The five horses of comprehensive diabetes treatment are diabetes education, diet therapy, exercise therapy, medication and blood glucose monitoring, of which exercise therapy is one of the main components of diabetes management, health education and treatment. Exercise therapy not only provides pleasure and weight loss, but also lowers blood sugar and improves the body’s insulin response. In the absence of exercise, there is a risk of and increase in certain cardiovascular and cerebrovascular accidents. Exercise is good, but not strenuous, to have principles, to be gradual, measured, to be consistent, it is best to go to the hospital before exercise to do a comprehensive examination, especially diabetic friends, before the exercise to consult a specialist, to develop a suitable exercise program, and to ensure that they always carry cookies and fruit candy. Walking, trotting, swimming, bicycling, table tennis, Tai Chi and Badaunjin are all appropriate choices for exercise, especially for older and poorer people. Check your feet carefully after exercise, and if there is discomfort, do prevention and treatment in advance. In addition, for special groups with diabetes combined with severe heart disease, hypertension, nephropathy, retinopathy and those carrying insulin pumps, exercise needs to be done more carefully and avoid choosing heavy physical exercises such as shot put, racing, weight lifting and wrestling to avoid the risk of hypoglycemia and other unforeseen accidents.