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CompletedNCT07377448Updated Jan 30, 2026

Insulin Use and Respiratory Muscle Strength in Type 2 Diabetes

An observational study in Diabetes Mellitus, Type 2 and Diabetes Mellitus, Type 2 Treated With Insulin, sponsored by Izmir Bakircay University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 40 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-01-30.

Sponsored by Izmir Bakircay University · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
70
Ages
40 Years to 70 Years
Sex
All
01

Study summary

This study compares breathing function, breathing muscle strength, and recovery after a walking test in adults with type 2 diabetes, based on whether they use insulin.

People with type 2 diabetes will be evaluated during a single study visit at Izmir Bakircay University. Participants will be grouped as either currently using insulin or not using insulin as part of their usual diabetes treatment. All participants will complete the same tests: a breathing test (spirometry), breathing muscle strength tests (maximal inspiratory and expiratory pressures), and a 6-minute walk test.

Before the walk test, immediately after the test, and 5 minutes after the test, recovery measures such as heart rate, oxygen saturation, blood pressure, and perceived shortness of breath and fatigue will be recorded. The goal is to understand whether insulin use is associated with differences in breathing and recovery responses in people with type 2 diabetes.

02

Conditions studied

  • Diabetes Mellitus, Type 2
  • Diabetes Mellitus, Type 2 Treated With Insulin

Keywords

  • Insulin Therapy
  • Respiratory Muscle Strength
  • Maximal Inspiratory Pressure
  • Maximal Expiratory Pressure
  • Spirometry
03

In context

Diabetes Mellitus, Type 2

9,359 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,318 are open to participants now.

This study's enrollment of 70 is below the median of 300 across 1,588 observational studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

Izmir Bakircay University is the lead sponsor of 73 studies on the registry; 17 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adults aged 40-70 years with a diagnosis of type 2 diabetes mellitus who attended the Izmir Bakircay University Physiotherapy and Rehabilitation Research and Practice Center and met the eligibility criteria. Participants were categorized as insulin-treated or non-insulin-treated based on current usual care.

Inclusion criteria

  • Age 40 to 70 years
  • Diagnosis of type 2 diabetes mellitus for at least 1 year
  • Receiving diabetes treatment (oral antidiabetic agents and/or insulin) for at least 6 months
  • Stable metabolic status (HbA1c ≤ 10%)
  • Independent ambulation
  • Able to read and understand Turkish
  • Provided written informed consent

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of type 1 diabetes mellitus
  • Active diabetic foot ulcer
  • Acute respiratory tract infection or known chronic respiratory disease (e.g., COPD, asthma, interstitial lung disease)
  • Cardiovascular disease history that may limit exercise testing (e.g., heart failure, uncontrolled hypertension, arrhythmia)
  • Neurological disease, musculoskeletal problem, or balance disorder precluding participation in the exercise test
  • Major surgery within the past 6 months
  • Current cancer treatment or history of malignancy
  • Cognitive impairment or psychiatric condition limiting cooperation
  • Pregnancy or breastfeeding
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
70 participants (actual)
Patient registry
No

Groups and cohorts

  • Insulin-Treated Type 2 Diabetes Mellitus

    Participants with type 2 diabetes mellitus who are currently using insulin therapy as part of usual care at the time of assessment.

  • Non-Insulin-Treated Type 2 Diabetes Mellitus

    Participants with type 2 diabetes mellitus who are not using insulin therapy as part of usual care at the time of assessment (e.g., lifestyle and/or oral antidiabetic agents).

06

What researchers measure

Primary outcomes

  1. Maximal Inspiratory Pressure (MIP)

    Maximal inspiratory pressure (cmH2O) assessed using a respiratory pressure meter according to standardized respiratory muscle strength testing procedures. The best value from repeated acceptable maneuvers will be used for analysis.

    Time frame: Single Visit (Baseline)

Secondary outcomes

  1. Maximal Expiratory Pressure (MEP)

    Maximal expiratory pressure (cmH2O) assessed using a respiratory pressure meter. The best value from repeated acceptable maneuvers will be used.

    Time frame: single Visit (Baseline)

  2. Spirometry Parameters (FVC) Forced Vital Capacity

    Pulmonary function measured by spirometry following standard procedures.

    Time frame: Single Visit (Baseline)

  3. 6-Minute Walk Distance (6MWD)

    Total distance walked in 6 minutes (meters) on a standardized 30-meter corridor using standardized instructions.

    Time frame: Single Visit (During 6-Minute Walk Test)

  4. Heart Rate Response and Recovery After the 6-Minute Walk Test

    Heart rate (beats/min) recorded at the specified time points using pulse oximetry.

    Time frame: Pre-Test; Immediately Post-Test; 5 Minutes Post-Test

  5. Oxygen Saturation (SpO₂) Response and Recovery After the 6-Minute Walk Test

    Peripheral oxygen saturation (SpO₂, %) recorded at the specified time points using pulse oximetry.

    Time frame: Pre-Test; Immediately Post-Test; 5 Minutes Post-Test

  6. Blood Pressure Response and Recovery After the 6-Minute Walk Test

    Systolic and diastolic blood pressure (mmHg) measured in a seated position at the specified time points.

    Time frame: Pre-Test; Immediately Post-Test; 5 Minutes Post-Test

  7. Forced Expiratory Volume in 1 Second (FEV1)

    Pulmonary function measured by spirometry following standard procedures.

    Time frame: Single Visit (Baseline)

  8. FEV1/FVC Ratio

    Calculated from spirometry values following standard procedures.

    Time frame: Single Visit (Baseline)

  9. Peak Expiratory Flow (PEF)

    Pulmonary function measured by spirometry following standard procedures.

    Time frame: Single Visit (Baseline)

  10. Rating of Perceived Dyspnea During Recovery (Modified Borg Dyspnea Scale, 0-10)

    Perceived dyspnea will be assessed using the Modified Borg Dyspnea Scale (0 = no breathlessness at all; 10 = maximal breathlessness). Higher scores indicate worse dyspnea.

    Time frame: Pre-Test; Immediately Post-Test; 5 Minutes Post-Test

07

Study locations

1 site
  • Bakircay University
    Izmir, İzmir 35353, Turkey (Türkiye)
08

References and documents

Individual participant data

Plan to share: No — De-identified individual participant data will not be shared

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07377448
Lead sponsor
Izmir Bakircay University
Responsible party
AYŞE KAYALI VATANSEVER (Assistant Professor, Izmir Bakircay University) — Principal investigator
First posted
Jan 30, 2026
Start date
Jan 2, 2025
Primary completion
Dec 30, 2025
Completion
Dec 31, 2025
Last update
Jan 30, 2026
View the source record on ClinicalTrials.gov ↗

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