Evidence map›Paper›PMID 26317981›Full record

Trial reportPloS one2015

Effects of High-Intensity Interval Exercise versus Moderate Continuous Exercise on Glucose Homeostasis and Hormone Response in Patients with Type 1 Diabetes Mellitus Using Novel Ultra-Long-Acting Insulin.

Othmar Moser, Gerhard Tschakert, Alexander Mueller, Werner Groeschl, Thomas R Pieber, Barbara Obermayer-Pietsch, Gerd Koehler, Peter Hofmann

2 registry-linked trialsOpen access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
23.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02075567 nacompletednot on this map

Exercise and Blood Glucose Levels in Patients With Type I Diabetes - a Pilot Study

TypeinterventionalSponsorMedical University of GrazRan2014 to 2014Enrolled7ConditionsBlood Glucose Decrease During and After Defined Individual Exercise in T1DMArmsExperimental
NCT04358263 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Comparison of CGM in Randomised Study of Real-time and Intermittently-scanned Systems in T1D With Normal Awareness of Hypoglycemia (CORRIDA)

TypeinterventionalSponsorCharles University, Czech RepublicRan2018 to 2020Enrolled60ConditionsDiabetes Mellitus, Type 1ArmsContinuous Glucose Monitoring Guardian Connect Mobile system (real-time continuous glucose monitoring), Continuous Glucose Monitoring FreeStyle Libre Flash system (intermittently-scanned continuous glucose monitoring)
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 124 citations in OpenAlex.

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  11. Tailoring Exercise Prescription for Effective Diabetes Glucose Management.The Journal of clinical endocrinology and metabolism · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Othmar MoserDepartment of Internal Medicine, Division of Endocrinology & Metabolism, Medical University of Graz, Graz, Austria; Institute of Sports Sciences, Exercise Physiology & Training Research Group, University of Graz, Graz, Austria; Center of Sports Medicine & Sports Orthopedics, University Outpatient Clinic, University of Potsdam, Potsdam, Germany.
Gerhard TschakertInstitute of Sports Sciences, Exercise Physiology & Training Research Group, University of Graz, Graz, Austria.
Alexander MuellerInstitute of Sports Sciences, Exercise Physiology & Training Research Group, University of Graz, Graz, Austria.
Werner GroeschlInstitute of Sports Sciences, Exercise Physiology & Training Research Group, University of Graz, Graz, Austria.
Thomas R PieberDepartment of Internal Medicine, Division of Endocrinology & Metabolism, Medical University of Graz, Graz, Austria.
Barbara Obermayer-PietschDepartment of Internal Medicine, Division of Endocrinology & Metabolism, Medical University of Graz, Graz, Austria.
Gerd KoehlerDepartment of Internal Medicine, Division of Endocrinology & Metabolism, Medical University of Graz, Graz, Austria.
Peter HofmannInstitute of Sports Sciences, Exercise Physiology & Training Research Group, University of Graz, Graz, Austria.
Medical University of Graz · ATUniversity of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe investigated blood glucose (BG) and hormone response to aerobic high-intensity interval exercise (HIIE) and moderate continuous exercise (CON) matched for mean load and duration in type 1 diabetes mellitus (T1DM). MATERIAL AND

methodsSeven trained male subjects with T1DM performed a maximal incremental exercise test and HIIE and CON at 3 different mean intensities below (A) and above (B) the first lactate turn point and below the second lactate turn point (C) on a cycle ergometer. Subjects were adjusted to ultra-long-acting insulin Degludec (Tresiba/ Novo Nordisk, Denmark). Before exercise, standardized meals were administered, and short-acting insulin dose was reduced by 25% (A), 50% (B), and 75% (C) dependent on mean exercise intensity. During exercise, BG, adrenaline, noradrenaline, dopamine, cortisol, glucagon, and insulin-like growth factor-1, blood lactate, heart rate, and gas exchange variables were measured. For 24 h after exercise, interstitial glucose was measured by continuous glucose monitoring system.

resultsBG decrease during HIIE was significantly smaller for B (p = 0.024) and tended to be smaller for A and C compared to CON. No differences were found for post-exercise interstitial glucose, acute hormone response, and carbohydrate utilization between HIIE and CON for A, B, and C. In HIIE, blood lactate for A (p = 0.006) and B (p = 0.004) and respiratory exchange ratio for A (p = 0.003) and B (p = 0.003) were significantly higher compared to CON but not for C.

conclusionHypoglycemia did not occur during or after HIIE and CON when using ultra-long-acting insulin and applying our methodological approach for exercise prescription. HIIE led to a smaller BG decrease compared to CON, although both exercises modes were matched for mean load and duration, even despite markedly higher peak workloads applied in HIIE. Therefore, HIIE and CON could be safely performed in T1DM.

trial registrationClinicalTrials.gov NCT02075567 http://www.clinicaltrials.gov/ct2/show/NCT02075567.

Indexed as

ExerciseAdultBlood GlucoseDiabetes Mellitus, Type 1HomeostasisHormonesHumansInsulin, Long-ActingLactic AcidMaleBlood GlucoseHormonesInsulin, Long-ActingLactic Acid

Identifiers

PMID26317981
PMCPMC4552855
OpenAlexW1157530289

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.