Type 1 DiabetesNCT05188014
Exercise and the Menstrual Cycle in Type 1 Diabetes
A study testing Luteal Phase Aerobic Exercise and Follicular Phase Aerobic Exercise in people with Type 1 Diabetes, run by University of Alberta at 1 site in Canada.
Trial summary
Female participants with type 1 diabetes using oral contraceptives will be asked to wear a continuous glucose monitor for at least three days on two separate occasions (once during the last week of active pills and once during the no pill/placebo pill phase of the menstrual cycle). Read more about this study
- Who is it for?
- Ages 18 to 50 years, women only
- Conditions the study is for
- Type 1 Diabetes
- What is being tested?
- Luteal Phase Aerobic Exercise and Follicular Phase Aerobic Exercise
- Type of treatment
- Pill or oral medicine, Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 15 participants
- Where
- 1 siteCanada
- Study dates
- 15 Mar 2022to 30 Aug 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 50 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- type 1 diabetes diagnosed for at least 1 year
- regular menses
- using monophasic oral contraceptives
- residing in Edmonton, Alberta and able to visit the lab at the University of Alberta
Who cannot join
- HbA1c > 9.9%
- frequent and unpredictable hypoglycemia
- change in insulin management strategy within two months of the study
- use of an automated insulin delivery system
- blood pressure > 140/95
- history of cardiovascular disease
Show all 10Show fewer
- severe peripheral neuropathy
- active proliferative retinopathy
- use of medications (other than insulin) that would affect blood glucose levels
- any musculoskeletal condition that would contraindicate exercise (e.g. sprain, strain, joint injury, etc.)
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Canada1 site, 1 recruiting
- Recruiting
Alberta Diabetes Institute
Edmonton, Alberta, T6G 2R3
Jane E Yardley, PhD, 7806791688, jane.yardley@ualberta.ca
About this study
Official title: Effects of the Menstrual Cycle on Blood Glucose Changes During Exercise in Women With Type 1 Diabetes Using Oral Contraceptives
Female participants with type 1 diabetes using oral contraceptives will be asked to wear a continuous glucose monitor for at least three days on two separate occasions (once during the last week of active pills and once during the no pill/placebo pill phase of the menstrual cycle). An exercise session (45 minutes of aerobic exercise at 60% VO2peak on a cycle ergometer) will take place at 5 pm on the second day of glucose monitoring.
Read the detailed description
Pre-test measures: Interested participants will be invited to the Physical Activity and Diabetes Laboratory on the main campus of the University of Alberta. They will be asked questions related to their menstrual cycle, physical activity levels and medication. Blood pressure will also be measured to assess their eligibility. Where participants are eligible, anthropometric characteristics will be measured using standard protocols. A blood sample will be drawn for assessment of HbA1c. Participants will perform an incremental treadmill test to volitional exhaustion. Indirect calorimetry will be used to assess oxygen consumption and carbon dioxide production to determine the participant's aerobic capacity.
Testing sessions: Participants will perform two testing sessions separated by at least 5 days. One session will take place during the last week of active pill consumption of monophasic hormonal contraceptives. The second session will take place during the placebo pill consumption phase (i.e. menses). Participants will be asked to arrive at the lab at around 4:00 pm for both sessions, which will be randomly assigned. During the sessions, participants will be asked to perform 45 minutes of aerobic exercise on an ergonomic cycle ergometer at 60% of the participant's pre-determined aerobic capacity. Blood samples will be drawn at baseline, at the end of exercise, and an hour post-exercise via an IV catheter. Participants will be asked to match their daily food and insulin intake as closely as possible from one testing session to the next for the day before, day of and day after the testing session. They will also be asked to avoid strenuous exercise and alcohol intake.
A continuous glucose monitor (CGM) sensor will be subcutaneously inserted by one of the investigators (trained by a group from the CGM manufacturer) into the anterior abdominal area of the participant in the morning of the day prior to each testing session. The participant will wear the CGM for at least 24 hours before the exercise session, and at least 24 hours after the exercise session.
- Conditions
- Type 1 Diabetes
- Being tested
- Luteal Phase Aerobic Exercise, Follicular Phase Aerobic Exercise
- Medical subject headings
- Diabetes Mellitus, Type 1
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Luteal Phase Aerobic ExerciseBehavioural
Participants will perform 45 minutes of moderate (60% VO2peak) aerobic exercise on a cycle ergometer during the last week of active pill consumption.
Follicular Phase Aerobic ExerciseBehavioural
Participants will perform 45 minutes of moderate (60% VO2peak) aerobic exercise on a cycle ergometer within 5 days of starting their menses.
| Study group | Role | What they receive |
|---|---|---|
| All participants | Experimental | All participants will be in a single study arm. Receives: Behavioral: Luteal Phase Aerobic Exercise; Behavioral: Follicular Phase Aerobic Exercise |
What is being measured
The primary outcome is the main question the study is designed to answer.
Blood glucose
Change in blood glucose, with samples drawn via IV catheter
Measured: Pre-exercise (0 minutes), post-exercise (45 minutes) and 1 hour post-exercise
Secondary outcomes (8)
Interstitial glucose (continuous glucose monitoring)
Mean CGM glucose
Measured: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
coefficient of variation (CV)
measure of variability for continuous glucose monitoring data
Measured: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
standard deviation (SD)
measure of variability for continuous glucose monitoring data
Measured: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
frequency of hypoglycemia
number of times that CGM glucose is equal to or lower than 3.9 mmol/L
Measured: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
frequency of hyperglycemia
number of times that CMG glucose is equal to or greater than 10.0 mmol/L
Measured: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
percent of time in range
percent of time with CGM glucose between 4.0 and 9.9 mmol/L
Measured: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
percent of time in hypoglycemia
amount of time spent with CGM glucose equal to or less than 3.9 mmol/L
Measured: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
percent of time in hyperglycemia
amount of time spent with CGM glucose equal to or greater than 10.0 mmol/L
Measured: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jan 2022
- Study start15 Mar 2022
- Primary completion30 Jun 2027 (estimated)
- Study completion30 Aug 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Type 1 DiabetesStudies of the same condition, open and under way.
