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Insulin and exercise — GPhC CRA MCQ

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ModeratePatient CounsellingInsulin and exerciseGPhC CRA

A 19-year-old man with type 1 diabetes asks what to carry when exercising because he has had a mild hypo during football. He uses basal-bolus insulin. What monitoring is required?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Carry fast-acting carbohydrate and check glucose around exercise

Exercise can increase hypoglycaemia risk in people using insulin. The patient should carry fast-acting carbohydrate, monitor glucose and follow their diabetes team's advice on carbohydrate intake and dose adjustment. Severe or recurrent hypoglycaemia requires specialist review.

Reference: BNF; NICE CKS