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<p>The increased availability and use of automated insulin delivery (AID) systems in recent years have shown that individuals using AID systems can more easily and consistently achieve glycemic targets and that this is associated with improvements in quality of life. Alongside this technological progress, regular physical activity and exercise remain cornerstones of diabetes management for individuals with type&#xa0;1 diabetes, owing to the numerous well-documented health benefits of an active lifestyle. Despite the clear evidence supporting the positive effects of physical activity and exercise, glucose fluctuations frequently occur around physical activity and exercise, posing challenges for AID systems and simultaneously deterring people with type&#xa0;1 diabetes from maintaining a&#xa0;physically active lifestyle. Given the growing number of clinical trials and reviews on AID systems in the context of physical activity and exercise, there is a&#xa0;clear need to consolidate this knowledge and develop joint guidelines by the German Diabetes Association (DDG) and the Austrian Diabetes Association (ÖDG). This German-language guideline is based on the current position statements of the European Association for the Study of Diabetes (EASD) and the International Society for Pediatric and Adolescent Diabetes (ISPAD). They summarize the evidence on AID systems and provide practical recommendations for the management of physical activity and exercise in children, adolescents and adults with type&#xa0;1 diabetes using AID systems. Within the guidelines we detail each AID system available in Germany and Austria and give specific guidance for their use around physical activity and exercise. Furthermore, we discuss glycemic responses to physical activity and exercise and outline therapeutic strategies to maintain glycemia within target ranges.</p>

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Automatisierte Insulinabgabesysteme (AID), physische Aktivität und Sport bei Diabetes mellitus Typ 1: eine gemeinsame Leitlinie der DDG und ÖDG

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年4月30日

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  • Othmar Moser,
  • Ulrike Becker,
  • Louisa van den Boom,
  • Christian Brinkmann,
  • Thomas Danne,
  • Elke Fröhlich-Reiterer,
  • Bernhard Gehr,
  • Antonia-Therese Kietaibl,
  • Gerd Köhler,
  • Stephan Kress,
  • Julia K. Mader,
  • Birgit Rami-Merhar,
  • Dominik Pesta,
  • Sabrina Sanfilippo,
  • Ingrid Schütz-Fuhrmann,
  • Harald Sourij,
  • Martin Tauschmann,
  • Ulrike Thurm,
  • Gerlies Treiber,
  • Sabine Hofer

摘要

The increased availability and use of automated insulin delivery (AID) systems in recent years have shown that individuals using AID systems can more easily and consistently achieve glycemic targets and that this is associated with improvements in quality of life. Alongside this technological progress, regular physical activity and exercise remain cornerstones of diabetes management for individuals with type 1 diabetes, owing to the numerous well-documented health benefits of an active lifestyle. Despite the clear evidence supporting the positive effects of physical activity and exercise, glucose fluctuations frequently occur around physical activity and exercise, posing challenges for AID systems and simultaneously deterring people with type 1 diabetes from maintaining a physically active lifestyle. Given the growing number of clinical trials and reviews on AID systems in the context of physical activity and exercise, there is a clear need to consolidate this knowledge and develop joint guidelines by the German Diabetes Association (DDG) and the Austrian Diabetes Association (ÖDG). This German-language guideline is based on the current position statements of the European Association for the Study of Diabetes (EASD) and the International Society for Pediatric and Adolescent Diabetes (ISPAD). They summarize the evidence on AID systems and provide practical recommendations for the management of physical activity and exercise in children, adolescents and adults with type 1 diabetes using AID systems. Within the guidelines we detail each AID system available in Germany and Austria and give specific guidance for their use around physical activity and exercise. Furthermore, we discuss glycemic responses to physical activity and exercise and outline therapeutic strategies to maintain glycemia within target ranges.