Type 1 diabetes

Skeletal muscle mitochondrial health in type 1 diabetes: the role of exercise capacity and lifestyle factors

DiabetologiaPublished Matched case–control mechanistic study

Authors' conclusion

Collectively, our study demonstrates that when matched for age, sex, BMI and V ˙ O 2max , maximal muscle mitochondrial respiration and morphology in people with type 1 diabetes are not impaired. These findings highlight the importance of habitual exercise, optimal glucose management and a healthy BMI in maintaining mitochondrial health in individuals with type 1 diabetes.

Study context

Population
Individuals with T1D and healthy controls matched for age, sex, BMI and V ˙ O 2max; vastus lateralis muscle biopsymatched
Participants
17 vs 17
Comparison
T1D vs healthy controls
  • T1Dn = 17
  • Controln = 17reference
Outcome
Mitochondrial oxidative phosphorylation capacity
Methodological detailsmatched for age, sex, BMI and V ˙ O 2max, Respiration by high-resolution respirometry; density and morphology by transmission electron microscopy
  • Matched for age, sex, BMI and V ˙ O 2max
  • Respiration by high-resolution respirometry; density and morphology by transmission electron microscopy

Main finding

As reported in the abstract

P = 0.82

Further findings

Intermyofibrillar mitochondrial density

P = 0.92

Subsarcolemmal mitochondrial density

P = 0.83

OutcomeT1DControlP value
V ˙ O 2max40 ± 10 kg-1 min-141 ± 8 ml kg-1 min-1P = 0.51

Mitochondrial respiration normalised by density; HbA1c and BMI within T1D

Respiration normalised by density did not differ between groups
T1D with higher HbA1c had lower mitochondrial respiration than those with lower HbA1c
Higher BMI associated with lower mitochondrial densities than lower BMI

Original publication

Skeletal muscle mitochondrial health in type 1 diabetes: the role of exercise capacity and lifestyle factors. Diabetologia. Published 21 May 2025. doi:10.1007/s00125-025-06451-1

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