A mile or two a day isn't exactly "an immense amount of walking." It's trivial, actually. Now, if you walked four or five miles a day, that would be reasonable for someone who was trying seriously to deal with a health problem through exercise, and even that isn't "immense."
My dogs inform me that I have no choice but to walk at least four miles a day. Sun, rain, moon, snow, whatever, we are going out in it.
For many end stage diabetics, walking is, of course, not possible.