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.