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Acute high‐intensity interval exercise reduces the postprandial glucose response and prevalence of hyperglycaemia in patients with type 2 diabetes
Abstract
High‐volume endurance exercise (END) improves glycaemic control in type 2 diabetes (T2D) but many individuals cite ‘lack of time’ as a barrier to regular participation. High‐intensity interval training (HIT) is a time‐efficient method to induce physiological adaptations similar to END, but little is known regarding the effect of HIT in T2D. Using continuous glucose monitoring (CGM), we examined the 24‐h blood glucose response to one session of HIT consisting of 10 × 60 s cycling efforts at ∼90% maximal heart rate, interspersed with 60 s rest. Seven adults with T2D underwent CGM for 24‐h on two occasions under standard dietary conditions: following acute HIT and on a non‐exercise control day (CTL). HIT reduced hyperglycaemia measured as proportion of time spent above 10 mmol/l (HIT: 4.5 ± 4.4 vs. CTL: 15.2 ± 12.3%, p = 0.04). Postprandial hyperglycaemia, measured as the sum of post‐meal areas under the glucose curve, was also lower after HIT vs. CTL (728 ± 331 vs. 1142 ± 556 mmol/l·9 h, p = 0.01). These findings highlight the potential for HIT to improve glycaemic control in T2D.
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“we and others [8,60], have demonstrated that it is possible, after a familiarization period, for previously untrained persons to successfully perform this kind of training”
From High-Intensity Interval Resistance Training (HIRT) influences resting energy expenditure and respiratory ratio in non-dieting individuals (2012) · cites this paper as [60]
In the citing paper
“For example, time-efficient HIIT has been shown to rapidly improve glucose control in individuals with prediabetes [13, 14] and T2D [12, 15].”
From High-Intensity Interval Training as an Efficacious Alternative to Moderate-Intensity Continuous Training for Adults with Prediabetes (2015) · cites this paper as [15]
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Metadata
- Authors
- Gillen, J. B., Little, J. P., Punthakee, Z., Tarnopolsky, M. A., Riddell, M. C., & Gibala, M. J.
- Affiliations
- McMaster University (CA)
- York University (CA)
- Corresponding author
- Gibala, M. J.
- Venue
- Diabetes, Obesity and Metabolism
- Publisher
- Wiley
- Published
- 2012-02-20
- Volume
- 14
- Issue
- 6
- Pages
- 575-577
- ISSN
- 1462-8902 (ISSN-L)
- 1463-1326
- OpenAlex
- W1987329229
- Cited by
- 272
- References
- 13
- Citations by year
- 2026: 10 · 2025: 7 · 2024: 13 · 2023: 13 · 2022: 21 · 2021: 19 · 2020: 20 · 2019: 19 · 2018: 23 · 2017: 21 · 2016: 22 · 2015: 20 · 2014: 18 · 2013: 39 · 2012: 6
- FWCI
- 21.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Obesity and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Diabetes Association
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Keywords
- high-intensity interval training, type 2 diabetes, postprandial blood glucose, hyperglycemia, glycemic control, acute exercise, continuous glucose monitoring, time-efficient exercise, endurance exercise
- MeSH terms
- Blood Glucose, Diabetes Mellitus, Type 2, Exercise Therapy, Female, Humans, Hyperglycemia, Male, Middle Aged, Time Factors, Blood Glucose Self-Monitoring, Exercise, Prevalence, Postprandial Period
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