The Science of Exercise With Type 1 Diabetes Book

The Science of Exercise With Type 1 Diabetes Book

A practical guide to managing exercise with type 1 diabetes, offering research-backed strategies and insights to help people with type 1 diabetes, caregivers, and healthcare professionals.

In this book you will learn:

• Strategies to safely manage glucose levels before, during, and after exercise.

• Insights on how different types of exercise affect metabolism and performance in T1D.

• Practical applications of sports science for training, competition, and daily activity management.

Picture of a woman exercising with Enhance-d, an insulin pump and diabetes
Picture of a woman exercising with Enhance-d, an insulin pump and diabetes
Picture of a woman exercising with Enhance-d, an insulin pump and diabetes
Picture of a woman exercising with Enhance-d, an insulin pump and diabetes
Picture of a woman exercising with Enhance-d, an insulin pump and diabetes

Sam Scott, PhD - Author, Scientist & Entrepreneur

Sam holds a PhD in Exercise Physiology and has clinical and applied research experience in the field of obesity, diabetes, and continuous glucose monitoring technology. His research has focused on developing strategies to overcome the major barriers to exercise for people living with diabetes. Sam is CEO of Enhance-d, the exercise and diabetes platform.

Simon Helleputte, PhD - Author & Researcher

Simon holds a PhD in Rehabilitation Sciences from Ghent University, Belgium, with clinical research in cardio-metabolic health and exercise metabolism in type 1 diabetes. He has conducted applied research on continuous glucose monitoring in athletes, focusing on the complex interplay between cardiovascular health, glycemic management, and exercise. His primary research includes postprandial exercise in people with type 1 diabetes.

Fede Fontana, PhD - Book Illustrator

Fede is the Chief Product Officer and Co-Founder of Enhance-d. He holds a PhD in human physiology from the University of Verona, Italy, and the University of Calgary, Canada. From 2012 to 2019, he served as Head of Performance for Team Novo Nordisk's professional cycling team and later as VP of Science for Supersapiens. His experience working daily with athletes living with type 1 diabetes has given him unique insights into the challenges of glucose management in sports.

Sam Scott, PhD
Author, Scientist & Entrepreneur

Sam holds a PhD in Exercise Physiology and has clinical and applied research experience in the field of obesity, diabetes, and continuous glucose monitoring technology. His research has focused on developing strategies to overcome the major barriers to exercise for people living with diabetes. Sam is CEO of Enhance-d, the exercise and diabetes platform.

Simon Helleputte, PhD
Author & Researcher

Simon holds a PhD in Rehabilitation Sciences from Ghent University, Belgium, with clinical research in cardio-metabolic health and exercise metabolism in type 1 diabetes. He has conducted applied research on continuous glucose monitoring in athletes, focusing on the complex interplay between cardiovascular health, glycemic management, and exercise. His primary research includes postprandial exercise in people with type 1 diabetes.

Fede Fontana, PhD
Book Illustrator

Fede is the Chief Product Officer and Co-Founder of Enhance-d. He holds a PhD in human physiology from the University of Verona, Italy, and the University of Calgary, Canada. From 2012 to 2019, he served as Head of Performance for Team Novo Nordisk's professional cycling team and later as VP of Science for Supersapiens. His experience working daily with athletes living with type 1 diabetes has given him unique insights into the challenges of glucose management in sports.

Book Chapters Overview

  • Chapter 1

    Applying Sports Science Principles to Training and Competition for Endurance Athletes with Type 1 Diabetes

  • Chapter 2

    Why Physical Activity and Exercise are Important for People Living with Type 1 Diabetes

  • Chapter 3

    The Hormonal and Metabolic Response to Exercise in People with Type 1 Diabetes

  • Chapter 4

    Planning and Management of Exercise in Individuals with Type 1 Diabetes

  • Chapter 5

    Applying Sports Science Principles to Training and Competition for Endurance Athletes with Type 1 Diabetes

  • Chapter 6

    Low Carbohydrate Diets and Carbohydrate Restriction in Type 1 Diabetes

  • Chapter 7

    Exploring the Impact of Low Carbohydrate Strategies on Glycaemic Management and Training Adaptations in People with Type 1 Diabetes

  • Chapter 8

    Could There Ever Be a Performance Advantage for an Athlete with Type 1 Diabetes?

