The use of exercise to reduce the a1c level of patients with type 2 diabetes
WEEK 5
The physiological effect of the different regiment of exercise on hemoglobin A1C in patients with type 2 diabetes forms the bases of my clinical research question. Aerobic exercises on patients with type II diabetes have a significant impact on HbA1C, BMI, and Vo2 max (P<0.05) (Snowling, & Hopkins,2016). Compared with those patients who do not exercise, the HbA1C was found to reduce significantly while BMI and Vo2 levels improved. In the articles I based on evidence-based research, I found that exercise helps improve glycemic control, body composition, and cardiovascular fitness among patients with T2DM. Further research is needed to evaluate the long term effects of exercise on biological indicators of the patients.
The decrease in the level of health behaviors like physical exercise and nutrition is the current cause of increasing lifestyle-related chronic physical and psychological problems. I found that aerobic workouts have a significant effect on the metabolism of nutrients, and particularly diminishing the blood glucose levels. Therefore, regular exercises play a vital role in the treatment of diabetes. Epidemiological analysis indicated that a 1% reduction in HbA1C is equivalent to reducing 14% of myocardial infarction cases and a 21% reduction in diabetes-related deaths and a 37% reduction of microvascular complications.. Don't use plagiarised sources.Get your custom essay just from $11/page
Researching on EBP nursing articles expounded my knowledge on the management of diabetic type II and related complications. Although exercise is the key in preventing obesity and insulin resistance: bedside diet control and medication treatment, regular exercise consequently improves glycemic control, reduce cardiovascular risk factors, weight loss and improve the general wellbeing of patients (Snowling, & Hopkins, 2016). A meta-analysis concluded that although there is an inevitable decline in VO2 max, regular aerobic exercise training results in better fitness adaptations.
WEEK 6
With a good understanding of evidence-based research practice and its difference from research, conducting a critical analysis of the articles based on clinical research is reflective. Reading the different perspectives of my peers has also been resourceful in expanding my thinking and identifying the critical elements of the effect of physical exercises in HbA1c levels in diabetic patients. Sigal and Kenie et al. 2016 stated that aerobic workouts have resulted in the loss of weight 10-15%, increasing insulin sensitivity, which is beneficial at the early stages of T2DM progression, when insulin secretion is still adequate.
The incidence of diabetes type II worldwide has been attributed to the increased prevalence of obesity and sedentary lifestyles (Tiffany et al. 2015). Exercise also helps in lowering blood pressure, which is a contributing factor to heart attacks, eye problems, stroke, and kidney failures in diabetic patients. In reducing the A1c levels, moderate exercise such as walking increases heart rate and breathing rate, the muscles use more glucose, increasing the effectivity of insulin use in the body. Besides, strenuous exercises must be avoided because blood sugar levels increase temporarily when exercises are stopped. Also, it can increase the production of stress hormones, which increases blood sugar.
A critical appraisal enables an individual to determine the validity of the methods of data analysis, findings, and the accuracy of conclusions. EBP and research help in evaluating articles on quality, credibility, and their appropriateness. Physical activity and exercises should be tailored to meeting individual specific needs. This is because blood glucose management varies with the type of diabetes, activity type, and presence of diabetes-related complications. It has been concluded that adults with T2Dm should perform both aerobic and resistance exercise to attain optimal glycemic control and positive health outcomes.
WEEK 7
An evidence synthesis paper involves incorporating support from several sources of different views and requires an individual to examine various sources to be able to identify the existing relationships. Evidence-based research and critical appraisal build or motivate an individual to read as many articles as possible to obtain the right information and identify the essential components in journal articles. In writing my evidence synthesis paper regarding the effect of exercise in managing T2DM, I read several articles on the importance of exercise on reducing HbA1c.
According to Yavari, Hajiyev, & Naghizadeh (2010), at the end of 16 weeks, the levels of A1c reduced in patients who exercised compared to those who do not exercise. The foundation of diabetes management is exercise, diet, and medications. Besides, lifestyle rehabilitation programs such as group-based instructions, physical activity, weight loss, and nutrition affect the prevention, development, and treatment of diabetes. Regular physical exercise is important in lowering resting and submaximal heart rate, cardiorespiratory fitness, enhanced oxygen extraction, lower blood pressure, enhanced insulin sensitivity, and increased energy expenditure (Sigal and Kenny et al. 2016).
Exploring different models of exercise has helped in obtaining an effective way of lowering HbA1c levels in T2DM. Incorporating both aerobic and resistance exercises in daily physical training of diabetic patients within the same hours of instruction in a week proved to have a significant impact in reducing the HbA1c levels (Snowling, & Hopkins,2016). To ensure that there are reduced diabetes-related complications, it is important to train the patients and involve them why the rationale of the intervention to foster self-drive. Therefore, incorporating EBP in the management of diabetes is the best strategy, and it will help in obtaining desired patient outcomes.
WEEK 8
My PICOT question for this clinical assignment is: are male patients 18-60 years, currently on metformin or insulin using exercise 45minutes three times a week compared to those who do not exercise, have a reduction in their A1C lever over three months’ period?
I am glad that I have completed this chapter successfully, and it has been a great experience. Ranging from differentiating EBP from research to incorporating them in my daily practice as a nurse and improving patient outcomes. The process was tedious, and it required effective time management and self-drive to complete all the assignments. I learned a lot from reading several articles as directed by the course work, and I have developed a reading culture that is a health behavior in the nursing profession.
This topic was important to me as I have seen many diabetic patients die from complications that can be easily managed through combining their treatment therapies with exercises. Many mortality cases occur due to diabetes, and it is our role to implement evidence-based practices to increase patient life expectancy and improve patient outcomes both in homes and hospitals. Nurses can enhance the quality of life for patients by finding solutions to problems by implementing Evidence-based practice and nursing research.
The learning process was well structured, organized, and productive, and I can say that it met my expectations. I acquired an enormous amount of knowledge and skills that I can incorporate into my daily nursing practice. By comparing my level of diabetes understanding in week one and week, I can firmly say that research is the key to solving and satisfying our thirst for knowledge. Reading the PICOT questions for my peers and responding to them has expanded my understanding and knowing the importance of professionalism. I can conclude by saying that EBP and research in health care is an effective way of satisfying personal and patient needs and expectations.
References
Sigal, R. J., Kenny, G. P., Boulé, N. G., Wells, G. A., Prud’homme, D., Fortier, M., … & Jennings, A. (2017). Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes: a randomized trial. Annals of internal medicine, 147(6), 357-369.
Sigal, R. J., Kenny, G. P., Wasserman, D. H., Castaneda-Sceppa, C., & White, R. D. (2016). Physical activity/exercise and type 2 diabetes: a consensus statement from the American Diabetes Association. Diabetes care, 29(6), 1433-1438.
Snowling, N. J., & Hopkins, W. G. (2016). Effects of different modes of exercise training on glucose control and risk factors for complications in type 2 diabetic patients: a meta-analysis. Diabetes care, 29(11), 2518-2527.
Tiffany L. Gary-Webb, Aida L. Maisonet Giachello, Krista Maier, Heather Skrabak
Clinical Diabetes Jul 2015, 32 (3) 140-143; DOI: 10.2337/diaclin.32.3.140
Yavari, A., Hajiyev, A. M., & Naghizadeh, F. (2010). The effect of aerobic exercise on glycosylated hemoglobin values in type 2 diabetes patients. Journal of sports medicine and physical fitness, 50(4), 501.