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18 — Physical Activity vs Exercise: the Before–During–After Playbook with Prof. Othmar Moser
The Glucose Never Lies® Podcast
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What’s the difference between physical activity and exercise when you live with type 1 diabetes? And why does it matter?
Full show notes & transcript: Episode 18 page
In this episode, I’m joined by Prof. Othmar Moser, exercise physiologist, guideline author, and fellow person with type 1, to break down:
- Why 10 minutes of activity after meals is the easiest, most powerful place to start.
- The 20/20 and 40/40 rules — how 20 minutes of light movement can drop glucose by 20–40 mg/dL (1–2 mmol/L).
- How CGM feedback makes activity tangible and motivating.
- The Before–During–After playbook for structured exercise:
• Before: meal timing, prandial reductions, AID temp targets, basal adjustments.
• During: safe glucose range, 3–20 g carb top-ups, when to fingerstick.
• After: the first hour of hypo risk, late-night dips, protein strategy, and therapy-specific caveats (AID vs Pump vs MDI).
Full show notes & transcript: Episode 10 page
Explore the FAQ resource with all the key questions and diagrams: FAQ — T1D Exercise & Activity
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About The Glucose Never Lies® Podcast
This podcast translates the latest diabetes science into practical, real-world steps. Honest conversations with the world’s leading researchers, mixed with the lived experience of people with type 1 diabetes.
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This podcast is for informational purposes only and does not replace medical advice. Always consult your healthcare professional before changing therapy.
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This content is for informational purposes only and does not constitute medical advice.
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