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Effects of Glutamine on Glycemic Control During and After Exercise in Adolescents With Type 1 Diabetes: A pilot study
OBJECTIVE: To investigate if oral glutamine ameliorates exercise and postexercise nighttime hypoglycemia in type 1 diabetic adolescents. RESEARCH DESIGN AND METHODS: Ten adolescents (15.2 ± 1.4 years [SD], A1C 6.9 ± 0.9%) on insulin pumps were studied. The subjects were randomized to receive a gluta...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
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American Diabetes Association
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2928340/ https://www.ncbi.nlm.nih.gov/pubmed/20585005 http://dx.doi.org/10.2337/dc10-0275 |
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author | Mauras, Nelly Xing, Dongyuan Fox, Larry A. Englert, Kim Darmaun, Dominique |
author_facet | Mauras, Nelly Xing, Dongyuan Fox, Larry A. Englert, Kim Darmaun, Dominique |
author_sort | Mauras, Nelly |
collection | PubMed |
description | OBJECTIVE: To investigate if oral glutamine ameliorates exercise and postexercise nighttime hypoglycemia in type 1 diabetic adolescents. RESEARCH DESIGN AND METHODS: Ten adolescents (15.2 ± 1.4 years [SD], A1C 6.9 ± 0.9%) on insulin pumps were studied. The subjects were randomized to receive a glutamine or placebo drink pre-exercise and at bedtime (0.25 g/kg/dose). A 3:00 p.m. exercise session consisted of four 15-min treadmill/5-min rest cycles. Pre-exercise blood glucose was 140–150 mg/dl and was monitored throughout the night. Studies were randomized crossover over 3 weeks. RESULTS: Blood glucose levels dropped comparably (52%) during exercise on both days. However, the overnight number of hypoglycemic events was higher on glutamine than placebo (≤70 mg/dl, P = 0.03 and ≤60, P = 0.05). The cumulative probability of nighttime hypoglycemia was increased on glutamine days (80%) versus placebo days (50%) (P = 0.02). CONCLUSIONS: Glutamine increased the cumulative probability of postexercise overnight hypoglycemia compared with placebo in adolescents with type 1 diabetes. Whether glutamine may enhance insulin sensitivity postexercise requires further study in type 1 diabetes. |
format | Text |
id | pubmed-2928340 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | American Diabetes Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-29283402011-09-01 Effects of Glutamine on Glycemic Control During and After Exercise in Adolescents With Type 1 Diabetes: A pilot study Mauras, Nelly Xing, Dongyuan Fox, Larry A. Englert, Kim Darmaun, Dominique Diabetes Care Original Research OBJECTIVE: To investigate if oral glutamine ameliorates exercise and postexercise nighttime hypoglycemia in type 1 diabetic adolescents. RESEARCH DESIGN AND METHODS: Ten adolescents (15.2 ± 1.4 years [SD], A1C 6.9 ± 0.9%) on insulin pumps were studied. The subjects were randomized to receive a glutamine or placebo drink pre-exercise and at bedtime (0.25 g/kg/dose). A 3:00 p.m. exercise session consisted of four 15-min treadmill/5-min rest cycles. Pre-exercise blood glucose was 140–150 mg/dl and was monitored throughout the night. Studies were randomized crossover over 3 weeks. RESULTS: Blood glucose levels dropped comparably (52%) during exercise on both days. However, the overnight number of hypoglycemic events was higher on glutamine than placebo (≤70 mg/dl, P = 0.03 and ≤60, P = 0.05). The cumulative probability of nighttime hypoglycemia was increased on glutamine days (80%) versus placebo days (50%) (P = 0.02). CONCLUSIONS: Glutamine increased the cumulative probability of postexercise overnight hypoglycemia compared with placebo in adolescents with type 1 diabetes. Whether glutamine may enhance insulin sensitivity postexercise requires further study in type 1 diabetes. American Diabetes Association 2010-09 2010-06-28 /pmc/articles/PMC2928340/ /pubmed/20585005 http://dx.doi.org/10.2337/dc10-0275 Text en © 2010 by the American Diabetes Association. https://creativecommons.org/licenses/by-nc-nd/3.0/Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ (https://creativecommons.org/licenses/by-nc-nd/3.0/) for details. |
spellingShingle | Original Research Mauras, Nelly Xing, Dongyuan Fox, Larry A. Englert, Kim Darmaun, Dominique Effects of Glutamine on Glycemic Control During and After Exercise in Adolescents With Type 1 Diabetes: A pilot study |
title | Effects of Glutamine on Glycemic Control During and After Exercise in Adolescents With Type 1 Diabetes: A pilot study |
title_full | Effects of Glutamine on Glycemic Control During and After Exercise in Adolescents With Type 1 Diabetes: A pilot study |
title_fullStr | Effects of Glutamine on Glycemic Control During and After Exercise in Adolescents With Type 1 Diabetes: A pilot study |
title_full_unstemmed | Effects of Glutamine on Glycemic Control During and After Exercise in Adolescents With Type 1 Diabetes: A pilot study |
title_short | Effects of Glutamine on Glycemic Control During and After Exercise in Adolescents With Type 1 Diabetes: A pilot study |
title_sort | effects of glutamine on glycemic control during and after exercise in adolescents with type 1 diabetes: a pilot study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2928340/ https://www.ncbi.nlm.nih.gov/pubmed/20585005 http://dx.doi.org/10.2337/dc10-0275 |
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