Exploring Exercise and Type 1 Diabetes

Exercising with diabetes requires extra preparation, so how can healthcare providers best guide those living with type 1 diabetes in exercising safely to maintain a healthy lifestyle?

Our host, Dr. Ronald Goldenberg, takes a deeper look into this topic with Dr. Mike C. Riddell, a Professor at York University’s School of Kinesiology and Health Science and Muscle Health Research Centre, and a Senior Scientist at the LMC Diabetes and Manna Research in Toronto. He is a leading authority on exercise and diabetes, having published numerous peer-reviewed articles, book chapters, international guidelines, and a patient guidebook on the effects of exercise and stress on diabetes and metabolism.

This episode discusses the different types of exercises recommended and the practical considerations surrounding blood glucose monitoring, carbohydrate intake, and insulin dosing adjustments when staying active for those living with diabetes.

Our experts also touch on some new and exciting clinical data recently presented at the ADA 2022 Scientific Sessions related to diabetes and exercise. They discuss key findings from the Type 1 Diabetes Exercise Initiative (T1DEXI) study, which assessed the effect of exercise type on time in range by comparing continuous glucose monitoring data on active vs. sedentary days, of which Dr. Riddell was a co-author. Our experts also discuss key takeaways from the ULTRAFLEXI-1 study, which compared second-generation basal insulin analogues glargine 300 U/mL (Gla-300) and degludec 100 U/mL (IDeg-100) flexibility around spontaneous exercise sessions in adults with type 1 diabetes.

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The views and opinions expressed in this episode are those of the speakers and do not necessarily reflect the views or positions of any entities they represent.

Declaration of conflict of interest:

Dr. Goldenberg:

• Direct financial relationship including receipt of honoraria: Abbott, Agora, Amgen, Antibody, AstraZeneca, Bayer, Boehringer Ingelheim, CCRN, CMSKTRG, Eli Lilly, EOCI, HIT Global, HLS, Inceptus, Janssen, LiV, Master Clinician Alliance, MD Briefcase, Merck, Mylan, Novo Nordisk, Sanofi, Script Medical, Servier, STA, Takeda, Toronto Knowledge Translation Working Group, Unik, Valeant. Membership on advisory boards or speaker’s bureau: Abbott, AstraZeneca, Bayer, Boehringer Ingelheim, Eli Lilly, HLS, Janssen, Merck, Novo Nordisk, Sanofi. Funded grants, research or clinical trials: Amgen, AstraZeneca, Boehringer Ingelheim, Eli Lilly, Janssen, Merck, Novo Nordisk, Sanofi. 

Dr. Riddell:

• Direct financial relationship including receipt of honoraria: Dexcom, Novo Nordisk, Sanofi, Lilly Diabetes. Membership on advisory boards or speaker’s bureau: Zucara Therapeutics, Zealand Pharma, Indigo Diabetes. Funded grants, research or clinical trials: Insulet Canada, Dexcom, Verily, Glyconet, JAEB Center for Health Research, Natural Sciences and Engineering Research Council of Canada (NSERC), Zucara Therapeutics, Mitacs Canada. Other financial relationships/investments: investments (shares) in Supersapiens and Zucara Theraputics.