Type 1 Diabetes Clinical Trial
Official title:
The VIGORous Physical Activity for Glycaemic Control in Type 1 Diabetes (VIGOR) Trial
Background/Justification: Regular physical activity (PA) has substantial health benefits in
persons with type 1 diabetes (T1D), including reduced risk of complications and
cardiovascular mortality. Despite these benefits, individuals with T1D remain significantly
less active than their peers without diabetes. Two major factors likely explain the low rates
of PA in young people with T1D: (1) fear of post-exercise hypoglycaemia, particularly
nocturnal hypoglycaemia, and (2) a lack of empirical evidence for the efficacy of PA for
achieving optimal glycaemic control. A number of acute exercise trials recently demonstrated
that the inclusion of vigorous intensity PA in conventional moderate intensity (i.e. walking)
PA sessions may overcome these limitations. No studies have tested the efficacy of high
intensity PA for reducing the risk of exercise-related hypoglycaemia or glycaemic variability
in a randomized controlled trial (RCT).
Study Hypotheses: In persons 15-35 years of age living with T1D, this study will test the
hypotheses that (1) the addition of intermittent vigorous intensity PA to a moderate
intensity intervention will reduce the time spent in hypoglycaemia in the 12 hour period
following exercise and (2) the addition of intermittent vigorous intensity PA to a moderate
intensity PA intervention will elicit significant improvements in glycemic excursions, as
measured by the Mean Amplitude of Glycaemic Excursions (MAGE), in the 12-hour period
following exercise.We are also exploring the hypothesis that reducing the risk of
hypoglycemia will lead to a sustained increase in physical activity one year after
randomization.
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