Exercise metabolism in non-obese patients with type 2 diabetes following the acute restoration of normoglycaemia

This study investigated how acute restoration of normoglycaemia affected energy metabolism during exercise in nonobese patients with type 2 diabetes. Six subjects (mean ± SEM) aged 56.2 ± 2.7 years, with a BMI of 24.5 ± 1.5 kg/m2 and a VO2 peak of 28.7 ml/kg/min, attended the lab on two randomised o...

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Main Authors: Gaffney, Christopher J., Mansell, Peter, Stephens, Francis B., MacDonald, Ian A., Tsintzas, Kostas
Format: Article
Published: Hindawi Publishing Corporation 2017
Subjects:
Online Access:https://eprints.nottingham.ac.uk/41589/
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author Gaffney, Christopher J.
Mansell, Peter
Stephens, Francis B.
MacDonald, Ian A.
Tsintzas, Kostas
author_facet Gaffney, Christopher J.
Mansell, Peter
Stephens, Francis B.
MacDonald, Ian A.
Tsintzas, Kostas
author_sort Gaffney, Christopher J.
building Nottingham Research Data Repository
collection Online Access
description This study investigated how acute restoration of normoglycaemia affected energy metabolism during exercise in nonobese patients with type 2 diabetes. Six subjects (mean ± SEM) aged 56.2 ± 2.7 years, with a BMI of 24.5 ± 1.5 kg/m2 and a VO2 peak of 28.7 ml/kg/min, attended the lab on two randomised occasions for a four-hour resting infusion of insulin or saline, followed by 30 minutes cycling at 50% VO2 peak. During the 4 h resting infusion, there was a greater (P < 0 0001) reduction in blood glucose in insulin treatment (INS) (from 11.2 ± 0.6 to 5.6 ± 0.1 mmol/l) than in saline treatment/control (CON) (from 11.5 ± 0.7 to 8.5 ± 0.6 mmol/l). This was associated with a lower (P < 0 05) resting metabolic rate in INS (3.87 ± 0.17) than in CON (4.39 ± 0.30 kJ/min). During subsequent exercise, blood glucose increased significantly in INS from 5.6 ± 0.1 at 0 min to 6.3 ± 0.3 mmol/l at 30 min (P < 0 01), which was accompanied by a lower blood lactate response (P < 0 05). Oxygen uptake, rates of substrate utilization, heart rate, and ratings of perceived exertion were not different between trials. Insulin-induced normoglycaemia increased blood glucose during subsequent exercise without altering overall substrate utilization.
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spelling nottingham-415892020-05-04T18:47:31Z https://eprints.nottingham.ac.uk/41589/ Exercise metabolism in non-obese patients with type 2 diabetes following the acute restoration of normoglycaemia Gaffney, Christopher J. Mansell, Peter Stephens, Francis B. MacDonald, Ian A. Tsintzas, Kostas This study investigated how acute restoration of normoglycaemia affected energy metabolism during exercise in nonobese patients with type 2 diabetes. Six subjects (mean ± SEM) aged 56.2 ± 2.7 years, with a BMI of 24.5 ± 1.5 kg/m2 and a VO2 peak of 28.7 ml/kg/min, attended the lab on two randomised occasions for a four-hour resting infusion of insulin or saline, followed by 30 minutes cycling at 50% VO2 peak. During the 4 h resting infusion, there was a greater (P < 0 0001) reduction in blood glucose in insulin treatment (INS) (from 11.2 ± 0.6 to 5.6 ± 0.1 mmol/l) than in saline treatment/control (CON) (from 11.5 ± 0.7 to 8.5 ± 0.6 mmol/l). This was associated with a lower (P < 0 05) resting metabolic rate in INS (3.87 ± 0.17) than in CON (4.39 ± 0.30 kJ/min). During subsequent exercise, blood glucose increased significantly in INS from 5.6 ± 0.1 at 0 min to 6.3 ± 0.3 mmol/l at 30 min (P < 0 01), which was accompanied by a lower blood lactate response (P < 0 05). Oxygen uptake, rates of substrate utilization, heart rate, and ratings of perceived exertion were not different between trials. Insulin-induced normoglycaemia increased blood glucose during subsequent exercise without altering overall substrate utilization. Hindawi Publishing Corporation 2017-05-29 Article PeerReviewed Gaffney, Christopher J., Mansell, Peter, Stephens, Francis B., MacDonald, Ian A. and Tsintzas, Kostas (2017) Exercise metabolism in non-obese patients with type 2 diabetes following the acute restoration of normoglycaemia. Journal of Diabetes Research, 2017 . 8248725/1-8248725/8. ISSN 2314-6753 Non-obese Type 2 diabetes Exercise Cycling https://www.hindawi.com/journals/jdr/2017/8248725/ doi:10.1155/2017/8248725 doi:10.1155/2017/8248725
spellingShingle Non-obese
Type 2 diabetes
Exercise
Cycling
Gaffney, Christopher J.
Mansell, Peter
Stephens, Francis B.
MacDonald, Ian A.
Tsintzas, Kostas
Exercise metabolism in non-obese patients with type 2 diabetes following the acute restoration of normoglycaemia
title Exercise metabolism in non-obese patients with type 2 diabetes following the acute restoration of normoglycaemia
title_full Exercise metabolism in non-obese patients with type 2 diabetes following the acute restoration of normoglycaemia
title_fullStr Exercise metabolism in non-obese patients with type 2 diabetes following the acute restoration of normoglycaemia
title_full_unstemmed Exercise metabolism in non-obese patients with type 2 diabetes following the acute restoration of normoglycaemia
title_short Exercise metabolism in non-obese patients with type 2 diabetes following the acute restoration of normoglycaemia
title_sort exercise metabolism in non-obese patients with type 2 diabetes following the acute restoration of normoglycaemia
topic Non-obese
Type 2 diabetes
Exercise
Cycling
url https://eprints.nottingham.ac.uk/41589/
https://eprints.nottingham.ac.uk/41589/
https://eprints.nottingham.ac.uk/41589/