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Who we are

About EXTOD

EXTOD - EXercise for Type 1 Diabetes - is a research-led programme run by doctors, nurses, dietitians, researchers and people living with Type 1 diabetes. We believe that with the right advice and guidance, you can take part in exercise safely. It may not always be easy, but it is possible.

A cyclist with a glucose sensor and insulin pump checking her phone mid-ride

Started

A clinical research question

How do we help people with Type 1 exercise without fear of hypos?

Based in

The NHS and UK universities

NHS diabetes services and university research groups across the UK.

Funded by

NIHR Research for Patient Benefit

With additional support from partner institutions.

Mission

No one with Type 1 diabetes should be left out of sport or exercise

We work to change the things in sport, healthcare and education that hold people with Type 1 back, and to break down the barriers - fear, stigma, lack of support - that stop them being active. We do that by combining lived experience, research and strong partnerships.

Daily exercise is one of the most powerful ways to manage glucose, just behind insulin and food. Our aim is that within ten years every person with Type 1 diabetes, whatever their age or background, knows why exercise matters, how to do it safely, and who is standing with them.

EEmpower people with Type 1 diabetes through real-life experience
XeXplore new ideas and solutions through research
EEducate health, sport and education professionals
RReform systems to be more inclusive and supportive
CCollaborate with schools, healthcare and sports organisations
IInspire peer support and community connections
SShift how the public sees Type 1 diabetes and exercise
EEnsure no one with Type 1 is left out or left behind

How we work

Five workstreams, each led by experts in the field

Research and Development

Led by Rob Andrews

Conducting and publishing high-quality research into Type 1 diabetes and exercise, and developing the next generation of scientists in this field.

Education and Training

Led by Manyee Li and Claire Foster

Education programmes for adults, adolescents and children with Type 1, their carers, healthcare professionals, coaches and teachers - starting with the face-to-face EXTOD course.

Policy and Partnerships

Led by Alistair Lumb and Rob Andrews

Working with government bodies, sporting organisations and clubs, charities, coaches and teachers to remove barriers through policy and organisational change.

Conferences

Led by Giorgio Carrieri and Manyee Li

Conferences for healthcare professionals, people with Type 1, and the coaches and PE teachers who support them.

Engagement and Communications

Led by Paul Coker and Jerry Gore

Building the EXTOD website and the EXTOD Buddies app to connect and support people with Type 1, and raising awareness of the programme's impact.

The team

The people behind EXTOD

A clinical, dietetic and academic team across the NHS and UK universities, working with people living with Type 1 diabetes at every stage.

Anne-Marie Frohock BSc (Hons) RD

Anne-Marie Frohock BSc (Hons) RD

Chair of EXTOD

Lead Paediatric Diabetes Dietitian, Oxford

Professor Rob Andrews

Professor Rob Andrews

Co-founder · Research and Development lead

University of Exeter and Somerset NHS Foundation Trust

Professor Parth Narendran

Professor Parth Narendran

Co-founder

University of Birmingham and Queen Elizabeth Hospital

Faculty and research group

Dr Alistair Lumb

Dr Alistair Lumb

Policy and Partnerships co-lead

Consultant in Diabetes and Acute Medicine, Oxford

Manyee Li

Manyee Li

Education and Training / Conferences co-lead

Specialist Diabetes and Sport Dietitian, QEH Birmingham

CF

Claire Foster

Education and Training co-lead

Specialist Diabetes Dietitian, Somerset

Giorgio Carrieri

Giorgio Carrieri

Conferences co-lead

Lead Nurse, Children's Diabetes Team, Taunton

Paul Coker MSc, PhD Candidate

Paul Coker MSc, PhD Candidate

Engagement and Communications lead

Swansea University Medical School

Dr Matthew Cocks

Dr Matthew Cocks

EXTOD faculty

Lecturer in Exercise Physiology, Liverpool John Moores University

John Pemberton RD, PgDip, BSc

John Pemberton RD, PgDip, BSc

EXTOD faculty

Specialist Diabetes Dietitian, Birmingham

Francesca Annan BSc (Hons), MSc, FBDA, RD, SP

Francesca Annan BSc (Hons), MSc, FBDA, RD, SP

Conference Committee Manager

Lead Dietitian, University College London Hospitals

Dr Florence Kinnafick

Dr Florence Kinnafick

EXTOD Research Group

Exercise Psychologist, Loughborough University

Dr Katie Hesketh

Dr Katie Hesketh

EXTOD Research Group

Assistant Professor, University of Birmingham

CC

Christina (Chrissi) Cooper

EXTOD faculty

Clinical Nurse Specialist, QEH Birmingham

Collaboration

Universities and NHS trusts

EXTOD is a collaboration between NHS diabetes services and university research groups, with people living with Type 1 diabetes involved throughout.

Somerset NHS Foundation TrustUniversity of ExeterUniversity of BirminghamUniversity of LeicesterUniversity Hospitals BirminghamUniversity Hospitals of LeicesterNIHR RfPB

Funding

NIHR Research for Patient Benefit programme

This work is funded by the National Institute for Health and Care Research (NIHR) Research for Patient Benefit programme. The views expressed are those of the team, not necessarily those of the NIHR or the Department of Health and Social Care.

Digital partner

Enhance-d

The interactive tools and this website were designed and built for EXTOD, free of charge, by Enhance-d - the exercise, data and community platform for people with diabetes.

Educational interpretation of research - not a medical device

Everything we publish is an educational interpretation of peer-reviewed research. It does not replace advice from your diabetes team, or clinical judgement.

Next

Where to go from here

If you live with Type 1 diabetes, start with the guides. If you support people with diabetes, start with the case for raising exercise in clinic.

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