The protective effect of high-intensity interval exercise compared with continuous moderate exercise on glycemic decline is more pronounced in the postabsorptive vs. postprandial state in adults with type 1 diabetes

DOI

Engaging in physical activity while limiting apprehension related to glycemic disturbances requires a clear understanding of how exercise modality and prandial state influence glycemia in physically active adults living with type 1 diabetes. In this randomized crossover study, twenty physically active adults living with type 1 diabetes completed four experimental conditions (HIIE-PP, CONT-PP, HIIE-PA, CONT-PA). Exercise was performed on a cycle ergometer and protocols were matched for total duration and mechanical load: both included a 3-min warm-up and a 2-min active recovery at 20% maximal Aerobic Power (MAP); HIIE consisted of 10×1-min intervals at 100% MAP interspersed with 1-min passive recovery, whereas CONT comprised 20 min continuous cycling at 50% MAP. Sessions were conducted either 1.5 h after the start of lunch and the corresponding rapid-acting bolus (postprandial) or 5 h after lunch (postabsorptive). Capillary glucose and blood lactate were assessed at rest, at 10 min of exercise, immediately post-exercise, after 2 min of active recovery and after 10 min of passive recovery. Heart rate, oxygen consumption (VO₂) and vastus lateralis microvascular blood volume (total haemoglobin [THb]) were monitored throughout exercise. In addition, ratings of perceived exertion (RPE) were recorded every 5 min. Post-session enjoyment was evaluated using PACES. Glycemic excursions were assessed during exercise and up to 10 minutes post-exercise using capillary glucose measurements, and from 30 minutes to 24 hours post-exercise using continuous glucose monitoring (CGM). Carbohydrate (CHO) intake and insulin administration were carefully recorded throughout the post-exercise period. The results are presented in the paper.

Identifier
DOI https://doi.org/10.57745/YGYJSH
Metadata Access https://entrepot.recherche.data.gouv.fr/oai?verb=GetRecord&metadataPrefix=oai_datacite&identifier=doi:10.57745/YGYJSH
Provenance
Creator Melin, Angéline ORCID logo; Lespagnol, Elodie (ORCID: 0000-0002-1076-822X); Combes, Adrien (ORCID: 0000-0002-8950-180X); Berthoin, Serge ORCID logo; Rabasa-Lhoret, Rémi ORCID logo; Savina, Yann ORCID logo; Tagougui, Sémah ORCID logo; Bautin, Nathalie ORCID logo; Baudoux, Florence ORCID logo; Descatoire, Aurélien ORCID logo; Vambergue, Anne ORCID logo; Heyman, Elsa ORCID logo
Publisher Recherche Data Gouv
Contributor Heyman, Elsa; Université de Lille; Entrepôt Recherche Data Gouv
Publication Year 2026
Rights etalab 2.0; info:eu-repo/semantics/restrictedAccess; https://spdx.org/licenses/etalab-2.0.html
OpenAccess false
Contact Heyman, Elsa (Univ. Lille, Univ. Artois, Univ. Littoral Côte d’Opale, ULR 7369 - URePSSS - Unité de Recherche Pluridisciplinaire Sport Santé Société, F-59000 Lille, France)
Representation
Resource Type Dataset
Format text/comma-separated-values; application/vnd.openxmlformats-officedocument.wordprocessingml.document
Size 82406; 36077; 2794; 2791; 23320; 20388
Version 1.0
Discipline Life Sciences; Medicine