Table 13.

Adjustments for physical activity in AID

Type of Exercise	Before Exercise	During Exercise	After Exercise	Overnight
Aerobic Aerobic & Anaerobic Anaerobic	Reduce basal rate with ‘exercise target’ 1–2 hours prior	Reduce basal rate with ‘exercise target’ or suspend insulin deliverya	Reduce basal rate with ‘exercise target’ 0–6 hours after	‘Exercise target’ overnight (up to 6 hours) as necessary And/Or Uncovered bedtime snack
	Reduce bolus amount by 0%–25% in 1–3 hours prior (maybe up to 75% is prolonged exercise is anticipated)	In case glucose level is below 120 mg/dL, consume 10–20 g carbohydrates at start or 10 min priorb	Reduce bolus up to 50% at post-exercise meal
		Carbohydrates as needed
	May not need insulin adjustments	May not need insulin adjustments	Reduce bolus or cancel exercise target

Confirm insulin pump suspension.

Avoid consuming carbohydrates 15–60 minutes prior to exercise (can be given as needed during exercise)

Prepared by Laurel H Messer.