Continuing the story line from above, that sweeping statements can be misleading, what about the obvious benefit of exercise for people with type 2 diabetes? This article nicely lays out the many exceptions to this statement. Perhaps around 10% or more people might be non-reponders to exercise, but this non-reponse varies depending on the measures used to determine response; changes in VO2max, fasting glucose, insulin resistance… There are some genetic and metabolic markers that seem related to response, but nothing that is clinically useful at present. This emphasizes the importance of doctors working along with people with diabetes to determine what treatment choices are optimal, in terms of clinical effect, as well as individual preferences.
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