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Article

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

John P. Kirwan, PhD, Jessica Sacks and Stephan Nieuwoudt
Cleveland Clinic Journal of Medicine July 2017, 84 (7 suppl 1) S15-S21; DOI: https://doi.org/10.3949/ccjm.84.s1.03
John P. Kirwan
Department of Pathobiology, Lerner Research Institute, Cleveland Clinic
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  • For correspondence: kirwanj@ccf.org
Jessica Sacks
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Stephan Nieuwoudt
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    FIGURE 1

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

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    TABLE 1

    American Diabetes Association recommendations for exercise in type 2 diabetes

    Aerobic exercise: At least 150 minutes/week of moderate to vigorous exercise
    • Spread over 3 to 7 days/week, with no more than 2 consecutive days between exercise bouts

    • Daily exercise is suggested to maximize insulin action

    • Shorter durations (at least 75 minutes/week) of vigorous-intensity or interval training may be sufficient for younger and more physically fit patients

    • May be performed continuously, or as high-intensity interval training

    Resistance exercise: Progressive moderate to vigorous resistance training should be completed 2 to 3 times/ week on nonconsecutive days
    • At least 8 to 10 exercises, with completion of 1 to 3 sets of 10 to 15 repetitions

    Flexibility and balance training are recommended 2 to 3 times/week for older adults
    Participation in supervised training programs is recommended to maximize health benefits of exercise in type 2 diabetes
    • Data from Colberg et al.18

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Cleveland Clinic Journal of Medicine: 84 (7 suppl 1)
Cleveland Clinic Journal of Medicine
Vol. 84, Issue 7 suppl 1
1 Jul 2017
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The essential role of exercise in the management of type 2 diabetes
John P. Kirwan, Jessica Sacks, Stephan Nieuwoudt
Cleveland Clinic Journal of Medicine Jul 2017, 84 (7 suppl 1) S15-S21; DOI: 10.3949/ccjm.84.s1.03

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The essential role of exercise in the management of type 2 diabetes
John P. Kirwan, Jessica Sacks, Stephan Nieuwoudt
Cleveland Clinic Journal of Medicine Jul 2017, 84 (7 suppl 1) S15-S21; DOI: 10.3949/ccjm.84.s1.03
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