Editorial: Exerscience: exploring physical activity’s role in diabetes and its complications
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By
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Shanhu Qiu
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Evelyn B. Parr
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Tongzhi Wu
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July 14, 2026
Clinical Scorecard: Investigating the Impact of Physical Activity on Diabetes and Its Associated Complications
At a Glance
| Category | Detail |
|---|
| Condition | Diabetes and its complications |
| Key Mechanisms | Improves glycemic control, modifies cardiovascular risk factors, and reduces macrovascular and microvascular complications. |
| Target Population | Individuals with diabetes, including those with prediabetes and type 2 diabetes. |
| Care Setting | Clinical practice and public health. |
Key Highlights
- Regular exercise is integral to diabetes prevention and management.
- HIIT may improve postprandial glycemic control in type 2 diabetes.
- Combined aerobic and resistance exercise shows greater improvements in glycemic control than either modality alone.
- Achieving recommended physical activity levels is associated with lower odds of diabetic kidney disease.
- Future studies are needed to determine the long-term benefits of structured exercise interventions.
Guideline-Based Recommendations
Diagnosis
Management
- Incorporate regular exercise, including both aerobic and resistance training, into diabetes care.
Monitoring & Follow-up
Risks
- Caution in interpreting cross-sectional studies linking exercise to diabetic kidney disease.
Patient & Prescribing Data
Individuals with diabetes, particularly type 2 diabetes.
Structured exercise programs may provide benefits beyond standard exercise advice.
Clinical Best Practices
- Encourage high-intensity interval training (HIIT) for improved glycemic control.
- Promote combined aerobic and resistance exercise for optimal metabolic benefits.
- Consider lifestyle interventions alongside exercise for enhanced outcomes.
Related Resources & Content
