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Type 2 diabetes — MRCGP AKT MCQ

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EasyExercise PrescriptionType 2 diabetesMRCGP AKT

A 58-year-old man with type 2 diabetes asks how to start exercise. HbA1c is above target, he has no unstable cardiovascular symptoms, and he is not on insulin or sulfonylurea therapy. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Combined aerobic and resistance exercise introduced gradually

Exercise improves glycaemic control, insulin sensitivity and cardiometabolic risk in type 2 diabetes. A combination of aerobic and resistance training is generally recommended, progressed according to baseline fitness and complications. Hypoglycaemia risk counselling is particularly important with insulin or sulfonylureas.

Reference: NICE diabetes guideline; FSEM DipExM syllabus