TABLE 3.

BGM Around Sports and Travel by Developmental Stage (According to B.T. and C.T.)

Task	Preschool	Older Elementary School	Early Adolescence	Later Adolescence (Current)
BGM around sports and travel	• At younger part of this stage, playing in the yard with friends, routine stops to check blood glucose as suggested by parents • Parent(s) would ask everyone if they wanted a popsicle or something else with carbohydrate if play had gone on for a while; discreet about preventing lows • Stopped to check blood glucose during playtime breaks, or mom would step in (always sure to be discreet) • For travel, parents were always there and so were usually responsible for bringing supplies • Parents would check blood glucose at mealtimes and usually other set times (∼2 hours before or after meals)	• Playing baseball and hockey, would have a “snack bag” on the bench • Would alter pump sites to try and have pump pack (fanny pack) face away from the pitcher so it would not get hit • Figured out a way to put pump pack under hockey pants, as with baseball • Checked blood glucose in locker room between periods or on bench between innings • Knew parents had talked to coaches about potential needs that could arise • Participated in social and school-related activities of interest versus placing restrictions on daily life	• Responsible for checking glucose before and after activity, although often with reminders from parents • Responsible for packing bag with appropriate snacks and diabetes supplies (mom usually checked to make sure it was good; eventually though, entirely our responsibility) • For extended travel, mom would usually pack the diabetes supplies • “What ifs” discussed before travel: passing out, what to do	• Keep a drawstring bag on the hockey bench during practice/games and in the gym locker • Fill a sports bottle with 50% juice/Gatorade and 50% water to sip throughout activity • Check blood glucose right before going out to activity; make sure glucose is ∼180mg/dL and steady (on CGM) • After intense activity, blood glucose can become high temporarily. Given this knowledge, do not take corrective insulin unless taking it simultaneously with a snack. If so, reduce the insulin dose because of the heightened effects of insulin after intense activity • Entirely responsible for packing supplies for trips; bag is packed a day in advance while mentally going through all the potential situations that could arise • Travel without fear, but with planning and communication