Manual Therapy, Posturology & Rehabilitation Journal
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

Glycemic response during and after aerobic and resistance exercise training in type 2 diabetics: experimental study

Lucas Henrique Coelho, Paulo Roberto dos Santos Amorim, João Carlos Bouzas Marins, Robson Bonoto Teixeira, Yuri de Lucas Xavier Martins, Gustavo Ramos Dalla Bernardina, Lucinana Moreira Lima

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Objective: To evaluate the interference of supervised resistance and aerobic training in glycemic levels during and after 36 sessions, belonging to a training period of three months in patients with type 2 diabetes mellitus (T2DM), as well as the comparison of both exercise training. Methods: This is a experimental study with twelve T2DM patients, all sedentary and attended by the Specialized Care Center of Viçosa-MG, randomized into aerobic (n = 6.54 ± 5 years) and resisted (n = 6.58 ± 9 years) groups. Capillary glycemia was collected before (M1), during (M2) and after (M3) each exercise session for 12 weeks with a weekly frequency of three days. It was used ANOVA for repeated measures followed by Tukey and Student’s test. Results: A mean drop in capillary glycemia was observed between M1 and M2 (p = 0.001), M2 and M3 (p = 0.001) and M1 and M3 (p = 0.001) in both groups. Conclusion: It is concluded that aerobic and resistance exercise training caused a decreased in the blood glucose during exercise sessions. The findings showed that both modes of exercise are important in the hyperglycemic treatment of T2DM patients.


Diabetes Mellitus, Aerobic Exercise, Resistance Exercise, Blood Glucose


1. Seino Y, Nanjo K, Tajima N, Kadowaki T, Kashiwagi A, Araki E, et al. Report of the committee on the classification and diagnostic criteria of diabetes mellitus. J Diabetes Investig. 2010;1(5):212–228.

2. Thent ZC, Das S, Henry LJ. Role of exercise in the management of diabetes mellitus: The global scenario. PLoS One. 2013;8(11):1–8.

3. Sacks DB, Arnold M, Bakris GL, Bruns DE, Horvath AR, Kirkman MS, et al. Guidelines and recommendations for laboratory analysis in the diagnosis and management of diabetes mellitus. Diabetes Care. 2011;57(6):1-47

4. Balducci S, Sacchetti M, Haxhi J, Orlando G, Zanuso S, Cardelli P, et al. The Italian Diabetes and Exercise Study 2 (IDES-2): a long-term behavioral intervention for adoption and maintenance of a physically active lifestyle. Trials [Internet]. 2015;16(1):569.

5. Way KL, Hackett DA, Baker MK, Johnson NA. The Effect of Regular Exercise on Insulin Sensitivity in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis. Diabetes Metab J. 2016;40(4):253–271.

6. Asano RY, Sales MM, Browne RA, Moraes JF, Coelho Júnior HJ, Moraes MR, et al. Acute effects of physical exercise in type 2 diabetes: A review. World J Diabetes. 2014;5(5):659–665.

7. Knudsen SH, Karstoft K, Pedersen BK, Hall G Van. The immediate effects of a single bout of aerobic exercise on oral glucose tolerance across the glucose tolerance continuum. Physiol Rep. 2014;2(8):1–13.

8. Figueira FR, Umpierre D, Casali KR, Tetelbom PS, Henn NT, Ribeiro JP, et al. Aerobic and Combined Exercise Sessions Reduce Glucose Variability in Type 2 Diabetes: Crossover Randomized Trial. PLoS One. 2013;8(3):1–10.

9. Strasser B, Pesta D. Resistance training for diabetes prevention and therapy: experimental findings and molecular mechanisms. Biomed Res Int. 2013;2013:805217.

10. Daugherty SL, Powers JD, Magid DJ, Tavel HM, Masoudi FA, Margolis KL, O’Connor PJ, Selby JV, Ho PM. Incidence and prognosis of resistant hypertension in hypertensive patients. Circulation 2012; 125(13): 1635-1642.

