Intervention Effect of Combined Exercise in Individual with Type 2 Diabetes Mellitus

Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance and relative insulin deficiency that severely affects an individual's health and quality of life. In this paper, we investigated the effectiveness of combined exercise as an intervention for patients with T2DM based on the World Health Organization's International Classification of Functioning, Disability and Health (ICF framework). The findings of this paper show that combined aerobic and resistance training combined exercise is considered a superior intervention strategy that is effective in improving insulin resistance by decreasing HbA1c levels and increasing insulin sensitivity. This article emphasizes how combined exercise can target physical functional and structural impairments, activity limitations, and participation restrictions, thereby reducing the severe disability and functional impact of type 2 diabetes. Combined exercise can improve mobility and balance, metabolic and endocrine processes, address comorbidities including obesity, and can also help address participation limitations (e.g., social isolation) and activity limitations (e.g., walk-ing limitations). In addition, this paper recommends multidisciplinary rehabilitation and emphasizes the importance of individualized intervention strategies, and combined exercise is considered a key strategy to reduce the complex impairment load of type 2 diabetes, promote functional independence, and mitigate the socioeconomic impact of the disease.