The Canadian E-PAraDiGM (Exercise Physical Activity and Diabetes Glucose Monitoring) Protocol
E-PAraDiGM
1 other identifier
interventional
79
1 country
1
Brief Summary
Walking is encouraged for people with type 2 diabetes but there is little evidence that performing a bout of walking can improve glucose control. Furthermore, it is unknown how participant characteristics (e.g., age, sex, medications) impact the acute glucose responses to walking in people with type 2 diabetes. The primary purpose of this study is to examine how a standardized bout of walking impacts glucose control assessed over 24 hours using continuous glucose monitoring. A secondary purpose is to determine whether responses are influenced by age, sex, and medication use.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jul 2016
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2016
CompletedFirst Submitted
Initial submission to the registry
July 13, 2016
CompletedFirst Posted
Study publicly available on registry
July 15, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2017
CompletedOctober 3, 2019
October 1, 2019
1.4 years
July 13, 2016
October 2, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Mean 24 hour glucose levels (mmol/l)
Mean glucose assessed for 24 hours after walking or seated control assessed by continuous glucose monitoring
24 hours
Secondary Outcomes (6)
Mean amplitude of glycemic excursions (MAGE)
24 hours
Standard Deviation of Glucose Values
24 hours
Post-dinner glucose control
2 hours following dinner
Post-lunch glucose control
2 hours following lunch
Post-breakfast glucose control
2 hour following breakfast
- +1 more secondary outcomes
Study Arms (2)
Walking
EXPERIMENTALWalking on a treadmill at 3.5 metabolic equivalents (METS) for 50 minutes
Seated Control
EXPERIMENTALSitting for 50 minutes
Interventions
Eligibility Criteria
You may qualify if:
- Diagnosed with T2D for more than 6 months
- years of age
- No contra-indications to exercise (PAR-Q+, Rose Angina questionnaire, limited ability to walk for 50 min).
- No previous myocardial infarction, stroke or diagnosed coronary artery disease
- No changes in diabetes medication in last 3 months
- Not treated by insulin or corticosteroids
- No significant change in body weight (\>5%) in last 3 months
- Blood pressure \<160/100 mmHg; resting HR\<100
- Able to understand English or French and comply with study requirements (e.g., attend visits during the day)
- Hemoglobin A1C \<9.0%
- No prior history of hypoglycaemia during activity or sleep
You may not qualify if:
- Chest pain during physical activity.
- Chest pain while resting (no physical activity) in the past month.
- Loss of balance or consciousness because of dizziness in past 12 months
- Bone or joint problem (for example, back, knee, or hip) that could be made worse by a change in physical activity.
- Currently pregnant or planning on becoming pregnant in the next 3 months
- Currently taking exogenous insulin
- Previous heart attack or stroke
- Any other reason that prevents ability to walk on a treadmill for 50 minutes
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of British Columbialead
- University of Albertacollaborator
- University of Calgarycollaborator
- McMaster Universitycollaborator
- Université de Sherbrookecollaborator
- Centre Hospitalier de l'Université Lavalcollaborator
- Children's Hospital Research Institute of Manitobacollaborator
- Medtroniccollaborator
Study Sites (1)
University of British Columbia, Okanagan.
Kelowna, British Columbia, V1V 1V7, Canada
Related Publications (1)
Rees JL, Chang CR, Francois ME, Marcotte-Chenard A, Fontvieille A, Klaprat ND, Dyck RA, Funk DR, Snydmiller G, Bastell K, Godkin FE, Dube MC, Riesco E, McGavock JM, Yardley JE, Sigal RJ, Gibala MJ, Weisnagel SJ, Prado CM, Jung M, Manders R, Lee T, Singer J, Boule NG, Little JP. Minimal effect of walking before dinner on glycemic responses in type 2 diabetes: outcomes from the multi-site E-PAraDiGM study. Acta Diabetol. 2019 Jul;56(7):755-765. doi: 10.1007/s00592-019-01358-x. Epub 2019 May 15.
PMID: 31093764DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
July 13, 2016
First Posted
July 15, 2016
Study Start
July 1, 2016
Primary Completion
December 1, 2017
Study Completion
December 1, 2017
Last Updated
October 3, 2019
Record last verified: 2019-10