Table 1a Sensor glucose targets in advance to exercise in regard to children/adolescents with type 1 diabetes and Ex 2 and/or low hypo risk (Increase in sensor glucose expected)
Pre-exercise sensor glucose	Trend arrow	Action	
Ex 2 and/or
low hypo risk	Direction	Increase in sensor glucose expected	
>15.0 mmol/l (>270 mg/dl)
AND >1.5 mmol/l blood ketones	éìèîê	No Ex,
Insulin correction	
>15.0 mmol/l (>270 mg/dl)
AND ≤1.5 mmol/l blood ketones	ìé	Consider insulin correctiona,
Can start AE	
	è	Consider insulin correctiona,
Can start AE	
	îê	Can start all Ex	
10.1–15.0 mmol/l
(181–270 mg/dl)	ìé	Can start AE	
	è	Can start all Ex	
	îê		
7.0–10.0 mmol/l
(126–180 mg/dl)	ìé	Can start all Ex	
	è		
	îê	~5 g CHO
(0.2 g/kg),
Can start all Ex	
5.0–6.9 mmol/l
(90–125 mg/dl)	ìé	Can start all Ex	
	è	~5 g CHO
(0.2 g/kg),
Can start all Ex	
	î	~10 g CHO
(0.3 g/kg),
Delay all Exb	
	ê	Individual amount CHO ingestion,
Delay all Exb	
<5.0 mmol/l
(<90 mg/dl)	Individual amount CHO ingestion,
Delay all Exb	
Sensor glucose targets are detailed for the following groups in type 1 diabetes (T1D): intensively exercising and/or low risk of hypoglycaemia (Ex 2); moderately exercising and/or moderate risk of hypoglycaemia (Ex 1), minimally exercising and/or high risk of hypoglycaemia (Ex 0)
a 50% of regular insulin correction factor when sensor glucose is close to the upper glycaemic threshold
b Delay exercise until reaching at least 5.0 mmol/l (90 mg/dl) and, ideally, from 7.0 mmol/l to 10.0 mmol/l (126 mg/dl to 180 mg/dl) or higher in those with an increased risk of hypoglycaemia accompanied by è, ì, or é
When reaching the required sensor glucose level to start exercise, only consume carbohydrates again when the trend arrow is starting to decrease
These recommendations are not applicable to hybrid closed-loop systems
Green shading, no/minimal action required; light-yellow shading, minimal/moderate action required; dark-yellow shading, moderate/intense action required; red shading, no/delay exercise
AE, mild-to-moderate intensity aerobic exercise; CHO, carbohydrates; Ex, exercise; hypo, hypoglycaemia

Table 1b Sensor glucose targets in advance to exercise in regard to children/adolescents with type 1 diabetes and Ex 2 and/or low hypo risk (Decrease in sensor glucose expected)
Pre-exercise sensor glucose	Trend arrow	Action	
Ex 2 and/or
Low hypo risk	Direction	Decrease in sensor glucose expected	
>15.0 mmol/l (>270 mg/dl)
AND >1.5 mmol/l blood ketones	éìèîê	No Ex,
Insulin correction	
>15.0 mmol/l (>270 mg/dl)
AND ≤1.5 mmol/l blood ketones	ìé	Consider insulin correctiona,
Can start all Ex	
	è	Can start all Ex	
	îê		
10.1–15.0 mmol/l
(181–270 mg/dl)	ìé	Can start all Ex	
	è		
	îê		
7.0–10.0 mmol/l
(126–180 mg/dl)	ìé	Can start all Ex	
	è		
	îê	~10 g CHO
(0.3 g/kg),
Can start all Ex	
5.0–6.9 mmol/l
(90–125 mg/dl)	ìé	~5 g CHO
(0.2 g/kg),
Can start all Ex	
	è	~10 g CHO
(0.3 g/kg),
Can start all Ex	
	î	~15 g CHO
(0.4 g/kg),
Delay all Exb	
	ê	Individual amount CHO ingestion,
Delay all Exb	
<5.0 mmol/l
(<90 mg/dl)	Individual amount CHO ingestion,
Delay all Exb	
Sensor glucose targets are detailed for the following groups in type 1 diabetes (T1D): intensively exercising and/or low risk of hypoglycaemia (Ex 2); moderately exercising and/or moderate risk of hypoglycaemia (Ex 1), minimally exercising and/or high risk of hypoglycaemia (Ex 0)
a 50% of regular insulin correction factor when sensor glucose is close to the upper glycaemic threshold
b Delay exercise until reaching at least 5.0 mmol/l (90 mg/dl) and, ideally, from 7.0 mmol/l to 10.0 mmol/l (126 mg/dl to 180 mg/dl) or higher in those with an increased risk of hypoglycaemia accompanied by è, ì, or é
When reaching the required sensor glucose level to start exercise, only consume carbohydrates again when the trend arrow is starting to decrease
These recommendations are not applicable to hybrid closed-loop systems
