Category: Other - Diagnosis and Treatment of PAD

Monitor: 5

5 - PAD Superv Exer Medicare

Thursday, Apr 25
1:30 PM – 2:00 PM

Objective :

 Background: “Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD)”. This is now a Medicare covered benefit.

Methods :

Relationship of Walking to Mortality among U.S. Adults with Diabetes

Millions of Americans are faced with the daily challenges of living with diabetes. A serious and lifelong condition, diabetes can cause an array of devastating and life-threatening complications, such as heart disease, stroke, and kidney failure. For people with diabetes, physical activity has been shown to improve insulin effectiveness, lower blood sugar, and reduce the risk of heart disease. A new study by the Centers for Disease Control and Prevention (CDC) found that brisk walking on a regular basis can also lengthen the lives of people who have diabetes. The following is a summary of the report.

Results :


      More than 17 million Americans are estimated to have diabetes. About one third of them are not aware they have the disease. Most (90-95 percent) have type 2, or adult-onset, diabetes, which is related to obesity and physical inactivity.

      Many people with diabetes suffer from disabling conditions, such as visual impairment, foot ulcers, and irregular heartbeat that make vigorous physical activity difficult and less feasible than moderate-intensity activities like walking.

      While physical inactivity increases the risk for developing type 2 diabetes, few studies have examined the long-term impact of physical activity among people who already have type 2 diabetes.

      CDC studied 2,896 adults aged 18 years and older with diabetes to determine the long-term impact of physical activity, specifically walking, on mortality from heart disease and all other causes. Researchers followed the study group over an 8-year period.

Discussion :

Key Study Results

Conclusion :

Conclusion: Decision Memo for Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) (CAG-00449N)



Robert R. Ross

Triad Diagnostic Technologies
Farmington Hills, Michigan

Robert R. Ross, PA-C
Society for Vascular Medicine-Member
American Association of Clinical Endocrinologists (AACE) Member
American Association of Diabetes Educators (AADE) Member
President MiPAF Michigan Physician Assistant Foundation
Indiana University School of Medicine Physician Assistant Program Class of 1977
Past President Michigan Academy of Physician Assistants
Past Affiliate Professor
University of Detroit Mercy Physician Assistant Program
President-Clinical Affairs, Medical Education and Research Development