Abstract
AimTo develop a structured education programme for individuals with Type 1 diabetes who are engaging in regular exercise.MethodA multidisciplinary team of experts in supporting exercise and physical activity for people with Type 1 diabetes, alongside researchers with experience of developing self‐management education, developed an exercise programme using the Medical Research Council framework. The programme was informed by a review of the evidence relating to Type 1 diabetes and exercise, the behaviour change literature (including the behaviour change taxonomy), and qualitative interviews with stakeholders. The programme and supporting resources were refined using an iterative process of testing, delivery and collecting feedback from participants and the wider development team.ResultsThe outcome of the intervention development was the design of a feasible and acceptable intervention for people with Type 1 diabetes to support safe exercise. The pilot allowed refinement of the intervention prior to testing in a two‐site feasibility randomized controlled trial. Key findings from the pilot informed minor restructuring of the timetable (timings and order) and adaptation of supporting educational materials (participant handbook and teaching materials).ConclusionThe ‘EXercise in people with Type One Diabetes’ (EXTOD) education programme has been developed using robust methodology for the generation of educational interventions. It now needs testing in a randomized controlled trial.
Highlights
Participation in regular exercise in people with Type 1 diabetes improves physical fitness and strength, reduces cardiovascular risk factors and improves well-being [1]
In this article we describe the development, testing and refining of a structured education programme for adults with Type 1 diabetes who are already undertaking regular exercise
The EXercise in people with Type One Diabetes (EXTOD) education programme was developed by a multidisciplinary team consisting of clinical experts in the field of supporting exercise for people with Type 1 diabetes, and researchers with experience of developing self-management education
Summary
Participation in regular exercise in people with Type 1 diabetes improves physical fitness and strength, reduces cardiovascular risk factors and improves well-being [1]. It reduces insulin requirements and improves insulin resistance as well as reducing cardiovascular disease and mortality [1]. Glucose levels during exercise are under the physiological control of insulin as well as counter-regulatory hormones such as glucagon, growth hormone, cortisol and catecholamines [3,4]. The secretion of these hormones changes before, during and after exercise to facilitate recovery and adaptation to exercise.
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