**2.2 Exercise prescription**

The FITT principle of Exercise prescription (**Table 1**) for healthy adults as well individuals with DM will be similar. Involvement in an exercise program is beneficial to individuals with T1DM and T2DM. Maximizing the cardiovascular benefits as a result of exercise is a pivotal for both types of diabetes. In nondiabetic people, exercise enhances sensitivity to insulin in a gradual dose-dependent manner [3]; thus, cellular uptake of glucose that facilitates improved control of blood glucose should occur in individuals with T2DM or prediabetes.

For those with T1DM, a higher insulin sensitivity has a very less influence on function of pancreas and the demand for exogenous insulin [4]. Weight reduction and moistening body weight are often more serious issues for those with pre diabetes and Type 2 Diabetes Mellitus, but a higher body weight and fat can be


*VO2R, oxygen uptake reserve.*

*Exercise Prescriptions for Co-Morbid Conditions DOI: http://dx.doi.org/10.5772/intechopen.98339*

prevalent in those with T1DM as well, and an exercise program should be beneficial to both. A recent systematic review and meta-analysis found no substantial evidence that resistance exercises has more benefit than aerobic exercise in impact on cardiovascular status in individuals with T2DM. Therefore, selecting one form of exercise over other may be less important than involved in any form of PA [5]. Further, there is evidence that aerobic and resistance training together improves blood glucose control more than either one form of exercise alone [6]. Whether the added benefits are caused by a greater overall energy expenditure [7] or are specific to the combination of aerobic and resistance training has not yet been fully resolved.
