Exercise Program Combined or Not With Nutritional intErvention in Adults With tyPe 2 Diabetes

Inclusion Criteria: * Body mass index (BMI) 27-40 kg/m2 * Type 2 diabetes diagnosed since at least 3 months * High risk of cardiovascular disease : Framingham global cardiovascular risk score for 10 years \> 15% or 2 or more of the following risk factors: age \> 50years, dyslipidemia or treatment, high blood pressure or treatment, pathologic microalbuminuria or established proteinuria, currently smoking, family history of early cardiovascular disease (\< 60 years), inactivity or high waist circumference according to IDF criteria * HbA1c : 6.0-10.0% * Stable weight for last 3 months (±3kg) reported or documented * Stable treatment for diabetes. 4 weeks: blood pressure and dyslipidemia medications. 3 months: glitazones and weight loss drugs the treatment that will be maintained at the same dose during the study; insulin will have been introduced since 4 months at least and previous month dose should be stable defined as a 10% variation or less of total daily units. Exclusion Criteria: * Pregnancy, breastfeeding * Type 1 diabetes * Secondary diabetes (e.g cystic fibrosis, steroid induced, etc.) * Recurrent, hypoglycemia without precursor signs or severe hypoglycemia occurred ≥ 2 times for last 12 months * Renal failure , creatinine clearance \< 40 ml/min (MDRD) * Severe retinopathy or neuropathy that can contra-indicate exercise or expose patient to high risk of complications (e.g wound) * NYHA classification class III or IV of cardiac insufficiency * Established coronaropath…