Learning Objectives:
- Define the difference between exercise and physical activity
- State the mechanisms by which physical activity improves blood sugar control
- Recognize exercise recommendations to improve insulin resistance
- List clinical recommendations to increase physical activity in patients with type 2 diabetes
- Identify the reduction in hemoglobin A1c that is expected to occur with different types of exercise in patients with type 2 diabetes
Most patients with type 2 diabetes (T2DM) do not meet guideline-driven exercise recommendations. Physical activity (PA) is any form of bodily movement via skeletal muscle contraction. It can include walking, gardening, leisure activity, exercise, or movement for transportation or an occupation. Aerobic and resistance exercise have been well studied and are known to improve glycemic control in patients with T2DM. While data is less substantial, low-intensity PA such as walking, yoga, tai-chi, qigong, and activity for household tasks have also been shown to be effective methods of reducing hyperglycemia. Additionally, PA to break up sedentary behaviors can also have glycemic benefits. Healthcare providers should encourage patients to increase their PA as a more sustainable means of meeting guideline-directed exercise and activity recommendations. Discussing these changes with patients involves identifying motivators, setting goals, removing barriers monitoring progress, and understanding the patient’s social support and environment.
This learning activity consists of one AJLM article and one quiz.
Duration: 1 hour
Assessment and Measurement: A score of 80% or higher on the quiz is required to pass the learning activity.
Specifications: This course can be viewed on desktop, tablet or mobile device.
Term of Approval: January 9, 2025 – January 8, 2028
Participant User Agreement (Terms of Use and Copyright): Before registering for a Continuing Education/Continuing Medical Education Course (“Training”) for the first time, carefully review the following conditions of usage at https://lifestylemedicine.org/terms-of-use-and-copyright-cme-ce/.
Registering for an American College of Lifestyle Medicine Course indicates your acceptance of the Participant User Agreement and its terms and conditions.
Enrollment: Access to online material is granted through the term of approval which ends January 8, 2028.
Accreditation Statement:
In support of improving patient care, this activity has been planned and implemented by RUSH University Medical Center and American College of Lifestyle Medicine. RUSH University Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit Designation Statements:
For Medicine: Rush University Medical Center designates this journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.
For Nursing: Rush University Medical Center designates this journal-based CME activity for a maximum of 1.0 nursing contact hour(s).
For Pharmacy: Rush University Medical Center designates this knowledge-based journal-based CME activity for a maximum of 1.0 contact hour(s) for pharmacists.
For Psychologists: Rush University Medical Center designates this journal-based CME activity for 1.0 CE credits in psychology. Continuing Education (CE) credits for psychologists are provided through the co-sponsorship in the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs.
For Dieticians: This journal-based CME activity has been approved by the Commission on Dietetic Registration. Completion of this activity awards 1.0 CPEUs.
For Social Work: As a Jointly Accredited Organization, Rush University Medical Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved continuing education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.0 general continuing education credits.
For physical therapy or occupational therapy: Rush University Medical Center is an approved provider for physical therapy (216.000378) and occupational therapy (224.000220) by the Illinois Department of Professional Regulation. Rush University Medical Center designates this journal-based CME activity for 1.0 continuing education credits.
ABLM MOC: The American Board of Lifestyle Medicine has approved 1.0 maintenance of certification credits for this learning activity.
Disclosure Statement:
As a provider of continuing education, Rush University Medical Center asks everyone who has the ability to control or influence the content of an educational activity to disclose information about all of their financial relationships with ineligible companies within the prior 24 months. There is no minimum financial threshold; individuals must disclose all financial relationships, regardless of the amount, with ineligible companies. Individuals must disclose regardless of their view of the relevance of the relationship to the education. Mechanisms are in place to identify and mitigate any potential conflicts of interest prior to the start of the activity. All information disclosed must be shared with the participants/learners prior to the start of the educational activity.
Unapproved Uses of Drugs/Devices: In accordance with requirements of the FDA, the audience is advised that information presented in this continuing medical education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA approved package insert for each drug/device for full prescribing/utilization information.
Individuals in control of content have disclosed the following:
- Rohit Moghe, PharmD, MSPH, CDCES – Member, Speakers Bureau, Novo Nordisk
All of the relevant financial relationships listed for these individuals have been mitigated. The remaining course director(s), planner(s), faculty, and reviewer(s) of this activity have no relevant financial relationship(s) with ineligible companies to disclose.