PMID- 33810235 OWN - NLM STAT- MEDLINE DCOM- 20210426 LR - 20221207 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 18 IP - 7 DP - 2021 Mar 26 TI - The Combined Effect of Neuromuscular Electrical Stimulation and Insulin Therapy on Glycated Hemoglobin Concentrations, Lipid Profiles and Hemodynamic Parameters in Patients with Type-2-Diabetes and Hemiplegia Related to Ischemic Stroke: A Pilot Study. LID - 10.3390/ijerph18073433 [doi] LID - 3433 AB - Type-2-diabetes mellitus (T2DM) is a global problem of medical, social and economic consequences. Physical activity is a vital therapy in patients with T2DM, but some of them cannot exercise for various reasons. The purpose of our pilot study was to determine whether a combination of neuromuscular electrostimulation (NMES) and insulin therapy could improve the management of T2DM patients with hemiplegia caused by an ischemic stroke. Fifteen immobile patients with T2DM on insulin therapy were enrolled in the study. NMES was applied to their lower limbs for 60 min, 5 days a week, over a period of 12 weeks. The intervention caused statistically significant reductions in the blood concentrations of glycated hemoglobin, total cholesterol and low-density cholesterol in the participants. Furthermore, systolic and diastolic blood pressure levels were significantly lower. More randomized clinical trials are needed to accurately measure the effect of NMES on T2DM treatment and to determine whether it can be an alternative for physical activity for immobile patients with T2DM. FAU - Rubinowicz-Zasada, Maja AU - Rubinowicz-Zasada M AD - Doctoral School, The Jerzy Kukuczka Academy of Physical Education, 72A Mikolowska Str., 40-065 Katowice, Poland. AD - Department of Neurology, Silesian Hospital, 4 Bielska Str, 43-400 Cieszyn, Poland. FAU - Kucio, Ewa AU - Kucio E AUID- ORCID: 0000-0003-1726-5518 AD - Institute of Physiotherapy and Health Sciences, The Jerzy Kukuczka Academy of Physical Education, 72A Mikolowska Str., 40-065 Katowice, Poland. FAU - Polak, Anna AU - Polak A AUID- ORCID: 0000-0003-3445-1099 AD - Institute of Physiotherapy and Health Sciences, The Jerzy Kukuczka Academy of Physical Education, 72A Mikolowska Str., 40-065 Katowice, Poland. FAU - Stastny, Petr AU - Stastny P AUID- ORCID: 0000-0003-2841-374X AD - Laboratory Physical Training Adaptation, Faculty of Physical Education and Sport, Charles University, Ovocny trh 5, 11636 Prague, Czech Republic. FAU - Wierzbicki, Krzysztof AU - Wierzbicki K AUID- ORCID: 0000-0001-5019-581X AD - Department of Medicine and Dentistry in Zabrze, The Silesian Medical University, 2 Traugutta Str., 40-055 Katowice, Poland. FAU - Krol, Piotr AU - Krol P AUID- ORCID: 0000-0001-7673-4375 AD - Institute of Physiotherapy and Health Sciences, The Jerzy Kukuczka Academy of Physical Education, 72A Mikolowska Str., 40-065 Katowice, Poland. FAU - Kucio, Cezary AU - Kucio C AUID- ORCID: 0000-0003-3884-9555 AD - Institute of Physiotherapy and Health Sciences, The Jerzy Kukuczka Academy of Physical Education, 72A Mikolowska Str., 40-065 Katowice, Poland. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210326 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 RN - 0 (Glycated Hemoglobin A) RN - 0 (Insulin) RN - 0 (Lipids) SB - IM MH - *Brain Ischemia MH - *Diabetes Mellitus, Type 2/complications/therapy MH - Electric Stimulation MH - *Electric Stimulation Therapy MH - Glycated Hemoglobin MH - Hemiplegia MH - Hemodynamics MH - Humans MH - Insulin/therapeutic use MH - *Ischemic Stroke MH - Lipids MH - Pilot Projects MH - *Stroke PMC - PMC8036261 OTO - NOTNLM OT - hemiplegia OT - ischemic stroke OT - neuromuscular electrical stimulation (NMES) OT - physical therapy OT - type 2 diabetes mellitus (T2DM) COIS- The authors declare no conflict of interest. EDAT- 2021/04/04 06:00 MHDA- 2021/04/27 06:00 PMCR- 2021/03/26 CRDT- 2021/04/03 01:35 PHST- 2021/03/14 00:00 [received] PHST- 2021/03/24 00:00 [accepted] PHST- 2021/04/03 01:35 [entrez] PHST- 2021/04/04 06:00 [pubmed] PHST- 2021/04/27 06:00 [medline] PHST- 2021/03/26 00:00 [pmc-release] AID - ijerph18073433 [pii] AID - ijerph-18-03433 [pii] AID - 10.3390/ijerph18073433 [doi] PST - epublish SO - Int J Environ Res Public Health. 2021 Mar 26;18(7):3433. doi: 10.3390/ijerph18073433.