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A physician-patient’s perspective on lowering glycemic variability – Part II: the role of exercise

Elsamma Chacko* & Christine Signore

A physician with long-standing type 2 diabetes and impaired awareness of hypoglycemia sought to lower the hypoglycemia risk using continuous glucose monitoring to optimize the medications-meals-exercise triad. As part of the lifestyle modification the patient made a remarkable observation: a glycogen depleting exercise, pre-meal or post-meal, followed by a mid-postprandial walk was superior to the post-meal walk alone for improving glycaemia. She found four exercise options that were useful and doable for lowering glycemic variability.