic nephropathy suggest that enhancing cardiorespiratory function is an important non drug assisted treatment for renal insufficiency. The expert team composed of experts in different disciplines according to each patient, making the motion evaluation and adjustment scheme to support: according to each patient, gradually increasing the number of sports, exercise time is appropriate to extend the effective method to control and reverse diabetes in chronic kidney disease.

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