PMID- 34182427 OWN - NLM STAT- MEDLINE DCOM- 20211025 LR - 20211025 IS - 1471-4973 (Electronic) IS - 1471-4892 (Linking) VI - 59 DP - 2021 Aug TI - Exercise as a drug for glucose management and prevention in type 2 diabetes mellitus. PG - 95-102 LID - S1471-4892(21)00067-9 [pii] LID - 10.1016/j.coph.2021.05.006 [doi] AB - Physical inactivity and sedentary behavior are risk factors for type 2 diabetes mellitus (T2DM). Therefore, physical exercise (PE) together with medical treatment might be considered as a key strategy to counteract T2DM. Glycemic control is a central objective in the prevention and management of T2DM, and PE might be able to substantially affect the processes that determine it. Just like a drug, exercise can be dosed based on the characteristics of the individual to increase its benefits and reduce side effects. In this brief review, the mechanisms underlying the effects of PE on glucose metabolism in muscle are illustrated, and the effects of modulation of the parameters characterizing this atypical "drug" on glucose homeostasis are described. CI - Copyright (c) 2021 Elsevier Ltd. All rights reserved. FAU - Sgro, Paolo AU - Sgro P AD - Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy. FAU - Emerenziani, Gian Pietro AU - Emerenziani GP AD - Department of Experimental and Clinical Medicine, University of Catanzaro "Magna Graecia", Catanzaro, Italy. FAU - Antinozzi, Cristina AU - Antinozzi C AD - Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy. FAU - Sacchetti, Massimo AU - Sacchetti M AD - Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy. FAU - Di Luigi, Luigi AU - Di Luigi L AD - Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy. Electronic address: luigi.diluigi@uniroma4.it. LA - eng PT - Journal Article PT - Review DEP - 20210626 PL - England TA - Curr Opin Pharmacol JT - Current opinion in pharmacology JID - 100966133 RN - 0 (Pharmaceutical Preparations) RN - IY9XDZ35W2 (Glucose) SB - IM MH - *Diabetes Mellitus, Type 2/drug therapy/prevention & control MH - Exercise MH - Glucose MH - Humans MH - *Pharmaceutical Preparations COIS- Conflict of interest statement Nothing declared. EDAT- 2021/06/29 06:00 MHDA- 2021/10/26 06:00 CRDT- 2021/06/28 20:30 PHST- 2021/03/25 00:00 [received] PHST- 2021/05/19 00:00 [revised] PHST- 2021/05/25 00:00 [accepted] PHST- 2021/06/29 06:00 [pubmed] PHST- 2021/10/26 06:00 [medline] PHST- 2021/06/28 20:30 [entrez] AID - S1471-4892(21)00067-9 [pii] AID - 10.1016/j.coph.2021.05.006 [doi] PST - ppublish SO - Curr Opin Pharmacol. 2021 Aug;59:95-102. doi: 10.1016/j.coph.2021.05.006. Epub 2021 Jun 26.