Exercise and Type 1 Diabetes
This is a quick-reference companion. For a full protocol — insulin adjustments, basal strategies, CGM setup, and delayed hypo prevention — see Managing Type 1 Diabetes During Exercise.
How exercise affects glucose
- Aerobic → tends to lower BGL (risk of hypos).
- Anaerobic/sprint → may raise BGL short term.
- Effects can last hours.
Before activity
- Check BGL; if low, treat first.
- Have glucose on hand.
- Adjust insulin if planned strenuous exercise.
During
- Monitor every 30–60 min for longer sessions.
- Use CGM alerts if available.
- Drink water regularly.
After
- Watch for delayed hypos (overnight).
- Consider reduced basal or extra carbs if needed.