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U.S. Department of Health and Human Services

The Indian Health Service continues to work closely with our tribal partners to coordinate a comprehensive public health response to COVID-19. Read the latest info.

Division of Diabetes Treatment and Prevention (DDTP)

Diabetes Standards of Care & Clinical Practice Resources

Physical Activity

Physical activity is important for achieving glycemic control goals, and it is a core component of diabetes self-management. Physical activity improves strength and endurance, improves insulin action, lowers blood glucose levels, improves body mass index, and reduces depression.

Any increase in physical activity is beneficial for patients. Physical activity does not have to be limited to structured aerobic or resistance exercise; it includes activities such as walking, gardening, dancing and any movement of the body that uses energy.

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Diabetes Standards of Care
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Physical Activity Sections

Quickly jump to a section on this page by clicking on one of the links below.

Section 1 – Clinical Practice Recommendations: Physical Activity
Section 2 – Clinician and Educator Resources: Physical Activity
Section 3 – Patient Education Resources: Physical Activity

Clinical Practice Recommendations

Recommendations for Physical Activity

Document patients' level of physical activity at diabetes visits and encourage individuals to set behavioral goals to begin or increase physical activity.
Assess patients for medical conditions that might affect the type, frequency, and intensity of physical activity in which they engage.
When available, referral to a fitness specialist for supervision and coaching is highly recommended. There are fitness specialists and programs available in many AI/AN communities.

Clinician and Educator Resources

Diabetes Education Lesson Plan: How To Get Started Walking [PDF – 690 KB]
Diabetes Education Lesson Plan: How To Walk Farther And Faster [PDF – 676 KB]

Integrating Case Management Into Your Practice [PDF – 290 KB]

Integrating DSMES Into Your Practice [PDF – 275 KB]

SDPI Diabetes Prevention Toolkit