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].