What do you need to teach K.W. regarding safe exercise?
What will be an ideal response?
• Monitor blood glucose before activity. Avoid activity when fasting glucose levels are more than
250 mg/dL and ketones are present and use caution if glucose levels are more than 300 mg/dL with
no ketosis. She should ingest added CHOs if glucose levels are less than 100 mg/dL.
• Depending on the length of exercise, glucose might need to be monitored during and after
activity.
• Because hypoglycemia is a risk during or after exercise for those on insulin, she should carry a
ready glucose source in case hypoglycemia occurs (hard candy, juice, glucose tablets). CHO-based
foods should be readily available during and after physical activity. She may need to consume
CHOs during exercise to avoid hypoglycemia.
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