Aerobic as well as resistance exercises are good for patients with type 1 diabetes

Diabetes Res Clin Pract. 2018 Oct:144:93-101. doi: 10.1016/j.diabres.2018.08.008. Epub 2018 Aug 16.


Aims: To assess whether aerobic or resistance training has greater benefits in non-physically active men with a long lasting type 1 diabetes. The effects of exercise were evaluated in terms of diabetes control and risk factors for cardiovascular complications.

Methods: 21 male participants (mean age: 37 yrs, diabetes duration: 23 yrs, mean HbA1c: 7.4%) randomly assigned to 2 groups: 1-aerobic training (n = 10) and 2-resistance training (n = 11). All subjects participated in 60-min training sessions, either aerobic or resistance, twice a week for three months. At baseline and after 3 months: echocardiography, ECG and incremental exercise test, ECG and blood pressure monitoring, lipid profile, lactate and diabetes control parameters were assessed in all patients.

Results: Baseline HbA1c was 7.44% in aerobic group and 7.36% in resistance group (p = 0.84). After 3 months there was no significant change in HbA1c value in any exercise group but a non-statistically significant downward trend was seen particularly in aerobic exercise group (p = 0.07) vs the resistance group (p = 0.15). There was no significant difference in body mass, risk of hypoglycemia and cardiovascular risk factors.

Conclusions: Both forms of exercise are safe in terms of glycemic control and cardiovascular risk factors in patients with quite well-controlled type 1 diabetes without advanced late complications.

Keywords: Aerobic training; Resistance training; Type 1 diabetes.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Blood Glucose / analysis
  • Cardiovascular Diseases / etiology
  • Cardiovascular Diseases / prevention & control*
  • Diabetes Mellitus, Type 1 / complications*
  • Exercise Therapy*
  • Glycated Hemoglobin / analysis
  • Humans
  • Lipids / blood
  • Male
  • Middle Aged
  • Prognosis
  • Resistance Training*
  • Risk Factors


  • Blood Glucose
  • Glycated Hemoglobin A
  • Lipids