Healthcare professionals
Support exercise conversations with confidence
Clinical frameworks, tools, referral routes and training for teams supporting people with Type 1 diabetes. Five sections, organised by what you came to do.
01
Why this matters
What EXTOD is, the evidence for raising exercise in clinic, and the fear that stops people being active.
Read the case
02
In clinic
The Rule of ICE (insulin, carbohydrate, exercise) teaching pathway, the troubleshooting framework, talks and webinars, and the same tools people with diabetes use.
Use in clinic
03
Refer and signpost
Who to refer, how to refer, where the sports clinics are - plus the flyer and QR signposting for routine appointments.
Refer someone
04
Research
The EXTOD trials, the full publication library, and the evidence each tool on this site is built on.
Browse research
05
Events and training
The annual conference, EXTOD Education courses, webinars, and training we can bring to your team.
See what is on
53%
Of adults with Type 1
fear hypoglycaemia during exercise - the single biggest barrier to activity in this group.
University of Exeter, with Breakthrough T1D and EXTOD. Raising exercise in a routine appointment is one of the highest-yield conversations available to you.
Source: Cockcroft EJ, et al. Barriers and enablers to physical activity in type 1 diabetes: a mixed-methods study of adults and parent-reported child perspectives in the UK. Diabet Med. 2026;43(10):e70378