Green shading, no/minimal action required; light-yellow shading, minimal/moderate action required; dark-yellow shading, moderate/intense action required; red shading, no/delay exercise
AE, mild-to-moderate intensity aerobic exercise; CHO, carbohydrates; Ex, exercise; hypo, hypoglycaemia

Table 2a Sensor glucose targets in advance to exercise in regard to children/adolescents with type 1 diabetes and Ex 1 and/or moderate hypo risk (Increase in sensor glucose expected)
Pre-exercise sensor glucose	Trend arrow	Action	
Ex 1 and/or moderate hypo risk	Direction	Increase in sensor glucose expected	
>15.0 mmol/l (>270 mg/dl)
AND >1.5 mmol/l blood ketones	éìèîê	No Ex,
Insulin correction	
>15.0 mmol/l (>270 mg/dl)
AND ≤1.5 mmol/l blood ketones	ìé	Consider insulin correctiona,
Can start AE	
	è	Consider insulin correctiona,
Can start AE	
	îê	Can start all Ex	
11.1–15.0 mmol/l
(199–270 mg/dl)	ìé	Can start AE	
	è	Can start all Ex	
	îê		
8.0–11.0 mmol/l
(145–198 mg/dl)	ìé	Can start all Ex	
	è		
	îê	~5 g CHO
(0.2 g/kg),
Can start all Ex	
5.0–7.9 mmol/l
(90–144 mg/dl)	ìé	Can start all Ex	
	è	~5 g CHO
(0.2 g/kg),
Can start all Ex	
	î	~10 g CHO
(0.3 g/kg),
Delay all Exb	
	ê	Individual amount CHO ingestion,
Delay all Exb	
<5.0 mmol/l
(<90 mg/dl)	Individual amount CHO ingestion,
Delay all Exb	
Sensor glucose targets are detailed for the following groups in type 1 diabetes (T1D): intensively exercising and/or low risk of hypoglycaemia (Ex 2); moderately exercising and/or moderate risk of hypoglycaemia (Ex 1), minimally exercising and/or high risk of hypoglycaemia (Ex 0)
a 50% of regular insulin correction factor when sensor glucose is close to the upper glycaemic threshold
b Delay exercise until reaching at least 5.0 mmol/l (90 mg/dl) and, ideally, from 7.0 mmol/l to 10.0 mmol/l (126 mg/dl to 180 mg/dl) or higher in those with an increased risk of hypoglycaemia accompanied by è, ì, or é
When reaching the required sensor glucose level to start exercise, only consume carbohydrates again when the trend arrow is starting to decrease
These recommendations are not applicable to hybrid closed-loop systems
Green shading, no/minimal action required; light-yellow shading, minimal/moderate action required; dark-yellow shading, moderate/intense action required; red shading, no/delay exercise
AE, mild-to-moderate intensity aerobic exercise; CHO, carbohydrates; Ex, exercise; hypo, hypoglycaemia

Table 2b Sensor glucose targets in advance to exercise in regard to children/adolescents with type 1 diabetes and Ex 1 and/or moderate hypo risk (Decrease in sensor glucose expected)
Pre-exercise sensor glucose	Trend arrow	Action	
Ex 1 and/or moderate hypo risk	Direction	Decrease in sensor glucose expected	
>15.0 mmol/l (>270 mg/dl)
AND >1.5 mmol/l blood ketones	éìèîê	No Ex,
Insulin correction	
>15.0 mmol/l (>270 mg/dl)
AND ≤1.5 mmol/l blood ketones	ìé	Consider insulin correctiona,
Can start all Ex	
	è	Can start all Ex	
	îê		
11.1–15.0 mmol/l
(199–270 mg/dl)	ìé	Can start all Ex	
	è		
	îê		
8.0–11.0 mmol/l
(145–198 mg/dl)	ìé	Can start all Ex	
	è		
	îê	~10 g CHO
(0.3 g/kg),
Can start all Ex	
5.0–7.9 mmol/l
(90–144 mg/dl)	ìé	~5 g CHO
(0.2 g/kg),
Can start all Ex	
	è	~10 g CHO
(0.3 g/kg),
Can start all Ex	
	î	~15 g CHO
(0.4 g/kg),
Delay all Exb	
	ê	Individual amount CHO ingestion,
Delay all Exb	
<5.0 mmol/l
(<90 mg/dl)	Individual amount CHO ingestion,
Delay all Exb	
Sensor glucose targets are detailed for the following groups in type 1 diabetes (T1D): intensively exercising and/or low risk of hypoglycaemia (Ex 2); moderately exercising and/or moderate risk of hypoglycaemia (Ex 1), minimally exercising and/or high risk of hypoglycaemia (Ex 0)
a 50% of regular insulin correction factor when sensor glucose is close to the upper glycaemic threshold
b Delay exercise until reaching at least 5.0 mmol/l (90 mg/dl) and, ideally, from 7.0 mmol/l to 10.0 mmol/l (126 mg/dl to 180 mg/dl) or higher in those with an increased risk of hypoglycaemia accompanied by è, ì, or é
