Response to Comment on: van Dijk et al. Exercise Therapy in Type 2 Diabetes: Is Daily Exercise Required to Optimize Glycemic Control? Diabetes Care 2012;35:948–954

Dijk, Jan-Willem van; Loon, Luc J. C. van

doi:10.2337/dc12-2652

Cited by 1 publication

(1 citation statement)

References 4 publications

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“…More research is needed on the interaction of all these medications and exercise. Insulin therapy is often a last option in T2D, but in men with T2D, similar reductions in time spent in hyperglycemia and reduced glycemic variations over 24 h were observed after a 45- to 60-min bout of exercise with and without insulin use (183). Individuals with T2D using insulin or insulin secretagogues are advised to supplement with carbohydrate (or reduce insulin, if possible) as needed to prevent hypoglycemia before and/or after exercise.…”

Section: Medical Interventions and Exercise Effectivenessmentioning

confidence: 99%

Exercise/Physical Activity in Individuals with Type 2 Diabetes: A Consensus Statement from the American College of Sports Medicine

Kanaley

Colberg

Corcoran³

et al. 2022

Medicine &Amp; Science in Sports &Amp; Exercise

242

158

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This consensus statement is an update of the 2010 American College of Sports Medicine position stand on exercise and type 2 diabetes. Since then, a substantial amount of research on select topics in exercise in individuals of various ages with type 2 diabetes has been published while diabetes prevalence has continued to expand worldwide. This consensus statement provides a brief summary of the current evidence and extends and updates the prior recommendations. The document has been expanded to include physical activity, a broader, more comprehensive definition of human movement than planned exercise, and reducing sedentary time. Various types of physical activity enhance health and glycemic management in people with type 2 diabetes, including flexibility and balance exercise, and the importance of each recommended type or mode are discussed. In general, the 2018 Physical Activity Guidelines for Americans apply to all individuals with type 2 diabetes, with a few exceptions and modifications. People with type 2 diabetes should engage in physical activity regularly and be encouraged to reduce sedentary time and break up sitting time with frequent activity breaks. Any activities undertaken with acute and chronic health complications related to diabetes may require accommodations to ensure safe and effective participation. Other topics addressed are exercise timing to maximize its glucose-lowering effects and barriers to and inequities in physical activity adoption and maintenance.

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Section: Medical Interventions and Exercise Effectivenessmentioning

confidence: 99%