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diabetes mellitus

Research

Lifestyle

Source: Journal of Diabetes and its Complications

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  • Published: Sep 30, 2013
  • Added to your feed: Oct 06, 2017
  • Added by Medivizor: Feb 11, 2014
  • Updated by Medivizor: Feb 11, 2014
  • Physical activity, glycemic control and peripheral neuropathy

    In a nutshell

    This study evaluated the association between physical activity, glycemic control and peripheral neuropathy among diabetic patients.

    Some background

    Peripheral neuropathy (nerve damage often resulting in pain and/or loss of sensation) is a common complication among diabetic patients. Peripheral neuropathy not only impairs activities of daily living, but also makes patients more susceptible to infections in the affected limb, which may result in permanent disability. Physical activity is known to improve blood flow and help regulate both glucose levels and the immune response. This study assessed physical activity and glycemic control to determine their effect on the risk of developing diabetic neuropathy.

    Methods & findings

    339 diabetic patients taking part in a National Health and Nutrition Examination Survey were included in this analysis. When addressing physical activity and glycemic control separately, physical activity was not found to be associated with the risk of developing peripheral neuropathy. Proper HbA1c levels (a measurement of average blood glucose levels over the past 3 months) were found to be associated with a 45% reduced risk of developing peripheral neuropathy, but this association was not found to be significant on statistical analysis.

    However, among diabetics with normal HgbA1c levels and engaging in moderate-to-vigorous physical activity, the risk of developing peripheral neuropathy was reduced substantially more than what would be expected based on the individual effects of physical activity and glycemic control alone. Among diabetics with normal HgbA1c levels and engaging in moderate-to-vigorous physical activity, the risk of developing peripheral neuropathy was reduced by 76% compared to inactive diabetics not properly controlling blood glucose levels.

    The bottom line

    This study concluded that although physical activity was not directly associated with diabetic neuropathy, the findings suggest that proper physical activity coupled with good glycemic control is associated with significant reductions in the risk of developing diabetic neuropathy.

    The fine print

    Future longitudinal studies with long follow-up periods are required to evaluate to what extent physical activity and improved glycemic control can help prevent diabetic end-organ damage, particularly diabetic neuropathy.

    What's next?

    Consult with your physician regarding the optimal lifestyle and physical activity to prevent diabetic end-organ damage.

    Disclaimer:
    This information should not be relied upon as a substitute for personal medical advice, diagnosis or treatment. Use the information provided by Medivizor solely at your own risk. Medivizor makes no warranties or representations as to the accuracy of information provided herein. If you have any concerns about your health, please consult a physician.

    Discussion about this item

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    1. Walter Fleuristil May 17, 2016

      I have my own expérience. And..... realy happy with my protect treatment. Good luck to all. Reply

      • Janey May 23, 2016

        Fortunately after 50 years I don't have neuropathy or circulation problems but of course I'm always worried.I have diabetic friends who have severe foot pain and one who is an amputee.If they can't fix type 1 why can't they stop these horrible complications? Reply

        • Walter Fleuristil May 23, 2016

          a very good question for our doctors and those scientifics .. the solution is here and our fifteen years of experience has been a great success .. for them to want to make it available to the general public. I just give it to them. Reply

    2. Walter Fleuristil May 24, 2016

      there is only a single cell that should have attention in the treatment of diabetic complications. There are many studies that have noted the role of this cell. It is considered marking an element. But it is also the one who holds the treatment key of all diabetic complications. So a single treatment or feet, or eyes, or kidneys, or ears, or memory. This cell is the keratinocyte. And that works. Why medicine refuse to take this route to relieve the suffering people?
      Reply

      • Walter Fleuristil Dec 04, 2018

        I hope that all those who experience complications because of their diabetes receive the support of their doctor to treat, especially, peripheral neuropathy. For this, we must necessarily treat hyperkeratosis, keratosis pilaris, dry skin. it is necessary to treat the overload of immature keratinocytes and thus, here is the solution to see disappear, all traces of diabetic complications.
        Walter Fleuristil Reply

    3. Turk Jun 07, 2016

      yes as always money plays a big part of this problem there is a cure but if it was revealed think of all the people out of a job and the pharmaceutical industry would go bankrupt go figure Reply

