1. Metabolic control before physical activity
• Avoid physical activity if fasting glucose levels are >250 mg/dl and ketosis is present, and use caution if glucose levels are >300 mg/dl and no ketosis is present.
• Ingest added carbohydrate if glucose levels are <100 mg/dl.
2. Blood glucose monitoring before and after physical activity
• Identify when changes in insulin or food intake are necessary.
• Learn the glycemic response to different physical activity conditions.
3. Food intake
• Consume added carbohydrate as needed to avoid hypoglycemia.
• Carbohydrate-based foods should be readily available during and afterphysical activity.
Table 1: General guidelines of ADA/ACSM in regulating the glycemic response to physical activity [16,17].