When reaching the required sensor glucose level to start exercise, only consume carbohydrates again when the trend arrow is starting to decrease
These recommendations are not applicable to hybrid closed-loop systems
Green shading, no/minimal action required; light-yellow shading, minimal/moderate action required; dark-yellow shading, moderate/intense action required; red shading, no/delay exercise
AE, mild-to-moderate intensity aerobic exercise; CHO, carbohydrates; Ex, exercise; hypo, hypoglycaemia

Table 3a Sensor glucose targets in advance to exercise in regard to children/adolescents with type 1 diabetes and Ex 0 and/or high hypo risk (Increase in sensor glucose expected)
Pre-exercise sensor glucose	Trend arrow	Action	
Ex 0 and/or
High hypo risk	Direction	Increase in sensor glucose expected	
>15.0 mmol/l (>270 mg/dl)
AND >1.5 mmol/l blood ketones	éìèîê	No Ex,
Insulin correction	
>15.0 mmol/l (>270 mg/dl)
AND ≤1.5 mmol/l blood ketones	ìé	Consider insulin correctiona,
Can start AE	
	è	Consider insulin correctiona,
Can start AE	
	îê	Can start all Ex	
12.1–15.0 mmol/l
(217–270 mg/dl)	ìé	Can start AE	
	è	Can start all Ex	
	îê		
9.0–12.0 mmol/l
(162–216 mg/dl)	ìé	Can start all Ex	
	è		
	îê	~5 g CHO
(0.2 g/kg),
Can start all Ex	
5.0–8.9 mmol/l
(90–161 mg/dl	ìé	Can start all Ex	
	è	~5 g CHO
(0.2 g/kg),
Can start all Ex	
	î	~10 g CHO
(0.3 g/kg),
Delay all Exb	
	ê	Individual amount CHO ingestion,
Delay all Exb	
<5.0 mmol/l
(<90 mg/dl)	Individual amount CHO ingestion,
Delay all Exb	
Sensor glucose targets are detailed for the following groups in type 1 diabetes (T1D): intensively exercising and/or low risk of hypoglycaemia (Ex 2); moderately exercising and/or moderate risk of hypoglycaemia (Ex 1), minimally exercising and/or high risk of hypoglycaemia (Ex 0)
a 50% of regular insulin correction factor when sensor glucose is close to the upper glycaemic threshold
b Delay exercise until reaching at least 5.0 mmol/l (90 mg/dl) and, ideally, from 7.0 mmol/l to 10.0 mmol/l (126 mg/dl to 180 mg/dl) or higher in those with an increased risk of hypoglycaemia accompanied by è, ì, or é
When reaching the required sensor glucose level to start exercise, only consume carbohydrates again when the trend arrow is starting to decrease
These recommendations are not applicable to hybrid closed-loop systems
Green shading, no/minimal action required; light-yellow shading, minimal/moderate action required; dark-yellow shading, moderate/intense action required; red shading, no/delay exercise
AE, mild-to-moderate intensity aerobic exercise; CHO, carbohydrates; Ex, exercise; hypo, hypoglycaemia

Table 3b Sensor glucose targets in advance to exercise in regard to children/adolescents with type 1 diabetes and Ex 0 and/or high hypo risk (Decrease in sensor glucose expected)
Pre-exercise sensor glucose	Trend arrow	Action	
Ex 0 and/or
High hypo risk	Direction	Decrease in sensor glucose expected	
>15.0 mmol/l (>270 mg/dl)
AND >1.5 mmol/l blood ketones	éìèîê	No Ex,
Insulin correction	
>15.0 mmol/l (>270 mg/dl)
AND ≤1.5 mmol/l blood ketones	ìé	Consider insulin correctiona,
Can start all Ex	
	è	Can start all Ex	
	îê		
12.1–15.0 mmol/l
(217–270 mg/dl)	ìé	Can start all Ex	
	è		
	îê		
9.0–12.0 mmol/l
(162–216 mg/dl)	ìé	Can start all Ex	
	è		
	îê	~10 g CHO
(0.3 g/kg),
Can start all Ex	
5.0–8.9 mmol/l
(90–161 mg/dl)	ìé	~5 g CHO
(0.2 g/kg),
Can start all Ex	
	è	~10 g CHO
(0.3 g/kg),
Can start all Ex	
	î	~15 g CHO
(0.4 g/kg),
Delay all Exb	
	ê	Individual amount CHO ingestion,
Delay all Exb	
<5.0 mmol/l
(<90 mg/dl)	Individual amount CHO ingestion,
Delay all Exb	
Sensor glucose targets are detailed for the following groups in type 1 diabetes (T1D): intensively exercising and/or low risk of hypoglycaemia (Ex 2); moderately exercising and/or moderate risk of hypoglycaemia (Ex 1), minimally exercising and/or high risk of hypoglycaemia (Ex 0)
a 50% of regular insulin correction factor when sensor glucose is close to the upper glycaemic threshold
