Impact of moderate aerobic exercise training on insulin sensitivity in type 2 diabetic men treated with oral hypoglycemic agents: is insulin sensitivity enhanced only in nonobese subjects?

Background: Few studies have evaluated the effect of aerobic physical training on insulin sensitivity in subjects with type 2 diabetes treated with oral hypoglycemic agents. Most studies that involved nonobese subjects showed enhanced insulin sensitivity whereas studies involving obese subjects with type 2 diabetes are inconsistent because of concomitant fat loss.

Material/methods: Thirteen men with type 2 diabetes (6 nonobese and 7 obese) treated with oral hypoglycemic agents carried out a 12-week ergocycle program at 60% VO2 peak, one hour thrice a week.

Prior meal enhances the plasma glucose lowering effect of exercise in type 2 diabetes.

Purpose: To compare the changes in plasma glucose and insulin levels in response to 1 h of exercise performed at 60% of VO(2peak) either in the fasted state or 2 h after a standardized breakfast in subjects with type 2 diabetes.

Methods: Ten sedentary men with type 2 diabetes treated with oral agents and not under strict metabolic control were tested on two occasions (fasted and fed state) in a random order at a 1-wk interval.

Results: Plasma glucose was slightly but not significantly higher at the beginning of exercise performed in the fed state versus the fasted state (12.

Impact of time interval from the last meal on glucose response to exercise in subjects with type 2 diabetes.

We evaluate the influence of the time interval from the last meal on the blood glucose response to exercise in men with type 2 diabetes. Nineteen men with type 2 diabetes participated in an exercise training program carried out at 60% of maximal oxygen uptake (VO2peak) for 1 h, 3 times a week. Capillary whole blood glucose was measured immediately before and after each exercise session, and the time interval from the last meal (breakfast, lunch, or dinner) was recorded.

Role of body fat loss in the exercise-induced improvement of the plasma lipid profile in non-insulin-dependent diabetes mellitus.

The study was designed to examine the impact of exercise training on the plasma lipid profile in non-insulin-dependent diabetes mellitus (NIDDM) and, more particularly, to determine the relationship between changes in body fat mass and changes in the lipid profile. Eleven men with NIDDM exercised for 1 hour thrice per week on an ergocycle over a 6-month period at 60% maximal oxygen uptake (Vo2max). Diet and hypoglycemic agents were kept constant throughout this period.

Counterregulatory response to insulin-induced hypoglycemia in trained and nontrained humans.

The aim of the present series of experiments was to investigate the hormonal counterregulatory response to insulin-induced hypoglycemia in trained and nontrained healthy individuals. Five endurance athletes and six controls were administered intravenous insulin infusion at a rate of 0.15 U/kg/h until plasma glucose reached 50 mg/dL.

Altered plasma free carnitine response to exercise in type 1 diabetic subjects.

The plasma carnitine response to prolonged exercise in 12 postprandial insulin-dependent diabetics was compared with that of eight normal controls. The diabetics reduced their morning dose of intermediate acting insulin and regular insulin to two-thirds and one-half, respectively. Insulin was injected subcutaneously into the abdominal wall.

Effect of exogenous insulin on plasma free carnitine levels during exercise in normal man.

Preliminary data from our laboratory have shown that the decrease in plasma free carnitine levels normally found during prolonged exercise is blunted in type 1 diabetic man. This study was designed to test the hypothesis that this might be due to the sustained peripheral hyperinsulinemia seen during exercise in diabetics treated by subcutaneous insulin. Ten male subjects underwent 90 min of cycle ergometry at 60% of their maximal oxygen uptake capacity on two occasions, one with and the other without a constant 0.