| Advice that physical exercise : |
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can benefit insulin sensitivity, hypertension, and blood lipid control |
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should be taken at least every 2-3 days for optimum effect |
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may increase the risk of acute and delayed hypoglycaemia |
Manage physical exercise using : |
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self-monitoring to learn about the exercise response, and the effects of
insulin and dietary changes on this |
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a prospective reduction in insulin dose for regular exercise |
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additional carbohydrate as necessary |
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warnings : |
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- about delayed hypoglycaemia, especially with more prolonged, severe,
or unusual exercise, and a possible need for less insulin overnight and the next day
- that exercise during insulin deficiency will raise blood glucose and
ketone levels
- that alcohol may exacerbate the risk of hypoglycaemia after exercise
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