    4. mally Jun 26, 2016

      its all about pharmaceuticals pay packet and never about health and our drs are getting bonuses and paid holidays for getting their script pads out and fill them with unnecessary medicines and one of the big ones is aimed at diabetes which can be controlled with the right diet and exercise but drs would rather give scripts for insulin and metformin and send them to the dietician that's tells them to eat 10 times the amount of carbs that their body can deal with and then of course its back to the dr to get an increase of these medicines...by the way the dieticians association is funded by such companies as coke and kelloggs just to name 2....all products full of sugar !!! ive 29 years of experience with this but now ive moved out of that box of control and ive never been healthier !!! Reply

    5. Cappy Jul 07, 2016

      Taking Lyrica for the neuro pain, specially in my right leg and foot seems to work. But I found that staying of the medication for a day, then having a glass or two of RED wine in the evening actually worked better, but I have not made a habit of it.
      Reply

    6. Djuri Jul 07, 2016

      Hi Cappy,

      I have a little red wine with my Lyrica as well, for the taste :) Swimming daily, or every other day is a major relief..I highly recommend it. Reply

      • Walter Fleuristil Jan 25, 2019

        Hello Djury. If you do not mind, let me just comment on your glass of wine. I do not deny you. I want to emphasize that your wine glass contains a lot of acid. the wine is also a stimulant to the development of acidity. Acid helps firm up your endothelium’s, your nervous conduits and even your skin. When you're healthy, non-diabetic, alcohol is great for keeping you fit. But, as this product solidifies the walls and envelopes of your gland, it does not help at all when you have diabetic complications, it does not help the recycling of cell debris, the renewal of old cells. Since your organs, under the effect of the acidities become hard, It loses their flexibility and are unable to play their role. The effect of acidity increases the risk of internal and external injuries by a factor of ten. So, they crack, they bleed. The more they crack, the more they resort to accelerated proliferation, with more proliferation, more pressure it has in the blood ducts and and epithelial tissue (the pressure in these conditions is the effect of accelerated proliferation and the force in pushing the cells upwards, cell migration), the more the productions of your cells remain immature and the risk of injury becomes greater. Thus chronic wounds develop, wounds that become ulcers. I doubt of the utility of your glass of wine, ,,, if you are a health professional, I would like you to clarify this to me scientifically, or make a clear denial of what I just said Reply

    7. Nov 21, 2018

      It absolutely correct .Even insulin resistance can also be reduced. Reply

    8. Sabrina Jan 21, 2019

      I suffered paralysis for 5+ long years from neuropathy. My doctors were stumped and sent me to SO many specialists. I found a new Dr. who was familiar with this. He set me on a nutritional diet and exercise 3x wkly at gym. I now walk again and can use my arms and hands. The numbing has stopped. Unless, I sit on my foot accidently while relaxed. Reply

      • Deb Jan 22, 2019

        I'm so happy for your success. Can you tell me the name of the med you take for this? Reply

      • Walter Fleuristil Jan 22, 2019


        I understand that you have a relief but, no diagnosis came to say that you are cured? does the new awareness test with a small wire indicate that your foot sensitivity is optimal? I have been diabetic insulin since 1985. In 2005, my doctor was very scared for me. Today, all the complications: eyes, hyperkeratosis, my ear problems, and tooth bleeds, arteriosclerosis, everything is gone. I am 15 years younger than I am but, I continue to take 40 units of insulin a day. Reply

        • Deb Feb 01, 2019

          If you don’t mind me asking what happened with your ears? Reply

          • Walter Fleuristil Feb 02, 2019

            I had a loss of hearing the fibers in the ears were getting a bit stiff and the treatment of immature keratinocytes restored their flexibility before.It's the same for the memory too, all the recent things were easily forgotten. But since my treatment, I have a phenomenal memory of new information and lot of informations in the farthest reaches of my youth. Reply

            • Walter Fleuristil Feb 02, 2019

              It's the same for my mémory too.... it was very had. Reply

    9. Maria Gracia Jan 22, 2019

      As I drink one or two good cups of red wine twice or more weekly, glucose levels stay normal. Can someone explain me why. Reply

