Energy balance

Aerobic exercise is required to reduce visceral adipose tissue (VAT) in postmenopausal women with type 2 diabetes, as a hypocaloric high monounsaturated fat diet alone fails to reduce this specific fat depot despite reducing total abdominal and subcutaneous fat.

If you have type 2 diabetes and are postmenopausal, simply cutting calories may not be enough to shrink your dangerous visceral belly fat. You must incorporate aerobic exercise (like brisk walking) at moderate intensity (65-70% of your max heart rate) for about 50 minutes, three times a week. This specific type of activity is required to target visceral fat, which is strongly linked to insulin resistance, even if your total body weight doesn't change drastically.