Kitsap Physical Therapy and Sports Clinics

Kitsap physical therapy offers a program for individuals with Diabetes to assist with managing the condition and restoring a healthy lifestyle. Diabetes results from impaired insulin production (type 1) or impaired cellular sensitivity/utilization of insulin (type 2). The body uses insulin to get sugar (glucose) into the cells to be used for energy. When that process is disrupted and the body can't get glucose into the cells, the excess sugar remains in the bloodstream and causes damage throughout the body. This damage includes:

Small blood vessel complications:
  • Retinopathy (leads to vision loss)
  • Neuropathy
  • Autonomic (leads to cardiomyopathy)
  • Peripheral (leads to impaired sensation and poor balance)
  • Nephropathy (leads to renal failure)
Large blood vessel complications:
  • Coronary Artery Disease (CAD)
  • 2-4x higher incidence with diabetes
  • Stroke
  • Increased risk with diabetes
  • More severe neurological deficits following
  • Worse long-term prognosis
  • Higher incidence of reoccurrence
  • Peripheral Artery Disease
      • Intermittent claudication and pain
      • 15x more likely to have LE amputation

The good news is that exercise allows glucose to enter the cell without the use of insulin. So, whether your diabetes is caused by a lack of insulin or a lack of cellular sensitivity to insulin, exercise can bridge the gap and assist in controlling glucose levels within the blood stream. Exercise can help lower blood glucose levels, assist in weight loss (decrease BMI), help lower blood pressure, improve balance and decrease risk of falls, improve energy levels and activity tolerance, and decrease joint pain.

The challenge is getting started with a safe and effective exercise program. At Kitsap Physical Therapy, your physical therapist can help design an exercise program specific to your individual needs, that takes into consideration your current fitness level, and any joint pain or injuries you may already have. We will work with you throughout this process, answering any questions/concerns that arise along the way.

This program will consist of multiple components that may include:
  • Cardiovascular exercise for endurance to improve activity tolerance
  • Upper and lower body strengthening to assist with performing functional tasks
  • Balance exercises to decrease risk of falls and improve safety education on fall prevention
  • Pedometer program to track increased activity participation
  • Home exercises to reinforce/progress what was done under therapist supervision
  • Education on safe exercise practice and progression
  • Education on monitoring response to exercise (heart rate/pulse, rate of exertion, glucose levels)

Re-gain range of motion, strength and function!