# Exercise really IS good for you!

**URL:** <https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601>\
**Category:** T1 Research\
**Tags:** complications, exercise, mortality, diabetes-deaths\
**Created:** [November 9, 2017, 3:50pm UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601 "2017-11-09T15:50:00Z")\
**Posts on this page:** 20\
**Page:** 1

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**Author:** ![CatLady](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/catlady/32/36_2.png) [@CatLady](https://forum.fudiabetes.org/u/CatLady)\
**Post date:** [November 9, 2017, 3:50pm UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/1 "2017-11-09T15:50:01Z")

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> **[Physical Activity Reduces Risk of Premature Mortality in Patients With Type 1...](https://care.diabetesjournals.org/content/early/2017/10/11/dc17-0615)**
>
> OBJECTIVE The aims of the study were to assess how baseline leisure-time physical activity (LTPA) and its exercise components intensity, duration, and frequency are associated with all-cause and cardiovascular mortality in patients with type 1...

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**Author:** ![docslotnick](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/docslotnick/32/75_2.png) [@docslotnick](https://forum.fudiabetes.org/u/docslotnick)\
**Post date:** [November 9, 2017, 3:59pm UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/2 "2017-11-09T15:59:59Z")

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@CatLady Wasn’t able to read the article.

I’m interested to find out what the exercise regimen they used was. Is it intense, like @Eric’s or @daisymae’s or is it more like my daily mile dog walk?

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**Author:** ![CatLady](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/catlady/32/36_2.png) [@CatLady](https://forum.fudiabetes.org/u/CatLady)\
**Post date:** [November 9, 2017, 4:11pm UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/3 "2017-11-09T16:11:59Z")

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Sorry about that!

Here’s the link I first saw:

> **[Exercise tied to lower odds of premature death with type 1 diabetes](https://www.reuters.com/article/us-health-diabetes-exercise/exercise-tied-to-lower-odds-of-premature-death-with-type-1-diabetes-idUSKBN1D8319)**
>
> (Reuters Health) - People with type 1 diabetes who exercise - and the more the better - are less likely to die prematurely than their sedentary counterparts, a recent study suggests.

I will try to track down the full article in Diabetes Care.

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**Author:** ![ClaudnDaye](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/claudndaye/32/5_2.png) [@ClaudnDaye](https://forum.fudiabetes.org/u/ClaudnDaye)\
**Post date:** [November 9, 2017, 4:20pm UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/4 "2017-11-09T16:20:02Z")

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This is true for all people diabetic or not. 😃

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**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [November 9, 2017, 4:23pm UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/5 "2017-11-09T16:23:06Z")

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> [@docslotnick](#):
>
> Is it intense

A couple of relevant quotes:

`“While the exact amount of exercise needed to lower the risk of cardiovascular events is unknown, doing any is better than remaining sedentary,” said Sheri Colberg, a professor emeritus of exercise science at Old Dominion University in Norfolk, Virginia.`

`“As in people without diabetes, intense activity likely is even more cardioprotective than moderate or light activity,” Colberg, who wasn’t involved in the study, said by email. “But since the exercise is this study was self-reported and only collected at the start of the study, it is hard to draw definitive conclusions about how much exercise is needed and how intense it should be to reduce mortality risk.”`

I am not a scientist, but I can tell you unequivocally that getting outside and walking the dog is better for you than doing it like this:

 ![image](https://canada1.discourse-cdn.com/flex030/uploads/fudiabetes/original/2X/0/0f75dc2056c911e874405c151a631a23a7a510d9.jpg)

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<div class="post-metadata">

**Author:** ![CatLady](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/catlady/32/36_2.png) [@CatLady](https://forum.fudiabetes.org/u/CatLady)\
**Post date:** [November 9, 2017, 4:34pm UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/6 "2017-11-09T16:34:19Z")

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Indeed! 😺

ETA: Some of us may need a little extra motivation when it comes to exercise. On MDIs, I was always going low or stuffing myself with extra carbs…or both. So I avoided many of the things I used to enjoy in my pre-D days. Using a pump–with its temporary basal functions–has given me a lot more confidence to be active!

