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Metabolic

Key resources

Target Pathologies - Metabolic

‚Äča) Exercise prescription for patients with type 2 diabetes and pre-diabetes: A position statement from Exercise and Sport Science Australia

Further interest

a) Diabetes Australia - Best Practice Guidelines. General Practice Management of Type 2 Diabetes 2014-2015

b) National Evidence Based Guideline for Blood Glucose Control in Type 2 Diabetes.

c) Exercise and Type 2 Diabetes. The American College of Sports Medicine and the American Diabetes Association - Joint Position Statement.

d) National Heart, Lung and Blood Institute. What is metabolic syndrome?

e) Baker IDI: Heart & Diabetes Institute. 2012. Diabetes: The silent pandemic and its impact on Australia.

f) Boulé, N.G. 2016. Exercise Plus Metformin in the Fight Against Diabetes. Exercise and sport sciences reviews

g) Malin, S.K. 2016. Impact of Metformin on Exercise-Induced Metabolic Adaptations to Lower Type 2 Diabetes Risk. Exercise and sport sciences reviews.

Clinical pearls of wisdom

Associate Professor Robert Robergs PhD, FASEP, CEP, AEP

“The incidence and burden of disease from type 2 diabetes is compelling. If current trends continue, the incidence of type 2 diabetes in Australia will have risen to 2 million individuals over the age of 25 years by 2025. A key trigger of this high incidence is the combined extent of obesity and inactivity in young and older Australians. The individual health care costs attributed to diabetes and its complications can vary from approximately AUS$5,000/year to in excess of AUS$17,000/year, with a national burden of disease from type 2 diabetes estimated at AUS$6 billion (2003 data). Of course, complications to diabetes are insidious, and consist of lower extremity amputation, kidney disease, eye diseases such as retinopathy, cardiovascular diseases (coronary and peripheral vascular) and stroke.

Quality exercise training can make profound improvements to the blood glucose control in type 2 diabetes, as well as combat further increased risk to premature mortality from the linked diseases of obesity, hypertension, depression, kidney failure, eye diseases, and cardiovascular diseases. Consequently, the role of the AEP in the management and prevention of type 2 diabetes will be of increased importance in future years.”

Further resources to explore