PMID- 8941525 OWN - NLM STAT- MEDLINE DCOM- 19970313 LR - 20171213 IS - 8750-7587 (Print) IS - 0161-7567 (Linking) VI - 81 IP - 5 DP - 1996 Nov TI - Utilization of glycogen but not plasma glucose is reduced in individuals with NIDDM during mild-intensity exercise. PG - 2027-33 AB - To test the hypothesis that substrate utilization during mild-intensity exercise differs in non-insulin-dependent diabetes mellitus (NIDDM) compared with nondiabetic subjects, seven lean healthy subjects (L), seven obese healthy subjects (O), and seven individuals with NIDDM were studied during 40 min of mild-intensity cycling (40% of peak O2 uptake). Systemic utilization of plasma glucose (Glc Rd) was determined by using isotope dilution methods. Gas exchange was measured to determine rates of carbohydrate (CHO) and lipid oxidation. During exercise, when CHO oxidation was greater than Glc Rd, the net oxidation of glycogen was calculated as the difference: CHO oxidation - Glc Rd. During mild-intensity cycling, the respiratory exchange ratio was similar across groups (0.87 +/- 0.02, 0.85 +/- 0.02, and 0.86 +/- 0.01 in L, O, and NIDDM subjects, respectively), and CHO oxidation accounted for one-half of total energy expenditure during exercise. Glc Rd increased during exercise and was greatest in subjects with NIDDM (3.0 +/- 0.2, 2.9 +/- 0.2, and 4.5 +/- 0.4 ml.kg-1.min-1 in L, O, and NIDDM subjects, respectively, P < 0.05), yet Glc Rd was less than CHO oxidation during exercise, indicating net oxidation of glycogen. Glycogen oxidation was greater in L and O than in NIDDM subjects (3.4 +/- 1.0, 2.5 +/- 0.9, and 1.7 +/- 0.8 ml.kg-1.min-1; P < 0.05). In summary, during mild-intensity exercise, NIDDM subjects have an increased Glc Rd and a decreased oxidation of muscle glycogen. FAU - Colberg, S R AU - Colberg SR AD - Department of Medicine, University of Pittsburgh School of Medicine, Pennsylvania, USA. FAU - Hagberg, J M AU - Hagberg JM FAU - McCole, S D AU - McCole SD FAU - Zmuda, J M AU - Zmuda JM FAU - Thompson, P D AU - Thompson PD FAU - Kelley, D E AU - Kelley DE LA - eng GR - 5MO1RR00056/RR/NCRR NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Appl Physiol (1985) JT - Journal of applied physiology (Bethesda, Md. : 1985) JID - 8502536 RN - 0 (Blood Glucose) RN - 0 (Fatty Acids, Nonesterified) RN - 9005-79-2 (Glycogen) SB - IM MH - Anaerobic Threshold/physiology MH - Blood Glucose/*metabolism MH - Body Composition/physiology MH - Diabetes Mellitus, Type 2/*metabolism MH - Energy Metabolism/physiology MH - Exercise/*physiology MH - Fatty Acids, Nonesterified/blood MH - Female MH - Glycogen/*metabolism MH - Humans MH - Male MH - Middle Aged MH - Obesity/metabolism MH - Oxidation-Reduction MH - Pulmonary Gas Exchange/physiology EDAT- 1996/11/01 00:00 MHDA- 1996/11/01 00:01 CRDT- 1996/11/01 00:00 PHST- 1996/11/01 00:00 [pubmed] PHST- 1996/11/01 00:01 [medline] PHST- 1996/11/01 00:00 [entrez] AID - 10.1152/jappl.1996.81.5.2027 [doi] PST - ppublish SO - J Appl Physiol (1985). 1996 Nov;81(5):2027-33. doi: 10.1152/jappl.1996.81.5.2027.