Hot-Tub Therapy for Type 2 Diabetes Mellitus

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Abstract
Physical exercise is effective therapy for patients with type 2 diabetes mellitus. Therefore, my colleagues and I asked the following question: Would the effects of partial immersion in a hot tub simulate the beneficial effects of exercise? We asked eight patients (five men and three women; age range, 43 to 68 years; mean [±SD] weight, 104.7±53.2 kg) to sit in a hot tub at an athletic facility with water up to their shoulders. They used the hot tub for 30 minutes a day, six days a week, for three weeks between September 1998 and April 1999 ( Table 1 ). The patients' diets, exercise routines, and therapy (three patients were taking insulin, and all were taking various oral hypoglycemic drugs) were stable for eight weeks before the study and while the study took place.

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