Exercising with AID Systems: Practical Tips for Planned and Unplanned Activity with Dr. Desi Zaharieva

In this special ADA 2025 edition of Beyond the Bolus, host Nancy Hanna sits down with Dr Dessi Zaharieva to talk about the most challenging aspects of diabetes management - Exercise.

In this episode, Dr Zaharieva breaks down key takeaways from her co-authored international consensus statement on using automated insulin delivery (AID) systems during physical activity.

Topics covered included how to manage planned VS unplanned exercise using AID systems, why setting a higher glucose target 1-2 hours before physical activity makes a difference and the importance of a strategic approach to carbs to help prevent hypoglycaemia. Whether you’re supporting patients in the clinic or helping them prepare for spontaneous workouts, this conversation offers evidence-based, real-world strategies to make exercise safer, simpler, and more enjoyable for people living with diabetes.