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Download som PDF<\/a><\/p>\n Introduktion<\/strong> Resultater Konklusion Implikationer for praksis Kontaktoplysninger<\/strong> Download som PDF Introduktion Diabetespatienter har en \u00f8get risiko for at udvikle seneskader, hvilket kan skyldes en l\u00e6ngerevarende sv\u00e6kkelse af […]<\/p>\n","protected":false},"author":1,"featured_media":12681,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_ppp_document_settings_meta":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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\n<\/span>Diabetespatienter har en \u00f8get risiko for at udvikle seneskader, hvilket kan skyldes en l\u00e6ngerevarende sv\u00e6kkelse af bindev\u00e6vet p\u00e5 grund af metabolisk ubalance. Vi unders\u00f8gte, om den nuv\u00e6rende standardbehandling af type 2-diabetes, som reducerer blodsukker- og lipidniveauet, ogs\u00e5 reducerer risikoen for seneskader. Dette var endnu ikke blevet unders\u00f8gt.
\n<\/span>
\nMetode
\n<\/span><\/strong>I det randomiserede fors\u00f8g Diabetes Care in General Practice blev 484 almenpraktiserende l\u00e6ger randomiseret til at levere enten den nuv\u00e6rende standardbehandling eller datidens rutinebehandling for type 2-diabetes til 1.381 personer, som netop havde f\u00e5et diagnosen. Standardbehandlingen inkluderede 3-m\u00e5nedlige l\u00e6gebes\u00f8g med bl.a. livsstilsr\u00e5d som \u00f8get fysisk aktivitet. Vi estimerede risikoen for seneskader i de 6 \u00e5r, studiet p\u00e5gik med den tildelte behandling, samt i en 13-\u00e5rig opf\u00f8lgningsperiode med standardbehandlingen, som p\u00e5 det tidspunkt var blevet indf\u00f8rt i almen l\u00e6gepraksis i Danmark. Oplysninger om seneskader blev indhentet fra den Danske Nationale Patientdatabase, og forekomsten af seneskader blev analyseret med multivariat Cox-regression.<\/span><\/p>\n
\n<\/span><\/strong>Standardbehandlingen \u00f8gede langtidsrisikoen for seneskader i underekstremiteterne 9-fold (P = 0,0276). Ingen andre statistisk signifikante resultater blev fundet.<\/span><\/p>\n
\n<\/span><\/strong>Indf\u00f8relsen af standardbehandlingen for type 2-diabetes forbedrede diabetesparametre, men \u00f8gede risikoen for seneskader i underekstremiteterne af ukendte \u00e5rsager. Dette rejser bekymringer om, at nutidens behandlingselementer, som medicinering, v\u00e6gttab og \u00f8get fysisk aktivitet, kan \u00f8ge risikoen for seneskader.<\/span><\/p>\n
\n<\/span><\/strong>Personer med type 2-diabetes og deres tilknyttede sundhedsprofessionelle b\u00f8r v\u00e6re opm\u00e6rksomme p\u00e5 den \u00f8gede risiko for seneskader. Eftersom senerne hos type 2-diabetikere t\u00e5ler mindre belastning end hos raske, b\u00f8r tr\u00e6ningsprogressionen styres n\u00f8je hos denne patientgruppe.<\/span><\/p>\n
\nMartin Bj\u00f8rn Stausholm er uddannet fysioterapeut, cand.scient. i fyisoterapi og PhD og er tilknyttet Department of Physical and Occupational Therapy, Bispebjerg-Frederiksberg Hospitals, Copenhagen, Denmark, Institute of Sports Medicine Copenhagen, Department of Orthopedic Surgery, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark, Center for Healthy Aging, Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark og Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway. E-mail: <\/span>m.b.stausholm@gmail.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"