b Delay exercise until reaching at least 5.0 mmol/l (90 mg/dl) and, ideally, from 7.0 mmol/l to 10.0 mmol/l (126 mg/dl to 180 mg/dl) or higher in those with an increased risk of hypoglycaemia accompanied by è, ì, or é
When reaching the required sensor glucose level to start exercise, only consume carbohydrates again when the trend arrow is starting to decrease
These recommendations are not applicable to hybrid closed-loop systems
Green shading, no/minimal action required; light-yellow shading, minimal/moderate action required; dark-yellow shading, moderate/intense action required; red shading, no/delay exercise
AE, mild-to-moderate intensity aerobic exercise; CHO, carbohydrates; Ex, exercise; hypo, hypoglycaemia

Table 4a Sensor glucose targets during exercise in regard to children/adolescents with type 1 diabetes and Ex 2 and/or low hypo risk (Increase in sensor glucose expected)
During exercise sensor glucose	Trend arrow	Action	
Ex 2 and/or low hypo risk	Direction	Increase in sensor glucose expected	
>15.0 mmol/l (>270 mg/dl)
AND >1.5 mmol/l blood ketones	éìèîê	Stop Ex,
Consider insulin correction,
No restart of Ex	
>15.0 mmol/l (>270 mg/dl)
AND ≤1.5 mmol/l blood ketonesa	ìé	Consider insulin correctionb,
Proceed all Ex	
	è	Consider insulin correctionb,
Proceed all Ex	
	îê	Proceed all Ex	
10.1–15.0 mmol/l
(181–270 mg/dl)	ìé	Proceed all Ex,
Consider insulin correctionb	
	è		
	îê	Proceed all Ex	
7.0–10.0 mmol/l
(126–180 mg/dl)	ìé	Proceed all Ex	
	è		
	îê		
<7.0 mmol/l
(<126 mg/dl)	ìé	Proceed all Ex	
	è	~5 g CHO 
(~0.2 g/kg),
Proceed all Exc	
	î	~10 g CHO
(~0.3 g/kg),
Proceed all Exc	
	ê	~15 g CHO
(~0.4 g/kg),
Proceed all Exc	
<5.0 mmol/l
(<90 mg/dl)	é	Stop all Ex,
Consider confirmatory SMBG,
Individual amount CHO ingestion,
Restart of all Ex possibled	
	ì		
	è		
	î		
	ê		
<3.0 mmol/l
(<54 mg/dl)	Stop all Ex,
Confirmatory SMBG,
Individual amount CHO ingestion,
No restart of Ex	
Sensor glucose targets are detailed for the following groups in type 1 diabetes (T1D): intensively exercising and/or low risk of hypoglycaemia (Ex 2); moderately exercising and/or moderate risk of hypoglycaemia (Ex 1); minimally exercising and/or high risk of hypoglycaemia (Ex 0)
a Elevated blood ketone levels should lead to repeated controls after exercise to ensure that ketosis (blood ketones >1.5mmol/l) or diabetic ketoacidosis is not developed. If sensor glucose is >15.0 mmol/l (>270 mg/dl) and blood ketones are ≤1.5 mmol/l, then only mild aerobic exercise may be performed
b 50% of regular insulin correction factor when sensor glucose is close to the upper glycaemic threshold
c Check sensor glucose at least 30 min after carbohydrate consumption and repeat treatment if required
d Restart exercise when reaching at least sensor glucose levels of 5.0 mmol/l (90 mg/dl) and ì or é
When reaching the required sensor glucose level during exercise, only consume carbohydrates again when the trend arrow is starting to decrease
These recommendations are not applicable to hybrid closed-loop systems
Green shading, no/minimal action required; light-yellow shading, minimal/moderate action required; dark-yellow shading, moderate/intense action required; red shading, stop exercise
AE, mild-to-moderate intensity aerobic exercise; CHO, carbohydrates; Ex, exercise; hypo, hypoglycaemia
Table 4b Sensor glucose targets during exercise in regard to children/adolescents with type 1 diabetes and Ex 2 and/or low hypo risk (Decrease in sensor glucose expected)
During exercise sensor glucose	Trend arrow	Action	
Ex 2 and/or low
hypo risk	Direction	Decrease in sensor glucose expected	
>15.0 mmol/l (>270 mg/dl)
AND >1.5 mmol/l blood ketones	éìèîê	Stop Ex,
Consider insulin correction,
No restart of Ex	
>15.0 mmol/l (>270 mg/dl)
AND ≤1.5 mmol/l blood ketonesa	ìé	Proceed all Ex,
Consider AE	
	è	Proceed all Ex	
	îê		
10.1–15.0
mmol/l
(181–270
mg/dl)	ìé	Proceed all Ex	
	è		
	îê		
7.0–10.0
mmol/l
(126–180
mg/dl)	ìé	Proceed all Ex	
	è		
	îê		
<7.0
mmol/l
(<126
mg/dl)	ìé	Proceed all Ex	
