| Abstract: |
Physical activity and the exercise prescription is an integral component of the diabetes self-management training (DSMT) plan for any patient with diabetes or anyone at risk for developing type 2 diabetes. This article provides guidance for diabetes educators (regardless of health care background) by defining the assessment process and the information required to develop the exercise prescription. Topics include managing diabetes complications such as retinopathy and nephropathy, orthopedic problems, cardiovascular considerations, problems with motivation and psychosocial factors, areas of responsibility for diabetes educators, and the role of physical therapists. The author cautions that the potential risks of beginning an exercise program often have to be balanced with the presence of other diseases, diabetes complications, and medication regimens. The author also examines the contributions of clinical exercise professionals to the diabetes team, specifically within the scope of practice for reimbursement potential. Professional resources are discussed and recommended. The author concludes that diabetes educators from a variety of health care professions are responsible for the successful inclusion of this component into lifestyle behaviors; the multidisciplinary team approach is the preferred delivery system for DSMT. 24 references. |