Physical Exercise versus Drug-based Interventions in Better Glycemic Control

Management of Type 2 Diabetes Through Physical Therapy: Qualitative and Quantitative Studies
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Management of Type 2 Diabetes Through Physical Therapy: Qualitative and Quantitative Studies
Introduction: Nursing Practice Problem and PICOT Question
Adopting physical activity therapy is critical for maintaining a healthy glucose balance in the body and improving positive health outcomes in diabetic patients. Physical exercises consist of structured movements that enhance energy consumption to provide optimal benefits to patients. Each individual’s needs determine the physician’s recommendations for maximum benefits in terms of length of the condition, body weight, and body fats. In essence, such structured exercises can either be moderate or intense. The current paper seeks to determine whether exercise results in better glycemic control in comparison with drug-based interventions. Thus, in patients with type 2 diabetes, does exercise result in glycemic control compared to drug therapy as a primary intervention? To address the question, the paper focuses on four critical peer-reviewed articles.
Background of Articles
It is unclear whether a lifestyle intervention is likely to maintain glycemic control in patients with type 2 diabetes. Based on this premise, Johansen et al. (2017) tested whether an intensive lifestyle intervention can result in equivalent glycemic control compared to standard care. The research question in the article is; “can an intensive lifestyle intervention attain glycemic control comparable with standard care in patients with type 2 diabetes?” (Johansen et al., 2017). The authors compared standard methods of care with intensive interventions in terms. Hence, glycemic control outcomes in a similar approach (randomized controlled trial). Heisknen et al. (2018) hypothesized that while exercise training improves whole-body insulin sensitivity, its effects on pancreatic fat content and beta-cell dysfunction remain unknown. Therefore, the motive of the study was to evaluate the effects of exercise on pancreatic fat and beta-cell function.
In a different study, Miyauchi et al. (2016) compared the efficacy of activity motor versus pedometer in exercise therapy among patients with type 2 diabetes. The study’s primary goals were to improve hemoglobin A1c (HbA1c) in type 2 diabetes patients. Miyauchi et al.’s (2016) work is essential to the current project because it informs the extent to which physical therapy can influence positive health outcomes. Further, taking a different approach to the topic, Heden et al. (2018) aimed to establish comparisons between adipose tissue interstitial glucose and venous blood glucose during a postprandial resistance training exercise in patients diagnosed with type 2 diabetes. The source is essential for the current paper because it provides a different view of which exercise impacts health outcomes in patients with type 2 diabetes.
How do these four articles support the nurse practice issue you chose?
The article by Johansen et al. (2017) is closely related to the current article’s topic (PICOT question) on several front...