Type 1 Diabetes: Staying Active to Feel Your Best

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Staying active is important for overall health and well-being. Dessi Zaharieva, PhD, explores the benefits of physical activity in managing type 1 diabetes in youth and adults. She presents differences of glucose variability during various types of exercise, suggested blood glucose starting points for exercise, challenges with diabetes & exercise, blood glucose responses to exercise, and hypoglycemia & exercise. Learn insulin management strategies for aerobic exercise, ways to reduce hypoglycemia risk, and carbohydrate requirements for fasted exercise.

Part one of a three-part series from Stanford's Diabetes Care Program.

Speaker:
Dessi Zaharieva, PhD, is an instructor of pediatric endocrinology and an exercise physiologist. Her research focuses on exercise physiology and blood glucose management in type 1 diabetes. 

0:00 – 2:37 Introduction
2:37 – 3:42 Getting to Know Dessi Zaharieva
3:42 – 5:53 Health Benefits of Regular Physical Activity in T1D
7:06 – 9:44 Glucose Variability in Response to Various Exercise Modalities in T1D
9:44 – 14:15 Challenges with Diabetes and Exercise
14:15 – 17:30 Blood Glucose Responses to Exercise
19:00 – 21:52 Higher Time In-Range on Structured Exercise Days
21:52 – 25:10 Insulin Strategies for Aerobic Exercise
25:10 – 26:23 Other Strategies to Reduce Hypoglycemia Risk
26:23 – 28:50 Carbohydrate Requirements for Exercise
29:56 – 32:25 Continuous Glucose Monitoring Delay During Exercise
32:25 – 35:22 Q &A: What physical exercise is preferred?
35:22 – 37:24 Q & A: How does the intensity of exercise impact blood sugar?
37:24 – 39:00 Q & A: What is the best practice for treating low blood sugar during activity?
39:00 – 41:29 Q & A: How would you recommend preparing for a long hike? (10+ miles)
41:29 – 43:31 Q & A: What are the pros and cons of temperature basal rate and closed loop
43:31 – 46:06 Q & A: How effective is it to use a CGM to make exercise selections?
46:06 – 47:42 Q & A: Recommendations for exercise and weight loss with T1D
47:42 – 49:59 Q & A: Health benefits of 30 minute walks
49:59 – 52:02 Q & A: Benefits of various types of exercise
52:02 – 54:08 Q & A: Tips on getting started with exercise
54:08 – 55:05 Closing Remarks

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