Evidence map›Paper›PMID 42264961›Full record

Trial reportDiabetes, obesity & metabolism2026

Pre-Exercise Galactose or Lactose Reduces Glycaemic Excursions During Exercise in Adults With Type 1 Diabetes: A Randomised, Double-Blind, Crossover Trial.

Karoline R Schmidt, Rakel F Johansen, Simon B Riis, Mads S Larsen, Henrik Støvring, Gareth A Wallis, David Rowlands, Lars C Gormsen, Esben Søndergaard

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05557227 (Galactose - the Ideal Carbohydrate Supplement for Exercise in Type 1 Diabetes), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT05557227 nacompletednot on this map

Galactose - the Ideal Carbohydrate Supplement for Exercise in Type 1 Diabetes

TypeinterventionalSponsorUniversity of AarhusRan2022 to 2024Enrolled14ConditionsType1diabetes, Hypoglycemia, HyperglycemiaArms1-hour cycling
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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.

Karoline R SchmidtSteno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark.
Rakel F JohansenSteno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-5628-022X
Simon B RiisArla Foods Ingredients Group P/S, Viby, Denmark.
Mads S LarsenArla Foods Ingredients Group P/S, Viby, Denmark.
Henrik StøvringSteno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark.
Gareth A WallisSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
David RowlandsSchool of Sport, Exercise and Nutrition, Massey University, Auckland, New Zealand.
Lars C GormsenDepartment of Nuclear Medicine and PET Center, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-0144-1305
Esben SøndergaardSteno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-8041-6994

Funding

Danmarks Frie Forskningsfond 10.46540/2034-00331BNovo Nordisk Fonden NNF22OC0078217Poul og Erna Sehested Hansens Fond
6 · The paper itself

Abstract

aimsTo test whether pre-exercise galactose and lactose reduce glycaemic excursions during exercise compared with dextrose while maintaining protection against hypoglycaemia compared with placebo in adults with Type 1 diabetes

methodsIn a randomised, double-blind, 4-condition crossover trial, 14 adults with Type 1 diabetes completed four 60-min cycling sessions. Thirty minutes before exercise, participants consumed 20 g of dextrose, lactose, galactose, or placebo. The primary outcome was time to hypoglycaemia. Secondary outcomes included time in, below, and above range and glucose excursions.

resultsSeven hypoglycaemic events occurred (none after dextrose, two after lactose, one after galactose, and four after placebo; p = 0.42), with no difference in time to hypoglycaemia. Time in range was lower for dextrose (48% [95% CI 40-57]) compared with lactose (70% [95% CI 62-78]), galactose (71% [95% CI 63-79]), and placebo (86% [95% CI 80-91]) (all p ≤ 0.01). Time below range was lower for dextrose (0% [95% CI 0-3]), lactose (1% [95% CI 0-5]), and galactose (1% [95% CI 0-5]) compared with placebo (8% [95% CI 4-14]) (all p < 0.05). Time above range was higher for DEX (52% [95% CI 44-60]), LAC (29% [95% CI 21-37]), and GAL (28% [95% CI 21-36]) compared with PLA (7% [95% CI 3-12], all p < 0.01).

conclusionsPre-exercise galactose and lactose provide more stable glycaemic responses than dextrose and reduce time below range compared with placebo. These findings support their use as effective pre-exercise nutritional strategies in individuals with Type 1 diabetes.

trial registrationClinicalTrials.gov identifier: NCT05557227.

Indexed as

Blood GlucoseDiabetes Mellitus, Type 1ExerciseGalactoseHypoglycemiaLactoseAdultCross-Over StudiesDouble-Blind MethodFemaleGlucoseHumansMaleMiddle AgedYoung AdultBlood GlucoseGalactoseGlucoseLactoseclinical trialexercise interventionhypoglycaemiaType 1 diabetes

Identifiers

PMID42264961
PMCPMC13449015

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Registered trials

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.