Exercise and education may counter frailty in older diabetics

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Men and women aged ≥ 65 years. * The subject is willing and able to give written informed consent for participation in the study. * Diagnosis of type 2 diabetes for at least 2 years * Require to fulfill Fried´s criteria for frail or pre-frail individuals Exclusion Criteria: * Unable or unwilling to provide informed consent or accept randomization to either study group * Plans to relocate out of the study area within the year or plans to be out of the study area for more than 6 consecutive weeks in the next year * MoCA (Montreal Cognitive Assessment) lower than 17/30 * Cancer requiring treatment in the past 3 years,except for non-melanoma skin cancers or cancers that have an excellent prognosis (e.g., early stage breast or prostate cancer) * Barthel ADL score lower than 60 points * Inability to carry out the SPPB test (total score = 0) * Upper and/or lower extremity amputation * Current participation in a structured physical activity (PA) program, physical therapy or cardiopulmonary rehabilitation * Current enrolment in another randomized clinical trial (RCT) involving lifestyle, nutrition, or pharmaceutical interventions * Other medical, psychiatric, or behavioral factors that in the judgment of the investigator may interfere with the study participation * Other illness of such severity that life expectancy is expected to be less than 12 months * Any other condition that is an absolute contraindication to the exercise program: * Acute heart attack (recent 3-6 months) or unstable angina * Uncontrolled atrial or ventricular arrhythmias * Aortic dissecting aneurysm * Severe aortic stenosis * Acute endocarditis / pericarditis * Uncontrolled high blood pressure (\> 180/100 mmHg) * Acute thromboembolism * Acute or severe heart failure * Acute or severe respiratory failure * Uncontrolled postural hypotension * Uncontrolled acute decompensated diabetes mellitus or low blood sugar * A recent fracture in the last month Any other circumstance the investigator believes to prevent undertaking physical activity