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Physical exercise plays an important role for control of insulin resistance, among others
aerobic exercise, resistance training, and exercise. However such exercise should be done
regularly to achieve an optimal effect. Some result for this research about exercise management
this is exercise, exercise with diet for preventive diabetes mellitus type 2, passive statice
stretching, resistance exercise, yoga showed significant reduction in blood glucose level.
Weakness for this research no duration of exercise, to small sample and also long time research
drop out responden.Overall, exercise plus diet interventions reduced the risk of diabetes
compared with standard recommendations. This had also favourable effects on weight and body
mass index reduction, waist-to-hip ratio and waist circumference. However statistical
heterogeneity was very high for these outcomes. Exercise and diet interventions had a very
modest effect on blood lipids. Risk of diabetes increased both with increasing body mass and
with decreasing physical activity level. Combined analysis showed that men who were both
abese and had low activity levels had a risk ratio of 17 compared to men who were normal
weight and highly active.Whereas obese men who reported high activity had a risk ratio of 13
among women reporting low and high activity levels, respectively.

American college of sport medicine and American Diabetes Association Recommend

aerobic training for at least 150 min per week and additionally resistance training at a minimum
of 2-3 days per week parallel with pharmacology treatment. It is possible to control circulating
blood glucose levels by reducing life style risk factors physical activities such as muscle
stretching, aerobic training, yoga resistance exercises(REs), etc.by improving tissue sensitivity
to insulin, During exercise, glucose uptake in striated muscle increases remarkably thus
strategically reducing glucose levels in the body. Interventions aimed at increasing exercise
combined with diet are able to decrease the incidence of type 2 diabetes mellitus in high risk
group (people with impaired glucose tolerance or the metabolic syndrome). There is for studies
exploring exercise only interventions and studies exploring the effect of exercise and diet on
quality of life, morbidity on mortality, with special focus on cardiovascular outcomes.This study
shows that overweight and obesity are associated with a substantially increased risk of diabetes,
particularly among those who also reported being physically inactive.

References :

1. Peeyoosha Gurudut, Abey P. Rajan2, Immediate effect of passive static stretching versus
resistance exercises on postprandial blood sugar levels in type 2 diabetes mellitus: a
randomized clinical trial, journal of exercise Rehabilitation 2017;13(5):581-587
2. Orozoco LJ, Buchleitner AM, Gimenez-perez G, Roque I Figuls M, Richter B, Mauricio D. Exercise
or exercise and diet for preventing type 2 diabetes mellitus . Cochrane database of systematic
Review 2008, Issue 3. Art.No CD003054. DOI: 10.1002/14651858.CD003054.pub3.
3. Hjerkind KV, Stenehjem JS, Nilsen TIL. Adiposity, physical activity and risk of diabetes
mellitus: prospective data from the population-based HUNT study, Norway. BMJ Open
2017;7:e013142. Doi:10.1136/bmjopen-2016-013142 http://dx.doi.org/10.1136/bmjopen-
4. Chimkode SM, Kumaran SD Kanhere VV, Shivanna R (2015) Effect of Yoga on Blood
Glucose levels in patients with type 2 Diabetes Mellitus Journal of clinical and
Diagnostic Research Apr;9(4):CC01-3 doi: 10.7860/JCDR/2015/12666.5744.Epub 2015
Apr 1.