- More trials run by University of AlbertaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 15 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Alberta
- Sponsor type
- University, hospital or other
- Collaborators
- Women and Children's Health Research Institute, Canada
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05188014
- Sponsor's protocol ID
- Pro0083867
- Status last verified
- Jul 2026
- First submitted
- 8 Dec 2021
- Last updated
- 20 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of the Menstrual Cycle on Blood Glucose Changes During Exercise in Women With Type 1 Diabetes Using Oral Contraceptives
- ClinicalTrials.gov ID
- NCT05188014
- Acronym / sponsor ID
- Pro0083867
- Conditions
- Type 1 Diabetes
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 15 participants (estimated)
- Lead sponsor
- University of AlbertaUniversity, hospital or other
- Collaborators
- Women and Children's Health Research Institute, Canada
- Study start
- 15 Mar 2022 (actual)
- Primary completion
- 30 Jun 2027 (estimated)
- Study completion
- 30 Aug 2027 (estimated)
- First posted
- 12 Jan 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Female participants with type 1 diabetes using oral contraceptives will be asked to wear a continuous glucose monitor for at least three days on two separate occasions (once during the last week of active pills and once during the no pill/placebo pill phase of the menstrual cycle). An exercise session (45 minutes of aerobic exercise at 60% VO2peak on a cycle ergometer) will take place at 5 pm on the second day of glucose monitoring.
Detailed description
Pre-test measures: Interested participants will be invited to the Physical Activity and Diabetes Laboratory on the main campus of the University of Alberta. They will be asked questions related to their menstrual cycle, physical activity levels and medication. Blood pressure will also be measured to assess their eligibility. Where participants are eligible, anthropometric characteristics will be measured using standard protocols. A blood sample will be drawn for assessment of HbA1c. Participants will perform an incremental treadmill test to volitional exhaustion. Indirect calorimetry will be used to assess oxygen consumption and carbon dioxide production to determine the participant's aerobic capacity.
Testing sessions: Participants will perform two testing sessions separated by at least 5 days. One session will take place during the last week of active pill consumption of monophasic hormonal contraceptives. The second session will take place during the placebo pill consumption phase (i.e. menses). Participants will be asked to arrive at the lab at around 4:00 pm for both sessions, which will be randomly assigned. During the sessions, participants will be asked to perform 45 minutes of aerobic exercise on an ergonomic cycle ergometer at 60% of the participant's pre-determined aerobic capacity. Blood samples will be drawn at baseline, at the end of exercise, and an hour post-exercise via an IV catheter. Participants will be asked to match their daily food and insulin intake as closely as possible from one testing session to the next for the day before, day of and day after the testing session. They will also be asked to avoid strenuous exercise and alcohol intake.
A continuous glucose monitor (CGM) sensor will be subcutaneously inserted by one of the investigators (trained by a group from the CGM manufacturer) into the anterior abdominal area of the participant in the morning of the day prior to each testing session. The participant will wear the CGM for at least 24 hours before the exercise session, and at least 24 hours after the exercise session.
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| All participants | Experimental | Behavioral: Luteal Phase Aerobic Exercise, Behavioral: Follicular Phase Aerobic ExerciseAll participants will be in a single study arm. |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- type 1 diabetes diagnosed for at least 1 year
- regular menses
- using monophasic oral contraceptives
- residing in Edmonton, Alberta and able to visit the lab at the University of Alberta
Key exclusion criteria (10 listed)
- HbA1c > 9.9%
- frequent and unpredictable hypoglycemia
- change in insulin management strategy within two months of the study
- use of an automated insulin delivery system
- blood pressure > 140/95
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Luteal Phase Aerobic ExerciseParticipants will perform 45 minutes of moderate (60% VO2peak) aerobic exercise on a cycle ergometer during the last week of active pill consumption. | Behavioural | All participants |
| Follicular Phase Aerobic ExerciseParticipants will perform 45 minutes of moderate (60% VO2peak) aerobic exercise on a cycle ergometer within 5 days of starting their menses. | Behavioural | All participants |
Primary outcome
Blood glucose
Time frame: Pre-exercise (0 minutes), post-exercise (45 minutes) and 1 hour post-exercise
Change in blood glucose, with samples drawn via IV catheter
8 secondary outcomes
Interstitial glucose (continuous glucose monitoring)
Time frame: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
coefficient of variation (CV)
Time frame: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
standard deviation (SD)
Time frame: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
frequency of hypoglycemia
Time frame: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
frequency of hyperglycemia
Time frame: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
percent of time in range
Time frame: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
percent of time in hypoglycemia
Time frame: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
percent of time in hyperglycemia
Time frame: 6 hours, 12 hours, overnight (midnight to 6 am) and 24 hours post-exercise
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jul 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Luteal Phase Aerobic Exercise and Follicular Phase Aerobic Exercise in people with Type 1 Diabetes, run by University of Alberta at 1 site in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 20 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Blood glucose (time frame: Pre-exercise (0 minutes), post-exercise (45 minutes) and 1 hour post-exercise). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jul 2026.