I am totally agree with Abdulahi Abdiwali Mahamed . It was an answer that sums up DM very well. Physical activity is often recommended as a method of prevention or treatment. However, metabolic responses to physical activity may differ depending on the duration, frequency and intensity of exercise. For this reason I want to add this, it is very important to get support from experienced sports scientists when applying exercise therapy in diseases such as diabetes and metabolic syndrome.
Diet and exercise are the mainstay of diabetes prevention. Dr Ahmed uses the fasting blood glucose as his diabetes marker but fasting glucose does not correlate with diabetic retinopathy, so I use the 2 hr pp blood sugar level, and the goal is keep the 2 hr pp blood sugar blow 200 mg/dl (diabetes) or 125-199 mg/dl (pre-diabetes). The ideal 2 hr pp blood sugar is below 100 mg/dl, and a value between 100-124 mg/dl may have a slightly higher risk.
A pound of prevention of obesity and resultant diabetes (diabesity) is better than tons of treatment it may entail
Most cases of diabetes are due to the modern lifestyle of sedentary habits, calorie-rich food (upsized fast food in particular), and the resultant obesity leading to not only diabetes but hypertension, lipid disorders, osteoarthrosis, obstructive sleep apnea, and cancer.
Eating healthy, watching calories and weight, and regular exercise can prevent weight-reducing surgeries, and multiple medications related to obesity-induced metabolic syndrome.
HbA1c is better to follow up abnormal (prediabetes) or diabetic control and its complications, while random blood glucose is better.
For details, please gander through these helpful RG articles:
1. Article "Diabesity: an epidemic with its causes, prevention and cont...
2. Article Diabesity: An overview of a rising epidemic
The main predictors of future diabetes are obesity and the combination of high TG with low HDL-c. Of course the family history is important, but these are the main predictors in my practice.
Diabetes is the most common endocrinological disorder around the world leading to foot deformities like infections, ulcers, pain, numbness, and/or dysaesthesia of the extremities. An estimated 10% of Indians suffer from it. Dietary control and exercise are believed to be established treatment options in patients with type II diabetes mellitus including other lifestyle disorders
.The most proximal behavioral cause of insulin resistance is physical inactivity and it is considered to be one of the biggest public health problems worldwide. It is believed that it can reduce the risk of diabetes and improve glucose tolerance and enhances insulin sensitivity improves glycaemic control.
On the contrary, it is found that lack of physical activity can increase the risk of diabetes by 3 times . As per World Health Organization, this situation is of significant concern because people living with Non-Communicable Diseases are at higher risk of severe COVID-19-related illness and death.
Early detection of the diabetic constellation f risk factors--not just the blood sugar level--and aggressive treatment, at least in my practice of family medicine, prevents ASPVD and hence lower limb amputation.
Diabetes mellitus type 1 and type 2 is due to inability to secret insulin or insulin resistance by the tissues leading to hyperglycemia respectively. It is very much true that exercise play important role to reduce blood glucose levels because exercise needs energy that is provided by the glycolysis pathway thus utilization of glucose by muscles reduces blood glucose levels. This transportation of glucose is insulin dependent glucose transporter GLUT4 present in the cytosol. These GLUT4 transporters mobilized from cytosol to the cell membrane in response to exercise, that's why exercise play important role to reduce blood glucose levels. As we see nowadays sedentary lifestyle and calorie rich food intake not only increases obesity but leads to hypertension vascular changes may leads to peripheral neruopathies, and associated complications of diabetes mellitus including nephropathy, microvascular abnormalities like retinopathy and limb amputations due to gangrene. It is therefore recommend that if you are taking high calorie diet one should perform daily exercise to utilize calories and keep your lipids and carbohydrates in low levels.