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The use of automated insulin delivery around physical activity and exercise in type 1 diabetes: a position statement of the European Association for the Study of Diabetes (EASD) and the International Society for Pediatric and Adolescent Diabetes (ISPAD).

Diabetologia · 2025 · PMC11732933 · PMID 39653802

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If glucose levels drop below 7.0 mmol/l during PA, even with a higher glucose target set, we recommend that small amounts of fast-acting CHO be consumed based on the CGM trend arrow (see below), without announcing it to the AID system [ 7 , 28 – 31 ] (C) : 3–6 g for a horizontal trend arrow 6–9 g for a slightly decreasing trend arrow 9–12 g for a decreasing trend arrow 12–20 g for two or three decreasing trend arrows We also recommend checking the sensor glucose around 20–30 min after CHO consumption and repeating treatment if necessary [ 4 ] (D) .

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.