The overall goal of exercise therapy in type II diabetes is to minimize risk and maximize health benefits (Creviston & Quinn, 2001). These health risks can be lessened or delayed with the implementation of physical activity into the life of a type II diabetic.

�The benefits of cardiovascular exercise for the person with diabetes include the same positive changes that occur in the general population, with the addition of improved glucose control and increased insulin sensitivity� (Aiello, Cavallerano, & Aiello, 1998, as cited in Creviston & Quinn, 2001, p. 268). Other benefits include weight loss and reduced risk for cardiovascular disease (Castaneda, 2000).

Being active means getting your heart rate up and your muscles moving, and for most people, walking is a fine way to do that. Walking is something that�s reasonable, and within individuals current capabilities and fitness levels. The majority of people identify walking as something that they can do (Agnew, 2003).

If one has been sedentary for a majority of thir life, theres nothing wrong with starting off simple and slow. This could include leisurely activities such as gardening or simple stretches. It�s recommended that one find a support person (i.e. friend, neighbour, relative) to get physically active with. This will help to motivate each other to become active and make it more difficult to cancel plans or make up excuses (Rosenthal, 1999).

Exercise will empower patients and make them feel good about themselves, and these benefits, in turn may help them maintain an adequate level of physical activity (Castaneda, 2000). Graham, Biermann and Toohey (1995) believe that action must come before motivation and have identified many different ideas to get individuals with diabetes active. Their helping ideas include letting the dog walk you, running with your baby, getting a friend, joining a group or class, making an exercise contract, keeping a record, and rewarding yourself after reaching a long-term exercise goal.