About this trial
The aim of the study is to test the efficacy, feasibility, and safety of a bicycle exercise followed by an intensive lifestyle intervention for 3 months in patients with recent onset and medically untreated type 2 diabetes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Informed consent as documented by signature
Type 2 diabetes diagnosed within the last two years according to the American Diabetes Association (ADA) criteria
Age ≥ 18 years
HbA1c ≥ 7.5 %
Disqualifiers
Clinically instable patient as defined by the physicians on duty including signs of new cardiac ischemia in the ECG, systolic blood pressure ≥ 200 mmHg, fever ≥ 38.5 °C, symptoms of SIRS or reduced vigilance.
Anti-diabetic medication for ≥ 24 hours
Inability to perform a bicycle exercise during 30 minutes
Previous lifestyle-intervention by an endocrinologist
Trial design
Parallel
Treatments tested in this trial
Lifestyle Intervention
BehavioralPhysical activity program: 3-5 aerobic training sessions (15-40 minutes each) per week, combined with 2 resistance training per week as well as motivational coaching via telephone Nutritional counseling
Treatment groups
Trial outcomes
Primary outcomes
metabolic control
fasting glucose \< 7.6 mM and HbA1c below a target stratified for three groups according to HbA1c at baseline.
Secondary outcomes
Absolute HbA1c reduction per stratification group
Absolute HbA1c (% points) reduction after 3 months per stratification group (groups consist of HbA1c \>14%; HbA1c \<14% and \>10%; HbA1c \<10%)
Absolute HbA1c reduction per stratification group
Absolute HbA1c (% points) reduction after 6 months per stratification group (groups consist of HbA1c \>14%; HbA1c \<14% and \>10%; HbA1c \<10%)
Proportion of patients achieving HbA1c target in each stratification group
Proportion (%) of patients achieving target per stratified group after 3 months without anti-diabetic medication other than Metformin (groups consist of HbA1c \>14%, HbA1c \<14% and \>10% and HbA1c \<10%)
Feasibility of bicycle exercise at study enrollment in the ER
Feasibility of bicycle exercise at study enrollment in the ER, defined as absence of problem reports through the study team
Sponsors and contacts
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University Hospital, Basel, Switzerland
Lead sponsor
Kantonsspital Olten
Collaborator