Safe Exercise for Kids with Type 1 Diabetes

Kids with type 1 diabetes can play sports and exercise just like anyone else. In fact, staying active helps insulin work better, keeps blood sugar in check, and builds strong muscles and bones.

Whether they love to run, dance, or play team sports, kids with type 1 diabetes need to learn how to stay safe while staying active.

First, check in with your child’s diabetes care team. More active kids with type 1 diabetes may need to check their blood sugar more often and adjust insulin and meals. Your diabetes care team can guide you on how to do this safely.

Put together a diabetes to-go kit with insulin, a blood glucose meter, fast-acting glucose (like tablets or gel), and glucagon. Pack extra water, healthy snacks (like fruit or crackers), juice, and candy to treat low blood sugar if needed.

If your child plays on a team, keep the coach in the loop. Let them know how to recognize low and high blood sugar, where the diabetes kit is, and when to call for help. Work with your child’s school to create a 504 Plan. This is a legal document to ensure your child gets support at school and has the support and supervision needed to participate in sports, extracurricular activities, and field trips. (The American Diabetes Association (ADA) has a model 504 Plan you may want to use as a guide when creating your own.)

Managing type 1 diabetes is a lifelong skill, and you can start now. Help your child begin building good habits and learn to take care of themselves in an age-appropriate way. As they grow, they can gradually take more responsibility for their diabetes management.

Teach your child to pay attention to how they feel. If their blood sugar gets too low or too high during practice or a game, they should tell the coach or another responsible adult right away.

Low blood sugar can cause shakiness, sweating, dizziness, and confusion. High blood sugar can cause extreme thirst, tiredness, and blurry vision. Your child can learn to recognize these signs and speak up when something feels off. Remind them that it's okay—and smart—to take a break when needed.

Balancing food, insulin, and exercise takes practice. Keep a log of activity and blood sugar levels to identify patterns. Your child’s healthcare team can help adjust insulin or meal plans if they experience frequent highs or lows during activity.

With preparation and monitoring, your child can safely enjoy an active lifestyle while managing type 1 diabetes. And the healthy habits they build today can last a lifetime.