	è	~10 g CHO
(~0.3 g/kg),
Proceed all Exc	
	î	~15 g CHO
(~0.4 g/kg),
Proceed all Exc	
	ê	~20 g CHO
(~0.4–0.5 g/kg),
Proceed all Exc	
<5.0 mmol/l
(<90 mg/dl)	é	Stop all Ex,
Consider confirmatory SMBG,
Individual amount CHO ingestion,
Restart of all Ex possibled	
	ì		
	è		
	î		
	ê		
<3.0 mmol/l
(<54 mg/dl)	Stop all Ex,
Confirmatory SMBG,
Individual amount CHO ingestion,
No restart of Ex	
Sensor glucose targets are detailed for the following groups in type 1 diabetes (T1D): intensively exercising and/or low risk of hypoglycaemia (Ex 2); moderately exercising and/or moderate risk of hypoglycaemia (Ex 1); minimally exercising and/or high risk of hypoglycaemia (Ex 0)
a Elevated blood ketone levels should lead to repeated controls after exercise to ensure that ketosis (blood ketones >1.5mmol/l) or diabetic ketoacidosis is not developed. If sensor glucose is >15.0 mmol/l (>270 mg/dl) and blood ketones are ≤1.5 mmol/l, then only mild aerobic exercise may be performed
b 50% of regular insulin correction factor when sensor glucose is close to the upper glycaemic threshold
c Check sensor glucose at least 30 min after carbohydrate consumption and repeat treatment if required
d Restart exercise when reaching at least sensor glucose levels of 5.0 mmol/l (90 mg/dl) and ì or é
When reaching the required sensor glucose level during exercise, only consume carbohydrates again when the trend arrow is starting to decrease
These recommendations are not applicable to hybrid closed-loop systems
Green shading, no/minimal action required; light-yellow shading, minimal/moderate action required; dark-yellow shading, moderate/intense action required; red shading, stop exercise
AE, mild-to-moderate intensity aerobic exercise; CHO, carbohydrates; Ex, exercise; hypo, hypoglycaemia

Table 5a Sensor glucose targets during exercise in regard to children/adolescents with type 1 diabetes and Ex 1 and/or moderate hypo risk (Increase in sensor glucose expected)
During exercise sensor glucose	Trend arrow	Action	
Ex 1 and/or moderate hypo risk	Direction	Increase in sensor glucose expected	
>15.0 mmol/l (>270 mg/dl)
AND >1.5 mmol/l blood ketones	éìèîê	Stop Ex,
Consider insulin correction,
No restart of Ex	
>15.0 mmol/l (>270 mg/dl)
AND ≤1.5 mmol/l blood ketonesa	ìé	Consider insulin correctionb,
Proceed all Ex	
	è	Consider insulin correctionb,
Proceed all Ex	
	îê	Proceed all Ex	
11.1–15.0 mmol/l
(199–270 mg/dl)	ìé	Proceed all Ex,
Consider insulin correctionb	
	è		
	îê	Proceed all Ex	
8.0–11.0 mmol/l
(145–198 mg/dl)	ìé	Proceed all Ex	
	è		
	îê		
<8.0 mmol/l
(<145 mg/dl)	ìé	Proceed all Ex	
	è	~5 g CHO 
(~0.2 g/kg),
Proceed all Exc	
	î	~10 g CHO
(~0.3 g/kg),
Proceed all Exc	
	ê	~15 g CHO
(~0.4 g/kg),
Proceed all Exc	
<5.0 mmol/l
(<90 mg/dl)	é	Stop all Ex,
Consider confirmatory SMBG,
Individual amount CHO ingestion,
Restart of all Ex possibled	
	ì		
	è		
	î		
	ê		
<3.0 mmol/l
(<54 mg/dl)	Stop all Ex,
Confirmatory SMBG,
Individual amount CHO ingestion,
No restart of Ex	
Sensor glucose targets are detailed for the following groups in type 1 diabetes (T1D): intensively exercising and/or low risk of hypoglycaemia (Ex 2); moderately exercising and/or moderate risk of hypoglycaemia (Ex 1); minimally exercising and/or high risk of hypoglycaemia (Ex 0)
a Elevated blood ketone levels should lead to repeated controls after exercise to ensure that ketosis (blood ketones >1.5mmol/l) or diabetic ketoacidosis is not developed. If sensor glucose is >15.0 mmol/l (>270 mg/dl) and blood ketones are ≤1.5 mmol/l, then only mild aerobic exercise may be performed
b 50% of regular insulin correction factor when sensor glucose is close to the upper glycaemic threshold
c Check sensor glucose at least 30 min after carbohydrate consumption and repeat treatment if required
d Restart exercise when reaching at least sensor glucose levels of 5.0 mmol/l (90 mg/dl) and ì or é
When reaching the required sensor glucose level during exercise, only consume carbohydrates again when the trend arrow is starting to decrease
