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Episode 8 - Glycemic Control and the Role of Exercise in Type 2 Diabetes


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An overview of how glycemic control is obtained in type 2 diabetes and a brief overview of common step-wise approaches to treatment. A discussion on the role and effect of exercise for individuals with type 2 diabetes and how weight loss can effect type 2 diabetes.

Sources used:

American Diabetes Association. Standards of Medical Care in Diabetes—2021. Diabetes Care. 2021;44(Suppl. 1):S1-S232. https://care.diabetesjournals.org/content/44/Supplement_1

Inzucchi SE, Bergenstal RM, Buse JB, et al. Management of hyperglycemia in type 2 diabetes, 2015: a patient-centered approach: update to a position statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care. 2015;38:140-149. https://care.diabetesjournals.org/content/38/1/140.long

American Association of Clinical Endocrinologists and American College of Endocrinology Comprehensive Clinical Practice Guidelines for Medical Care of Patients with Obesity. Endocr Pract. 2016;22(suppl 3):1-203. https://journals.aace.com/doi/full/10.4158/EP161365.GL

National Institute of Diabetes and Digestive and Kidney Diseases. Type 2 Diabetes. https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/type-2-diabetes

Centers for Disease Control and Prevention. National Diabetes Statistics Report, 2020. https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf

American Diabetes Association. Standards of medical care in diabetes - 2021. Diabetes Care. 2021;44(Suppl. 1):S36-S46. https://doi.org/10.2337/dc21-S002

Colberg SR, Sigal RJ, Fernhall B, et al. Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabetes Care. 2010;33(12):e147-e167. https://doi.org/10.2337/dc10-9990

Umpierre D, Ribeiro PA, Kramer CK, et al. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA. 2011;305(17):1790-1799. https://doi.org/10.1001/jama.2011.576

Wing RR, Lang W, Wadden TA, et al. Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care. 2011;34(7):1481-1486. https://doi.org/10.2337/dc10-2415

Lean MEJ, Leslie WS, Barnes AC, et al. Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial. Lancet. 2018;391(10120):541-551. https://doi.org/10.1016/S0140-6736(17)33102-1

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There is more to itBy Easton