الفهرس | Only 14 pages are availabe for public view |
Abstract Background: type 1 Diabetes Mellitus is a chronic, multifaceted disorder caused by reduction in insulin secretion. One complications of diabetes is cardiovascular autonomic neuropathy (CAN), which resulting in abnormalities in heart rate control and vascular dynamics. Subjects and Methods:Fifty diabetic patients type-1, form both sexes, with autonomic neuropathy, aged from 45 to 65 years old, they were chosen from National Institute for Diabetes and Endocrine Glands, They were assigned to two groups. Study group (A) included twenty five patients (19 men & 6 women), practiced a program of aerobic exercise with intensity from 60 to 75 % of maximal heart rate (HRmax) on treadmill for 40 minutes for 3 sessions / week for three months and received their medical. while control group (B) included twenty five patients (18 men and 7women) they received only their medical treatment. All patients had been evaluated to measure age, Body mass index (BMI), fasting blood glucose, heart rate (HR) responses to valsalva maneuver, HR response to deep breathing, HR response to change of position, systolic blood pressure (BP) response to valsalva maneuver , systolic BP response to sustained hand grip and systolic BP response to change of position. ECG machine and its accessories will be used to do stress test for each patient by attending physician and to monitor heart rate, rhythm, R-R interval and Q-T interval for each patient of both groups before and after the study program |