J Korean Diabetes.  2024 Dec;25(4):224-229. 10.4093/jkd.2024.25.4.224.

High-Intensity Interval Training and Diabetes

Affiliations
  • 1Division of Endocrinology and Metabolism, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea

Abstract

High-intensity interval training (HIIT), characterized by alternating intense exercise with short recovery periods, has emerged as an effective and time-efficient approach for diabetes management. HIIT is particularly recommended for individuals who are physically capable and have limited time, as per guidelines from the Korean Diabetes Association (KDA) and the American Diabetes Association (ADA). Studies indicate that HIIT can enhance aerobic capacity, reduce insulin resistance, and improve glycemic control while potentially decreasing cardiovascular risks, such as high blood pressure and lipid imbalances. Moreover, HIIT may help mitigate diabetes-related complications by improving vascular function and insulin sensitivity. However, HIIT carries certain risks, such as episodes of hyperglycemia, hypoglycemia, and an increased risk of musculoskeletal injury, particularly in older adults or those with lower fitness levels. Therefore, it is crucial that HIIT regimens be individualized and guided by healthcare professionals to ensure safe and effective integration into diabetes management.

Keyword

Cardiovascular diseases; Diabetes mellitus; Diabetic complications; Exercise therapy; Glycemic control; High-intensity interval training; Insulin sensitivity; Metabolic syndrome; Physical fitness

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