To investigate whether targeted lifestyle intervention (exercise), induces a change in intestinal fecal microbiota related to improved glycemic control and systemic inflammation in patients with DM type 2.
Diet and exercise are the most beneficial lifestyle interventions in patients with diabetes mellitus (DM) type 2, causing an increase in glucose tolerance. One of the mechanisms through which these treatment modalities work might be explained through changes in the gut microbiota. Recent studies show that the chronic inflammatory status causing insulin resistance in DM type 2, is triggered by an increase in circulating bacterial lipopolysaccharide (LPS). Strict lifestyle intervention, such as exercise, so called Diabetes Bootcamp (DB), may manipulate the gut microbiota, reducing circulating LPS, causing an improvement of the insulin-mediated
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
15
VU University Medical Center
Amsterdam, North Holland, Netherlands
Changes in gut microbiota composition upon exercise
alfa-diversity, beta-diversity
Time frame: At baseline, after 7 weeks, after 13 weeks
Change in insulin senistivity
Rate of disappearance measured by the hyperinsulinemic-euglycemic clamp with stable glucose isotopes.
Time frame: Before and after exercise, i.e. from first visit (0 weeks) untill last visit (13 weeks)
Change in capillary recruitment
Insulin-induced capillary recruitment in skeletal muscle and heart
Time frame: Before and after exercise, i.e. from first visit (0 weeks) untill last visit (13 weeks)
Changes in resting energy expenditure
Indirect calorimetry
Time frame: Before and after exercise
Changes in continous cardiovascular monitoring
Time frame: Before and after exercise
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