Heart failure patients with abnormal glucose metabolism
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: a.Those who start cardiac rehabilitation in patients with heart failure in the hospital, or have started a rehabilitation already, who has passed for more than fourty eight hours from the previous exercise b.Age of consent at the time of obtaining 65 years of age or older c.Patients with HOMA-R> 2.5 or more or type2 diabetes patient (diabetes treatment guiding criterion) d.There is no change of oral during the period e.Patient consent was obtained in writing from the person for this study participants f.Patient with 6MWT<350m
Exclusion criteria
Exclusion criteria: a. Patients who are considered by the unstable mental state and decrease in comprehension, participation in this study is difficult b. Unstable patients with hemodynamic NYHA4, degrees arrhythmia control is unstable c. Severe disease; severe heart failure EF20% less than, severe Aortic stenosis, cirrhosis d. Patients who can not exercise and walk due to a failure functional by cerebrovascular disease and orthopedic problems e. Patients with inflammatory active disease f. Dialysis patient g.Patients with insulin therapy h. Patients of 300mg/dl or more fasting blood glucose or urine ketone positive i. After hepatic resection and post-gastrectomy j.The patients were determined to be unsuitable for the study by the physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Twenty four hour average blood sugar,prevalence of hyperglycemia over the course of 24h,Incremental area under the curve (IAUC)of 3 hours each postprandial Day, time activity level;amount of physical activity, number of steps, calories, mets | — |
Secondary
| Measure | Time frame |
|---|---|
| Full execution rate,Drop-out rate, Dietary intake,Blood pressure,Pulse | — |
Countries
Japan
Contacts
Kyoto University Graduate School of Medicine,Human Health Sciences Clinical Nursing Laboratory