A new study published in Diabetologia suggests that a 'Sit Less' intervention — breaking sitting with standing and light-intensity walking — may be an alternative to structured exercise to promote blood sugar control in patients with type 2 diabetes, giving improved 24-hour glucose levels and improved insulin sensitivity.

The use of moderate to vigorous exercise is one of the cornerstones of prevention and treatment of type 2 diabetes, with current physical activity guidelines recommending a performance of at least 150 minutes per week of exercise at these intensities.

Despite the proven effectiveness of such a regime, however, over 90% of the healthy population does not adhere to the guidelines. Non-compliance is likely to be even higher in those with type 2 diabetes, in which related comorbidities such as muscle weakness and peripheral neuropathy can be a barrier to physical exercise. An alternative approach is needed.