Evidence map›Paper›PMID 39683492›Full record

Trial reportNutrients2024

Metabolic and Hormonal Responses to Isomaltulose Ingestion Before or During Sustained Submaximal Exercise in Adults with Type 1 Diabetes Using Automated Insulin Delivery Systems.

Olivia M McCarthy, Merete Bechmann Christensen, Sandra Tawfik, Kasper Birch Kristensen, Bolette Hartmann, Jens Juul Holst, Signe Schmidt, Kirsten Nørgaard, Richard M Bracken

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
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

9 authors.

Olivia M McCarthySteno Diabetes Center, Copenhagen University Hospital, Herlev, 832730 Copenhagen, Denmark.ORCID 0000-0001-6971-611X
Merete Bechmann ChristensenSteno Diabetes Center, Copenhagen University Hospital, Herlev, 832730 Copenhagen, Denmark.
Sandra TawfikSteno Diabetes Center, Copenhagen University Hospital, Herlev, 832730 Copenhagen, Denmark.
Kasper Birch KristensenSteno Diabetes Center, Copenhagen University Hospital, Herlev, 832730 Copenhagen, Denmark.ORCID 0000-0001-8614-6729
Bolette HartmannNovoNordisk Center for Basic Metabolic Research and Department of Biochemical Sciences, University of Copenhagen, 832730 Copenhagen, Denmark.ORCID 0000-0001-8509-2036
Jens Juul HolstNovoNordisk Center for Basic Metabolic Research and Department of Biochemical Sciences, University of Copenhagen, 832730 Copenhagen, Denmark.ORCID 0000-0001-6853-3805
Signe SchmidtSteno Diabetes Center, Copenhagen University Hospital, Herlev, 832730 Copenhagen, Denmark.ORCID 0000-0002-6968-6675
Kirsten NørgaardSteno Diabetes Center, Copenhagen University Hospital, Herlev, 832730 Copenhagen, Denmark.ORCID 0000-0003-1620-8271
Richard M BrackenApplied Sport, Technology, Exercise and Medicine Research Centre, Faculty of Science and Engineering, Swansea University, Swansea SA1 8EN, UK.ORCID 0000-0002-6986-6449

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis article compares metabolic, pancreatic, and gut-derived hormone responses to isomaltulose ingestion, before versus during submaximal sustained exercise, in adults with type 1 diabetes (T1D) using automated insulin delivery systems.

methodsIn a randomized, cross-over trial, eight participants with T1D being treated with automated insulin pumps (five females, age: 47 ± 16 years, BMI: 27.5 ± 3.8 kg·m

resultsPG concentrations throughout exercise were higher and less variable with DEC compared to PEC. The exercise-induced change in PG was directionally divergent between trials (PEC: ∆ - 3.2 ± 1.2 mmol/L vs. DEC: ∆ + 1.7 ± 1.5 mmol/L,

conclusionsThe consumption of smaller servings of isomaltulose during, rather than as a single isocaloric serving before, submaximal sustained exercise provided (i) a better glycemic protective effect, (ii) a lesser push on pancreatic and gut-mediated glucoregulatory hormones, and (iii) a lower reliance on whole-body carbohydrate oxidation. Such information serves to remind us of the potential importance of nutrition for modulating the metabolic fate of an acute bout of exercise and may help inform best practice guidelines for exercise management in the T1D-sphere.

Indexed as

Blood GlucoseCross-Over StudiesDiabetes Mellitus, Type 1ExerciseInsulinInsulin Infusion SystemsIsomaltoseAdultFemaleGlucagonGlucagon-Like Peptide 1HumansMaleMiddle AgedBlood GlucoseGlucagonGlucagon-Like Peptide 1InsulinIsomaltoseisomaltuloseautomated insulin delivery systemsexerciseglucoseincretin hormonesnutritiontype 1 diabetes

Identifiers

PMID39683492
PMCPMC11643935

What OpenQuestion holds

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Registered trials

None linked

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 OpenQuestion graph.