Patients with type 2 diabetes (T2DM) should undergo a thorough screening assessment when entering cardiovascular rehabilitation programmes, which includes assessment of glycaemic control, co-morbidities and functional status.
That is according to a new paper in the European Journal of Preventive Cardiology, which discusses the management of patients with T2D in cardiovascular rehabilitation.
The paper recommends that at entry to rehabilitation, the presence of microvascular and macrovascular complications should be assessed, with special attention paid to silent myocardial ischaemia during cardiopulmonary exercise testing (CPET), which may be present in one-fifth of T2DM patients. Other assessments include examination of the orthopaedic system, nutritional and psychosocial co-morbidities and functional status.
A target HbA1c of
Recommendations are also made regarding physical activity and exercise training, with the authors recommending blood glucose monitoring by capillary measurements during the first weeks of exercise training programmes.
Amongst the other recommendations is that T2DM patients should receive education and personalised counselling to facilitate self-management.