Maybe nothing or maybe all sorts of bad stuff.

I'm not expert which is why I don't train people. Especially people with those types of health concern. But some of the things that should and could be considered are:

Is the person previously sedentary and overweight? In which case weight management should probably be the primary goal to help manage the disease rather than, for instance, putting the client of a bodybuilding routine EVEN if that is what they request.

Exercise sessions effect blood glucose. Therefore a trainer would want to be checking blood glucose response before and after exercise to monitor that response while starting slow and easy. And they should know what type of fasting glucose levels are too high in those patients (or generally considered so) and also when hyperglycemia is and is not a problem. And network with that person's doctor would probable be required. And ignorant trainer who doesn't take precautions could likely bring on a diabetic emergency or even death by over-doing things or doing the wrong things.

In the case of hypoglycemia a good trainer would be conserned that this is managed. And a personal trainer should be a "mentor" as much as anything else.

Also diabetes can come with many related health conditions. Autonomic neuropathy, peripheral neuropathy, and preproliferative or proliferative retinopathy for example, which may be quite severe and would dictate the type of resistance exercise program and risk of injury involved. That doesn't mean that resistance exercise is a big problem and certainly it would improve these conditions...but not if you cause severe injury in the first place.

So far instance, autonomic neuropathy could affect the heart rate response to exercise. So if you were trying to have someone do SS based on max heart rate, you could have big trouble there.

Those are some examples. I don't mean to paint it as "exercise is dangerous". Quite the opposite. But I do mean to point out how badly someone's health could be effected by an unqualified trainer.

And we haven't even mentioned diet which many trainers probably consider themselves an expert in. Hell, I've noticed a lot of bodybuilder types lately trying to say that "dieticians suck" and they know better! And guess what, most PT's are "bodybuilding types". But a persone with diabetes who wants to be personally trained should probably be working with a registered dietician.

But let's sufficeth to say that for me, I only know enough to know I DON'T KNOW ENOUGH.

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If you act sanctimonious I will just list out your logical fallacies until you get pissed off and spew blasphemous remarks.