TY - JOUR
T1 - Management of patients with type 2 diabetes in cardiovascular rehabilitation
AU - Hansen, Dominique
AU - Kraenkel, Nicolle
AU - Kemps, Hareld
AU - Wilhelm, Matthias
AU - Abreu, Ana
AU - Pfeiffer, Andreas Fh
AU - Jordão, Alda
AU - Cornelissen, Veronique
AU - Völler, Heinz
PY - 2019/12/1
Y1 - 2019/12/1
N2 - 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.
AB - 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.
KW - Automobile Driving
KW - Blood Glucose/analysis
KW - Cardiac Rehabilitation
KW - Comorbidity
KW - Diabetes Mellitus, Type 2/complications
KW - Diet
KW - Exercise
KW - Exercise Test
KW - Exercise Tolerance
KW - Health Behavior
KW - Humans
KW - Hypertension/complications
KW - Lipids/blood
KW - Mental Health Services
KW - Overweight/complications
KW - Patient Education as Topic
KW - Patient Participation
KW - Physical Examination
KW - Return to Work
KW - Risk Factors
KW - Sleep Apnea Syndromes/complications
KW - exercise
KW - cardiovascular rehabilitation
KW - intake screening
KW - Diabetes
UR - http://www.scopus.com/inward/record.url?scp=85075212492&partnerID=8YFLogxK
U2 - 10.1177/2047487319882820
DO - 10.1177/2047487319882820
M3 - Review article
C2 - 31722560
SN - 2047-4873
VL - 26
SP - 133
EP - 144
JO - European Journal of Preventive Cardiology
JF - European Journal of Preventive Cardiology
IS - 2_suppl
ER -
