Effect of Soleus Push-Up and Brisk Walking in Type 2 Diabetic Patient: A Case Study

Abstract

Introduction: This case report presents a unique non-fatiguing intervention soleus push-up and brisk walking—for managing type 2 diabetes mellitus (T2DM), especially suited for sedentary individuals. Type 2 Diabetes Mellitus (T2DM) is a prevalent metabolic disorder marked by insulin resistance and elevated blood glucose levels. While pharmacological treatments are foundational, complementary lifestyle interventions, those involving physical activity, play a critical role in long-term glycemic control. Case Information: A 37-year-old female presented with fatigue and increased urination that disrupted daily household functioning. She had a family history of diabetes and was recently diagnosed with T2DM based on fasting blood tests and clinical features and taking diabetes medication from past 6 months. Diagnosis: Baseline HbA1c and HOMA-IR confirmed insulin resistance and impaired glycemic control, consistent with newly diagnosed T2DM. Intervention: The patient was enrolled in a 12-week exercise-based intervention including soleus push-ups and postprandial brisk walking. No medication and dietary changes were made during the study. Outcome measures included HOMA-IR and HbA1c values. Outcomes: After 12 weeks, there was a reduction in HbA1c from 7.6% to 7.1%, and HOMA-IR from 2.43 to 1.93. The patient also reported improved energy levels, reduced fatigue, and high adherence due to the feasibility of the intervention. Conclusions: This case suggests that muscle-activated strategies such as soleus push-ups and low-intensity walking can improve metabolic function in individuals with T2DM. These exercises are particularly valuable due to their ease, low fatigue level, and potential for broad implementation.