Type 1 Diabetes (T1D)Exercise Therapy
Research Summary
Analyzed using Evidence Intelligence™

Home resistance training and leisure activity both improve blood sugar and boost helpful GLP-1 hormone in children with type 1 diabetes

Last updated May 7, 2026

Key finding

An 8-week study of 20 children with type 1 diabetes found that both home-based resistance training and leisure-time physical activities improved blood sugar control and increased GLP-1 hormone levels, with resistance training showing greater cardiovascular benefits.

This study tested two types of exercise in children with type 1 diabetes: structured home resistance workouts and self-chosen leisure activities like sports. After 8 weeks, both groups saw lower blood sugar levels and increased levels of GLP-1, a hormone that helps with insulin. The resistance training group showed better improvements in cardiovascular fitness.

Quick read

Study at a glance

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EvidenceScore™

Low

Study type

Randomized Controlled Trials (RCTs)

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

An 8-week study of 20 children with type 1 diabetes found that both home-based resistance training and leisure-time physical activities improved blood sugar control and increased GLP-1 hormone levels, with resistance training showing greater cardiovascular benefits.

Published in

Journal Reference

Publication details and source links for this paper.

Nazari M, Minasian V, Hovsepian S. Impact of an 8-week home-based resistance training and leisure-time physical activity on serum glucagon-like peptide-1 and microRNA-192 levels in children with type 1 diabetes: A randomized clinical trial. J Res Med Sci. 2025;30:58.

Main Effects

↓ Fasting blood glucose (30-35 mg/dL reduction in both groups)

↑ GLP-1 hormone levels (2.5-3.7 pg/mL increase)

↓ MicroRNA-192 levels (58-60% decrease in both groups)

↑ Cardiovascular fitness (greater in resistance training group)

evidence suggest

Evidence Suggest

  • Both structured home resistance training and self-chosen leisure activities effectively reduce fasting blood glucose in children with type 1 diabetes
  • Exercise increases GLP-1 secretion and decreases miRNA-192 expression, potentially supporting pancreatic β-cell health
  • Home-based resistance training produces superior cardiovascular fitness gains compared to leisure-time activities
who this applies

Who this applies to

This research applies to children with type 1 diabetes (average age 12-13 years) who have been diagnosed for at least 2 years and are not currently engaged in regular exercise. The findings may be particularly relevant for families looking for practical, home-based or recreational physical activity options.

keep in mind

Keep in Mind

The study was quite small with only 20 children total, which limits how confidently we can apply these findings. The 8-week timeframe was relatively short, and longer studies are needed to see if these benefits persist and lead to meaningful improvements in long-term diabetes control (HbA1c). The leisure activity group had less structured exercise, so intensity and type varied between participants. Both groups showed improvements, but we don't know how they compare to children who don't exercise at all.

between the lines

Between the Lines

  • Very small sample size (10 participants per group) limits statistical power and generalizability
  • Short 8-week duration may be insufficient to detect HbA1c changes
  • No true control group (no exercise comparison)
  • Exercise intensity in leisure group was not controlled or monitored

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