      • Walter Fleuristil Jan 25, 2019

        Hello Maria Garcia. If you do not mind, let me just comment on your glass of wine. I do not deny you. I want to emphasize that your wine glass contains a lot of acid. the wine is also a stimulant to the development of acidity. Acid helps firm up your endotheliums, your nervous conduits and even your skin. When you're healthy, non-diabetic, alcohol is great for keeping you fit. But, as this product solidifies the walls and envelopes of your gland, it does not help at all when you have diabetic complications, it does not help the recycling of cell debris, the renewal of old cells. Since your organs, under the effect of the acidities become hard, It loses their flexibility and are unable to play their role. The effect of acidity increases the risk of internal and external injuries by a factor of ten. So, they crack, they bleed. The more they crack, the more they resort to accelerated proliferation, with more proliferation, more pressure it has in the blood ducts and and epithelial tissue (the pressure in these conditions is the effect of accelerated proliferation and the force in pushing the cells upwards, cell migration), plus the productions of your cells remain immature and the risk of injury becomes greater. Thus chronic wounds develop, wounds that become ulcers. I doubt of the utility of your glass of wine, ,,, if you are a health professional, I would like you to clarify this to me scientifically, or make a clear denial of what I just said Reply

        • Maria Gracia Jan 29, 2019

          Thank you for your prompt reply. Understood thank you so much. Reply

    10. mike Jan 22, 2019

      as i worked down the mines many years would carpel tunnel syndrome contribute to diabetic neuropathy ??and is it a nerve problem ?? thanks mike bentley. Reply

      • cletax Jan 23, 2019

        Mike Bentley—
        Carpel tunnel is not neuropathy. Carpel tunnel is caused by repetitive actions. It is the entrapped of the median nerve in the wrist. The pain, weakness and numbness can be easily relieved by surgically releasing the trapped nerve. You need to see a hand specialist for evaluation and definitive diagnosis. As a diabetic it is not related to neuropathy but for some unknown reason quite a few diabetics get this. Researchers don’t know why other than state perhaps we have a weak wrist which enables this or that we tend to be in occupations/situations that require repetitive motions. Hope this helps. Reply

        • mike Jan 24, 2019

          thank you Reply

        • Walter Fleuristil Feb 09, 2019

          What you say to Mike is very true Cletax. In principle, there is no relationship between diabetes and the carpal tunnel. However, experience has taught me that in diabetes all symptoms kind can be manifest at one time or another. When I feel this nerve pain stuck either on the hand or on the calf. I always check my blood sugar level. And still, It that I am in a severe hyperglycemia. On the calf, it's very hard, I scream, I call for help but once the sugar under control. cramps like this do not come back. Reply

    11. Smithers Jan 24, 2019

      Indeed. I have just had carpel tunnel operation on right hand. Work with vibrating tools. Operation is great. Done in ten minutes,local anesthetic. Home the same day. Back at work and all is good. Reply

    12. Walter Fleuristil Jan 28, 2019

      Hello. I want to make a small reminder for all those who read my texts on MEDIVIZOR. I do not give medical advice, for your safety and your greater well-being, I strongly advise you to consult your doctor Reply

    13. Feb 02, 2019

      I find these comments very useful in managing my T2D problems. Surprising just how common these adverse T2D symptoms are. Have just purchased an exercise bike to get me going onto the exercise regime as walking at the moment adversely affects my replacement knee. Can any one advise why the medical profession can find cures for rarer problems after spending billions on research yet Diabetics, which affects millions of people, is still not preventable? Reply

      • Walter Fleuristil Feb 18, 2019

        you want my impression it's that the professionals are not very interested. seeing ongoing studies from around the world, we understand that prediabetes is more interesting. I am a former diabetic, I am one of the poorest there is not much interest for me .. They are very interested publishing research that shows that the number of prediabetic and diabetic increases rapidly,. They work a lot on the high technologies, It brings good pays for the one who will discover a point of pressure or a point of high temperature before all the others by using a small electronic gadget. Too much unsuccessful research to find an enzyme, a deviating protein from a restorative molecule. Too much work. But, keep hope. They have good heart. Reply

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