Exercise is Vital in Preventing Diabetes Progressions

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Exercise is Vital in Preventing Diabetes Progressions


Diabetes isn't just a chronic condition; it's also progressive. The key to preventing and managing diabetes lies in halting its progression among high-risk groups and individuals with prediabetes, and slowing its advancement from early to late stages. Exercise emerges as a potent tool in this battle, capable of mitigating risk factors for diabetes, impaired glucose tolerance, and elevated fasting blood glucose levels.

The 6-year follow-up from China's "Daqing Impaired Glucose Tolerance and Diabetes Study" reveals compelling data. In the control group, 67.7% of patients with impaired glucose tolerance transitioned to diabetes. However, in groups subjected to diet or exercise interventions, this figure dropped to 43.8% and 41.1%, respectively. Long-term tracking showed that without intervention, 93% of those with impaired glucose tolerance would develop diabetes. Yet, with 6 years of lifestyle intervention, the incidence of diabetes decreased by 43% over 20 years, delaying its onset by an average of 3.6 years.


Engaging in exercise for over 30 minutes daily, be it moderate or vigorous, significantly curbs the risk of impaired glucose tolerance progressing to diabetes. Even for individuals with abnormal fasting blood sugar levels, exercise substantially slashes the likelihood of diabetes onset. Furthermore, exercise exerts a profound impact on metabolic markers like glycated hemoglobin (HbA1c), delivering improvements akin to diet, medication, or insulin therapies.


A meta-analysis conducted by Rosa, Luo Shan, and Ma Aixia scrutinized exercise's impact on blood sugar management in type 2 diabetes patients. It underscored exercise as a non-pharmacological intervention that markedly enhances blood sugar control. Combining findings from multiple studies, the meta-analysis revealed that compared to those without exercise intervention, type 2 diabetes patients engaged in exercise exhibited lower fasting plasma glucose (FPG) and HbA1c levels, indicative of substantial improvement. Notably, the efficacy of exercise intervention hinges on factors such as exercise type, intensity, frequency, and duration.

References

1.Chinese Guidelines of Exercise Therapy in Diabetes Mellitus

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