Methods for the treatment of mammals with abnormal glucose tolerance

• US 20060235282A1
• Filed: 03/17/2006
• Published: 10/19/2006
• Est. Priority Date: 03/17/2005
• Status: Abandoned Application

• Current Assignee: Helen Wesolowski, Marjorie Timko
• Original Assignee: Helen Wesolowski, Marjorie Timko
• Inventors: Wesolowski, Helen, Timko, Marjorie
• Application Number:
  US11/377,179
• Publication Number:
  US 20060235282A1
• Time in Patent Office: Days
• US Class Current: 600/300
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 20/60 relating to nutrition control, e.g. diets

Abstract

Disclosed are methods for improving insulin sensitivity and/or glucose metabolism in individuals with abnormal glucose tolerance. Such methods may be used in treating conditions associated with abnormal glucose tolerance and metabolism in mammals, including insulin resistance, insulin resistant metabolic syndrome, impaired glucose tolerance, impaired fasting glucose, hypertension, hypercholestemia and diabetes, particularly Type 2 diabetes.

Claims

1. A method for determining a diet and exercise regimen for a patient in need thereof, comprising conducting a particular physical therapy evaluation and a particular nutritional education evaluation of the patient;

and selecting a diet and exercise regimen for the patient based on the results of those two evaluations.

2. The method according to claim 1, wherein said physical therapy evaluation comprises:

(a) a range of motion/flexibility evaluation;

(b) a muscle strength/endurance evaluation; and

(c) a cardio-respiratory fitness evaluation.

3. The method according to claim 2, wherein said physical therapy evaluation further comprises (d) a body composition evaluation.

4. The method according to claim 2, wherein said range of motion/flexibility evaluation comprises determining range of motion/flexibility for one or more of:

(a) sit and reach;

(b) pectorals;

(c) hamstrings;

(d) tensor fascia latae; and

(e) hip flexors.

5. The method according to claim 2, wherein said muscle strength/endurance evaluation comprises determining one or more of:

(a) left strength;

(b) right grip strength;

(c) number of sit-ups in 60 seconds;

(d) maximum number of push-ups;

(e) one repetition maximum bench press; and

(f) one repetition maximum leg press.

6. The method according to claim 2, wherein said cardio-respiratory fitness evaluation comprises walking on a treadmill for 3 minutes at one or more of:

(a) 1.5 mph, no incline;

(b) 1.7 mph, 5 degrees incline;

(c) 2.5 mph, 7 degrees incline;

(d) 3.0 mph, 9 degrees incline; and

(e) 1.7 mph, 0 degrees incline.

7. The method according to claim 2, wherein said physical therapy evaluation further comprises determining one or more of said patient'"'"'s:

resting heart rate;

heart rate with physical activity;

blood sugar level testing;

blood sugar level reaction to physical activity;

resting blood pressure; and

blood pressure with physical activity.

8. The method according to claim 3, wherein said body composition evaluation comprises determining one of more of said patient'"'"'s:

height;

weight;

neck diameter;

shoulder width;

chest diameter;

abdomen diameter;

waist diameter;

hip diameter;

left bicep diameter;

right bicep diameter;

left forearm diameter; and

right forearm diameter.

9. The method according to claim 8, wherein said body composition evaluation further comprises skin fold measurements at one or more of said patient'"'"'s:

left thigh;

left knee;

left calf;

right thigh;

right knee; and

right calf.

10. The method according to claim 2, wherein said nutritional education evaluation comprises consideration and evaluation of one or more of:

(a) diet history;

(b) medical history;

(c) social implications;

(d) socioeconomic factors; and

(e) motivation level/education limitations.

11. The method according to claim 10, wherein said consideration and evaluation of diet history comprises assessing one or more of:

(a) intake adequacy;

(b) vitamin and/or mineral deficiencies;

(c) caloric and/or carbohydrate abuse;

(d) food group avoidance;

(e) possibility of eating disorder; and

(f) effect of current medications.

12. The method according to claim 10, wherein said consideration and evaluation of medical history comprises assessing one or more of:

(a) risks of co-morbidity;

(b) abnormal laboratory values in body fluids;

(c) possible food/drug interactions;

(d) biometrics/anthropometrics;

(e) basal energy expenditure; and

(f) percentile placement on growth chart.

13. The method according to claim 10, wherein said consideration and evaluation of social implications comprises assessing one or more of the following:

(a) family medical history;

(b) eating habits; and

(c) if said patient is juvenile, said patient'"'"'s personal circumstances for presence of latch-key, school breakfast and/or lunch programs.

14. The method according to claim 13, wherein said assessing of family medical history comprises reviewing for the presence of one or more of:

diabetes;

hypertension;

hypercholesterolemia;

coronary artery disease;

alcoholism;

depression;

drug abuse;

smoking; and

/or gestational diabetes.

15. The method according to claim 10, wherein said consideration and evaluation of socioeconomic factors comprises assessing one or more of the following:

(a) number of family members;

(b) food stamps; and

(c) low or fixed income.

16. The method according to claim 10, wherein said consideration and evaluation of motivation level/education limitations comprises assessing one or more of the following:

(a) reading difficulty;

(b) comprehension challenges;

(c) visual learner; and

(d) inability to read/write.

17. A method for treating a patient suffering from conditions associated with abnormal glucose tolerance and metabolism, comprising selecting a diet and exercise regimen according to the method of claim 1;

prescribing the selected diet and exercise regimen to the patient;

monitoring the results achieved by the patient; and

modifying the diet and/or exercise regimen based on those results.

18. The method according to claim 17, wherein said patient is suffering from insulin resistance, insulin resistant metabolic syndrome, impaired glucose tolerance, impaired fasting glucose, hypertension, hypercholestemia and/or diabetes.

19. The method according to claim 17, wherein said patient has a blood glucose level of 110 mg/dl or higher.

20. The method according to claim 17, wherein said patient has an insulin level of 12 μ

U/ml or higher.