Type 1 diabetes mellitus (T1DM) significantly impacts physical and emotional development, requiring vigilant attention to diet, insulin injections, and blood sugar monitoring. Effective management aims to achieve metabolic control, prevent complications, and nurture self-esteem in young patients. In recent years, the importance of regular physical activity for children and adolescents with T1DM has gained recognition. Yet, the extent of physical activity among diabetic individuals remains a subject of concern, with limited information available on their sporting habits.

While various studies haven’t conclusively proven exercise’s direct impact on glycaemic control in T1DM patients, evidence suggests that exercise does mitigate risk factors for conditions like atherosclerosis, such as excess weight, dyslipidemia, and hypertension. Moreover, structured activity programs, including sports, foster improved social integration, self-esteem, and a sense of belonging among those with diabetes, enabling them to partake in diverse activities alongside their peers.

Guidelines from the American Department of Health and Human Services advocate for adults to engage in moderate physical activity for around 30 minutes almost every day, along with intense exercise for at least 20 minutes three times weekly. Similarly, recommendations for young individuals align, suggesting a minimum of 60 minutes of moderate to intense activity on most days. Strikingly, physical activity levels in healthy children and adolescents often fall below these guidelines.

Factors influencing childhood activity levels are multifaceted, influenced by personal traits, parental involvement, and environmental influences. A notable link has been observed between low parental education levels and an unhealthy lifestyle that elevates the future risk of cardiovascular issues in their children. Contemporary barriers to physical activity include extensive television viewing and computer use. Chronic conditions, like T1DM, can further impede participation due to concerns over acute metabolic complications, such as hypoglycaemic episodes. Consequently, diabetic children might not consistently meet activity guidelines.

Encouraging physical activity in the lives of those with T1DM necessitates overcoming these barriers and misconceptions. Education and awareness campaigns for both parents and children are pivotal to alleviating fears and encouraging safe participation in sports. With the right support, physical activity can be an essential component of T1DM management, fostering overall health and wellbeing.