Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

What is the most appropriate physical activity recommendation for a pregnant woman with type 2 diabetes without complications?

1. Avoidance of all physical activity

2. 30 minutes of moderate activity most days of the week

3. Continuing usual activity

4. Flexibility and upper body exercises only

The correct answer is: 30 minutes of moderate activity most days of the week

The recommendation of 30 minutes of moderate activity most days of the week is based on the substantial benefits physical activity provides during pregnancy, especially for women with type 2 diabetes. Engaging in regular, moderate exercise can help improve blood glucose control, reduce the risk of excessive weight gain, and enhance overall mood and well-being, all of which are vital for the health of both the mother and the developing fetus. Moderate physical activity, such as brisk walking, swimming, or stationery cycling, is recognized for its safety and effectiveness during pregnancy, particularly when there are no complications present. This level of activity aligns with guidelines established by health organizations, which advocate for the promotion of physical fitness in pregnant women as long as they have a stable condition. Avoiding all physical activity is not recommended, as it can lead to negative physiological effects and increased risks related to blood sugar levels and overall physical health. While continuing usual activity is beneficial for many, it should be under professional guidance to ensure safety based on individual health conditions. Flexibility and upper body exercises may be useful, but they do not encompass the cardiovascular and overall fitness benefits that come from consistent moderate exercise.