Management of patients with type 2 diabetes in cardiovascular rehabilitation

Dominique Hansen; Nicolle Kraenkel; Hareld Kemps; Matthias Wilhelm; Ana Abreu; Andreas Fh Pfeiffer; Alda Jordão; Veronique Cornelissen; Heinz Völler

doi:10.1177/2047487319882820

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 journal › Review article › Academic › peer-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 language	English
Pages (from-to)	133-144
Number of pages	12
Journal	European Journal of Preventive Cardiology
Volume	26
Issue number	2_suppl
DOIs	https://doi.org/10.1177/2047487319882820
Publication status	Published - 1 Dec 2019
Externally published	Yes

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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10.1177/2047487319882820

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title = "Management of patients with type 2 diabetes in cardiovascular rehabilitation",

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.",

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author = "Dominique Hansen and Nicolle Kraenkel and Hareld Kemps and Matthias Wilhelm and Ana Abreu and Pfeiffer, {Andreas Fh} and Alda Jord{\~a}o and Veronique Cornelissen and Heinz V{\"o}ller",

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Management of patients with type 2 diabetes in cardiovascular rehabilitation. / Hansen, Dominique (Corresponding author); Kraenkel, Nicolle; Kemps, Hareld; Wilhelm, Matthias; Abreu, Ana; Pfeiffer, Andreas Fh; Jordão, Alda; Cornelissen, Veronique; Völler, Heinz.

In: European Journal of Preventive Cardiology, Vol. 26, No. 2_suppl, 01.12.2019, p. 133-144.

Research output: Contribution to journal › Review article › Academic › peer-review

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AU - Pfeiffer, Andreas Fh

AU - Jordão, Alda

AU - Cornelissen, Veronique

AU - Völler, Heinz

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