FORTE study in podcast #113

Excellent and ever-so-informative podcast on T2D (#113) - Thank you!

Had a question on the FORTE study provided in your links

Finding the Optimal volume and intensity of Resistance Training Exercise for Type 2 Diabetes: The FORTE Study, a Randomized Trial
PearlYangaWalterSwardfagerabcDanielFernandesdSheilaLaredoeGeorgeTomlinsonfgPaul I.OhabhScottThomash

https://www.sciencedirect.com/scienc…68822716317569

Conclusion
Combined AT + RT exercise improved glycemic control, cardiovascular risk factors and body composition after 6 months for participants with T2DM, but differential effects between the prescribed intensities and volumes of RT were not found to effect HbA1c.

Why wouldn’t an increase in intensity/volume have a beneficial effect on HbA1c?

and seems to be in direct contradiction this review’s conclusion:

Conclusions
For the first time, our meta-analyses have provided additional evidence that high-intensity resistance exercise has greater beneficial effects than low-to-moderate-intensity in attenuation of elevated HbA1c and insulin levels in patients with T2D. Our results also emphasized the strong association of RE intensity with effective management of HbA1c and insulin. Nevertheless, whether these beneficial effects of RE can be achieved without significant reduction of blood glucose is still to be investigated. When it is necessary to prescribe RE therapy for patients with T2D, intensity should be the primary concern to accomplish the maximum benefits of RE, according to the patient’s physical fitness.

from:
Resistance Exercise Intensity is Correlated with Attenuation of HbA1c and Insulin in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis
Yubo Liu,1Weibing Ye,1,Qian Chen,2Yong Zhang,1Chia-Hua Kuo,3 and Mallikarjuna Korivi1,

Am i just misreading/misunderstanding something?

Thanks.