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The National Athletic Trainers Association has issued a seven-element plan for helping athletes with type 1 diabetes maintain proper blood sugar levels while competing, training or traveling.
The plan offers guidelines for dealing with matters ranging from blood glucose monitoring and hypoglycemia to insulin therapy and emergency contact information.
"Exercise training and competition can cause major disturbances when it comes to blood-glucose management," says certified athletic trainer Carolyn C. Jimenez, PhD, ATC, lead author of NATA's position statement. "Special considerations for blood-glucose control, medication, travel and recovery from injury are required for all athletes with type 1 diabetes."
The guidelines include:
Since travel is also often a part of life for those on sports teams, NATA advises athletes with diabetes to carry pre-packaged meals and snacks in case food availability is interrupted. If travel occurs over several time zones, insulin therapy may need to be adjusted to coordinate with changes in eating and activity patterns.
To view the NATA guidelines, go to: www.nata.org/jat/readers/archives/42.4/i1062-6050-42-4-536.pdf.
Categories: Blood Glucose, Blood Sugar, Diabetes, Diabetes, Exercise, Food, Insulin, Low Blood Sugar, Type 1 Issues
Diabetes Health is the essential resource for people living with diabetes- both newly diagnosed and experienced as well as the professionals who care for them. We provide balanced expert news and information on living healthfully with diabetes. Each issue includes cutting-edge editorial coverage of new products, research, treatment options, and meaningful lifestyle issues.

Comments
Any diabetic who exercises should follow this advice.
WHen I finally got past pages of waffle that included the trainer take an interest in eye retinopathy tests, and HB1ACs, finally some real figures: BUT these are useless in real life because they define fasting blood glucose as 4 hours after eating. Who do you know would excercie 4 hours after eating???
What a waste of time and no doubt money. They should have asked any mother of a diabetic child for some real life practical guide lines, that wouldn;t inculde making sure the trainer regularly checks the blood meter strips are in date!!
"Appendix 3. American Diabetes Association Guidelines Concerning Hyperglycemia and Exercise16
Blood Glucose Level Comment
Fasting* blood glucose level is 250 mg/dL (13.9 mmol/L). Test urine and/or blood for ketones.
If ketones present, exercise is contraindicated.
If ketones not present, exercise is not contraindicated.
Blood glucose value is 300 mg/dL (16.7 mmol/L) and without
ketones.
Exercise with caution, and continue to monitor blood glucose
levels.
*Fasting is defined as 4 h or more after eating a meal."
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