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While the wide variety of sports and recreational activities makes it difficult for them to make all-encompassing recommendations, a rule of thumb for all activities is for pumpers to first consider pre-exercise blood glucose levels. Your insulin reductions and/or the carbohydrate intake for activities will depend on their intensity and duration.
For shorter, less-intense activities, you can often compensate with a change in either insulin (basal and/or bolus doses) or carbohydrate intake.
For an activity like weight training, you may not require any immediate regimen changes, but watch out for changing blood sugars later on.
Longer, More-intense Activity
You will probably need a combination of carbohydrate intake and insulin reduction to maintain blood sugars for longer, more intense activities.
For sport- and activity-specific recommendations and athlete examples for insulin-pump users, please refer to The Diabetic Athlete (Colberg, Human Kinetics, 2000).
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