1. The Combined Effect of Neuromuscular Electrical Stimulation and Insulin Therapy on Glycated Hemoglobin Concentrations, Lipid Profiles and Hemodynamic Parameters in Patients with Type-2-Diabetes and Hemiplegia Related to Ischemic Stroke: A Pilot Study
- Author
-
Anna Polak, Piotr Król, Maja Rubinowicz-Zasada, Cezary Kucio, Krzysztof Wierzbicki, Petr Stastny, and Ewa Kucio
- Subjects
endocrine system diseases ,Health, Toxicology and Mutagenesis ,medicine.medical_treatment ,hemiplegia ,Hemodynamics ,lcsh:Medicine ,030209 endocrinology & metabolism ,Stimulation ,Electric Stimulation Therapy ,Pilot Projects ,Type 2 diabetes ,neuromuscular electrical stimulation (NMES) ,030204 cardiovascular system & hematology ,Article ,law.invention ,Brain Ischemia ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Randomized controlled trial ,law ,medicine ,ischemic stroke ,Humans ,Insulin ,physical therapy ,Glycated Hemoglobin ,Cholesterol ,business.industry ,lcsh:R ,Public Health, Environmental and Occupational Health ,nutritional and metabolic diseases ,type 2 diabetes mellitus (T2DM) ,medicine.disease ,Lipids ,Electric Stimulation ,Stroke ,Blood pressure ,chemistry ,Diabetes Mellitus, Type 2 ,Anesthesia ,Glycated hemoglobin ,business - Abstract
Type-2-diabetes mellitus (T2DM) is a global problem of medical, social and economic consequences. Physical activity is a vital therapy in patients with T2DM, but some of them cannot exercise for various reasons. The purpose of our pilot study was to determine whether a combination of neuromuscular electrostimulation (NMES) and insulin therapy could improve the management of T2DM patients with hemiplegia caused by an ischemic stroke. Fifteen immobile patients with T2DM on insulin therapy were enrolled in the study. NMES was applied to their lower limbs for 60 min, 5 days a week, over a period of 12 weeks. The intervention caused statistically significant reductions in the blood concentrations of glycated hemoglobin, total cholesterol and low-density cholesterol in the participants. Furthermore, systolic and diastolic blood pressure levels were significantly lower. More randomized clinical trials are needed to accurately measure the effect of NMES on T2DM treatment and to determine whether it can be an alternative for physical activity for immobile patients with T2DM.
- Published
- 2021