The Effect of Aerobic Exercise on Blood Glucose and Musculoskeletal Pain among Type 2 Diabetic Patients at the North Gaza Healthcare Clinic of the UNRWA

Objective: Exercise training programs have emerged as a useful therapeutic treatment for the management of type 2 diabetes mellitus (T2DM). Majority of the Western studies and others highlighted the effective role of exercise in T2DM.Therefore, the ultimate objective of this study is to discover the effect of an aerobic exercises on diabetic patient’s type 2blood glucose(HA1c,fasting blood glucose, body weight) and musculoskeletal pain. Methodology : stratified random sample was taken from three teams at the clinic ,female patients  with average ages between 35-70,different  weights .Mixed aerobic exercises and therapeutic exercises were given to the patients once weekly .The study continued four months, consisting  of 16 patients .Pre-test  and post -test  exam was done for patients on (Fasting blood glucose -HA1c- weights –pain scale).Psychological ,diet and medication advices was given to the patients. Results: The results shows improving and difference   in the measurements of HA1c, fasting blood glucose, weights of patients, and pain pre –and post intervention. Conclusions: Physical activity plays an important role in controlling blood glucose besides medication and diet, our finding support the predict intervention of aerobic and therapeutic exercises. These results provide support for encouraging type 2 diabetic individuals who are already exercising at moderate intensity to consider increasing the intensity of their exercise in order to obtain additional benefits in both aerobic fitness and glycemic control.  Recommendations: the study advised to implement aerobic exercise and therapeutic exercises with type 2 diabetic patients and enhance the role of physiotherapy in the non-communicable diseases.