Exercise and Diabetes: A Clinician’s Guide to Prescribing Physical Activity
Abstract
Chapter 1: Diabetes, Physical Activity, Exercise, and Fitness Overview Chapter 2: Pre-exercise Evaluation and Assessment Chapter 3: Daily Lifestyle Activity Chapter 4: General Principles of Aerobic Exercise Prescription (Rx) Chapter 5: Aerobic Exercise Rx for Type 2 Diabetes Chapter 6: Aerobic Exercise Rx for Type 1 Diabetes (and LADA) Chapter 7: Aerobic Exercise Rx for Gestational Diabetes Chapter 8: Resistance Exercise Rx for T1DM and T2DM Chapter 9: Combined Aerobic and Resistance Training for Adults with Diabetes Chapter 10: Other Physical Activities for All Types of Diabetes Chapter 11: General Management of Blood Glucose with Physical Activity Chapter 12: Hypoglycemia Treatment and Prevention Chapter 13: Hyperglycemia and Dehydration Concerns Chapter 14: Balancing Insulin Use with Physical Activity Chapter 15: Other Medication Effects on Physical Activity Chapter 16: Obesity, Orthopedic Limitations, and Osteoarthritis Chapter 17: Cardiovascular Diseases Chapter 18: Peripheral Neuropathy, Ulcers, and Amputations Chapter 19: Autonomic Neuropathy Chapter 20: Retinopathy and Other Diabetic Eye Diseases Chapter 21: Microalbuminuria, Nephropathy, and End-Stage Renal Disease Chapter 22: Female-Only Concerns and Pregnancy with Pre-Existing Diabetes Chapter 23: Older Adults Chapter 24: Children and Adolescents Chapter 25: Behavior Change and Adoption of an Active Lifestyle References Cited Index
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If proliferative diabetic retinopathy or severe nonproliferative diabetic retinopathy is present, then vigorous-intensity aerobic or resistance exercise may be contraindicated because of the risk of triggering vitreous hemorrhage or retinal detachment.
“If proliferative diabetic retinopathy or severe nonproliferative diabetic retinopathy is present, then vigorous-intensity aerobic or resistance exercise may be contraindicated because of the risk of triggering vitreous hemorrhage or retinal detachment (274).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [274]
There is no evidence that vigorous-intensity exercise accelerates the rate of progression of DKD, and there appears to be no need for specific exercise restrictions for people with DKD in general.
“However, there is no evidence that vigorous-intensity exercise accelerates the rate of progression of DKD, and there appears to be no need for specific exercise restrictions for people with DKD in general (274).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [274]
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5. Lifestyle Management:<i>Standards of Medical Care in Diabetes—2019</i>
American Diabetes Association (2019) · Diabetes Care · doi:10.2337/dc19-s005 · Cited by 700 · see citing works
“However, there is no evidence that vigorous-intensity exercise increases the rate of progression of diabetic kidney disease, and there appears to be no need for specific exercise restrictions for people with diabetic kidney disease in general (158).”
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“is present, then vigorous-intensity aerobic or resistance exercise may be contraindicated because of the risk of triggering vitreous hemorrhage or retinal detachment (139).”
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“If proliferative diabetic retinopathy or severe nonproliferative diabetic retinopathy is present, then vigorous-intensity aerobic or resistance exercise may be contraindicated because of the risk of triggering vitreous hemorrhage or retinal detachment (173).”
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“aerobic or resistance exercise may be contraindicated because of the risk of triggering vitreous hemorrhage or retinal detachment (199).”
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“However, there is no evidence that vigorous-intensity exercise increases the rate of progression of diabetic kidney disease, and there appears to be no need for specific exercise restrictions for people with diabetic kidney disease (92).”
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“However, matching subcutaneous insulin delivery to the varying insulin requirements of exercising people with type 1 diabetes remains a therapeutic challenge [6].”
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“PA increases the blood glucose consumption rate and excess insulin can further escalate blood glucose utilization, which can increase the risk of hypoglycemia during or several hours after PA in people with T1D [1]–[4].”
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“diabetic patients with DR to lower the risk of vitreous hemorrhage or retinal detachment (69, 177).”
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“This evaluation included three critical measurements: blood glucose monitoring, resting blood pressure and heart rate assessment, and hypoglycemia management [46,47].”
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“Their blood glucose will be tested again 15 min later, and they will be allowed to resume exercise only if their test results are acceptable [48].”
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- Authors
- Colberg, S.
- Corresponding author
- Colberg, Sheri
- ORCID
- Colberg, Sheri
- Venue
- American Diabetes Association eBooks
- Publisher
- American Diabetes Association
- Published
- 2013
- OpenAlex
- W570786772
- Cited by
- 53
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 5 · 2022: 6 · 2021: 7 · 2020: 5 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 9 · 2015: 3 · 2014: 2
- FWCI
- 7.11
- Type
- book
- Language
- en
- Open access
- closed
- Locations
- American Diabetes Association eBooks (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- diabetes mellitus, physical activity prescription, physical activity, type 2 diabetes, type 1 diabetes, gestational diabetes mellitus, resistance training, aerobic exercise, glycemic control, hypoglycemia, hyperglycemia, insulin, obesity, osteoarthritis, cardiovascular disease, peripheral neuropathy, autonomic neuropathy, diabetic retinopathy, diabetic nephropathy, end-stage renal disease, pregnancy, older adults, children and adolescents, behavior change
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