Management of patients with type 2 diabetes in cardiovascular rehabilitation

Dominique Hansen (Corresponding author), Nicolle Kraenkel, Hareld Kemps, Matthias Wilhelm, Ana Abreu, Andreas Fh Pfeiffer, Alda Jordão, Veronique Cornelissen, Heinz Völler

Research output: Contribution to journalReview articleAcademicpeer-review

Abstract

The clinical benefits of rehabilitation in cardiovascular disease are well established. Among cardiovascular disease patients, however, patients with type 2 diabetes mellitus require a distinct approach. Specific challenges to clinicians and healthcare professionals in patients with type 2 diabetes include the prevalence of peripheral and autonomic neuropathy, retinopathy, nephropathy, but also the intake of glucose-lowering medication. In addition, the psychosocial wellbeing, driving ability and/or occupational status can be affected by type 2 diabetes. As a result, the target parameters of cardiovascular rehabilitation and the characteristics of the cardiovascular rehabilitation programme in patients with type 2 diabetes often require significant reconsideration and a multidisciplinary approach. This review explains how to deal with diabetes-associated comorbidities in the intake screening of patients with type 2 diabetes entering a cardiovascular rehabilitation programme. Furthermore, we discuss diabetes-specific target parameters and characteristics of cardiovascular rehabilitation programmes for patients with type 2 diabetes in a multidisciplinary context, including the implementation of guideline-directed medical therapy.

Original languageEnglish
Pages (from-to)133-144
Number of pages12
JournalEuropean Journal of Preventive Cardiology
Volume26
Issue number2_suppl
DOIs
Publication statusPublished - 1 Dec 2019
Externally publishedYes

Keywords

  • Automobile Driving
  • Blood Glucose/analysis
  • Cardiac Rehabilitation
  • Comorbidity
  • Diabetes Mellitus, Type 2/complications
  • Diet
  • Exercise
  • Exercise Test
  • Exercise Tolerance
  • Health Behavior
  • Humans
  • Hypertension/complications
  • Lipids/blood
  • Mental Health Services
  • Overweight/complications
  • Patient Education as Topic
  • Patient Participation
  • Physical Examination
  • Return to Work
  • Risk Factors
  • Sleep Apnea Syndromes/complications
  • exercise
  • cardiovascular rehabilitation
  • intake screening
  • Diabetes

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