These recommendations are not applicable to hybrid closed-loop systems
Green shading, no/minimal action required; light-yellow shading, minimal/moderate action required; dark-yellow shading, moderate/intense action required; red shading, stop exercise
AE, mild-to-moderate intensity aerobic exercise; CHO, carbohydrates; Ex, exercise; hypo, hypoglycaemia
Table 5b Sensor glucose targets during exercise in regard to children/adolescents with type 1 diabetes and Ex 1 and/or moderate hypo risk (Decrease in sensor glucose expected)
During exercise sensor glucose	Trend arrow	Action	
Ex 1 and/or moderate hypo risk	Direction	Decrease in sensor glucose expected	
>15.0 mmol/l (>270 mg/dl)
AND >1.5 mmol/l blood ketones	éìèîê	Stop Ex,
Consider insulin correction,
No restart of Ex	
>15.0 mmol/l (>270 mg/dl)
AND ≤1.5 mmol/l blood ketonesa	ìé	Proceed all Ex,
Consider AE	
	è	Proceed all Ex	
	îê		
11.1–15.0 mmol/l
(199–270 mg/dl)	ìé	Proceed all Ex	
	è		
	îê		
8.0–11.0 mmol/l
(145–198 mg/dl)	ìé	Proceed all Ex	
	è		
	îê		
<8.0 mmol/l
(<145 mg/dl)	ìé	Proceed all Ex	
	è	~10 g CHO
(~0.3 g/kg),
Proceed all Exc	
	î	~15 g CHO
(~0.4 g/kg),
Proceed all Exc	
	ê	~20 g CHO
(~0.4–0.5 g/kg),
Proceed all Exc	
<5.0 mmol/l
(<90 mg/dl)	é	Stop all Ex,
Consider confirmatory SMBG,
Individual amount CHO ingestion,
Restart of all Ex possibled	
	ì		
	è		
	î		
	ê		
<3.0 mmol/l
(<54 mg/dl)	Stop all Ex,
Confirmatory SMBG,
Individual amount CHO ingestion,
No restart of Ex	
Sensor glucose targets are detailed for the following groups in type 1 diabetes (T1D): intensively exercising and/or low risk of hypoglycaemia (Ex 2); moderately exercising and/or moderate risk of hypoglycaemia (Ex 1); minimally exercising and/or high risk of hypoglycaemia (Ex 0)
a Elevated blood ketone levels should lead to repeated controls after exercise to ensure that ketosis (blood ketones >1.5mmol/l) or diabetic ketoacidosis is not developed. If sensor glucose is >15.0 mmol/l (>270 mg/dl) and blood ketones are ≤1.5 mmol/l, then only mild aerobic exercise may be performed
b 50% of regular insulin correction factor when sensor glucose is close to the upper glycaemic threshold
c Check sensor glucose at least 30 min after carbohydrate consumption and repeat treatment if required
d Restart exercise when reaching at least sensor glucose levels of 5.0 mmol/l (90 mg/dl) and ì or é
When reaching the required sensor glucose level during exercise, only consume carbohydrates again when the trend arrow is starting to decrease
These recommendations are not applicable to hybrid closed-loop systems
Green shading, no/minimal action required; light-yellow shading, minimal/moderate action required; dark-yellow shading, moderate/intense action required; red shading, stop exercise
AE, mild-to-moderate intensity aerobic exercise; CHO, carbohydrates; Ex, exercise; hypo, hypoglycaemia

Table 6a Sensor glucose targets during exercise in regard to children/adolescents with type 1 diabetes and Ex 0 and/or high hypo risk (Increase in sensor glucose expected)
During exercise sensor glucose	Trend arrow	Action	
Ex 0 and/or high
hypo risk	Direction	Increase in sensor glucose expected	
>15.0 mmol/l (>270 mg/dl)
AND >1.5 mmol/l blood ketones	éìèîê	Stop Ex,
Consider insulin correction,
No restart of Ex	
>15.0 mmol/l (>270 mg/dl)
AND ≤1.5 mmol/l blood ketonesa	ìé	Consider insulin correctionb,
Proceed all Ex	
	è	Consider insulin correctionb,
Proceed all Ex	
	îê	Proceed all Ex	
12.1–15.0 mmol/l
(217–270 mg/dl)	ìé	Proceed all Ex,
Consider insulin correctionb	
	è		
	îê	Proceed all Ex	
9.0–12.0 mmol/l
(162–216 mg/dl)	ìé	Proceed all Ex	
	è		
	îê		
<9.0 mmol/l
(<162 mg/dl)	ìé	Proceed all Ex	
	è	~5 g CHO 
(~0.2 g/kg),
Proceed all Exc	
	î	~10 g CHO
(~0.3 g/kg),
Proceed all Exc	
	ê	~15 g CHO
(~0.4 g/kg),
Proceed all Exc	
<5.0 mmol/l
(<90 mg/dl)	é	Stop all Ex,
Consider confirmatory SMBG,
Individual amount CHO ingestion,
Restart of all Ex possibled	
	ì		
	è		
