This interventional study was designed to evaluate the role of recommended physical activity and diet in control of type 2 diabetes in order to choosean appropriate strategy for controlling diabetes according to condition of our community. This study carried out in a time-period between 2006-2007 and study's community of this research was Persian Diabetes Clinic and Khorasan Diabetes Research Center: Mashhad, Khorasan Razavi. In this community based interventional study diabetic patients (type 2) with informed consent allocated randomized in one of the following groups, recommended physical activity, recommended both physical activity and diet, control group and laboratory test included: FBS, 2hpp, HbAlc and urinalysis before intervention and 2 months after intervention. Results were compared in four groups. Data were collected by a designed questionnaire and analyzed by SPSS 11.5 software. Comparison of 4 groups showed recommended physical activity has significant effect in decreasing FBS, 2hpp and HbAlc (p < 0.030) Whereas the recommended diet led to merely significant decreasing in FBS (p = 0.032). Diabetic patients who were recommended for both physical activity and diet have improved variables but they are not significant although they have decreased the weight and drug (p < 0.024). It is considerable that in controlling group variables a significant increase in the drug usage is recommended (p = 0.001). The result of the study show that simple and practical appropriate diet and physical activity is effective in control of diabetes. We suggest further consideration regarding this subject.

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