Physical therapy can play a valuable role in helping individuals who are pre-diabetic or at risk of developing type 2 diabetes. Here are several ways in which physical therapy can assist pre-diabetic individuals in managing their health and reducing the risk of progressing to full-blown diabetes:


Exercise prescription

Physical therapists can design personalized exercise programs tailored to the individual’s fitness level, needs, and goals. Regular exercise is a key component of managing blood sugar levels and preventing the onset of diabetes. Exercise can increase insulin sensitivity and improve glucose metabolism.

Cardiovascular fitness

Physical therapy programs may include cardiovascular exercises to improve heart health. Cardiovascular fitness helps reduce the risk of heart disease, which is a common comorbidity of diabetes.

Strength training

Building and maintaining muscle mass can enhance metabolic function. Physical therapists can design strength training routines to improve muscle tone, boost metabolism, and support glucose control.

Balance and coordination training

For individuals at risk of diabetes, balance and coordination training can help reduce the risk of falls and injuries, which can be more problematic for those with diabetes due to the potential for delayed wound healing.


Physical therapists can provide education on the importance of regular exercise, healthy lifestyle choices, and dietary recommendations. They can offer guidance on how to monitor and manage blood sugar levels effectively.

Weight management

Physical therapists can assist with weight management strategies, including diet and exercise recommendations, which can be crucial for individuals at risk of diabetes. Losing excess weight can help improve insulin sensitivity and reduce diabetes risk.

Pain management

Some individuals with pre-diabetes may experience joint or musculoskeletal pain that limits their ability to exercise. Physical therapists can address these pain issues, allowing for greater participation in physical activity.

Behavioral Support: Physical therapists can offer behavioral strategies to help individuals establish and maintain healthy exercise routines and lifestyle changes. This includes setting realistic goals, tracking progress, and managing stress.

Monitoring progress

Regular follow-up with a physical therapist can help monitor progress and adjust the exercise program as needed to ensure that it remains effective and appropriate.

It’s important to note that while physical therapy can be a valuable component of diabetes prevention and management, it should be part of a comprehensive approach that includes regular medical check-ups, healthy eating habits, and ongoing self-monitoring of blood sugar levels. Individuals at risk of diabetes should work closely with healthcare professionals, including their physical therapist, to develop and maintain a personalized plan to manage their health effectively.