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Acute effect of fast walking on postprandial blood glucose control in type 2 diabetes

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Abstract

Purpose

Several guidelines have recently recommended exercise for prevention and treatment of type 2 diabetes. However, determining the optimum exercise conditions, e.g., the intensity, amount, frequency, and type of exercise, is difficult, particularly by patients themselves. We have investigated the acute effect of fast walking on postprandial blood glucose levels among patients with type 2 diabetes.

Methods

Fourteen patients diagnosed with type 2 diabetes at least 1 year previously were eligible for inclusion in this study during educational hospitalization. Three walking programs, natural walking (walking at a natural speed), 10 % fast walking, and 20 % fast walking, were performed 1 h after lunch in a randomized sequence with a washout period of 1 day. Walking time was 30 min in all the programs. Primary outcome was determined by self-monitoring of blood glucose. Blood glucose levels were measured before walking, after walking for 15 min, and at the end of walking. Heart rate and systolic and diastolic pressure were also measured for safety reasons.

Results

All the participants completed the study with no adverse effects. Compared with natural walking, fast walking markedly improved postprandial glucose excursion in an intensity-dependent manner without any adverse effects.

Conclusion

Fast walking acutely reduced postprandial blood glucose levels among patients with type 2 diabetes. Our method has major implications for the practice of diabetes education in clinical rehabilitation.

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Acknowledgments

This work was partly supported with by Grant-in-Aid for Medical and Dental Research from General Incorporated Associations Kojinkai.

Conflict of interest

Authors KD, TE, NS, HM, YF, MM, and SK declare that they have no conflict of interest.

Ethical standard

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1964 and later versions.

Informed consent

Informed consent was obtained from all patients before inclusion in the study.

Author information

Author notes

    Authors and Affiliations

    1. Department of Rehabilitation Medicine, The Tokushima University Hospital, 2-50-1 Kuramoto, Tokushima, 770-8503, Japan

      Kenichi Deguchi, Tetsuya Enishi, Nori Sato & Shinsuke Katoh

    2. Department of Rehabilitation Medicine, The Naruto Prefecture Hospital, Tokushima, Japan

      Kenichi Deguchi

    3. Laboratory for Applied Physiology, Institute of Socio-Arts and Science, University of Tokushima, Tokushima, Japan

      Hajime Miura

    4. Department of Internal Medicine, The Naruto Prefecture Hospital, Tokushima, Japan

      Yuichi Fujinaka

    5. Clinical Research Center for Diabetes, Tokushima University, Tokushima, Japan

      Munehide Matsuhisa

    Authors
    1. Kenichi Deguchi
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    2. Tetsuya Enishi
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    3. Nori Sato
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    4. Hajime Miura
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    5. Yuichi Fujinaka
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    6. Munehide Matsuhisa
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    7. Shinsuke Katoh
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    Corresponding author

    Correspondence to Tetsuya Enishi.

    Additional information

    K. Deguchi and T. Enishi contributed equally.

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    Deguchi, K., Enishi, T., Sato, N. et al. Acute effect of fast walking on postprandial blood glucose control in type 2 diabetes. Diabetol Int 7, 119–123 (2016). https://doi.org/10.1007/s13340-015-0217-z

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    • DOI: https://doi.org/10.1007/s13340-015-0217-z

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