Diabetes Mellitus, Type 2 Clinical Trial
Official title:
The Effects of Metformin on Self-selected Exercise Intensity, Physical Fitness and Exercise-induced AMPK-activation
The purpose of this study is to evaluate the potential interaction between metformin and exercise in order to optimize clinical guidelines for treatment of T2D.
Physical activity is a first line treatment for patients with type 2 diabetes (T2D ),
however, the vast majority of patients with T2D do not achieve satisfying glycemic control
with physical activity alone, which is why pharmacological treatment with metformin is most
often initiated. It is known that metformin and exercise both activates AMPK, which results
in many different metabolic effects. Because of this similarity, an interaction between
metformin and exercise is plausible, but knowledge in the area is sparse. With this study the
investigators aim to look at the individual and combined effects of metformin and exercise in
order to investigate whether an interaction occur. An Interaction will have tremendous
clinical importance for patients with T2D given current guidelines where the vast majority of
these patients are recommended both exercise and metformin treatment.
The investigators hypothesize that metformin treatment reduces self-selected exercise
intensity, which may be explained via decreased mitochondrial complex 1 function, increased
blood lactate levels, heart rate and RPE during exercise. Furthermore exercise-induced
AMPK-activation is reduced with metformin treatment.
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