Exercise TherapyType 2 Diabetes (T2D)Complications
Research Summary

Taichi training may improve blood sugar control in type 2 diabetes

Low confidence
Some Concerns bias
Last updated June 2, 2026

Key Takeaway:

A 24-week randomized trial in 48 adults with type 2 diabetes found that Taichi, with or without resistance band training, improved glycemic and pulmonary diffusion measures compared with usual lifestyle.

Study at a Glance

What was studied

Twenty-four weeks of Taichi with or without resistance band training in type 2 diabetes

Study Type

Randomized Controlled Trials (RCTs)

duration

Medium-Term (3–12 mo)

Intervention

Taichi training, Taichi plus resistance band training

Outcomes

Pulmonary diffusion capacity, HbA1c, Fasting glucose, Insulin sensitivity, Fasting insulin levels, Inflammatory markers

Funding

Non-Industry Sponsored

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Main Effects

↑ Pulmonary diffusion capacity after Taichi-based training

↓ HbA1c and fasting blood glucose after Taichi-based training

↑ Insulin sensitivity and endothelial markers with lower inflammatory markers

Evidence Summary

InterventionOutcomeMeasured ChangeStudy Effect
Physical Activity
Taichi plus resistance band training
(Physical Activity)
Metabolic Health
Fasting insulin levels
(Metabolic Health)
Decrease
Mixed
Physical Activity
Taichi plus resistance band training
(Physical Activity)
Glycemic Control
HbA1c
(Glycemic Control)
Decrease
Mixed
Physical Activity
Taichi plus resistance band training
(Physical Activity)
Metabolic Health
Inflammatory markers
(Metabolic Health)
Decrease
Mixed
Physical Activity
Taichi plus resistance band training
(Physical Activity)
Metabolic Health
Insulin sensitivity
(Metabolic Health)
Increase
Mixed
Physical Activity
Taichi plus resistance band training
(Physical Activity)
Metabolic Health
Pulmonary diffusion capacity
(Metabolic Health)
Increase
Mixed
Physical Activity
Taichi training
(Physical Activity)
Metabolic Health
Fasting insulin levels
(Metabolic Health)
Decrease
Mixed
Physical Activity
Taichi training
(Physical Activity)
Glycemic Control
HbA1c
(Glycemic Control)
Decrease
Mixed
Physical Activity
Taichi training
(Physical Activity)
Metabolic Health
Inflammatory markers
(Metabolic Health)
Decrease
Mixed
Physical Activity
Taichi training
(Physical Activity)
Metabolic Health
Insulin sensitivity
(Metabolic Health)
Increase
Mixed
Physical Activity
Taichi training
(Physical Activity)
Metabolic Health
Pulmonary diffusion capacity
(Metabolic Health)
Increase
Mixed

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evidence suggest

Evidence Suggest

  • Forty-eight patients with type 2 diabetes were randomly divided into Taichi, Taichi plus resistance band training, and control groups.
  • Both active exercise groups reportedly improved DLCO and glycemic control markers, while controls maintained daily lifestyles and showed no reported changes.
  • DLCO variation was strongly predicted by insulin sensitivity and selected endothelial and inflammatory markers in regression modeling.
who this applies

Who this applies to

Adults with type 2 diabetes similar to the trial participants.

keep in mind

Keep in Mind

The evidence is from a small randomized trial, not a large multicenter study.

between the lines

Between the Lines

  • Small sample size of 48 participants.
  • Provided excerpts lack detailed randomization, allocation concealment, blinding, dropout, and adherence information.
  • Outcome excerpts report significance but not numeric group-level changes for most endpoints.
  • No safety or adverse-event data were available in the provided excerpts.

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Journal Reference

Liu X, Zhu H, Peng Y, Liu Y, Shi X. Twenty-Four week Taichi training improves pulmonary diffusion capacity and glycemic control in patients with Type 2 diabetes mellitus. PLoS One. 2024;19(4):e0299495. doi:10.1371/journal.pone.0299495

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