| Abstract: |
This consensus statement from the American Diabetes Association summarizes the most clinically relevant recent advances related to people with type 2 diabetes and the recommendations that follow from these advances. Topics include physical activity and the prevention of type 2 diabetes; the effects of structured exercise interventions on glycemic control and body weight in type 2 diabetes; physical activity, aerobic fitness, and risk of cardiovascular and overall mortality; recommended frequency of exercise; exercise for weight loss and weight maintenance; the role of resistance training; flexibility exercises (stretching); evaluation of the diabetic patient before recommending an exercise program; exercise in the presence of nonoptimal glycemic control, including managing hyperglycemia and hypoglycemia; and exercise in the presence of specific long-term complications of diabetes, notably retinopathy, peripheral neuropathy, autonomic neuropathy, and microalbuminuria and nephropathy. A final section offers specific recommendations in the areas of lifestyle measures for the prevention of type 2 diabetes, aerobic exercise, resistance exercise, and prevention of hypoglycemia. 70 references. |