Type 1 diabetes

Hemostatic Effects of Exercise-related Hypoglycemia in Male Persons With Type 1 Diabetes

J Clin Endocrinol MetabPublished Mechanistic study

Authors' conclusion

Individuals with T1D exhibit a hypercoagulable hemostatic profile compared with healthy controls and exercise-related hypoglycemia may increase the susceptibility to thrombosis via both procoagulant and antifibrinolytic effects.

Study context

Population
Men with T1D and matched healthy controlscrossover in T1D
Comparison
T1D vs matched healthy controls; Hypo-exercise vs Hypo-rest within T1D
  • T1Dn = 15
Outcome
Thrombelastography hemostatic profile
Methodological detailsrandomized, crossover, euglycemic-hypoglycemic clamp, matched healthy controls
  • Randomized
  • Crossover
  • Euglycemic-hypoglycemic clamp
  • Matched healthy controls

Main finding

As reported in the abstract

Hypo-exercise: increased clot strength (MA), mean difference from baseline

2.77 mm

95% CI 2.04–3.51

Hypo-exercise: decreased fibrinolysis (LY-30) from baseline

−0.45 percentage point

−0.60 to −0.29

Hypo-rest: increased functional fibrinogen (MA-FF) from baseline

0.74 mm

0.13–1.36

Hypo-rest: increased fibrinolysis (LY-30) from baseline

0.54 percentage point

0.11–0.98

Original publication

Hemostatic Effects of Exercise-related Hypoglycemia in Male Persons With Type 1 Diabetes. J Clin Endocrinol Metab. Published 20 April 2024. doi:10.1210/clinem/dgae278

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