An exploration of issues faced by physically active people with type 1 diabetes

It is commonly believed that fear of hypoglycaemia during or after exercise is a major deterrent to exercise in individuals with type 1 diabetes (Brazeau et al, 2008). Exercise is important for a healthy lifestyle (Francescato et al, 2005) and is encouraged in people with diabetes as a lifestyle modification (SIGN, 2010). However, controlling blood glucose levels while exercising is a challenge for people with type 1 diabetes (Brazeau et al, 2008) and may make them less likely to undertake exercise than people with other chronic conditions (Boyle et al, 1998). To help inform practice and future studies, a small study (n=4) was undertaken to explore this topic from the perspective of the individual with type 1 diabetes. The study sought to ascertain whether fear of hypoglycaemia during or after exercise was real among physically active people with type 1 diabetes, and to explore the self-management strategies they used to overcome problems.