11. Ghorayeb N, Costa RV, Castro I, Daher DJ, Oliveira Filho JA, Oliveira MA. Guidelines on exercise and sports cardiology from the Brazilian Society of Cardiology and the Brazilian Society of Sports Medicine. Arqu Bras Cardiol. 2013; 100 (1 Suppl 2):1-41.

12. Teixeira RB, Marins JCB, Amorim PRS, Teoldo I, Cupeiro R, Andrade MOC, et al. Evaluating the effects of exercise on cognitive function in hypertensive and diabetic patients using the mental test and training system. World J Biol Psychiatry. 2017; 28: 1–10.

13. WHo J, Consultation FE. Diet, nutrition and the prevention of chronic diseases. WHO Tech Rep Ser. 2003 (916): 1-60.

14. Siri WE. Body composition from fluid spaces and density: analysis of methods. Techniques for measuring body composition. Nutrition. 1993; 9(5):480.

15. Colberg SR, Sigal RJ, Fernhall B, Regensteiner JG, Blissmer BJ, Rubin RR, et al. Exercise and type 2 diabetes the American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabetes care. 2010;33(12): e147-e67.

16. Association AD. Standards of medical care in diabetes—2014. Diabetes care. 2014; 37(Supplement 1): S14-S80.

17. Tanaka H, Monahan KD, Seals DR. Age-predicted maximal heart rate revisited. J Am Coll Cardiol [Internet]. Elsevier Masson SAS 2001;37(1):153–156.

18. Lade CG De, Marins JCB, Lima LM, de Carvalho CJ, Teixeira RB, Albuquerque MR, et al. Effects of different exercise programs and minimal detectable changes in hemoglobin A1c in patients with type 2 diabetes. Diabetol Metab Syndr. 2016; 8(1): 13.

19. Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982; 14(5): 377–381.

20. Pandey A, Swift DL, McGuire DK, Ayers CR, Neeland IJ, Blair SN, et al. Metabolic Effects of Exercise Training Among Fitness-Nonresponsive Patients With Type 2 Diabetes: The HART-D Study. Diabetes Care. 2015;38(8):1494–1501.

21. Wilding JPH. The importance of weight management in type 2 diabetes mellitus. Int J Clin Pract. 2014;68(6):682–691.

22. Kang SJ, Ko KJ, Baek UH. Effects of 12 weeks combined aerobic and resistance exercise on heart rate variability in type 2 diabetes mellitus patients. J Phys Ther Sci, 2016; 28(7), 2088-2093.

23. Richter EA, Hargreaves M. Exercise, glut4, and skeletal muscle glucose uptake. Physiol Ver. 2013; 93(3): 993-1017.

24. Marcus RL, Smith S, Morrell G, Addison O, Dibble LE, Wahoff-Stice D, et al. Comparison of combined aerobic and high-force eccentric resistance exercise with aerobic exercise only for people with type 2 diabetes mellitus. Phys Ther. 2008;88(11):1345–1354.

25. Bacchi E, Negri C, Trombetta M, Zanolin ME, Lanza M, Bonora E, et al. Differences in the Acute Effects of Aerobic and Resistance Exercise in Subjects with Type 2 Diabetes: Results from the RAED2 Randomized Trial. PLoS One. 2012;7(12):6–13.

26. Kang S, Woo JH, Shin KO, Kim D, Lee HJ, Kim YJ, et al. Circuit resistance exercise improves glycemic control and adipokines in females with type 2 diabetes mellitus. J Sport Sci Med. 2009;8(4):682–688.

27. Saslow LR, Kim S, Daubenmier JJ, Moskowitz JT, Phinney SD, Goldman V, et al. A randomized pilot trial of a moderate carbohydrate diet compared to a very low carbohydrate diet in overweight or obese individuals with type 2 diabetes mellitus or prediabetes. PLoS One. 2014;9(4):e91027.

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