People with T1D should ideally perform at least 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity aerobic activity per week and 2–3 resistance exercise sessions, with no more than two consecutive days without activity to increase insulin sensitivity and lower the risk of cardiovascular disease.[1]
The glycemic response to exercise is highly variable and is affected by baseline fitness status; the type, intensity, and duration of exercise; the amount of insulin in circulation; preexercise blood glucose level; and preexercise meal composition.[2] As such, special care needs to be taken with respect to carbohydrate intake and insulin delivery around exercise to prevent hypoglycemia.
References
- ^Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, Horton ES, Castorino K, Tate DFPhysical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes AssociationDiabetes Care.(2016 Nov)
- ^Holt RIG, DeVries JH, Hess-Fischl A, Hirsch IB, Kirkman MS, Klupa T, Ludwig B, Nørgaard K, Pettus J, Renard E, Skyler JS, Snoek FJ, Weinstock RS, Peters ALThe management of type 1 diabetes in adults. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD).Diabetologia.(2021-12)