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SCIENTIFICALLY PROVEN TO REDUCE INCIDENCE, DURATION & FEAR OF EXERCISE RELATED HYPOGLYCAEMIA and INCREASE MANAGEMENT CONFIDENCE

A Sydney University Medical School randomised control trial found the exT1D program reduces exercise related hypoglycaemia by 50% [A] and time spent in hypoglycaemia by 71% [B]. The study also found significant increases in Type 1 Diabetes self management confidence for the prevention of hypoglycaemia around exercise.

In study participants (50% of group) with the highest number of baseline exercise related hypoglycaemic episodes were reduced by 57% [C] and time spent in hypoglycaemia was reduced by 87% [D]. This group also showed significant reductions in self-reported fear of hypoglycaemia as well as hypoglycaemia interfering with leisure activity. Subjects with longest per episode durations of nocturnal hypoglycaemia had a 98% [E] reduction in nocturnal hypoglycaemia.

“It is important to note this research studied people in free living circumstances, as far as I understand these outcomes for a behavioral education program are unparalleled in the exercise and Type 1 Diabetes field.” Allan Bolton.

Research project supervisors Prof. Stephen Twigg and A/Prof. Marg McGill talking about the importance of quality research into education about managing exercise for people with Type 1 Diabetes.


  • [A] - 50% REDUCTION IN EXERCISE RELATED HYPOGLYCAEMIA (p=.015) 50%
  • [B] - 71% REDUCTION IN DURATION OF HYPOGLYCAEMIC EPISODES (p=.044) 71%
  • [C] - 57% REDUCTION IN EXERCISE RELATED HYPOGLYCAEMIA (p=.001) 57%
  • [D] - 87% REDUCTION IN DURATION OF HYPOGLYCAEMIC EPISODES (p=.002) 87%
  • [E] - 98% REDUCTION IN NOCTURNAL HYPOGLYCAEMIA (p=.001) 98%

Published Scientific Abstracts

An On-line Support Tool for Type 1 Diabetes that Reduces Exercise-related Hypoglycaemia including Nocturnal Episodes

An on-line support tool that reduces exercise-related hypoglycemia in type 1 diabetes

An On-line Support Tool Reduces Exercise-Related Hypoglycaemia and Improves Confidence to Exercise in Type 1 Diabetes

ARE PEOPLE WITH TYPE 1 DIABETES WHO ARE PHYSICALLY ACTIVE BETTER OFF MEDICALLY THAN THOSE WHO ARE NOT?

The answer is YES according to the findings of a cross-sectional multi-center study of 18,028 people with type 1 diabetes aged between 18 and 80 years. The researchers observed that being physically active is associated significantly better scores for reduced cardiovascular risk and better glycaemic control without an increase in adverse effects.

  • HbA1c
  • Diabetic ketoacidosis
  • BMI
  • Dyslipidemia
  • Retinopathy
  • Microalbuminuria
  • Severe hypoglycemia with coma
  • Hypertension (P = 0.0150)
Inverse association between Physical Activity and Risks: Description
HbA1c:

Active people have better HbA1c scores *

This is the gold standard measure for the effectiveness of an individual’s diabetes management, it is a blood test that measures average blood glucose levels over the previous 3 months. Better lifelong HbA1c results equate to reduced incidence of the complications of diabetes.
Diabetic ketoacidosis (DKA):

Active people have less DKA *

DKA is a build up of acids in the blood that if left untreated over several hours can be life-threatening. It may occur as a result of a missed dose of insulin or as a result of acute infection, injury or surgery causing a rise in hormones that counteract the effects of insulin. Prior to the discovery of insulin DKA was primarily what shortened peoples’ lives to only a couple of years post diagnosis.
Body Mass Index (BMI):

Active people have healthier BMIs *

Body Mass Index: This is the standard weight for height scale used by GPs and medicine generally to rank body weight. Although a flawed measure for fit, well muscled individuals it is still a good population based measure for healthy weight.
Dyslipidemia:

Active people have better lipid profiles *

Dyslipidemia is an abnormal amount of lipids (e.g. cholesterol and/or fat) in the blood. In developed countries, most dyslipidemias are hyperlipidemias; that is, an elevation of lipids in the blood. (Wikipedia)
Retinopathy:

Active people have less retinopathy *

Retinopathy is a common diabetes complication that affects the small blood vessels of the retina. It remains one of the leading causes of vision loss despite the availability of effective treatment.
Microalbuminuria:

Active people have healthier kidneys *

Microalbuminuria is an early sign of kidney damage, or nephropathy, a common and serious complication of diabetes that is a pre-cursor to end stage renal failure.
Severe hypoglycemia with coma:

Active people experience less severe hypoglycaemia with coma *

Hypoglycaemia is the most common acute complication of type 1 diabetes, it is a condition where blood levels of glucose drop to an abnormally low level. Very low blood glucose can result in severe hypoglycaemia with coma. The brain is more vulnerable to hypoglycaemia and the consequences of hypoglycaemia than any other organ. If brain levels of glucose fall, the levels of amino acids such as glutamate and aspartate that act as excitatory amino acids are raised. This leads to sodium and water influx causing cellular edema in the brain. Calcium then flows into the cells and causes further dysfunction leading to death of neurons.
Hypertension:

Active people have less hypertension *

Hypertension, also known as high blood pressure or arterial hypertension, is a chronic medical condition in which the blood pressure in the arteries is persistently elevated. Blood pressure is expressed by two measurements, the systolic and diastolic pressures, which are the maximum and minimum pressures, respectively, in the arterial system.
Bohn B, Herbst A, Pfeifer M, et al. Impact of Physical Activity on Glycemic Control and Prevalence of Cardiovascular Risk Factors in Adults With Type 1 Diabetes: A Cross-sectional Multicenter Study of 18,028 Patients. Diabetes Care. 2015;38(8):1536-1543. doi:10.2337/dc15-0030. Abstract…

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