Comparative Effectiveness of Prescribed Adapted Physical Activity (APA), Either Practiced Independently After Training, or Supervised by an APA Teacher, on Glycemic Regulation in People With Unbalanced Type 2 Diabetes.

This French study is comparing two ways of delivering adapted physical activity (APA) — a medically-prescribed exercise program — for people with poorly controlled type 2 diabetes: independently (after initial training) versus supervised by an exercise therapist, to see which better improves blood sugar control. **You may be eligible if...** - You are between 18 and 67 years old - You have been diagnosed with type 2 diabetes - Your blood sugar is poorly controlled (fasting glucose above 1.30 g/L on two tests) - You are currently on non-insulin medications (such as metformin, DPP4 inhibitors, GLP1 analogues, or SGLT2 inhibitors) - You are capable of doing regular physical activity - You are willing to wear a fitness tracker for the full study **You may NOT be eligible if...** - You have type 1 diabetes - You had a heart attack, stroke, or acute coronary event in the past year - You have severe cardiovascular conditions, proliferative eye disease (retinopathy), severe kidney or liver disease, or disabling joint problems in the lower limbs - You are pregnant or breastfeeding - You have had severe low blood sugar episodes recently - Your BMI is above 40 kg/m2 (morbid obesity) Talk to your doctor to see if this trial is right for you.