| Have supplies ready to treat hypoglycemia and train any coaches and supervisors re: glucagon use in case of emergency |
| Check blood glucose often, including pre-exercise, during any prolonged physical activity and in the post-exercise period |
| Be aware of the common symptoms of hypoglycemia |
| Consider insulin adjustments as needed to prevent hyperglycemia, pre-, during, and post-exercise, based on type of planned activity |
| Be aware of the numerous factors that can influence food effects on glucose levels: |
| (I) Carbohydrate content |
| (II) Simple vs. complex (fast vs. slow acting) |
| (III) Protein and fat content |
| (IV) Timing of intake in relation to exercise |
| Be aware of the numerous factors that can influence insulin effects on glucose levels: |
| (I) Site of injection (avoid injecting into the exercising muscle groups) |
| (II) Ambient temperature (be cautious with extreme conditions) |
| (III) Timing of dose in relation to exercise |
| Baseline glycemic control helps promote optimal performance. This involves regular visits with pediatric endocrinology and HbA1c checks |
| Keep any coaches or training staff informed about the athlete’s diabetes |
| Carry a medical alert tag or identification at all times denoting the diabetes status. Make sure emergency contact information is accessible to any coaches or supervisors |
| Other general safety advice regarding exercise and athletics: |
| (I) Adequate hydration |
| (II) Use the proper equipment and technique |
| (III) Use the “the buddy system” |
