An evaluation of how exercise position statement guidelines are being used in the real world in type 1 diabetes: Findings from the type 1 diabetes exercise initiative (T1DEXI)

• Published in: Diabetes research and clinical practice 2024-11, Vol.217, p.111874, Article 111874
• Main Authors: Jacobs, Peter G., Chase Marak, Martin, Calhoun, Peter, Gal, Robin L., Castle, Jessica R., Riddell, Michael C.
• Format: Article
• Language: English
• Subjects: Adult; Blood Glucose - analysis; Blood Glucose - metabolism; Blood Glucose Self-Monitoring - standards; Diabetes Mellitus, Type 1 - blood; Diabetes Mellitus, Type 1 - therapy; Exercise; Exercise - physiology; Exercise Therapy - methods; Exercise Therapy - standards; Female; Humans; Hypoglycemic Agents - administration & dosage; Hypoglycemic Agents - therapeutic use; Insulin - administration & dosage; Insulin - therapeutic use; Insulin Infusion Systems; Male; Middle Aged; Observational study; Position statement; Practice Guidelines as Topic; Type 1 diabetes
• ISSN: 0168-8227; 1872-8227; 1872-8227
• DOI: 10.1016/j.diabres.2024.111874

[Display omitted] Position statement guidelines should help people with type 1 diabetes (T1D) improve glucose outcomes during exercise. In a 4-week observational study, continuous glucose, insulin, and nutrient data were collected from 561 adults with T1D. Glucose outcomes were calculated during exercise, post-exercise, and overnight, and were compared for sessions when participants used versus did not use exercise guidelines for open-loop (OL) and automated insulin delivery (AID) therapy. Guidelines requiring behaviour modification were rarely used while guidelines not requiring modification were often used. The guideline recommending reduced meal insulin before exercise was associated with lower time