Aims: To describe the sequential development of a structured exercise program for painful diabetic neuropathy in Type 2 diabetes and to determine the effect of structured exercise on neuropathic pain, nerve function, and glycosylated haemoglobin in Type 2 diabetes individuals with painful diabetic peripheral neuropathy. Methods: The development of the exercise regimen was supported by evidence-based research, which included a thorough evaluation of the literature, expert advice, and the most recent standard exercise recommendations for people with Type 2 Diabetes. Twenty sedentary diabetics were divided into experimental and control groups, with ten subjects in each group. At baseline and after 12 weeks, the following measures were taken: HbA1c, Pain Catastrophizing Score, Tampa Scale of Kinesiophobia Score, and Visual Analog Scale. Results: The baseline VAS scores for the control and experimental groups were 7.5±0.05 and 7.54±0.843, respectively, with corresponding mean and standard deviations of 8.19±1.05 and 9.53±0.68 for HbA1c. Following twelve weeks, the control and experimental groups’ mean VAS ratings were 6.40±0.516, 3.30±0.676, and HbA1c were 8.15±1.04 and 6.99±0.199, respectively. Conclusion: The developed exercise program is found to be effective in improving glycosylated haemoglobin and should further be evaluated using large randomised clinical trials.
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Pallavi et al. (2025) studied this question.
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