- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
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.
This study contributes evidence to
Primary intervention
Aerobic exercise
Primary outcomes
- 24-hour glucose
- Blood glucose
- Capillary glucose concentration at 30 minutes
Primary intervention
Evidence relationships
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
Why this study matters
See why this paper is useful beyond its individual results.
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.
5
Related topics
10
Evidence pairs
1065
Related studies
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.
- EvidenceScore™
- 77
- Strong
- ImpactScore™
- 88
- Very Positive
- ConsistencyScore™
- 75
- consistent
Capillary glucose concentration at 30 minutes
Aerobic exercise → Capillary glucose concentration at 30 minutes
Aerobic exercise → Capillary glucose concentration at 30 minutes
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
Capillary glucose concentration at 60 minutes
Aerobic exercise → Capillary glucose concentration at 60 minutes
Aerobic exercise → Capillary glucose concentration at 60 minutes
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
Number of hypoglycaemic episodes
Aerobic exercise → Number of hypoglycaemic episodes
Aerobic exercise → Number of hypoglycaemic episodes
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
24-hour glucose
Taichi plus resistance band training → 24-hour glucose
Taichi plus resistance band training → 24-hour glucose
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Blood glucose
Taichi plus resistance band training → Blood glucose
Taichi plus resistance band training → Blood glucose
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
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
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
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
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
Number of hypoglycaemic episodes
Taichi plus resistance band training → Number of hypoglycaemic episodes
Taichi plus resistance band training → Number of hypoglycaemic episodes
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
Evidence Library
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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 to
- Adults with Type 1 Diabetes.
- Individuals looking for safe exercise options to manage blood sugar.
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
- 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
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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 ExplorerThis study contributes to the evidence on the following intervention-outcome relationships.
Aerobic Exercise → Fasting Glucose
Physical Activity
- EvidenceScore™
- 77
- Strong
- ImpactScore™
- 88
- Very Positive
- ConsistencyScore™
- 75
- consistent
Included in these evidence collections
Curated evidence collections and hubs this study is part of.
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Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
Does Aerobic Exercise improve fasting glucose?
Aerobic Exercise appears to improve fasting glucose.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 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.
Does Mind-Body and Balance Exercise improve fasting glucose?
Mind-Body and Balance Exercise may improve fasting glucose.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
- 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.
Does Aerobic Exercise improve CGM Time in Range?
Aerobic Exercise may improve CGM Time in Range.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
- 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.
Does Mind-Body and Balance Exercise improve CGM Time in Range?
Mind-Body and Balance Exercise appears to improve CGM Time in Range.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 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.
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