Ideally should go for isotonic exercises (Brisk walking, swimming, aerobic dancing, slow running, cycling, TMT etc.)
To avoid Isometric exercises (weight lifting, etc.)
Regular brisk walking 3-4km / day for at least 4-5 days a week is recommended. Early morning walking preferable. Late evening walking after dinner can be slow walking.
Exercise should have 3 phases. Warm-up phase of 5-10 mins, aerobic phase of 15-20 mins and cool down phase of 5-10mins.
Preferable to walk wearing sports shoes and on a flat ground without elevation and uneven surfaces.
Patients with known heart disease need to walk to achieve a pulse rate which is about 75% of their target heart rate (THR) (THR = 220-age)
Adequate hydration before and after exercise is needed
Significant fall in fasting and postprandial blood sugar
Reduction in drug requirement
Sense of well being
Normalisation of insulin / glucose ratios