Increased glucose release from the liver, combined with more intense physical exercise, may result in an increase in blood sugar during or immediately after physical exercise. This is a secondary effect of alpha- and beta-adrenergic stimulation followed by a hypoglycemic episode of 1 to 6 hours, sometimes even more than 24 hours after physical activity has ended due to depletion of glycogen from the liver and increased tissue sensitivity to insulin. To monitor blood sugar levels during and after physical activity and to prevent this condition is a must. Martial arts classes toronto wants you to know more about diabetes and physical activity.
The change in physical activity of children and adolescents associated with seasons or changes in their daily regimen also requires a change in insulin doses to allow the child to participate in school, team or individual games.
Initially, more frequent blood glucose monitoring is needed to determine how best to regulate insulin and food for the given physical activity. It is recommended that blood glucose is tested before and after stopping motor activity and every hour for longer and tense work.
If blood sugar is high, physical exercise should not be taken because it can accelerate the manifestation of ketoacidosis.
Parents will need to be sure that school staff or coaches are well aware of the symptoms of low blood sugar, so that they can document it, and apply adequate measures to boost it, including glucagon. In turn, parents should provide them with a device, as well as sugars (glucose tablets, liquid or crystalline sugar, juice, etc.) as well as glucagon injection.
The use of an electrolyte-containing beverage containing fast-sugar 1 to 2 grams per kilogram, 1 hour before exercise, may be extremely useful in preventing hypoglycaemia during and after physical activity.
To avoid hypoglycaemia, prior to physical activity, the insulin dose is reduced or food intake increased, with the first option being more appropriate because it allows control of body weight, especially among adolescents. For young children, this strategy may not be particularly appropriate due to their unpredictable and volatile physical activity. They are unable to plan it.
In cases where there is a planned physical activity during the peak of insulin action, a larger reduction in the previous dose of insulin is required. If treatment is with conventional rapid insulin, the risk of hypoglycaemia is greatest between 2-3 hours after injection. If rapid analogues are used the peak is between 40-90 minutes. If the insulin dose is not reduced and there is a severe or longer duration of physical activity, especially during insulin, young people need to take 1-1.5 grams per kilogram of carbohydrates every hour.
If the insulin dose is reduced or the physical activity is several hours after insulin intake, the need for carbohydrates is less than 0.3-0.5 grams per cubic an hour. Additional carbohydrate intake and insulin adjustment are particularly important for long-term stresses – over 60 minutes.
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