Individualized Exercise Consultation in Type 1 Diabetes

Condition(s) studied

Investigational drug(s) / intervention(s)

Exercise consultations: Participants will receive individualized 30-minute video consultations concerning exercise and type 1 diabetes obstacles. During the consultations, individuals with type 1 diabetes are guided by a physician and, when relevant, an exercise physiologist from Steno Diabetes Center Aarhus (SDCA). The intervention will in most cases consist of two consultations, although an additional consultation may be offered if considered relevant. The first consultation is planned based on information about the individual's exercise habits and specific challenges. All consultations are conducted via video, allowing participants to receive tailored, practical advice adapted to their daily life and preferred physical activities. Consultations will address the topics that the patient presents, which may include, but is not limited to: * Exercise habits and goals * The need for advice concerning insulin adjustments * The need for advice concerning carbohydrate strategies

Study summary

People with type 1 diabetes often experience challenges managing blood glucose levels during and around physical activity, which may reduce participation in exercise. The ACTIVE-T1D project aims to evaluate whether individualized video-based exercise consultations can improve exercise-related confidence, physical activity levels, and glycemic management in adults with type 1 diabetes. Participants will receive individualized consultations focused on exercise, glucose management, insulin adjustment, and nutrition strategies related to physical activity. Consultations are tailored to the participant's exercise habits, goals, and challenges. The study will assess self-reported exercise management, physical activity, and glucose metrics obtained from continuous glucose monitoring systems. A subgroup of participants will also complete objective physical activity measurements using accelerometers. The study is conducted as a prospective quality improvement project at Steno Diabetes Center Aarhus.

Eligibility

Primary outcome measure(s)

• Diabetes and Exercise Self-Management Ability Score, assessed using eight Likert-scale questions regarding the participant's perceived ability to manage type 1 diabetes and exercise-related challenges. — Eight months
  Each item is scored on a 5-point Likert scale: 1 = strongly disagree, 2 = disagree, 3 = neither agree nor disagree, 4 = agree, and 5 = strongly agree. The total score ranges from 8 to 40, with higher scores indicating greater perceived ability to manage type 1 diabetes during exercise. The score is assessed before the first consultation, immediately after the final consultation, and 6 months after the final consultation.

Trial sites (1)

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