	î		
	ê		
<3.0 mmol/l
(<54 mg/dl)	Stop all Ex,
Confirmatory SMBG,
Individual amount CHO ingestion,
No restart of Ex	
Sensor glucose targets are detailed for the following groups in type 1 diabetes (T1D): intensively exercising and/or low risk of hypoglycaemia (Ex 2); moderately exercising and/or moderate risk of hypoglycaemia (Ex 1); minimally exercising and/or high risk of hypoglycaemia (Ex 0)
a Elevated blood ketone levels should lead to repeated controls after exercise to ensure that ketosis (blood ketones >1.5mmol/l) or diabetic ketoacidosis is not developed. If sensor glucose is >15.0 mmol/l (>270 mg/dl) and blood ketones are ≤1.5 mmol/l, then only mild aerobic exercise may be performed
b 50% of regular insulin correction factor when sensor glucose is close to the upper glycaemic threshold
c Check sensor glucose at least 30 min after carbohydrate consumption and repeat treatment if required
d Restart exercise when reaching at least sensor glucose levels of 5.0 mmol/l (90 mg/dl) and ì or é
When reaching the required sensor glucose level during exercise, only consume carbohydrates again when the trend arrow is starting to decrease
These recommendations are not applicable to hybrid closed-loop systems
Green shading, no/minimal action required; light-yellow shading, minimal/moderate action required; dark-yellow shading, moderate/intense action required; red shading, stop exercise
AE, mild-to-moderate intensity aerobic exercise; CHO, carbohydrates; Ex, exercise; hypo, hypoglycaemia

Table 6b Sensor glucose targets during exercise in regard to children/adolescents with type 1 diabetes and Ex 0 and/or high hypo risk (Decrease in sensor glucose expected)
During exercise sensor glucose	Trend arrow	Action	
Ex 0 and/or high
hypo risk	Direction	Decrease in sensor glucose expected	
>15.0 mmol/l (>270 mg/dl)
AND >1.5 mmol/l blood ketones	éìèîê	Stop Ex,
Consider insulin correction,
No restart of Ex	
>15.0 mmol/l (>270 mg/dl)
AND ≤1.5 mmol/l blood ketonesa	ìé	Proceed all Ex,
Consider AE	
	è	Proceed all Ex	
	îê		
12.1–15.0 mmol/l
(217–270 mg/dl)	ìé	Proceed all Ex	
	è		
	îê		
9.0–12.0 mmol/l
(162–216 mg/dl)	ìé	Proceed all Ex	
	è		
	îê		
<9.0 mmol/l
(<162 mg/dl)	ìé	Proceed all Ex	
	è	~10 g CHO
(~0.3 g/kg),
Proceed all Exc	
	î	~15 g CHO
(~0.4 g/kg),
Proceed all Exc	
	ê	~20 g CHO
(~0.4–0.5 g/kg),
Proceed all Exc	
<5.0 mmol/l
(<90 mg/dl)	é	Stop all Ex,
Consider confirmatory SMBG,
Individual amount CHO ingestion,
Restart of all Ex possibled	
	ì		
	è		
	î		
	ê		
<3.0 mmol/l
(<54 mg/dl)	Stop all Ex,
Confirmatory SMBG,
Individual amount CHO ingestion,
No restart of Ex	
Sensor glucose targets are detailed for the following groups in type 1 diabetes (T1D): intensively exercising and/or low risk of hypoglycaemia (Ex 2); moderately exercising and/or moderate risk of hypoglycaemia (Ex 1); minimally exercising and/or high risk of hypoglycaemia (Ex 0)
a Elevated blood ketone levels should lead to repeated controls after exercise to ensure that ketosis (blood ketones >1.5mmol/l) or diabetic ketoacidosis is not developed. If sensor glucose is >15.0 mmol/l (>270 mg/dl) and blood ketones are ≤1.5 mmol/l, then only mild aerobic exercise may be performed
b 50% of regular insulin correction factor when sensor glucose is close to the upper glycaemic threshold
c Check sensor glucose at least 30 min after carbohydrate consumption and repeat treatment if required
d Restart exercise when reaching at least sensor glucose levels of 5.0 mmol/l (90 mg/dl) and ì or é
When reaching the required sensor glucose level during exercise, only consume carbohydrates again when the trend arrow is starting to decrease
These recommendations are not applicable to hybrid closed-loop systems
Green shading, no/minimal action required; light-yellow shading, minimal/moderate action required; dark-yellow shading, moderate/intense action required; red shading, stop exercise
AE, mild-to-moderate intensity aerobic exercise; CHO, carbohydrates; Ex, exercise; hypo, hypoglycaemia

