Now in a fully revised and updated second edition, written and editing by leading experts in the field, this comprehensive and practical text brings together the latest guidelines and recommendations on the benefits of exercise and physical activity in the management of diabetes and its complications, providing both the researcher and practitioner with evidence-based information that is both theoretically and clinically useful. Part one sets the stage by discussing the epidemiology and prevention of type 2 diabetes and the metabolic syndrome. The physiological effects of exercise in type 2 diabetes are covered in part two, covering molecular mechanisms, adiposity, sex differences, cardiovascular consequences and musculoskeletal changes. Part three addresses practical issues that are essential in order to safely engage patients with diabetes in exercise-related research protocols and clinical programs, including DPP and LOOK Ahead, nutrition, behavioral changes, and guidelines for exercise testing. The final section examines special considerations for exercise in people with diabetes, such as those with neuropathy, cardiac issues and peripheral artery disease.

Part I: Epidemiology and Prevention.- State of Fitness: Overview of the Clinical Consequences of Low Cardiorespiratory Fitness.- Prevention of Type 2 Diabetes.- The Metabolic Syndrome.- Diagnosis and Treatment of Nonalcoholic Fatty Liver Disease (NAFLD) in Type 2 Diabetes.- Part II: Physiological Effects of Exercise in Type 2 Diabetes.- Exercise Performance in Youth with Diabetes.- Exercise Performance Impairments and Benefits of Exercise Training in Diabetes.- Sex Differences in Exercise Performance and Exercise Training Among Persons with Type 2 Diabetes .- Mitochondria in Muscle and Exercise.- Vascular Dysfunction, Inflammation, and Exercise in Diabetes.- Exercise, Adiposity, and Regional Fat Distribution.- Exercise, Blood Flow and the Skeletal Muscle Microcirculation in Diabetes Mellitus.- Part III: Management and Treatment.- Diabetes Prevention Program (DPP) and the Action for Health in Diabetes (Look AHEAD) Study: Lessons Learned.- Exercise and NutritionalConcerns.- Behavior Change Strategies for Increasing Exercise and Decreasing Sedentary Behaviors in Diabetes.- Exercise and Quality of Life.- Guidelines for Medical Evaluation and Exercise Testing in Persons with Diabetes Starting an Exercise Program.- Part IV: Special Considerations for Exercise in People with Diabetes.- Conditions that May Interfere with Exercise.- Diabetes Mellitus and Exercise Physiology in the Presence of Diabetic Co-morbidities.- Type 1 Diabetes and Exercise.- Exercise Programs to Improve Quality of Life and Reduce Fall Risk in Diabetic Patients with Lower Extremity Disease.- Cardiac Rehabilitation for Patients with Diabetes Mellitus.- Peripheral Artery Disease and Exercise in Patients with Diabetes.