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<div class="post-metadata">

**Author:** ![docslotnick](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/docslotnick/32/75_2.png) [@docslotnick](https://forum.fudiabetes.org/u/docslotnick)\
**Post date:** [November 9, 2017, 4:36pm UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/7 "2017-11-09T16:36:29Z")

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> [@Eric](#):
>
> I am not a scientist, but I can tell you unequivocally that getting outside and walking the dog is better for you than doing it like this:

@Eric. Are you spying on me again? 😜

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**Author:** ![ClaudnDaye](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/claudndaye/32/5_2.png) [@ClaudnDaye](https://forum.fudiabetes.org/u/ClaudnDaye)\
**Post date:** [November 9, 2017, 4:37pm UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/8 "2017-11-09T16:37:54Z")

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Unless you happen to be on there WITH the dog. 😛

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**Author:** ![Michel](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/michel/32/387_2.png) [@Michel](https://forum.fudiabetes.org/u/Michel)\
**Post date:** [November 10, 2017, 12:32am UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/9 "2017-11-10T00:32:42Z")

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> [@Eric](#):
>
> said Sheri Colberg, a professor emeritus of exercise science at Old Dominion

She is the one who wrote that benchmark book on diabetes and exercise.

It is valuable (because it is almost the only one) but somewhat dated.

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**Author:** ![Jen](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jen/32/4777_2.png) [@Jen](https://forum.fudiabetes.org/u/Jen)\
**Post date:** [November 10, 2017, 1:07am UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/10 "2017-11-10T01:07:31Z")

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I read an article in Gary Scheiner’s newsletter about a study showing that mini doses of glucagon before exercise worked better than eating carbs or suspending basal for preventing hypoglycemia without rebounding too high. I’m finding exercise such a challenge because it’s interspersed throughout my day and isn’t always predictable with all the other daily variables added in. Set exercise sessions are simple in comparison. I would love to have stable liquid glucagon in a spare pump (or even one of those “bolus only” pumps that are patch pumps that allow for boluses in two-unit increments designed for people with Type 2, if such a thing is on the market) that I could bolus five minutes before an activity to prevent a low!!!

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<div class="post-metadata">

**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [November 10, 2017, 3:36am UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/11 "2017-11-10T03:36:35Z")

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> [@Jen](#):
>
> or even one of those “bolus only” pumps that are patch pumps that allow for boluses in two-unit increments designed for people with Type 2, if such a thing is on the market) that I could bolus five minutes before an activity to prevent a low!!!

The “Via” by Johnson & Johnson is the patch with 2 unit dosing by push-button. It got FDA approval recently. Still waiting on availability.

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<div class="post-metadata">

**Author:** ![Jen](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jen/32/4777_2.png) [@Jen](https://forum.fudiabetes.org/u/Jen)\
**Post date:** [November 10, 2017, 3:50am UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/12 "2017-11-10T03:50:51Z")

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> [@Eric](#):
>
> The “Via” by Johnson & Johnson is the patch with 2 unit dosing by push-button. It got FDA approval recently. Still waiting on availability.

And the fact that Animas is gone is not a good sign for the Via…

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<div class="post-metadata">

**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [November 10, 2017, 4:26am UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/13 "2017-11-10T04:26:40Z")

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Supposedly J&J will still be maintaining a diabetes line of products, but yes the whole thing is a bit of a mystery. The Via was approved by the FDA a while ago and nobody knows when it will be available. If I can get it, I plan on diluting it so the “2 unit” injection is less than 2. I think it would be cool for exercise.

