T2 Diabetes: Breaking Down the HUR Medical Concepts #1

What are the HUR Medical Concepts?

The medical concepts are ready to use templates, questionnaires and training programmes that are integrated into the SmartTouch software that save time for professionals by erasing the need to perform mundane tasks. After performing a short test, the system will personalize a comprehensive program for the individual based on the medical concept selected. This automated solution enables group instruction and maximizes efficiency.


An Introduction to T2 Diabetes

T2D is a progressive condition where the body becomes resistant to the normal effects of insulin. It is characterized by chronic hyperglycemia due to decreased insulin secretion, insulin action or both. The diagnosis of T2D is based on the level of glucose at which retinopathy occurs, but macrovascular complications, such as coronary, cerebrovascular and peripheral artery disease, appear earlier and are often present when T2D is diagnosed. It has been reported that over 60% of people with T2D develop a cardiovascular disease. The number of people associated with T2D has increased rapidly since the 1980’s - where it was roughly 100m - to 2014 where 440 million people face this issue.

Along with a structured diet and medical treatment, exercise has been proven to be a crucial component in the treatment of T2D. Exercise increases energy demand and glucose and fatty acid uptake into active muscles and a greater part of energy is produced from glucose when exercise intensity is increased. In addition to glucose metabolism, regular exercise training and increased daily habitual physical activity have direct effects on several risk factors in subjects with T2D including increased muscle mass and cardiorespiratory fitness, decreased LDL cholesterol, decreased blood pressure, improved weight management, reduction of symptoms of depression, and improved health-related quality of life. The HUR T2D concept aids healthcare professionals with providing the best practice exercise as medicine, guided by the most recent international treatment guidelines, to help people with T2D engage in regular physical exercise and utilize a training program.


The Role of Strength Training

The HUR type 2 diabetes (T2D) concept is designed to be used in strength training as a therapeutic modality in treatment of T2D by using HUR’s Natural Transmission method. The Natural Transmission Method is a resistance strength training method based on pneumatic technology. The method allows for resistance to be adapted in response to the muscle’s own force production, regardless of the speed of movement. An intelligent technology system for automated reporting, close to zero starting load, 100 g/1 kg increments in resistance, range limiters and additional support with connected outcome measures to document the effectiveness, enables the T2D patient to start strength training safely when on appropriate medication.

Both regular endurance and strength training are important determinants in the treatment of T2D. Since skeletal muscle is the primary tissue for glucose and triglyceride metabolism and a crucial determinant of resting metabolic rate, the role of strength training is essential. It is necessary to train skeletal muscle groups separately to maximize whole body skeletal muscle fiber recruitment. Therefore, regular strength training should be an integral part of daily life of persons with T2D. Strength training in persons with T2D is feasible, well tolerated, and beneficial. It is also worth mentioning that, in addition physiological health benefits, strength training is associated with improvements in quality of life. 40 Outcome measures In order to gather information on the baseline status and effectiveness of exercise training, each patient is evaluated individually. The main target is to achieve and maintain optimal blood glucose. Since both cardiorespiratory and muscle fitness have prognostic value in T2D patients, they can be recommended as main outcome measures of exercise training interventions. Assessment of lipid profile, blood pressure, and body weight are highly recommended to be used as outcome measures. Furthermore, when existing comorbidities or other needs are registered, other appropriate outcome measures may be performed. These may include assessment of balance, questionnaires related to an individual’s experience of pain, symptoms of depression, and health-related quality of life. The maximal isometric strength of big muscle groups can be evaluated by the HUR Performance Recorder for the assessment of side-to-side differences and to document changes in strength after the intervention. The Performance Recorder can be directly connected to all HUR exercise machines that are equipped with the isometric testing sensor attachment.

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Filip Alexander