Type 1 Diabetes Mellitus
Conditions
Keywords
T1DM, Exercise, Hypoglycaemia
Brief summary
The investigators hypothesise that manipulating the glycaemic index of the meal after exercise and before sleep will help prevent Type 1 diabetes individuals experiencing hypoglycaemia.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged between 18-50 years old (male or female). * Free from any diabetes related complications (apart from mild background diabetic retinopathy). * HbA1c \<8.5%. * Not taking any prescribed medication other than insulin, and treated with a stable insulin regimen composed of a combination of slow/long acting insulin (glargine or detemir) and fast-acting insulin analogues (lispro or aspart), for a minimum of 6 months before the start of the study. * Demonstrate normal cardiac function in response to exercise.
Exclusion criteria
* Aged younger than 18, or older than 50 years. * Suffering from, or diagnosed with a diabetes related complication (apart from mild background diabetic retinopathy). * HbA1c \>8.5%. * Currently taking prescribed medication, and not currently treated with a stable basal bolus regimen composed of a combination glargine or determir, and lispro or aspart for at least 6 months before the start of the study. * Failure to demonstrate normal cardiopulmonary responses during exercise, or have a medical condition which could prevent completion of exercise or be exacerbated because of.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 24 hour blood glucose area under the curve | 24 hours | 24 hour, post-exercise, glucose area under the curve. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ketogenesis | 60 minutes before and 24 hours post-exercise | Blood beta-hydroxybutyrate concentrations |
Countries
United Kingdom