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<div class="post-metadata">

**Author:** ![Jen](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jen/32/4777_2.png) [@Jen](https://forum.fudiabetes.org/u/Jen)\
**Post date:** [November 10, 2017, 4:50am UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/14 "2017-11-10T04:50:55Z")

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> [@Eric](#):
>
> If I can get it, I plan on diluting it so the “2 unit” injection is less than 2. I think it would be cool for exercise.

Would you put glucagon in it? I think a “mini dose” of glucagon is still equal to 10-15 units of insulin for an adult.

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**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [November 10, 2017, 3:05pm UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/15 "2017-11-10T15:05:24Z")

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Ponder was talking about **before** exercise.

But glucagon doesn’t work well **during** endurance exercise. After a while you get to a point where your liver glycogen is spent. I’ve tried it and it didn’t do anything for me. It might work for things that are not as long, where you are not depleted.

So I was thinking of using it for insulin.

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<div class="post-metadata">

**Author:** ![Jen](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/jen/32/4777_2.png) [@Jen](https://forum.fudiabetes.org/u/Jen)\
**Post date:** [November 10, 2017, 3:23pm UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/16 "2017-11-10T15:23:37Z")

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> [@Eric](#):
>
> Ponder was talking about before exercise.

Yeah, for me I think this would be perfect. Bus is late and I decide to walk the 20 minutes to the train station myself instead so I’m not late for work? No problem, just bolus 10 units of glucagon and start walking. This is the type of thing that results in lows for me, and it happens 5-10x a day (walking to the train station, deciding to pick up groceries on the way home, running low before I begin a lesson that’s going to be active, all instances where giving some mini doses of glucagon would probably really help to stabilize my blood sugar). They aren’t intense or extended bouts of exercise—when I do something like an hour of swimming that I can plan for two hours in advance, that may still cause a high or a low, but for me at least the variables are held pretty steady and it’s an easy problem to work on in comparison.

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<div class="post-metadata">

**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [November 10, 2017, 5:19pm UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/17 "2017-11-10T17:19:08Z")

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Can you share the Ponder article?

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<div class="post-metadata">

**Author:** ![Aaron](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/aaron/32/1454_2.png) [@Aaron](https://forum.fudiabetes.org/u/Aaron)\
**Post date:** [November 10, 2017, 5:31pm UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/18 "2017-11-10T17:31:16Z")

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> [@Jen](#):
>
> would love to have stable liquid glucagon in a spare pump (or even one of those “bolus only” pumps that are patch pumps that allow for boluses in two-unit increments designed for people with Type 2, if such a thing is on the market) that I could bolus five minutes before an activity to prevent a low!!!

I recall some guy with a name like… @Eric was going to put some expired glucagon into an Omnipod for some reason - maybe it was to experiment. :guinea_pig:

I am interested in seeing those results.

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<div class="post-metadata">

**Author:** ![Aaron](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/aaron/32/1454_2.png) [@Aaron](https://forum.fudiabetes.org/u/Aaron)\
**Post date:** [November 10, 2017, 5:32pm UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/19 "2017-11-10T17:32:57Z")

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Here it is… It was that @Eric person. Too bad the thread ends without the experiment done (hint hint)

> [@The Great Insulin+Glucagon Dual Pump Experiment](https://forum.fudiabetes.org/t/the-great-insulin-glucagon-dual-pump-experiment/2273):
>
> Alright, but let me throw the idea out to the Unlimiteds. Work with me on developing a useful test of a pump that has insulin and glucagon available. What would you like to see? What things should I test? It will actually be 2 different pumps, but just as a proof-of-concept of the idea of a single pump delivering either insulin or glucagon. Maybe someone can post some use-cases to run through.

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<div class="post-metadata">

**Author:** ![Eric](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/eric/32/9209_2.png) [@Eric](https://forum.fudiabetes.org/u/Eric)\
**Post date:** [November 10, 2017, 5:39pm UTC](https://forum.fudiabetes.org/t/exercise-really-is-good-for-you/2601/20 "2017-11-10T17:39:52Z")

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Haven’t forgot, I will do it in December.
