Research Summary
Analyzed using Evidence Intelligence™

Resistance exercise may improve glycemic stability in type 1 diabetes

Last updated September 12, 2026

Key finding

Glucose levels significantly decreased from 60 minutes to 24 hours post-exercise (p = 0.001).

This study compared glycemic stability and hypoglycemic episodes during aerobic and resistance exercises in patients with Type 1 Diabetes, finding no significant differences in glucose levels or hypoglycemic episodes between the exercise types.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

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

This study compared glycemic stability and hypoglycemic episodes during aerobic and resistance exercises in patients with Type 1 Diabetes, finding no significant differences in glucose levels or hypoglycemic episodes between the exercise types.

Clinical relevance

Understanding the effects of different exercise types on glycemic control is crucial for managing Type 1 Diabetes. This study provides evidence that both aerobic and resistance exercises are safe options for maintaining blood sugar levels, allowing healthcare providers to tailor exercise recommendations based on individual preferences without compromising safety.

Keep in mind

The study did not assess long-term effects of exercise on glycemic control. Sample size and demographic diversity may limit generalizability. No control group was included for comparison.

Published in

Journal Reference

Publication details and source links for this paper.

Marul I, Maja CB, Klara O, et al. Glycemic Stability and Hypoglycemic Episodes During Aerobic vs. Resistance Exercises in Patients with Type 1 Diabetes. International Journal of Environmental Research and Public Health. 2023;20(6):4966. doi:10.3390/ijerph20064966

Main Effects

Glucose levels dropped immediately post-exercise, but the difference was not statistically significant.

Glucose levels increased at 30 and 60 minutes post-exercise, with no significant differences.

Glucose levels significantly decreased from 60 minutes to 24 hours post-exercise (p = 0.001).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Aerobic exercise, Taichi plus resistance band training and 24-hour glucose, Blood glucose, Capillary glucose concentration at 30 minutes, and 2 more.

Primary intervention

Aerobic exercise

Primary outcomes

  • 24-hour glucose
  • Blood glucose
  • Capillary glucose concentration at 30 minutes

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

10
Evidence pairs
10
Relationships
5
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

5

Related topics

10

Evidence pairs

1065

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 10 evidence relationships
  • Includes primary outcome data
  • Linked to 5 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence relationship

Aerobic Exercise and Fasting Glucose

Related evidence

Evidence relationship

Mind-Body and Balance Exercise and Fasting Glucose

Save evidence

Evidence relationship

Aerobic Exercise and CGM Time in Range

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

24-hour glucose

Aerobic exercise → 24-hour glucose

Aerobic exercise → 24-hour glucose

Evidence Intelligence™
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Blood glucose

Aerobic exercise → Blood glucose

Aerobic exercise → Blood glucose

Evidence Intelligence™
EvidenceScore™
77
Strong
ImpactScore™
88
Very Positive
ConsistencyScore™
75
consistent
Supporting studies: Based on 4 studies
Add to Evidence Tracker

Number of hypoglycaemic episodes

Aerobic exercise → Number of hypoglycaemic episodes

Aerobic exercise → Number of hypoglycaemic episodes

Evidence Intelligence™
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

24-hour glucose

Taichi plus resistance band training → 24-hour glucose

Taichi plus resistance band training → 24-hour glucose

Evidence Intelligence™
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Blood glucose

Taichi plus resistance band training → Blood glucose

Taichi plus resistance band training → Blood glucose

Evidence Intelligence™
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Capillary glucose concentration at 30 minutes

Taichi plus resistance band training → Capillary glucose concentration at 30 minutes

Taichi plus resistance band training → Capillary glucose concentration at 30 minutes

Evidence Intelligence™
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Capillary glucose concentration at 60 minutes

Taichi plus resistance band training → Capillary glucose concentration at 60 minutes

Taichi plus resistance band training → Capillary glucose concentration at 60 minutes

Evidence Intelligence™
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Number of hypoglycaemic episodes

Taichi plus resistance band training → Number of hypoglycaemic episodes

Taichi plus resistance band training → Number of hypoglycaemic episodes

Evidence Intelligence™
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Glucose levels decreased significantly from 60 minutes to 24 hours post-exercise (p = 0.001).
  • No significant differences in hypoglycemic episodes between aerobic and resistance exercise groups.
  • Immediate post-exercise glucose drops were not statistically significant.
who this applies

Who this applies to

  • Adults with Type 1 Diabetes.
  • Individuals looking for safe exercise options to manage blood sugar.
keep in mind

Keep in Mind

  • Results may not apply to children or adolescents with Type 1 Diabetes.
  • The study focused only on short-term effects post-exercise.
  • Individual responses to exercise may vary; personal monitoring is advised.
between the lines

Between the Lines

  • The study did not assess long-term effects of exercise on glycemic control.
  • Sample size and demographic diversity may limit generalizability.
  • No control group was included for comparison.

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Aerobic Exercise and Fasting Glucose.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Aerobic Exercise improve fasting glucose?

Strong Evidence

Aerobic Exercise appears to improve fasting glucose.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Blood glucose

    EvidenceScore™ Strong | EvidenceScore™ 77.4 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 14 supporting studies with consistent results and a positive effect signal.

14 supporting studies

Does Mind-Body and Balance Exercise improve fasting glucose?

Strong Evidence

Mind-Body and Balance Exercise may improve fasting glucose.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Blood glucose

    EvidenceScore™ Strong | EvidenceScore™ 82.7 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 5 supporting studies with generally consistent results and a positive effect signal.

5 supporting studies

Does Aerobic Exercise improve CGM Time in Range?

Strong Evidence

Aerobic Exercise may improve CGM Time in Range.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    24-hour glucose

    EvidenceScore™ Strong | EvidenceScore™ 80.1 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 7 supporting studies with generally consistent results and a positive effect signal.

7 supporting studies

Does Mind-Body and Balance Exercise improve CGM Time in Range?

Moderate Evidence

Mind-Body and Balance Exercise appears to improve CGM Time in Range.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    24-hour glucose

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a small number of supporting studies and should be interpreted cautiously.

Limitations

  • Only a small number of supporting studies are available.
2 supporting studies
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