Community exercise and education to improve blood glucose control, physical health outcomes, and well-being for people living with type II diabetes.

Type: exercise and education plus "usual care" Materials: exercise and education Who will deliver the intervention: Exercise delivered by a New Zealand registered physiotherapist with a long term conditions nurse in attendance, each with a minimum of two years’ experience. Education delivered by appropriate health professional. Mode of delivery: face-to-face group delivery. Number of times: personalised intervention delivered in two 90-minute sessions per week for 12 weeks. Sessions comprise 45mins of exercise, followed by 45mins of education on health-related topics. Each exercise session includes aerobic exercise warm-up (5mins), aerobic and resistance exercise circuit with focus on major muscle groups (30mins), flexibility exercises (5mins). The exercise degree of difficulty and intensity level is individually prescribed (taking into account comorbidities), based on accepted exercise prescription protocols. Each education session focuses on a topic to support self-management of diabetes, such as ‘food portions’ and ‘foot health’, conducted by an appropriate health professional (e.g. dietitian, podiatrist). A “txt-to-remind service” to facilitate adherence. Participants then join the continuation exercise classes (held twice weekly for 60mins) for a duration on one year. This class uses the same format as the exercise sessions as the 12-week programme, except for a slightly longer period i.e. 10 mins aerobic warm-up, 40 mins of aerobic and resistance circuit class and 5 mins or flexibility exercise. There are no education sessions in the continuation exercise classes. Location: delivered in a community hall The trial's Clinical Advisory Group (comprising a Physiotherapist, Nurse and Dietitian), will ensure fidelity with random visits and use of a checklist.