ArticleDiabetologia2025
Does exercise in cool water cause a higher risk of hypoglycaemia than in thermoneutral conditions in type 1 diabetes?
Article in Diabetologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aims/hypothesisThe aim of this study was to test the hypothesis that exercise in cool water results in a greater decrease in blood glucose concentration than in thermoneutral water or on land in individuals with type 1 diabetes.
methodsEight overnight-fasted individuals (aged 18-40 years) with type 1 diabetes completed 3 × 60 min cycling sessions on an ergometer at 40% of their on-land
resultsBlood glucose concentration did not change in response to cycling while immersed in cool or thermoneutral water (p>0.05) but decreased during cycling on land (p<0.05). The concentration of plasma insulin decreased during and early after cycling in cool water (p<0.05). During 60 min of on-land recovery (at 24°C) after cycling in cool water, blood glucose concentration increased significantly (~2 mmol/l, p<0.05), but not after cycling in thermoneutral water or on-land. CONCLUSIONS/
interpretationExercise at 40%
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