The Usefulness of Low-Intensity Physical Activity Management for Malaise in Type 2 Diabetic Patients after Ablation

• Published in: Japanese Journal of Public Health Physical Therapy Vol. 8; no. 1; pp. 21 - 24
• Format: Journal Article
• Language: English
• Published: Japanese Society of Public Health Physical Therapy 2021
• ISSN: 2189-5899
• DOI: 10.24642/jjphpt.8.1_21

Purpose:To report the data and subjective evaluation of the progress of the application and appropriate use of low-intensity physical activity management techniques to improve the symptoms of daily inactivity due to general malaise experienced by myself.Subjects and methods:　A case of type 2 diabetes mellitus at the age of 35 years, who had been living with good glycemic control for 17 years, had a gradual increase in A1C in the 18th year, from 6.2% to 12% in one year, and then increased the dose of SGLT2 for one year, and lowered it to 9.0% at Febrary2020.The patient was assessed for general malaise and inactivity on a 10-point scale using a POLAR M430 active tracker with 24-hour pulse and postural recording and a SPO2 meter, and physical activity management. The number of times per day that the heart rate rose above one hundred beats immediately after an ADL activity was monitored.Results:Immediately after discharge from hospital, general malaise was nine, daily inactivity eight and number of spikes twenty. Measure A was implemented for 2 months. The patient had a general malaise of nine, a decrease in daily activity of eight, and a steepness of fifteen. The A1C was 10%. At 18 months, Measure D was terminated, and Measure A was implemented. At this point, general malaise had improved to three, daily activity had decreased to three, the number of spikes had decreased to two, and the resting HR level at sleep had recovered to 66 bpm. The A1C was 9.0%. At this point, the patient was no longer anxious about the occurrence of sudden onset of motor fatigue associated with activities of daily living.Conclusion:Low-intensity physical activity management techniques, together with glycemic control, were found to be effective in the treatment of symptoms of reduced daily activity due to general malaise, using active trackers and SPO2 meters. We present an example of the use of low-intensity physical activity management as a method of improving these symptoms.