Weights or cardio first? A type 1 twist

The Type 1 twist: Resistance (anaerobic) and cardio (aerobic) training have very different acute metabolic effects, especially for people with type 1 diabetes… However, given that for many people with type 1 the majority of hypoglycaemia is exercise related the research cited below suggests another possible strategy for avoiding hypos using exercise type order i.e., what comes first i.e., resistance or cardio?

Hypoglycaemia – evidence review and update from the American Diabetes Assocoation and The Endocrine Society

A few months ago after hearing comments from a couple of high level diabetes experts my curiosity was aroused regarding a definitive blood glucose level that indicates clinical hypoglycaemia. So I went searching…

BGLs OK during exercise, high afterwards and then low. Why?

Matt from Sydney asked: Hi Allan, why is it that sometimes my BGL is OK during exercise but go high afterwards and when I correct with insulin I go really low?

Effect of regular physical activity on paediatric glycaemic control

Recent studies have found glycaemic control to be better in individuals with T1D who are regularly physically active without increased risk of severe hypoglycaemia.

Curly question regarding beta cell failure effect on alpha cells and glucagon

I did have one question for you, well many, but one for now. I understand that after a few years of T1D the alpha cells stop secreting glucagon, as you need functioning beta cells for them to work properly would just like your thoughts about that – Jane.

Effect of blood glucose level on sport skill performance

Playing sport is a complex combination of motor skill performance, cognitive processing and reaction time, all of which are influenced by blood glucose levels. This study found sport skill performance in young athletes was highest when blood glucose levels were in the normal range.

Effects of same day exercise on response to hypoglycaemia

Hypoglycaemia is common in people with T1D soon after exercise, this study found the effects of exercise on the sympathetic nervous system and other metabolic processes can blunt the body’s counterreglatory defences (i.e. typical hypo symptoms) to hypoglycaemia in the hours subsequent to exercise.

Why does everything you read say you can’t exercise with Ketones?

When you start exercising working muscles need extra energy, this energy demand triggers a hormonal cocktail that stimulates the breakdown and release of stored energy (fat and carbs) into the blood stream as free fatty acids and glucose for muscles to use as needed.

Hill repeats or interval training mess with my BGLs big-time! Any tips?

Q. Hi Allan, I’m 38 and I’ve had type 1 diabetes for a couple of years (bit of a late starter) and up till recently I’ve mostly done a bit of jogging and working out at the gym i.e. cycle classes, pump classes etc. A couple of months ago I joined a running group and on Wednesday nights we do a really hard session where we do hill repeats or interval training on the oval.

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