November is Diabetes Awareness Month!
The information in this course is from “Exercise, Diabetes, and Metabolic Syndrome,” a continuing education course offered by NAFC.  

There are several precautions a client can take to not only prevent hypoglycemia, but to also have a safe exercise experience. Use these Guidelines to help your client avoid complications during exercise.

1. Inject insulin in a part of the body that will not actively be used for exercise. The abdomen is recommended.
2. Check blood glucose levels before, during and after exercise the first couple of exercise sessions and/or if trying a new activity.
   • Activity type, intensity, and duration may affect glucose levels.
   • Typically, 1 hour of exercise = an additional 15 grams of carbohydrates either before or after exercise.
3. During exercise, a quick source of carbohydrates (that does not also contain fat) should be readily available such as orange juice or hard candy.
4. Be aware of a delayed post-exercise hypoglycemia in those who take insulin.
   • Metabolism may remain elevated for several hours post-exercise especially during the night.
   • Check glucose at bedtime and again a couple hours after (~1-2AM) especially on a day of increased activity.
5. Adequate fluids before during and after exercise are recommended.
6. Wear proper shoes with polyester or blend socks as well as inspecting feet after exercise to practice good foot care.
7. Carry medical identification.

References:

• Schmidt-McNulty T. (2017) Exercise, Diabetes, and Metabolic Syndrome. Fitness Learning Systems. www.nafconline.com:CEC.
• Lobb-Oyos M and Barkley S. (2012) Diabetes Medications: Guidelines for Exercise Safety. ACSM ’s Certified News, 22(3):6-7.