Exercise and Managing Blood Glucose

Case Study

Gregoire is a 20 year old university student living with type 1 diabetes for 10 years. He has been taught how to match his pre-meal (rapid-acting analogue) insulin dose to his carbohydrate intake. His A1C is 6.8% and he has minimal hypoglycemia. His meals are typically at 7 am, noon and 5:30 pm. He also takes a long-acting insulin analogue at bedtime, typically 10 pm.

He plans to join a soccer league with 1 hour games, 2 or 3 evenings per week. He discusses this with his diabetes educator. The plan is for Gregoire to check blood sugars more frequently for the first few weeks – before, during and after the game. As well Gregoire has agreed to try to eat 30 extra grams of carbohydrate before each game.

Gregoire comes back to see his diabetes educator 3 weeks later. His blood sugar records show he is having lows at 5AM or 6AM in the morning after most of his games.

Question 1: Which ONE of the following would NOT likely be contributing to Gregoire’s post-exercise hypoglycemia?

A.  Drinking 3 beers with his team after the games.
B.  The dose of his pre-supper rapid-acting insulin analogue.
C.  The dose of his basal insulin.
D.  The inability to eat his prescribed pre-exercise snack because he is still full after his supper.
Reveal Answer

References for Gregoire:

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