The concept of exercise as medicine has a strong scientific basis in the prevention and treatment of diabetes. Compiled by a team of experts in the field, this text is a mechanistic tool, making it possible to recognize how people with diabetes can benefit.

Diabetes is a major public health problem in the United States. This collection, Diabetes and Exercise, discusses the extent of the problem of diabetes and sedentary lifestyle and presents a compelling rationale for the importance of increased physical activity and exercise in persons with diabetes. The concept of exercise as medicine has a strong but underappreciated scientific basis for the prevention and treatment of diabetes. Diabetes and Exercise, compiled by a team of experts in the field, focuses on both the physiological and practical aspects of the beneficial effects of exercise. This thorough collaboration provides the why's and how's to implementing the physical activity and exercise changes so important in diabetes prevention and disease management.

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PART I: Epidemiology and Prevention Chapter 1 The Epidemic of Type 2 Diabetes Mellitus: Its Links to Obesity, Insulin Resistance and Lipotoxicity Kenneth Cusi, MD The University of Texas Health Science Center at San Antonio Chapter 2 Prevention of Type 2 Diabetes Jonathan E. Shaw, MD International Diabetes Institute and Monash University Richard W. Simpson, DM Monash University Chapter 3 The Metabolic Syndrome Aoife M. Brennan, MD Beth Israel Deaconess Medical Center Laura Sweeney, MD Beth Israel Deaconess Medical Center Christos S. Mantzoros. MD DSc Beth Israel Deaconess Medical Center PART II: Physiology Effects of type 2 diabetes Physiological Effects of Exercise in diabetes Chapter 4 Exercise Performance and Effects of Exercise Training In Diabetes Irene Schauer, MD University of Colorado Denver Timothy Bauer, PhD University of Colorado Denver Peter Watson, PhD University of Colorado Denver Judith C. Regensteiner, PhD University of Colorado Denver Jane EB Reusch, MD University of Colorado Denver Chapter 5 The Cardiovascular Consequences of T2DM Mellitus Sherita Hill Golden, MD, MHS Johns Hopkins University School of Medicine Chapter 6 Endothelial Dysfunction, Inflammation, and Exercise John Doupis, MD Joslin Diabetes Center Jordan C. Schramm, BA Beth Israel Deaconess Medical Center Aristidis Veves, MD, D.Sc. Beth Israel Deaconess Medical Center Chapter 7 Exercise, Adiposity, and RegionalFat Distribution Kerry Stewart, EdD, FAACVPR, FACSM, FSGC Johns Hopkins School of Medicine Chapter 8 Diabetes Mellitus and Exercise Physiology in the Presence of Diabetic Co-morbidities Amy Huebschmann, MD University of Colorado Denver Judith C. Regensteiner, PhD University of Colorado Denver PART III: Management and Treatment Chapter 9 Prescribing Exercise as Therapy for Patients with Diabetes (Exercise Prescription for Diabetics) Dalynn T. Badenhop, PhD, FACSM University of Toledo Medical Center Chapter 10 Behavior Change Strategies for Increasing Exercise in Diabetes Brent Van Dorsten, PhD University of Colorado Denver Chapter 11 Nutritional Management of Diabetes Norica Tomuta, MD Albert Einstein College of Medicine Nichola Davis, MD, MS Albert Einstein College of Medicine/Montefiore Medical Center Judith Wylie-Rosett, EdD, RD Albert Einstein College of Medicine/Montefiore Medical Center Carmen Isasi, MD, PhD Albert Einstein College of Medicine/Bronx-Lebanon Hospital Center Vlad Tomuta, MD Albert Einstein College of Medicine Chapter 12 Exercise Precautions/Guidelines for Exercise Testing in Diabetics Starting an Exercise Program Barry A. Franklin, PhD William Beaumont Hospital Wendy M. Miller, MD William Beaumont Hospital Katherine Nori, MD William Beaumont Hospital Peter A. McCullough, MD, MPH William Beaumont Hospital PART IV: Special Considerations for Exercise in persons with Diabetes Chapter 13