Predictors of a sustained Response to Exercise Training in Patients with Type2 Diabetes: A tele-monitoring Study

INTERVENTION: The exercise program will encourage patients to complete three hours of exercise per week. This volume of activity has been shown to be superior over a program of 115 minutes per week in improving insulin sensitivity. Patients will be instructed to complete 45‐minute walks, four times weekly, totalling 180 minutes (3hours) per week. The absolute volume of exercise will be considered rather than the precise combination of duration and frequency. Other combinations of exercise frequency and duration (e.g. three one hour exercise sessions) have been demonstrated to be as effective in generating health benefits. The exercise intensity will be governed by the heart rate as per heart rate monitors and patients will be fully versed in the importance of adhering to the correct exercise intensity range. CONDITION: Type 2 Dibetes mellitus PRIMARY OUTCOME: Blood test for HbA1C mmol/l SECONDARY OUTCOME: Cardiorespiratory fitness test,arterial function,endothelial function,cardiovascular function,Quality of life, number of visit to general paractitioner and hospitalitation INCLUSION CRITERIA: type 2 DM patients based on fasting glucose>7.0 and Body mass index >27 will be recruited.