Exploring the Variability in Acute Glycemic Responses to Exercise in Type 2 Diabetes
Aim. To explore the factors associated with exercise-induced acute capillary glucose (CapBG) changes in individuals with type 2 diabetes (T2D). Methods. Fifteen individuals with T2D were randomly assigned to energy-matched high intensity interval exercise (HI-IE) and moderate intensity continuous ex...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2013/591574 |
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| author | Tasuku Terada Alanna Friesen Baljot S. Chahal Gordon J. Bell Linda J. McCargar Normand G. Boulé |
| author_facet | Tasuku Terada Alanna Friesen Baljot S. Chahal Gordon J. Bell Linda J. McCargar Normand G. Boulé |
| author_sort | Tasuku Terada |
| collection | DOAJ |
| description | Aim. To explore the factors associated with exercise-induced acute capillary glucose (CapBG) changes in individuals with type 2 diabetes (T2D). Methods. Fifteen individuals with T2D were randomly assigned to energy-matched high intensity interval exercise (HI-IE) and moderate intensity continuous exercise (MI-CE) interventions and performed a designated exercise protocol 5 days per week for 12 weeks. The duration of exercise progressed from 30 to 60 minutes. CapBG was measured immediately before and after each exercise session. Timing of food and antihyperglycemic medication intake prior to exercise was recorded. Results. Overall, the mean CapBG was lowered by 1.9 mmol/L (P<0.001) with the change ranging from −8.9 to +2.7 mmol/L. Preexercise CapBG (44%; P<0.001), medication (5%; P<0.001), food intake (4%; P=0.043), exercise duration (5%; P<0.001), and exercise intensity (1%; P=0.007) were all associated with CapBG changes, explaining 59% of the variability. Conclusion. The greater reduction in CapBG seen in individuals with higher preexercise CapBG may suggest the importance of exercise in the population with elevated glycemia. Lower blood glucose can be achieved with moderate intensity exercise, but prolonging exercise duration and/or including brief bouts of intense exercise accentuate the reduction, which can further be magnified by performing exercise after meals and antihyperglycemic medication. This trial is registered with ClinicalTrial.gov NCT01144078. |
| format | Article |
| id | doaj-art-97300433a6054708ad4b6e7715bde152 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-97300433a6054708ad4b6e7715bde1522025-02-03T01:13:12ZengWileyJournal of Diabetes Research2314-67452314-67532013-01-01201310.1155/2013/591574591574Exploring the Variability in Acute Glycemic Responses to Exercise in Type 2 DiabetesTasuku Terada0Alanna Friesen1Baljot S. Chahal2Gordon J. Bell3Linda J. McCargar4Normand G. Boulé5Faculty of Physical Education & Recreation, University of AB, 1-059 Li Ka Shing Center, Edmonton, AB, T6G 2H9, CanadaFaculty of Physical Education & Recreation, University of AB, 1-059 Li Ka Shing Center, Edmonton, AB, T6G 2H9, CanadaFaculty of Physical Education & Recreation, University of AB, 1-059 Li Ka Shing Center, Edmonton, AB, T6G 2H9, CanadaFaculty of Physical Education & Recreation, University of AB, 1-059 Li Ka Shing Center, Edmonton, AB, T6G 2H9, CanadaDepartment of Agricultural, Food and Nutritional Science, University of AB, 2-012D Li Ka Shing Center, Health Research Innovation, Edmonton, AB, T6G 2H9, CanadaFaculty of Physical Education & Recreation, University of AB, 1-059 Li Ka Shing Center, Edmonton, AB, T6G 2H9, CanadaAim. To explore the factors associated with exercise-induced acute capillary glucose (CapBG) changes in individuals with type 2 diabetes (T2D). Methods. Fifteen individuals with T2D were randomly assigned to energy-matched high intensity interval exercise (HI-IE) and moderate intensity continuous exercise (MI-CE) interventions and performed a designated exercise protocol 5 days per week for 12 weeks. The duration of exercise progressed from 30 to 60 minutes. CapBG was measured immediately before and after each exercise session. Timing of food and antihyperglycemic medication intake prior to exercise was recorded. Results. Overall, the mean CapBG was lowered by 1.9 mmol/L (P<0.001) with the change ranging from −8.9 to +2.7 mmol/L. Preexercise CapBG (44%; P<0.001), medication (5%; P<0.001), food intake (4%; P=0.043), exercise duration (5%; P<0.001), and exercise intensity (1%; P=0.007) were all associated with CapBG changes, explaining 59% of the variability. Conclusion. The greater reduction in CapBG seen in individuals with higher preexercise CapBG may suggest the importance of exercise in the population with elevated glycemia. Lower blood glucose can be achieved with moderate intensity exercise, but prolonging exercise duration and/or including brief bouts of intense exercise accentuate the reduction, which can further be magnified by performing exercise after meals and antihyperglycemic medication. This trial is registered with ClinicalTrial.gov NCT01144078.http://dx.doi.org/10.1155/2013/591574 |
| spellingShingle | Tasuku Terada Alanna Friesen Baljot S. Chahal Gordon J. Bell Linda J. McCargar Normand G. Boulé Exploring the Variability in Acute Glycemic Responses to Exercise in Type 2 Diabetes Journal of Diabetes Research |
| title | Exploring the Variability in Acute Glycemic Responses to Exercise in Type 2 Diabetes |
| title_full | Exploring the Variability in Acute Glycemic Responses to Exercise in Type 2 Diabetes |
| title_fullStr | Exploring the Variability in Acute Glycemic Responses to Exercise in Type 2 Diabetes |
| title_full_unstemmed | Exploring the Variability in Acute Glycemic Responses to Exercise in Type 2 Diabetes |
| title_short | Exploring the Variability in Acute Glycemic Responses to Exercise in Type 2 Diabetes |
| title_sort | exploring the variability in acute glycemic responses to exercise in type 2 diabetes |
| url | http://dx.doi.org/10.1155/2013/591574 |
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