Keeping Active: How to Manage Diabetes and Exercise Safely

Exercise has enormous benefits to the
health of children with type 1 diabetes I’m 19, I’m currently studying at university
I’m a huge fan of sport I currently play basketball, I go to the gym
and I run quite often All people with type 1 diabetes should exercise
at least 60 minutes a day I’ve done volleyball, basketball,
netball and swimming as well Exercise has a lot of benefits it improves cardiovascular health,
it improves the lipid profile it improves fitness,
as well as bone strength and especially in type 1 diabetes,
in addition to all these benefits it improves insulin sensitivity,
that means it decreases the insulin requirements and also now research has shown that it
improves glycemic control as well It’s great for all of us to exercise and
we just didn’t want diabetes to stop Issy doing anything and she loves dancing, and so we wanted
her to keep doing her dancing When I’m dancing I forget
about diabetes and I just have fun With diabetes it’s actually good to be exercising
because it keeps her sensitive to the insulin so that means you don’t need
to use as much insulin with her meals and things and if you’re not using as much insulin
then she’s not as likely to have hypos and so the benefits are really enormous
with diabetes and exercise So in type 1 diabetes, exercising is a challenge because the blood glucose response to
exercise is unpredictable the blood glucose response depends on the duration
of exercise, the intensity of exercise the food that they have taken, the amount
of insulin they have taken the age, the sex, fitness level,
stress, competition You do have to change with
different sports I feel so for example when doing long-distance running
it’s a lot more planning before and a lot more planning afterwards whereas when I go to the gym generally I’ll have
like a Powerade or something before and then a long-acting
like a pasta or something like that after that generally does me okay for the day. It’s also about looking at it afterwards, because sometimes your blood sugars
will be good right after you finish the sport but an hour later or something
they can start tracking down so it’s important to keep looking at it
even post exercise If you choose a safe time to exercise the risk
of going low is much lower and this is usually before your meals
or before you’ve given your insulin So exercising in the morning before breakfast
or early in the day is important because it also prevents the
night-time hypoglycemia Different ways of having her afternoon tea
before she does her dancing we’ve just tried different things like dropping back her basal before she does her class then giving her no insulin with the food, or giving her insulin with the food but not all of it or those sort of things so there’s a few different things you can try
and we’re sort of getting there The whole aim of developing this
exercise app is to get all the young people who are reluctant to exercise
to start exercising They put on the app what am I going to do,
OK, I’m going to run for how many minutes It ultimately tells you how much carbs
should I take now so it gives you the carb advice What should I do with my insulin,
it gives you the insulin advice So if they press the icon it will say,
OK, mild-moderate intensity exercise can cause low blood glucose,
so that’s why you have to take these carbs. The whole aim of developing this exercise app
is to get all the young people who are reluctant to exercise
to start exercising, have confidence, and we hope that by preventing
low blood glucose levels this app will encourage them
to exercise more frequently and gain the benefits of exercise
it has on their health So my advice would be to just hang in there
and just keep trying different things because it’s really worth it and the benefits
far outweigh the disadvantages with exercise Don’t let diabetes stop you
from doing what you want to do in life.

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