<b>Are Regular Aerobic Exercisers With Type 1 Diabetes Following Current Physical Activity Self-Management Guidelines? Insights From an Online Survey</b>

• DOI: 10.2337/figshare.28212833
• Publication Date: 2025-01-30T16:11:18Z
• Authors: Joseph Henske; Arwa Albashaireh; Lauren V. Turner; Gavin Beach; Michael C. Riddell
• Keywords: Aerobic Exercise; Self-Management

&lt;p dir="ltr"&gt;This study surveyed 102 adults with type 1 diabetes who were a part of online communities for regular exercisers diabetes. These individuals, met or exceeded aerobic exercise guidelines, evaluated via self-report their adherence to recommended glucose management strategies before, during, and after physical activity. Although most reported using diabetes-related technologies, 86% respondents having frequent activity-related hypoglycemia. Eighty percent trial-and-error strategies, only 32% identified health care professionals as key source self-management education. Few followed consensus-based guidelines such reducing insulin doses before refraining from exercising within 24 hours severe hypoglycemic event. [box] Key Points · Within this active cohort, there was high prevalence hypoglycemia, 49% participants indicating no hypoglycemia symptoms unless blood &lt;60 mg/dL (&lt;3.3 mmol/L). Eighty-six experienced exercise-induced 18% events during 41% overnight Before exercise, 27% pump users adjusting basal in the 60–90 minutes 51% reduced pre-exercise meal bolus. Forty-two engaged pump’s mode exercise. Ten diabetic ketoacidosis restricted event, highlighting potential lack understanding guidelines. Only medical team information, whereas up 80% relying on trial error, social media groups, Google searches, YouTube videos, underscoring importance developing education resources population.&lt;/p&gt;