Registered Nurses' Association of Ontario

Physical Activity and Hypoglycemia

Recommendations to reduce risk of activity-associated hypoglycemia include the following:

• Ingest 15 g of fast-acting carbohydrate before activity if pre-exercise blood glucose level is under 5.0 mmol/L.

• Administer insulin into a site away from the most actively exercising extremity. 

• Fast-acting carbohydrate should always be readily available during and after physical activity. 

• Consult with diabetes health professional to determine insulin dose adjustment.

Chronic Disease
Subcutaneous Administration of Insulin in Adults with Type 2 Diabetes
Point of Care Resources