Blood Glucose Response to Aerobic Exercise Training Programme among Patients with Type 2 Diabetes Mellitus at the University of Nigeria Teaching Hospital; Enugu South-East; Nigeria

Background: Control of diabetes involves maintaining normal or near normal blood glucose levels through appropriate therapy: insulin; oral hypoglycemic agents; diet and exercise. The aim of this study was to investigate the blood glucose response to aerobic exercise training among subjects with type 2 diabetes mellitus (T2DM) at University of Nigeria Teaching Hospital (UNTH); Enugu. Materials and Methods: Subjects with diagnosis of T2DM attending the diabetes clinic of the UNTH participated in the study. A total of 54 subjects with T2DM (fasting blood sugar [FBS] of between110 and 225 mg/dl) were randomized into two age matched groups: Exercise (n = 30) and control (n = 24) groups. The exercise group involved in an 8 week continuous training (60-79 heart rate [HR] max) of between 45 and 60 min; 3 times/week; while the controls group remain sedentary. Systolic blood pressure (SBP); diastolic blood pressure (DBP); aerobic fitness (VO 2 max) and FBS were assessed. Analysis of covariance and Pearson correlation tests were used in data analysis. Results: We observed significant effect of exercise training program on; SBP (P = 0.000); DBP (P = 0.007); FBS (P = 0.001) and VO 2 max (P = 0.013). Changes in VO 2 max significantly and negatively correlated with changes in FBS (r = -0.220) at P 0.05. Conclusion: It was concluded that aerobic exercise program is an effective adjunct in controlling blood glucose level among type 2 diabetic subjects

Transcutaneous electrical nerve stimulation (TENS) in the symptomatic management of chronic prostatitis/chronic pelvic pain syndrome: a placebo-control randomized trial

OBJECTIVE: The aim of the study was to investigate the therapeutic efficacy of transcutaneous electrical nerve stimulation (TENS) in the symptomatic management of chronic prostatitis pain/chronic pelvic pain syndrome. DESIGN: A pretest, posttest randomized double blind design was used in data collection. PARTICIPANT: Twenty-four patients diagnosed with chronic prostatitis- category IIIA and IIIB of the National Institute of Health Chronic Pain (NIH-CP) were referred for physiotherapy from the Urology department. Intervention: Pre treatment pain level was assessed using the NIH-CP (pain domain) index. The TENS group received TENS treatment, 5 times per week for a period of 4 weeks (mean treatment frequency, intensity, pulse width and duration of 60Hz, 100µS, 25mA and 20 minutes respectively). The Analgesic group received no TENS treatment but continued analgesics; the Control group received no TENS and Analgesic but placebo. All subjects were placed on antibiotics throughout the treatment period. Outcome measures: Post-treatment pain level was also assessed using NIH-CP pain index. RESULT: Findings of the study revealed significant effect of TENS on chronic prostatitis pain at p < 0.05. CONCLUSION: TENS is an effective means of non-invasive symptomatic management of chronic prostatitis pain.