This document, a consensus statement from the American Diabetes Association (ADA), highlights the importance of physical activity and exercise in managing Type 2 Diabetes. It emphasizes that exercise, along with diet and medication, is a cornerstone of diabetes management. Recent studies have provided strong evidence that lifestyle interventions, including regular physical activity and modest weight loss, can significantly reduce the risk of progression from impaired glucose tolerance to Type 2 Diabetes. The statement details the benefits of structured exercise interventions on glycemic control and body weight, noting that structured exercise programs have a statistically and clinically significant beneficial effect on glycemic control, independent of weight loss. It also discusses the cardiovascular and overall mortality benefits of higher levels of aerobic fitness and physical activity, which are more pronounced than those explained by glucose lowering alone. The document provides recommendations for the frequency, intensity, and duration of exercise, emphasizing that most people should accumulate at least 150 minutes of moderate-intensity aerobic activity per week. It also addresses the safety and effectiveness of resistance training, particularly in older adults and those with Type 2 Diabetes, and suggests that resistance training can improve glycemic control and cardiovascular health. Additionally, the statement covers the evaluation of diabetic patients before recommending an exercise program, the management of hypoglycemia during exercise, and the impact of concomitant medications on physical activity. It also discusses the risks and benefits of exercise in the presence of specific long-term complications of diabetes, such as retinopathy, peripheral neuropathy, autonomic neuropathy, and microalbuminuria. Overall, the document provides a comprehensive guide for healthcare providers and individuals with Type 2 Diabetes to incorporate physical activity and exercise into their diabetes management plan.This document, a consensus statement from the American Diabetes Association (ADA), highlights the importance of physical activity and exercise in managing Type 2 Diabetes. It emphasizes that exercise, along with diet and medication, is a cornerstone of diabetes management. Recent studies have provided strong evidence that lifestyle interventions, including regular physical activity and modest weight loss, can significantly reduce the risk of progression from impaired glucose tolerance to Type 2 Diabetes. The statement details the benefits of structured exercise interventions on glycemic control and body weight, noting that structured exercise programs have a statistically and clinically significant beneficial effect on glycemic control, independent of weight loss. It also discusses the cardiovascular and overall mortality benefits of higher levels of aerobic fitness and physical activity, which are more pronounced than those explained by glucose lowering alone. The document provides recommendations for the frequency, intensity, and duration of exercise, emphasizing that most people should accumulate at least 150 minutes of moderate-intensity aerobic activity per week. It also addresses the safety and effectiveness of resistance training, particularly in older adults and those with Type 2 Diabetes, and suggests that resistance training can improve glycemic control and cardiovascular health. Additionally, the statement covers the evaluation of diabetic patients before recommending an exercise program, the management of hypoglycemia during exercise, and the impact of concomitant medications on physical activity. It also discusses the risks and benefits of exercise in the presence of specific long-term complications of diabetes, such as retinopathy, peripheral neuropathy, autonomic neuropathy, and microalbuminuria. Overall, the document provides a comprehensive guide for healthcare providers and individuals with Type 2 Diabetes to incorporate physical activity and exercise into their diabetes management plan.