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Review
. 2017 Jul;84(7 Suppl 1):S15-S21.
doi: 10.3949/ccjm.84.s1.03.

The essential role of exercise in the management of type 2 diabetes

Affiliations
Review

The essential role of exercise in the management of type 2 diabetes

John P Kirwan et al. Cleve Clin J Med. 2017 Jul.

Abstract

Exercise is typically one of the first management strategies advised for patients newly diagnosed with type 2 diabetes. Together with diet and behavior modification, exercise is an essential component of all diabetes and obesity prevention and lifestyle intervention programs. Exercise training, whether aerobic or resistance training or a combination, facilitates improved glucose regulation. High-intensity interval training is also effective and has the added benefit of being very time-efficient. While the efficacy, scalability, and affordability of exercise for the prevention and management of type 2 diabetes are well established, sustainability of exercise recommendations for patients remains elusive.

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Conflict of interest statement

Jessica Sacks and Stephan Nieuwoudt reported no financial interests or relationships that pose a potential conflict of interest with this article.

Figures

FIGURE 1
FIGURE 1
Tissue-specific metabolic effects of exercise in patients with type 2 diabetes.

References

    1. Centers for Disease Control and Prevention. National Diabetes Statistics Report: Estimates of Diabetes and Its Burden in the United States, 2014. US Department of Health and Human Services; 2014.
    1. Whiting DR, Guariguata L, Weil C, Shaw J. IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin Pract. 2011;94:311–321. - PubMed
    1. Korner J, Bessler M, Cirilo LJ, et al. Effects of Roux-en-Y gastric bypass surgery on fasting and postprandial concentrations of plasma ghrelin, peptide YY, and insulin. J Clin Endocrinol Metab. 2005;90:359–365. - PubMed
    1. Schauer PR, Bhatt DL, Kirwan JP, et al. for the STAMPEDE Investigators. Bariatric surgery versus intensive medical therapy for diabetes—3-year outcomes. N Engl J Med. 2014;370:2002–2013. - PMC - PubMed
    1. Schauer PR, Kashyap SR, Wolski K, et al. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med. 2012;366:1567–1576. - PMC - PubMed