Exercise for Type 2 Diabetes
(ADA Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores the benefits of a 12-week exercise program for older adults with and without type 2 diabetes. Researchers aim to assess the effects of exercise on body health, sugar levels, heart fitness, and muscle strength. They will also examine protein utilization and potential changes in gut bacteria due to exercise. Ideal participants are over 65, have not been exercising regularly, maintain a stable weight, and either have type 2 diabetes or normal blood sugar levels. The trial involves simple tests and samples, such as drinking a special shake, providing urine or breath samples, and giving a stool sample. As an unphased trial, it offers a unique opportunity to contribute to understanding the broader health benefits of exercise.
Will I have to stop taking my current medications?
The trial does not specify if you need to stop taking your current medications, but you cannot participate if you are on insulin, statins, or certain supplements like creatine or DHEA. It's best to discuss your medications with the trial team.
What prior data suggests that this exercise program is safe for older adults with Type 2 Diabetes?
Previous studies have shown that exercise is safe and beneficial for people with type 2 diabetes. Research indicates that both aerobic exercises (such as walking or cycling) and resistance exercises (such as lifting weights) help control blood sugar and improve overall fitness. Participants in these studies often experienced improvements in strength, blood pressure, and cholesterol levels.
Exercise is usually well-tolerated, with few reports of serious side effects. The benefits often outweigh the risks. Most people find it safe and helpful, especially with proper guidance. Consulting a healthcare provider before starting any new exercise program is important to ensure it is appropriate.12345Why are researchers excited about this trial?
Researchers are excited about using exercise as a treatment for type 2 diabetes because it offers a natural, drug-free approach that addresses the root causes of the condition. Unlike standard treatments such as medications that primarily focus on managing blood sugar levels, exercise can improve insulin sensitivity and promote weight loss, which are crucial for managing type 2 diabetes. Additionally, exercise provides overall health benefits, including enhanced cardiovascular health and improved mental well-being, making it a holistic option for those with diabetes.
What evidence suggests that exercise might be an effective treatment for Type 2 Diabetes?
Research has shown that exercise helps manage type 2 diabetes. In this trial, participants in the diabetic group will complete a 12-week exercise intervention. Studies find that combining aerobic exercises, such as walking or cycling, with resistance exercises, like weightlifting, improves blood sugar control. Regular exercise lowers HbA1c levels, reflecting average blood sugar over time, and helps the body use insulin more effectively. Additionally, exercise can improve cholesterol levels and aid in weight loss, both crucial for people with diabetes. Overall, staying active leads to better health for those with type 2 diabetes.13678
Are You a Good Fit for This Trial?
This trial is for adults aged 65 or older with a BMI between 25-40 who have not done structured exercise or changed weight in the past 6 months. Men must have a waist-to-hip ratio over 1.0, women over 0.8. People with uncontrolled diabetes, certain health conditions, or on specific medications can't join.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Preliminary Testing
Participants undergo pre-testing including body composition, glucose tolerance, cardiovascular fitness, and muscle performance assessments
Exercise Training
Participants engage in a 12-week progressive exercise training program including strength and endurance training
Post-Testing
Participants undergo post-testing similar to pre-testing to assess changes after the exercise intervention
Follow-up
Participants are monitored for safety and effectiveness after the intervention
What Are the Treatments Tested in This Trial?
Interventions
- Exercise
Trial Overview
The study tests how a supervised, progressive exercise program over 12 weeks affects protein use and gut health in older adults with and without type 2 diabetes. Participants are randomly assigned to groups and undergo various body and metabolic tests before and after the program.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Diagnosed diabetic group. Will complete all pre- and post-testing and the 12-week intervention period.
Non-diabetic control group. Will be assigned to all pre-/post-testing and complete the 12-week intervention period.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Illinois at Urbana-Champaign
Lead Sponsor
American Diabetes Association
Collaborator
Citations
The importance of exercise for glycemic control in type 2 ...
Habitual aerobic exercise helps manage blood glucose. Resistance exercise benefits insulin sensitivity in those with type 2 diabetes.
Intervention effect of combined resistance and aerobic ... - PMC
Combined resistance and aerobic exercise intervention significantly improved fasting blood glucose, LDL-C, HDL-C, TG, and TC levels in patients ...
Comparing the impacts of different exercise interventions on ...
The meta-analysis showed that Taichi helps improve blood glucose control, reduce body weight, regulate blood lipids, and improve the quality of ...
Effectiveness of a Community-Based Structured Physical ...
Previous randomized clinical trials have shown the positive effect of combined aerobic exercise and resistance training on glycemic control in ...
Does type 2 diabetes duration influence the effectiveness of ...
Our results suggest T2DM duration did not differently impact the efficacy of a 28-week aerobic exercise intervention.
Exercise/Physical Activity in Individuals with Type 2 Diabetes
Resistance exercise training in adults with T2D typically results in 10-15% improvements in strength, bone mineral density, blood pressure, lipid profiles, ...
7.
diabetesjournals.org
diabetesjournals.org/care/article/39/11/2065/37249/Physical-Activity-Exercise-and-Diabetes-A-PositionPhysical Activity/Exercise and Diabetes: A Position Statement ...
Resistance training benefits for individuals with type 2 diabetes include improvements in glycemic control, insulin resistance, fat mass, blood ...
Health Benefits of Aerobic and Resistance Training in ...
Combined aerobic and resistance exercise improves glycemic control and fitness in type 2 diabetes. Diabetes Res Clin Pract. 2002 May;56(2):115-23. doi ...
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