Insulin-sensitivity response to a single bout of resistive exercise in type 1 diabetes mellitus.

CONTEXT

Little is known about the acute effects of resistance exercise on insulin sensitivity in people with type 1 diabetes.

DESIGN

Repeated-measures design with 2 independent variables: group (exercise and nonexercise control) and time (preexercise and 12 and 36 h postexercise).

SETTING

General Clinical Research Center, Temple University Hospital, Philadelphia, PA.

PATIENTS

14 physically active subjects (11 men and 3 women) with type 1 diabetes.

INTERVENTION

The exercise group completed 5 sets of 6 repetitions of strenuous (80% 1-RM) quadriceps and hamstring exercises while the control group performed only activities of daily living.

MAIN OUTCOME MEASURES

Insulin sensitivity was assessed with the euglycemic-hyperinsulinemic-clamp technique preexercise and 12 and 36 h postexercise.

RESULTS

Insulin-sensitivity values were not significantly different between the exercise and control groups (P = .92) or over time (P = .67).

CONCLUSIONS

A single bout of strenuous resistance exercise does not alter insulin sensitivity in people with type 1 diabetes.