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.

journal_name

Eur J Prev Cardiol

authors

Hansen D,Kraenkel N,Kemps H,Wilhelm M,Abreu A,Pfeiffer AF,Jordão A,Cornelissen V,Völler H

doi

10.1177/2047487319882820

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

133-144

issue

2_suppl

eissn

2047-4873

issn

2047-4881

journal_volume

26

pub_type

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