Effects of a Single Bout of Interval Hypoxia on Cardiorespiratory Control in Patients With Type 1 Diabetes

  1. on behalf of the FinnDiane Study Group
  1. 1Department of Sport Science, Medical Section, University of Innsbruck, Innsbruck, Austria
  2. 2Folkhälsan Institute of Genetics, Folkhälsan Research Center, University of Helsinki, Helsinki, Finland
  3. 3Division of Nephrology, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland
  4. 4Department of Internal Medicine, University of Pavia and IRCCS San Matteo, Pavia, Italy
  5. 5NordLab Oulu, Oulu University Hospital, and Department of Medical Microbiology, University of Oulu, Oulu, Finland
  6. 6IDI Baker Heart & Diabetes Institute, Melbourne, Victoria, Australia
  1. Corresponding author: Luciano Bernardi, lbern1ps{at}unipv.it, or Per-Henrik Groop, per-henrik.groop{at}helsinki.fi.

Abstract

Hypoxemia is common in diabetes, and reflex responses to hypoxia are blunted. These abnormalities could lead to cardiovascular/renal complications. Interval hypoxia (IH) (5–6 short periods of hypoxia each day over 1–3 weeks) was successfully used to improve the adaptation to hypoxia in patients with chronic obstructive pulmonary disease. We tested whether IH over 1 day could initiate a long-lasting response potentially leading to better adaptation to hypoxia. In 15 patients with type 1 diabetes, we measured hypoxic and hypercapnic ventilatory responses (HCVRs), ventilatory recruitment threshold (VRT-CO2), baroreflex sensitivity (BRS), blood pressure, and blood lactate before and after 0, 3, and 6 h of a 1-h single bout of IH. All measurements were repeated on a placebo day (single-blind protocol, randomized sequence). After IH (immediately and after 3 h), hypoxic and HCVR increased, whereas the VRT-CO2 dropped. No such changes were observed on the placebo day. Systolic and diastolic blood pressure increased, whereas blood lactate decreased after IH. Despite exposure to hypoxia, BRS remained unchanged. Repeated exposures to hypoxia over 1 day induced an initial adaptation to hypoxia, with improvement in respiratory reflexes. Prolonging the exposure to IH (>2 weeks) in type 1 diabetic patients will be a matter for further studies.

  • Received February 4, 2013.
  • Accepted May 29, 2013.

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  1. Diabetes vol. 62 no. 12 4220-4227
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