Diabetes is a complex endocrine disorder that affects both the body s ability to regulate glucose, and insulin secretion and utilization. Loss of normal insulin physiology results in changes in how fuel is used in the body, and how storage and hydration occurs. Many clients with diabetes have macro- or microvascular complications from their disease, which alters their ability to fuel appropriately, maintain hydration status and train. Diabetes and Exercise reviews type 1 and type 2 diabetes and the metabolic complications that are associated with this disorder.Among Topics Covered: Exercise and nutrient metabolism Nutritional assessment Sport-specific variables Correction factors Assessment of diabetes risk factors -- neuropathy