Riddell, Michael CMichael CRiddellScott, Samuel NathanSamuel NathanScottFournier, Paul APaul AFournierColberg, Sheri RSheri RColbergGallen, Ian WIan WGallenMoser, OthmarOthmarMoserStettler, ChristophChristophStettlerYardley, Jane EJane EYardleyZaharieva, Dessi PDessi PZaharievaAdolfsson, PeterPeterAdolfssonBracken, Richard MRichard MBracken2024-09-022024-09-022020-08https://boris-portal.unibe.ch/handle/20.500.12422/37984Regular exercise is important for health, fitness and longevity in people living with type 1 diabetes, and many individuals seek to train and compete while living with the condition. Muscle, liver and glycogen metabolism can be normal in athletes with diabetes with good overall glucose management, and exercise performance can be facilitated by modifications to insulin dose and nutrition. However, maintaining normal glucose levels during training, travel and competition can be a major challenge for athletes living with type 1 diabetes. Some athletes have low-to-moderate levels of carbohydrate intake during training and rest days but tend to benefit, from both a glucose and performance perspective, from high rates of carbohydrate feeding during long-distance events. This review highlights the unique metabolic responses to various types of exercise in athletes living with type 1 diabetes. Graphical abstract.enAthlete Carbohydrate Competition Continuous glucose monitoring Exercise Glucose Insulin Nutrition Review Sport Type 1 diabetes600 - Technology::610 - Medicine & healtharticle10.7892/boris.1482153253322910.1007/s00125-020-05183-8