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Hypoxia stimulates glucose uptake through an insulin-independent pathway. The aim of this study was to examine the acute effect of rebreathing-induced hypoxia on plasma glucose and insulin levels in adults with type 2 diabetes. We hypothesized that rebreathing-induced hypoxia would attenuate the increase in glucose and insulin levels during an oral glucose tolerance test. Nine individuals with type 2 diabetes (5 men, age: 53±10 years, body mass index: 35±7 kg/m2, HbA1c: 7.1±0.5%) visited the laboratory on two occasions. On both visits, a 2-hour, 75 g oral glucose tolerance test was conducted while simultaneously performing a rebreathing-induced hypoxia protocol (RIH) or breathing room air (Norm). Venous blood samples were collected 0, 30, 60, 90, and 120 min following ingestion of the high-glucose drink to measure plasma glucose and insulin levels. The rebreathing-induced hypoxia protocol consisted of two series of five 2-min rebreathing bouts in a low-volume, closed circuit system interspersed with two minutes of breathing room air. The first and second series of rebreathing bouts were performed within the first 30 min and 30-60 min after ingestion of the high-glucose drink, respectively. Rebreathing-induced hypoxia resulted in a nadir oxygen saturation of 88±4 % and a nadir fraction of inspired oxygen of 12±5%. Plasma glucose responses to the oral glucose tolerance test were not different between conditions, however, insulin levels were lower during rebreathing-induced hypoxia than normoxia (RIH vs. Norm: 0: 17±13 vs. 21 ±14; 30: 37 ±28 vs. 42±26; 60: 57±32 vs. 77±52; 90: 88±67 vs. 116±81; and 120: 114±96 vs. 136 ±111 ulU/ml, p=0.03), suggesting an acutely improved insulin sensitivity. Accordingly, the insulin area under the curve was lower during rebreathing-induced hypoxia than normoxia (124±84 vs. 157±102, p=0.02). In conclusion, exposure to short and intermittent rebreathing-induced hypoxia following the ingestion of a high-glucose drink acutely improves insulin sensitivity in adults with type 2 diabetes. Rebreathing-induced hypoxia could therefore represent a novel and simple strategy to improve glycemic control in individuals living with type 2 diabetes. College of Education Small Grants Program This is the full abstract presented at the American Physiology Summit 2023 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.