Type 2 & other diabetes

Mitochondrial cristae density is increased following high-intensity interval training in men with type 2 diabetes

DiabetologiaPublished Non-randomised intervention study

Authors' conclusion

Skeletal muscle mitochondrial cristae density is not different between individuals with type 2 diabetes and glucose-tolerant individuals with obesity and lean individuals, and the capacity for cristae remodelling in response to exercise is not affected by type 2 diabetes. These findings highlight the plasticity of mitochondrial architecture and support HIIT as a potent stimulus for improving muscle oxidative and metabolic health in type 2 diabetes.

Study context

Population
Men aged 40–65 years with T2D, glucose-tolerant obesity or lean; vastus lateralis biopsies analysed by transmission electron microscopy
Participants
15 / 15 / 18
Comparison
T2D vs glucose-tolerant obesity vs lean; effect of high-intensity interval training (HIIT)
  • T2Dn = 15
  • Obesityn = 15
  • Leann = 18reference
Primary endpoint
Mitochondrial cristae density (cristae surface area per mitochondrial volume) in skeletal muscle
Methodological detailssupervised, 8 week HIIT intervention
  • Supervised
  • 8 week HIIT intervention

Primary result

As reported in the abstract

Mitochondrial cristae density

HIIT increased cristae density across all groups, most in type 2 fibres and intermyofibrillar compartment

≈7%

Further findings

Cristae surface area per muscle volume

Increase with HIIT
≈55%
Lower at baseline in T2D vs Lean

Original publication

Mitochondrial cristae density is increased following high-intensity interval training in men with type 2 diabetes. Diabetologia. Published 8 March 2026. doi:10.1007/s00125-026-06694-6

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