Guidelines on the current best practice for the management of type 1 diabetes, sport and exercise

Abstract

With the overwhelming health benefits of regular exercise and the increasing recognition that individuals with type 1 diabetes can compete in all types of sport and exercise at all levels, there is increasing demand for evidence-based guidance on the management of type 1 diabetes, sport and exercise. Although there have been a number of recent studies advancing our understanding of possible management strategies, there is currently little in the way of practical guidance available for health care professionals. This article aims to empower health care professionals working in clinical practice within the field of type 1 diabetes, sport and exercise. The first section of the article summarises the physiological challenges to glucose homeostasis anticipated from different types of exercise in an individual with type 1 diabetes. The second section considers the current evidence base and recognised strategies available to overcome these physiological challenges. Although this article does not cover 'every insulin regimen' or 'every eventuality' it provides health care professionals with the knowledge to predict the impact of different sports and exercises on glucose homeostasis in an individual with type 1 diabetes, and an awareness of the potential strategies available to allow safe and successful participation in sport and exercise without compromise to glycaemic control. Copyright © 2009 John Wiley & Sons.