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Prescribing exercise for individuals with type 2 diabetes: recommendations and precautions
Sheri R Colberg1, Ronald J Sigal
1Human Movement Sciences Department, Old Dominion University, Norfolk, VA, USA. scolberg@odu.edu
The Physician and Sportsmedicine
|June 16, 2011
Summary
Regular exercise is crucial for managing type 2 diabetes, improving glycemic control and reducing complications. This guide details safe physical activity prescriptions and strategies for sustained lifestyle changes in diabetic patients.
Area of Science:
- Endocrinology
- Exercise Physiology
- Public Health
Background:
- Rising obesity and sedentary lifestyles fuel the type 2 diabetes mellitus epidemic.
- Despite exercise benefits for glycemic control and reduced mortality, physician prescription is often lacking.
Purpose of the Study:
- To outline recommended physical activities for type 2 diabetes patients.
- To detail safety precautions for exercise, considering medications and complications.
- To review current exercise prescription guidelines and promote active lifestyles.
Main Methods:
- Literature review of exercise recommendations for type 2 diabetes.
- Assessment of pre-exercise stress testing necessity.
- Analysis of safety considerations for exercise in diabetic individuals.
- Evaluation of strategies for adopting and maintaining physical activity.
Main Results:
- Specific types and quantities of physical activity are recommended.
- Precautions are necessary for safe exercise, especially with medications and complications.
- Current guidelines for exercise prescription are reviewed.
- Strategies to encourage long-term adherence to physical activity are proposed.
Conclusions:
- Exercise is a vital, yet underutilized, component of type 2 diabetes management.
- Tailored exercise prescriptions and safety measures are essential.
- Supportive strategies can help individuals with type 2 diabetes achieve and maintain an active lifestyle.
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