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Diabetes-Related Microvascular and Macrovascular Diseases in the Physical Therapy Setting

Publication ,  Journal Article
Cade, WT
Published in: Physical Therapy
November 1, 2008

Physical therapists commonly treat people with diabetes for a wide variety of diabetes-associated impairments, including those from diabetes-related vascular disease. Diabetes is associated with both microvascular and macrovascular diseases affecting several organs, including muscle, skin, heart, brain, and kidneys. A common etiology links the different types of diabetes-associated vascular disease. Common risk factors for vascular disease in people with diabetes, specifically type 2 diabetes, include hyperglycemia, insulin resistance, dyslipidemia, hypertension, tobacco use, and obesity. Mechanisms for vascular disease in diabetes include the pathologic effects of advanced glycation end product accumulation, impaired vasodilatory response attributable to nitric oxide inhibition, smooth muscle cell dysfunction, overproduction of endothelial growth factors, chronic inflammation, hemodynamic dysregulation, impaired fibrinolytic ability, and enhanced platelet aggregation. It is becoming increasingly important for physical therapists to be aware of diabetes-related vascular complications as more patients present with insulin resistance and diabetes. The opportunities for effective physical therapy interventions (such as exercise) are significant.

Duke Scholars

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Published In

Physical Therapy

DOI

EISSN

1538-6724

ISSN

0031-9023

Publication Date

November 1, 2008

Volume

88

Issue

11

Start / End Page

1322 / 1335

Publisher

Oxford University Press (OUP)

Related Subject Headings

  • Rehabilitation
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences
 

Citation

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ICMJE
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Cade, W. T. (2008). Diabetes-Related Microvascular and Macrovascular Diseases in the Physical Therapy Setting. Physical Therapy, 88(11), 1322–1335. https://doi.org/10.2522/ptj.20080008
Cade, W Todd. “Diabetes-Related Microvascular and Macrovascular Diseases in the Physical Therapy Setting.” Physical Therapy 88, no. 11 (November 1, 2008): 1322–35. https://doi.org/10.2522/ptj.20080008.
Cade, W. Todd. “Diabetes-Related Microvascular and Macrovascular Diseases in the Physical Therapy Setting.” Physical Therapy, vol. 88, no. 11, Oxford University Press (OUP), Nov. 2008, pp. 1322–35. Crossref, doi:10.2522/ptj.20080008.
Cade WT. Diabetes-Related Microvascular and Macrovascular Diseases in the Physical Therapy Setting. Physical Therapy. Oxford University Press (OUP); 2008 Nov 1;88(11):1322–1335.
Journal cover image

Published In

Physical Therapy

DOI

EISSN

1538-6724

ISSN

0031-9023

Publication Date

November 1, 2008

Volume

88

Issue

11

Start / End Page

1322 / 1335

Publisher

Oxford University Press (OUP)

Related Subject Headings

  • Rehabilitation
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences