The American Diabetes Association (ADA) recently updated the standards of care for diabetes, which include evidence-based recommendations most pertinent to primary care. This excerpt from the updated ADA guidelines focuses on behavior change, diet, physical activity, and weight management. Diabetes Self-management Education and Support (DSMES) Physical activity Patients should be educated to check blood glucose levels before and after the exercise and also about the potential prolonged effects of exercise, based on its intensity and duration.
##Exercise in the presence of microvascular complications## Vigorous-intensity aerobic or resistance exercise may be contraindicated in individuals with proliferative or severe non-proliferative diabetic retinopathy. Wearing proper footwear and daily examination of feet in case of individuals with peripheral neuropathy is necessary since they are…
