BApplSc (ExSportSc), BSc(Hons), PhD, GradCert ULT, AEP, FESSA, MRFF TRIP Fellow, Associate Professor in Clinical Exercise Science, School of Health Sciences, College of Health and Medicine, University of Tasmania, Tas.
MBBS, FRACGP, FARGP, MPsychMed, MEd, GAID, AFANZAHPE, Churchill Fellow 2017, Associate Professor of General Practice, University of Tasmania, Tas; General Practitioner, West Tamar Health, Tas; Provost Tasmanian faculty of the RACGP, Tas; Member of the RACGP Expert Committee @ Research, Vic; Member of the RACGP Handbook of Non-Drug Interventions (HANDI) Project Team, Vic.
Aust J Gen Pract. 2020 Apr;49(4):189-193. doi: 10.31128/AJGP-09-19-5091.
The benefit of exercise in the prevention and management of type 2 diabetes (T2D) has a strong evidence base, so it is important to ensure exercise is part of every patient's management plan.
This article reviews the evidence for exercise in T2D and the factors affecting a patient's willingness to commence and sustain enough exercise to gain benefit. The article offers tips about how to safely and effectively prescribe the 'medicine' of exercise for all, even the frailest patients; who to stabilise before an exercise program should begin; and how to use the skills of an accredited exercise physiologist (AEP) to deliver the best 'prescription' possible.
General practitioners and their teams, along with other healthcare providers such as AEPs, can increase the amount of exercise medicine a patient receives. This is the case for those at risk of developing T2D, those with T2D and those with the many comorbidities associated with T2D.
运动对 2 型糖尿病（T2D）的预防和管理具有重要作用，其循证基础十分强大，因此确保运动成为每位患者管理计划的一部分至关重要。
本文综述了 T2D 患者运动的相关证据，以及影响患者开始并坚持进行足够运动以获益的因素。本文还提供了一些提示，介绍如何安全有效地为所有患者（甚至是最虚弱的患者）开出“运动”这剂“良药”；在开始运动计划之前应稳定哪些患者；以及如何利用认证运动生理学家（AEP）的技能来提供最佳的“处方”。
全科医生及其团队，以及其他医疗保健提供者（如 AEP），可以增加患者接受运动医学治疗的次数。这适用于那些有患 T2D 风险的患者、患有 T2D 的患者以及与 T2D 相关的许多合并症患者。
