RT Book, Section A1 Goodman, Catherine A1 Helgeson, Kevin SR Print(0) ID 1133951774 T1 Diabetes Mellitus, Type 2 T2 Exercise Prescription for Medical Conditions: Handbook for Physical Therapists YR 2011 FD 2011 PB McGraw-Hill Education PP New York, NY SN 9780803617148 LK fadavispt.mhmedical.com/content.aspx?aid=1133951774 RD 2024/11/09 AB This condition is due to cellular resistance to insulin and deficient insulin secretion, which results in a state of hyperglycemia. A fasting blood glucose level of >126 mg/dL indicates diabetes, with levels of 100 to 125 mg/dL possibly indicating a state of prediabetes.1 Age, obesity, and a sedentary lifestyle are the main risk factors for developing type 2 diabetes mellitus. The risk of atherosclerosis leading to cardiovascular and peripheral vascular disease is increased in this population, with long-term complications that include kidney damage, retinopathies, and neuropathies. The lack of physical activity is a key risk factor for these clients and is closely linked to their becoming deconditioned, overweight, or obese.2 This lack of physical activity diminishes clients' skeletal muscle ability to use glucose, and clients become more susceptible to chronic inflammatory conditions that will limit their mobility. Long-term control of hyperglycemia is assessed by the percentage of glycated hemoglobin, known as the A1C test. Hemoglobin A1C percentages should be assessed at least twice per year to determine the client's disease status.