LAUSR

Type 1 diabetes (T1D) glucose management is especially challenged by exercise, with greater glucose variability and risk of hypoglycaemia during and after physical activity [1]. With advancing age, adults with T1D may progressively experience additional challenges exercising, potentially relating to increasing prevalence of diabetes complications and other age-related comorbidities. Guidelines recommend older adults with T1D undertake at least 120–150 min of moderate-intensity aerobic activity and two 20-min sessions of resistance training weekly [2]. Evidence-based recommendations guide exercise-related T1D glucose management for paediatric and general adult populations; however, the needs of older adults have not been specifically addressed. We aimed to assess physical activity levels, and diabetes self-management practices in relation to exercise, among older adults with T1D using insulin pump therapy. Methods