Exercise snacks to combat hyperglycaemia in patients with abnormal glycaemic control: Use of a novel strategy based on individual continuous glucose data in a real-world setting
Authors' conclusion
The results suggest that regular ES reduce time in individual hyperglycaemia more effectively than a single long exercise session. CGM-ES may enhance motivation and facilitate rapid attenuation of hyperglycaemia in a real-world setting.
Study context
- Population
- Individuals with abnormal glycaemic control (HbA1c ≥ 5.7%), aged 56 ± 10 years, real-world setting
- Participants
- 25 individuals
- Comparison
- Continuous glucose monitoring (CGM)-guided exercise snacks vs fixed-time exercise snacks (ES) vs single long exercise session vs no exercise
- Primary endpoint
- Time in individual hyperglycaemia
- Follow-up
- 72 h
Methodological detailsfour consecutive 3-day experimental periods, 4-day washout periods, real-world setting
- Four consecutive 3-day experimental periods
- 4-day washout periods
- Real-world setting
Primary result
As reported in the abstract
- Reduced by approximately one third in both CGM-ES and NON-CGM-ES vs CONTROL or SINGLE-EX
- CONTROL: P < 0.001
Further findings
| Outcome | CGM-ES | NON-CGM-ES | SINGLE-EX |
|---|---|---|---|
| Adherence | 85% | 88% | 93% |
- Intention to continue (5-point Likert scale) · CGM-ES vs CONTROL · difference between CGM-ES, NON-CGM-ES and SINGLE-EX
- P = 0.042
Intention to continue (5-point Likert scale)
- CGM-ES and SINGLE-EX showed the highest mean scores
Original publication
Exercise snacks to combat hyperglycaemia in patients with abnormal glycaemic control: Use of a novel strategy based on individual continuous glucose data in a real-world setting. Diabetes Res Clin Pract. Published 14 June 2026. doi:10. 1016/ j. diabres. 2026. 113374
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