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Nrf2, HO-1 and NFB pathways are known to regulate cellular redox homeostasis ( Sirtuin 1 (SIRT-1), a cellular energy sensor and major regulator of energy metabolism, integrates cellular metabolism and inflammation by regulating downstream signaling pathways ( Studies, including our own, have shown mitochondrial dysfunction, including depressed mitochondrial respiratory complex activities and ultra-structural abnormalities in type 1 and type 2 diabetic rat models ( Another key energy sensor is AMP-activated protein kinase (AMPK), an insulin-independent regulator of glucose uptake, which on activation by exercise, regulates downstream targets involved in mitochondrial biogenesis, energy metabolism, and oxidative capacity ( It is an indisputable fact that insulin regulation of glucose transport requires phosphorylation by hexokinases ( Conclusion In summary, our study shows that exercise significantly improves redox homeostasis, glucose uptake, and energy metabolism, improves mitochondrial function, and possibly increases insulin sensitivity by activation of the AMPK/SIRT-1/PPAR- pathways