Chapter 9. Exercise with Type 1 Diabetes Under Challenging or Variable Conditions

Sport can be unpredictable. Factors such as competition stress or changes in environmental conditions can significantly impact glucose management. Even if you are not a competitive athlete, numerous scenarios can dramatically affect your glucose levels or require additional considerations. These may include changes in altitude or a drop in temperature during winter sports, variables related to playing Sunday league football, or scuba diving while on holiday.When exercise conditions vary, it is essential to be strategic and consider specific factors to manage glucose levels effectively, whether training or competing. This chapter will delve into more advanced topics related to exercise and type 1 diabetes (T1D). This includes team sports (both contact and non-contact), pre-competition stress, swimming and diving, and how to handle environmental extremes such as variations in temperature and altitude. We’ll finish by offering some insights into how exercise guidelines are developed and why accounting for every environment or scenario remains such a huge challenge.Hit play to hear more.Full book and audiobook links: https://www.enhance-d.com/book Get full access to Sam’s Substack at samscottphd.substack.com/subscribe