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. 2024 Jul 26;48(4):546–708. doi: 10.4093/dmj.2024.0249
1. Individualize the type, frequency, duration, and intensity of physical exercise based on the individual’s age, physical capacity, and comorbidities. [Expert opinion, general recommendation]
2. Assessment for CVD and microvascular complications and confirmation of the absence of contraindications before the start of the first training session. [Expert opinion, general recommendation]
 1) People with severe retinopathy should avoid high-intensity physical exercise because they are at a high risk of retinal hemorrhage or detachment. [Expert opinion, general recommendation]
 2) People with severe peripheral neuropathy or foot diseases should avoid weight-bearing exercises. [Expert opinion, general recommendation]
 3) People with CVDs or those at a high risk of CVDs should avoid high-intensity physical exercise. [Expert opinion, general recommendation]
3. Preferably, a professional trainer should prescribe an appropriate exercise regimen. [Expert opinion, general recommendation]
4. Pre-exercise blood glucose levels were measured to determine the exercise method (Table 7). [Expert opinion, general recommendation]
5. Blood glucose levels were measured for hypoglycemia or hyperglycemia when the intensity or duration of exercise increased. [Expert opinion, general recommendation]
6. Engaging in both aerobic and resistance exercises is recommended. [Randomized controlled trial, general recommendation]
7. Engage in ≥150 min/week of at least moderate-intensity aerobic exercise, spread over at least 3 days per week, with less than 2 consecutive days without exercise. [Randomized controlled trial, general recommendation]
8. For physically able people with T2DM who cannot exercise as recommended because of time restrictions, high-intensity interval training (HIIT), a time-efficient alternative, is recommended. [Randomized controlled trial, limited recommendation]
9. Engage in resistance exercises at least twice a week. [Randomized controlled trial, general recommendation]
10. Minimize time spent in sedentary behaviors and avoid prolonged sitting. [Randomized controlled trial, general recommendation]