Table 16.

Dietary and physical activity interventions in diabetes mellitus (DM) to prevent cardiovascular disease

Indication	Class	Level of evidence
• Moderate physical exercise for at least 150 minutes in association with moderate diet and energy restriction to prevent DM in individuals at risk	I	A
• Because of the effects of obesity on insulin resistance, weight loss is an important therapeutic goal for individuals at risk for DM	I	A
• Reduction in fat to less than 30% of the energy ingestion and reduced energy ingestion for overweight individuals	I	A