A patient with type 1 diabetes plans prolonged endurance exercise. He uses multiple daily injections and has had exercise-associated hypoglycemia

Question

A patient with type 1 diabetes plans prolonged endurance exercise. He uses multiple daily injections and has had exercise-associated hypoglycemia despite stable basal doses. Which pre-exercise strategy is most appropriate?

Accepted Answer

Match carbohydrate intake and rapid-acting insulin to exercise

Answer

Use glucagon prophylactically before every low-intensity walk

Answer

Omit all basal insulin on exercise days

Answer

Increase prandial insulin before exercise to prevent hyperglycemia

Answer

Avoid all exercise because insulin-treated diabetes precludes endurance activity

Scleroderma renal crisis — RCPSC IM MCQ

A patient with type 1 diabetes plans prolonged endurance exercise. He uses multiple daily injections and has had exercise-associated hypoglycemia despite stable basal doses. Which pre-exercise strategy is most appropriate?