Type 1 Diabetes - Staying Active to Feel Your Best

Explore the benefits of physical activity in managing type 1 diabetes in this 55-minute video lecture by Dr. Dessi Zaharieva, an instructor of pediatric endocrinology and exercise physiologist at Stanford University. Learn about glucose variability during different types of exercise, recommended blood glucose starting points, challenges with diabetes and exercise, and blood glucose responses to physical activity. Discover insulin management strategies for aerobic exercise, methods to reduce hypoglycemia risk, and carbohydrate requirements for fasted exercise. The lecture covers topics such as continuous glucose monitoring during exercise, the impact of exercise intensity on blood sugar, and tips for preparing for long hikes. Gain insights on the pros and cons of temperature basal rates and closed-loop systems, the effectiveness of using CGM for exercise selection, and recommendations for exercise and weight loss with type 1 diabetes. The video concludes with a Q&A session addressing various aspects of exercise and type 1 diabetes management.

0:00 – Introduction
2:37 – Getting to Know Dessi Zaharieva
3:42 – Health Benefits of Regular Physical Activity in T1D
7:06 – Glucose Variability in Response to Various Exercise Modalities in T1D
9:44 – Challenges with Diabetes and Exercise
14:15 – Blood Glucose Responses to Exercise
19:00 – Higher Time In-Range on Structured Exercise Days
21:52 – Insulin Strategies for Aerobic Exercise
25:10 – Other Strategies to Reduce Hypoglycemia Risk
26:23 – Carbohydrate Requirements for Exercise
29:56 – Continuous Glucose Monitoring Delay During Exercise
32:25 – Q &A: What physical exercise is preferred?
35:22 – Q & A: How does the intensity of exercise impact blood sugar?
37:24 – Q & A: What is the best practice for treating low blood sugar during activity?
39:00 – Q & A: How would you recommend preparing for a long hike? 10+ miles
41:29 – Q & A: What are the pros and cons of temperature basal rate and closed loop
43:31 – Q & A: How effective is it to use a CGM to make exercise selections?
46:06 – Q & A: Recommendations for exercise and weight loss with T1D
47:42 – Q & A: Health benefits of 30 minute walks
49:59 – Q & A: Benefits of various types of exercise
52:02 – Q & A: Tips on getting started with exercise
54:08 – Closing Remarks