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Am Fam Physician. 2023;107(1):103-104

This clinical content conforms to AAFP criteria for CME.

Author disclosure: No relevant financial relationships.

Key Points for Practice

• Increased physical activity may be particularly beneficial for patients with type 2 diabetes, with combined training including aerobic and resistance exercise leading to greater improvement in A1C level than either modality alone.

• High-intensity interval exercise leads to greater glycemic control in less total exercise time but increases musculoskeletal injury and transient postexercise hyperglycemia in some patients.

• People with type 2 diabetes are prone to volume depletion from hyperglycemia and more susceptible to heat injury with physical activity.

From the AFP Editors

Type 2 diabetes mellitus affects approximately one in 10 people in the United States. Lifestyle interventions, including exercise and physical activity, are often prescribed as part of a treatment plan for people at risk of or diagnosed with type 2 diabetes. The American College of Sports Medicine (ACSM) updated its original statement on physical activity for people with type 2 diabetes. Recommendations include all types of physical activity, encompassing more human movement than just planned exercise.

Impact of Physical Activity on People With Diabetes

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Coverage of guidelines from other organizations does not imply endorsement by AFP or the AAFP.

This series is coordinated by Michael J. Arnold, MD, Assistant Medical Editor.

A collection of Practice Guidelines published in AFP is available at

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