Short-term cold acclimation improves insulin sensitivity in patients with type 2 diabetes mellitus

A small clinical trial shows that short-term cold acclimation to moderately-cold temperature improves the glucose homeostasis of individuals with type 2 diabetes, without an appreciable activation of their brown adipose tissue. Cold exposure may be a potential therapy for diabetes by increasing brow...

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Published in:Nature medicine Vol. 21; no. 8; pp. 863 - 865
Main Authors: Hanssen, Mark J W, Hoeks, Joris, Brans, Boudewijn, van der Lans, Anouk A J J, Schaart, Gert, van den Driessche, José J, Jörgensen, Johanna A, Boekschoten, Mark V, Hesselink, Matthijs K C, Havekes, Bas, Kersten, Sander, Mottaghy, Felix M, van Marken Lichtenbelt, Wouter D, Schrauwen, Patrick
Format: Journal Article
Language:English
Published: New York Nature Publishing Group US 01.08.2015
Nature Publishing Group
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ISSN:1078-8956, 1546-170X, 1546-170X
Online Access:Get full text
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Summary:A small clinical trial shows that short-term cold acclimation to moderately-cold temperature improves the glucose homeostasis of individuals with type 2 diabetes, without an appreciable activation of their brown adipose tissue. Cold exposure may be a potential therapy for diabetes by increasing brown adipose tissue (BAT) mass and activity. Here we report that 10 d of cold acclimation (14–15 °C) increased peripheral insulin sensitivity by ∼43% in eight type 2 diabetes subjects. Basal skeletal muscle GLUT4 translocation markedly increased, without effects on insulin signaling or AMP-activated protein kinase (AMPK) activation and only a minor increase in BAT glucose uptake.
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ISSN:1078-8956
1546-170X
1546-170X
DOI:10.1038/nm.3891