Type 2 & other diabetes

Exercise snacks performed in real-world settings reduce postprandial hyperglycaemia and glycaemic variability in individuals living with type 2 diabetes: a randomised crossover study

DiabetologiaPublished Randomised crossover trial

Primary result · Mean glucoseResult — go to the resultBetween-condition difference −0.2 mmol/l 95% CI −0.4 to 0.0

Authors' conclusion

Bodyweight exercise snacks totalling 4 min of vigorous activity per day led to small, yet statistically significant improvements in indices of glycaemic variability and postprandial hyperglycaemia in insufficiently active individuals living with well-controlled type 2 diabetes.

Study context

Population
Previously inactive adults with well-controlled, non-insulin-treated T2D; 21 female, 10 male; ≈58 years, BMI ≈31 kg/m², HbA1c ≈48 mmol/mol [6.6%]crossover
Participants
31 adults
Comparison
Exercise snacks vs no-exercise control
Primary endpoint
Mean glucose by CGM during each condition
Follow-up
48 h
Methodological detailscounterbalanced order, real-world setting, standardised diet
  • Counterbalanced order
  • Real-world setting
  • Standardised diet

Primary result

Mean glucose

Between-condition difference

−0.2 mmol/l

95% CI −0.4 to 0.0

P = 0.07

ESvs CON
between-condition difference −0.2 mmol/l (95% CI −0.4 to 0.0); P = 0.07

As reported in the abstract

Secondary outcomes

OutcomeDifference (mmol/l) (95% CI)P value
Glucose SD−0.1 (−0.2 to −0.1)P < 0.001
Mean amplitude of glycaemic excursions−0.3 (−0.5 to 0.0)P = 0.04
OutcomeDifference (%) (95% CI)P value
Glucose CV−1 (−2 to 0)P = 0.007
Time in tight range3 (0–6)P = 0.04
OutcomeP value
2 h postprandial glucose (average, peak, AUC, incremental AUC) after breakfast and dinnerall p<0.05

2 h postprandial glucose (average, peak, AUC, incremental AUC) after breakfast and dinner

Significantly lower during ES vs condition (CON)

Original publication

Exercise snacks performed in real-world settings reduce postprandial hyperglycaemia and glycaemic variability in individuals living with type 2 diabetes: a randomised crossover study. Diabetologia. Published 24 April 2026. doi:10.1007/s00125-026-06741-2

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