Download - Winnie - Exercise & Drug
Management of type 2 diabetes mellitus Exercise
Aerobic exercise - brisk walking, swimming or dancing about 30 minutes a day, at least 5 days a week
resistance training - weightlifting or yoga twice a week
BENEFIT OF EXERCISE To prevent macrovascular disease (heart attack, stroke
or diminished blood flow to the legs) weight loss
lower bad cholesterol and triglycerides, and
raise good cholesterol lower blood pressure
lower stress level
reduce the need for insulin
Body mechanism during exercise With exercise, insulin level in ppl with type 2 DM declines
because insulin acts to store and not release glucose n fat.
You may wonder how insulin can open the cell to the entry of glucose when insulin levels are falling. In fact, two things are at work here. 1. Glucose is getting into muscle cells without the need for
insulin 2. The rapid circulation that comes with exercise is delivering
the smaller amount of insulin more frequently to the muscle → muscle more sensitive to insulin
DrugOral Injection
Metformin GLP-1 receptor agonists
Sulfonylureas insulinThiazolidinedionesDPP-4 inhibitorsSGLT2 inhibitors