  • Chapter 9

    Exercise with Type 1 Diabetes Under Challenging or Variable Conditions

  • Chapter 10

    The Learning Never Ends

"By far the most informative book I've read on managing exercise as a person living with diabetes"

"By far the most informative book I've read on managing exercise as a person living with diabetes"

Sarah - Early reviewer

  • Dr Christophe Kosinski, MD

    Hôpitaux Universitaires de Genève (HUG), Geneva, Switzerland

    This comprehensive guide bridges the gap between scientific research and practical application for people with T1D who want to be physically active. Sam and Simon have done an excellent job in providing factual information on how exercise affects glucose regulation and diabetes management. It's nice to read, very practical and accurate, with an evidence-based approach.

  • Wendy Frost

    NHS Dietitian and triathlete with T1D

    As a triathlete and NHS diabetes dietitian with type 1 diabetes, I found this book invaluable. Clear sections and headings make it both educational and practical. It balances technical facts with accessibility, covering topics like female athletes and food-related anxiety. The diagrams and 'Final Word' summaries are especially helpful. A must-have for anyone with type 1 diabetes or healthcare professionals.

  • Michael See, MS, ACSM-CEP, CDCES

    Certified Diabetes Care & Education Specialists

    This is an outstanding book for anyone working with clients with T1D to help them achieve their health, fitness, and performance goals. This is an insightful, relatively easy-to-understand read if you live on exogenous insulin and seek greater insight and understanding around exercise and sport. Please order your copy now; you won't regret it.

  • Katie Hesketh
    Assistant Professor in Exercise Prescription

    I have been lucky enough to be sent an early copy of this book from Sam and Simon. It is an amazing book! A must-read for individuals with T1D who are looking to increase their exercise levels or existing T1D athletes, & anyone supporting them! This will be the bible for you. It has everything you need presented in an engaging way (with lovely illustrations to support!!).

  • Dr Christophe Kosinski, MD

    Hôpitaux Universitaires de Genève (HUG), Geneva, Switzerland

    This comprehensive guide bridges the gap between scientific research and practical application for people with T1D who want to be physically active. Sam and Simon have done an excellent job in providing factual information on how exercise affects glucose regulation and diabetes management. It's nice to read, very practical and accurate, with an evidence-based approach.

  • Wendy Frost

    NHS Dietitian and triathlete with T1D

    As a triathlete and NHS diabetes dietitian with type 1 diabetes, I found this book invaluable. Clear sections and headings make it both educational and practical. It balances technical facts with accessibility, covering topics like female athletes and food-related anxiety. The diagrams and 'Final Word' summaries are especially helpful. A must-have for anyone with type 1 diabetes or healthcare professionals.

  • Michael See, MS, ACSM-CEP, CDCES

    Certified Diabetes Care & Education Specialists

    This is an outstanding book for anyone working with clients with T1D to help them achieve their health, fitness, and performance goals. This is an insightful, relatively easy-to-understand read if you live on exogenous insulin and seek greater insight and understanding around exercise and sport. Please order your copy now; you won't regret it.

  • Katie Hesketh
    Assistant Professor in Exercise Prescription

    I have been lucky enough to be sent an early copy of this book from Sam and Simon. It is an amazing book! A must-read for individuals with T1D who are looking to increase their exercise levels or existing T1D athletes, & anyone supporting them! This will be the bible for you. It has everything you need presented in an engaging way (with lovely illustrations to support!!).

“A unique, evidence-based guide that comprehensively covers all aspects of diabetes management around exercise, offering both scientific insights and practical recommendations for people with type 1 diabetes and those supporting them”

“A unique, evidence-based guide that comprehensively covers all aspects of diabetes management around exercise, offering both scientific insights and practical recommendations for people with type 1 diabetes and those supporting them”

Thomas Zuger, MD

Chief Physician, Head of Endocrinology, Diabetes and Metabolic Diseases, Kantonsspital Olten

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© 2025 by Sestante Analytics AG