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Who we are

We are EXTOD - EXercise for Type 1 Diabetes

We bring together diabetes experts - doctors, nurses, dietitians and researchers - and people who live and exercise with Type 1 diabetes. We have spent years studying how exercise and Type 1 diabetes work together. Everything on this site comes from that research - written in plain language, for real life.

Learn more about EXTOD →
Universities of Exeter, Birmingham and LeicesterNHS diabetes teamsPeople living with Type 1 diabetesNIHR-funded research

Why exercise matters

Moving more is one of the best things you can do

Moving more strengthens your heart and lungs. It often makes insulin work better, lifts your mood, helps you sleep and gives you more energy for everyday life.

You do not need to become an athlete. Walking, gardening, swimming, cycling, dancing and everyday movement all count. Confidence comes before fitness - you simply need to begin.

Heart and lungsInsulin works betterBetter moodBetter sleepMore energy

The honest bit

Exercising with Type 1 diabetes can be tricky

Exercise can send your glucose down. Sometimes it stays steady. Sometimes it sends it up. And sometimes it seems to have a mind of its own. That’s normal - research with the University of Exeter and Breakthrough T1D found that 53% of adults fear a low during exercise.

EXTOD can help you understand what’s happening and work out what works for you.

Glucose can fall

EXERCISE

Steady (aerobic) exercise like jogging, cycling or swimming usually lowers glucose - sometimes quickly.

Glucose can stay steady

EXERCISE

Light exercise like stretching keeps glucose steady.

Glucose can rise

EXERCISE

Short, hard (anaerobic) efforts like sprints or heavy weights can push glucose up instead.

It may not be easy, but the good news is that it is possible. With the right advice and guidance, you can take part in any exercise you choose.

Get started

Find the advice that is right for you

Whether you live with Type 1 or support people who do, choose your EXTOD site to get started.