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The effect of interrupting sitting with regular active breaks on vascular function in adults with type 1 diabetes

This study is for adults with type 1 diabetes who use an insulin pump. We know that being active is good for managing blood sugar and heart health, but many people spend a lot of time sitting. This research aims to find out if taking short walking breaks throughout the day can make a difference. We'll compare long periods of sitting with sitting that's regularly broken up by light walks. We'll look at how this affects blood sugar levels, signs of inflammation, and how well blood vessels are working. The goal is to understand if these simple breaks can improve health and reduce the risk of future problems for people with type 1 diabetes.

At a glance

Status
Recruiting
Sponsor
University of Birmingham
Enrolment target
24
Start
01 Oct 2025
Estimated completion
01 Mar 2027

What is this study about?

Many adults with type 1 diabetes spend a lot of time sitting, perhaps while working or relaxing. While they are encouraged to be active to help manage their condition, long periods of sitting might still have a negative effect on their health, even if they exercise at other times. This study particularly focuses on individuals who use modern insulin pumps that automatically adjust insulin delivery. We want to see if breaking up sitting time with short, easy walks can make a positive difference.

The main idea behind this research is to understand if simple changes to daily habits can improve important health markers. We'll be looking carefully at various aspects of health, including how stable blood sugar levels are, whether there are fewer signs of inflammation in the body, and how well blood vessels are working. These are all crucial for people with type 1 diabetes, as they can impact long-term health and reduce the risk of complications.

By taking part, you’d be helping us learn more about how everyday activities affect health in people with type 1 diabetes. This knowledge could eventually lead to better advice and recommendations for managing the condition and staying healthy in the future.

Key takeaways

  • Study examines how short walking breaks affect health in people with Type 1 diabetes.
  • Focuses on blood sugar, inflammation, and blood vessel health.
  • Participants will have two 7-hour lab visits, separated by days.
  • One visit involves continuous sitting, the other involves short walking breaks.
  • Study conducted by the University of Birmingham and partners.
  • Helps researchers understand better ways to manage Type 1 diabetes.

Who may be eligible?

This study is looking for volunteers aged between 18 and 66 years old who have had type 1 diabetes for at least three years. It's important that you are currently using a specific type of insulin pump system that automatically adjusts your insulin.

We are particularly interested in people who don't currently do the recommended amount of physical activity and who generally spend more than five hours a day sitting or lying down.

Unfortunately, you wouldn't be able to join if you are pregnant, planning to become pregnant, or have recently given birth or stopped breastfeeding. We also can't include people who have a history of certain heart or brain health problems, or those who have had very high or very low blood sugar levels recently that caused problems.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you aged between 18 and 66 years old?
  2. Have you had type 1 diabetes for more than 3 years?
  3. Do you use an automatic insulin pump system (hybrid closed-loop)?
  4. Do you usually spend more than 5 hours a day sitting or lying down?
  5. Are you not currently pregnant or planning to become so soon, and haven't recently had a baby or stopped breastfeeding?
  6. Do you have a healthy heart and brain, without diagnosis of existing disease?
Answer every question to see your result.

What does participation involve?

If you join the study, you'll visit a university laboratory twice. Each visit will last about 7 hours and will be spaced at least four days apart. The order of what you do during these visits will be chosen randomly – so you won't know which one you're doing first.

In one visit, you'll sit for the entire 7 hours. In the other, you'll take a short 3-minute walk every half hour. Before each visit, you'll wear a small activity tracker for two days and record your meals using a free app. You'll also be given specific meals to eat the night before and the morning of your visit. You'll continue to use your own blood sugar monitor and insulin pump as usual.

During the lab visits, we'll check your health in a few ways: we'll use ultrasound scans to look at your blood vessels and brain blood flow, take your blood pressure and heart rate, and collect blood samples to look for signs of inflammation. We'll also keep track of your blood sugar levels and insulin use using your own devices. After each visit, you'll wear the activity tracker for another two days and continue to record your meals and blood sugar levels.

Potential risks and benefits

By taking part, you'll be contributing to valuable research that helps us understand more about type 1 diabetes and how daily activities affect health. While there are no direct health benefits expected for you personally from this study, the information we gather could help many others in the future. The risks involved are generally low; you might feel a bit uncomfortable from wearing the activity monitor or from having your blood pressure taken or blood samples drawn. Your blood sugar will be carefully watched throughout the visits, and you'll be given quick-acting sugars if your levels drop too low. Remember, you can choose to leave the study at any time.

Locations (3)

  • University of Birmingham
    Approximate
    Birmingham, England
  • Liverpool John Moores University
    Approximate
    Liverpool, England
  • Manchester Metropolitan University
    Approximate
    Manchester, England

Common questions

What is a 'hybrid closed-loop insulin delivery system'?

This is a type of insulin pump that works with a sensor to automatically adjust your insulin doses based on your blood sugar levels, helping to keep them stable.

Will I have to stop my usual medication?

No, you will continue to use your own insulin pump and continuous glucose monitor (CGM) as you normally would throughout the study.

How long will I need to commit to the study?

You'll have two separate 7-hour visits to the lab. Before and after each visit, you'll wear an activity monitor for 48 hours and track your meals and glucose.

Are the walking breaks intense exercise?

No, the study specifies 'light walking' breaks, which are short and not designed to be strenuous exercise.

Will I get paid for participating?

The information provided does not mention payment for participation. You should ask the study contact person for details.

How to find out more

Joseph Jenkins

Always speak to your GP or specialist before deciding to take part in a study.

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