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Physical Activity and Diabetes

Physical Activity and Diabetes. Key Messages Moderate to high levels of physical activity and cardiorespiratory fitness are associated with substantial reductions in morbidity and mortality in both men and women and in both type 1 and type 2 diabetes.

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Physical Activity and Diabetes

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  1. Physical Activity and Diabetes Key Messages • Moderate to high levels of physical activity and cardiorespiratory fitness are associated with substantial reductions in morbidity and mortality in both men and women and in both type 1 and type 2 diabetes. • Before beginning a program of physical activity more vigorous than walking, people with diabetes should be assessed for conditions that might be contraindications to certain types of exercise, predispose to injury or be associated with increased likelihood of cardiovascular disease.

  2. Physical Activity and Diabetes Key Messages • Structured physical activity counselling by a physician or skilled healthcare personnel or case managers has been very effective in increasing physical activity, improving glycemic control, reducing the need for antihyperglycemic agents and insulin, and producing modest but sustained weight loss.

  3. Physical Activity and Diabetes 2008 CPG Recommendations • People with diabetes should accumulate a minimum of 150 minutes of moderate- to vigorous-intensity aerobic exercise each week, spread over at least 3 days of the week, with no more than 2 consecutive days without exercise [Grade B, Level 2, for type 2 diabetes (3); Grade C, Level 3, for type 1 diabetes (9)].

  4. Physical Activity and Diabetes 2008 CPG Recommendations • People with diabetes (including elderly people) should also be encouraged to perform resistance exercise 3 times per week [Grade B, Level 2 (15,16)] in addition to aerobic exercise [Grade B, Level 2 (18)]. Initial instruction and periodic supervision by an exercise specialist are recommended [Grade D, Consensus].

  5. Physical Activity and Diabetes 2008 CPG Recommendations • An exercise ECG stress test should be considered for previously sedentary individuals with diabetes at high risk for CVD who wish to undertake exercise more vigorous than brisk walking [Grade D, Consensus].

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