PT - JOURNAL ARTICLE AU - Alistair Lumb TI - Diabetes and exercise AID - 10.7861/clinmedicine.14-6-673 DP - 2014 Dec 01 TA - Clinical Medicine PG - 673--676 VI - 14 IP - 6 4099 - http://www.rcpjournals.org/content/14/6/673.short 4100 - http://www.rcpjournals.org/content/14/6/673.full SO - Clin Med2014 Dec 01; 14 AB - Exercise has a beneficial effect on metabolic parameters affecting cardiovascular risk, such as lipids and blood glucose, and is a key component in both the prevention and the management of type 2 diabetes. Glycaemic control improves with both aerobic and resistance exercise in type 2 diabetes, but no glycaemic benefit is seen in type 1 diabetes. This probably results from glucose fluctuations commonly seen with exercise. Low and moderate intensity exercise are generally associated with a fall in blood glucose, and high intensity exercise can be associated with a rise in blood glucose. Trial evidence is suggestive of a reduction in cardiovascular risk with exercise, although evidence from prospective, randomised controlled trials is certainly not conclusive.