Abstract
It is possible to prevent or delay the onset of Type 2 diabetes by reducing life style risk factors through moderate weight loss and increased physical activity. Several studies have shown that life style changes that included exercise can significantly delay and possibly prevent diabetes.(Tudor – Locke et al 2000, Wei et al 2000). Moreover, in people with Type 2 diabetes using insulin, a single bout of light exercise significantly reduces the prevalence of hyperglycemia during the subsequent day by about 40 % (Manders et al 2010). Also, considerable amounts of data have accumulated showing that muscle contraction triggers glucose uptakes (Dohm 2002,Henriksen 2002). In contrast , if good glucose control is not achieved over time, prolonged hyperglycemia can lead to negative and severe outcomes such as retinopathy, nephropathy, neuropathy, cardio vascular disease, stroke, pressure ulcers, neuropathic wounds, loss of peripheral protective sensation, gangrene, limb amputation, and finally death.
Notwithstanding the benefits derived from regular exercise, there are many people with Type 2 diabetes in INDIA who do not exercise. For some individuals, the secondary complications arising from diabetes (e.g., lower limb neuropathies, lower limb amputation, hypertension, kidney diseases, and retinopathies) can either contraindicate exercise or make it more difficult. Also, many elderly people with Type 2 diabetes residing in extended care facilities are either extremely frail, wheel chair bound, or bed bound, and do not have sufficient physical work capacity to exercise aerobically and thus have problems maintaining glycemia (Zarowitz et al 2006).