How tiny blood-vessel insulin problems affect fitness in type 2 diabetes

Role of Microvascular insulin resistance and cardiorespiratory fitness in diabetes

NIH-funded research University of Colorado Denver · NIH-11323456

This project looks at whether problems with insulin’s control of tiny blood vessels make it harder for adults with type 2 diabetes to exercise and whether exercise training can help.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Colorado Denver NIH-funded
Lab location1 site (Aurora, UNITED STATES)
Project IDNIH-11323456 on NIH RePORTER

What this research studies

You would be asked to come to clinic visits where researchers measure how insulin affects blood flow in your heart and skeletal muscles, along with tests of oxygen delivery and exercise performance. The teams will use imaging, blood tests, and supervised exercise tests to compare people with type 2 diabetes to reference groups. Some participants will take part in an exercise training program to see if improving fitness restores insulin-mediated blood flow and muscle/heart function. Data from two clinical sites will be combined to learn which changes link insulin resistance to lower exercise capacity.

Who could benefit from this research

Good fit: Adults aged 21 and older with type 2 diabetes who can safely perform exercise testing and attend clinic visits would be the ideal candidates.

Not a fit: People with type 1 diabetes, severe cardiac disease, or those unable to exercise or travel to the study sites would likely not be eligible or benefit.

Why it matters

Potential benefit: If successful, this work could show that exercise restores insulin-controlled small-vessel blood flow and improves heart and muscle performance, guiding treatments to boost fitness and lower complications in type 2 diabetes.

How similar studies have performed: Prior studies show exercise improves insulin sensitivity and fitness, but directly linking insulin-driven microvascular blood flow in heart and muscle to exercise capacity in type 2 diabetes is a newer and less-established area.

Where this research is happening

Aurora, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Adult-Onset Diabetes MellitusComplications of Diabetes Mellitus
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.