Table 7 Sensor glucose targets for carbohydrates consumption during the post-exercise phase, including the nocturnal post-exercise phase if exercise was performed in the late afternoon/evening, in children and adolescents with type 1 diabetes and Ex 2 and/or low hypo risk
Post-exercise sensor glucose, including nocturnal phase	Trend
arrow	Action	
Ex 2 and/or low hypo risk	Direction	CHO (g)	
<4.4 mmol/l 
(<80 mg/dl)	é	No CHO	
	ì		
	è	~5 g CHO
(~0.2 g/kg)	
	î	~10 g CHO
(~0.3 g/kg)	
	ê	Individual amount CHO ingestion	
Sensor glucose threshold for treatments is detailed for the following groups with type 1 diabetes (T1D): intensively exercising and/or low risk of hypoglycaemia (Ex 2); moderately exercising and/or moderate risk of hypoglycaemia (Ex 1); minimally exercising and/or high risk of hypoglycaemia (Ex 0)
If an insulin correction is applied due to high sensor glucose levels, then the regular correction factor might be reduced by up to 50%
These recommendations are not applicable to hybrid closed-loop systems
The intensity of yellow shading indicates the level of action required: lighter yellow shading indicates that minimal/moderate action is required, while darker yellow shading indicates that moderate/intense action is required
CHO, carbohydrates; Ex, exercise; hypo, hypoglycaemia

Table 8 Sensor glucose targets for carbohydrates consumption during the post-exercise phase, including the nocturnal post-exercise phase if exercise was performed in the late afternoon/evening, in children and adolescents with type 1 diabetes and Ex 1 and/or moderate hypo risk
Post-exercise sensor glucose, including nocturnal phase	Trend
arrow	Action	
Ex 1 and/or moderate hypo risk	Direction	CHO (g)	
<5.0 mmol/l 
(<90 mg/dl)	é	No CHO	
	ì		
	è	~5 g CHO
(~0.2 g/kg)	
	î	~10 g CHO
(~0.3 g/kg)	
	ê	Individual amount CHO ingestion	
Sensor glucose threshold for treatments is detailed for the following groups with type 1 diabetes (T1D): intensively exercising and/or low risk of hypoglycaemia (Ex 2); moderately exercising and/or moderate risk of hypoglycaemia (Ex 1); minimally exercising and/or high risk of hypoglycaemia (Ex 0)
If an insulin correction is applied due to high sensor glucose levels, then the regular correction factor might be reduced by up to 50%
These recommendations are not applicable to hybrid closed-loop systems
The intensity of yellow shading indicates the level of action required: lighter yellow shading indicates that minimal/moderate action is required, while darker yellow shading indicates that moderate/intense action is required
CHO, carbohydrates; Ex, exercise; hypo, hypoglycaemia

Table 9 Sensor glucose targets for carbohydrates consumption during the post-exercise phase, including the nocturnal post-exercise phase if exercise was performed in the late afternoon/evening, in children and adolescents with type 1 diabetes and Ex 0 and/or high hypo risk
Post-exercise sensor glucose, including nocturnal phase	Trend
arrow	Action	
Ex 0 and/or high hypo risk	Direction	CHO (g)	
<5.6 mmol/l (<100 mg/dl)	é	No CHO	
	ì		
	è	~5 g CHO
(~0.2 g/kg)	
	î	~10 g CHO
(~0.3 g/kg)	
	ê	Individual amount CHO ingestion	
Sensor glucose threshold for treatments is detailed for the following groups with type 1 diabetes (T1D): intensively exercising and/or low risk of hypoglycaemia (Ex 2); moderately exercising and/or moderate risk of hypoglycaemia (Ex 1); minimally exercising and/or high risk of hypoglycaemia (Ex 0)
If an insulin correction is applied due to high sensor glucose levels, then the regular correction factor might be reduced by up to 50%
These recommendations are not applicable to hybrid closed-loop systems
The intensity of yellow shading indicates the level of action required: lighter yellow shading indicates that minimal/moderate action is required, while darker yellow shading indicates that moderate/intense action is required
CHO, carbohydrates; Ex, exercise; hypo, hypoglycaemia