Fitness training: ADA recommends

The American Diabetes Association gives good advice on how to avoid low blood glucose (hypoglycemia) during exercise.

Blood glucose measurement

Timing: Exercise 1 to 3 hours after a meal. Blood glucose is at its highest.

Insulin peak: Don't exercise when your insulin injection is peaking. If using rapid-acting or regular insulin, this means avoiding sports in the first 1 to 2 hours after injection.

Adam Morrison

Insulin absorption: Exercise increases blood flow, which speeds up how fast insulin works.

Duration and intensity: If your activity is moderate to high intensity, or if it's moderate and long, consider decreasing the insulin dose that's working while you exercise.

Blood glucose response: Build up knowledge and experience of how your blood glucose responds to different types of exercise. Monitor blood glucose (BG) often: before, during, and after activity.

Insulin injection

BG stable or dropping: If you are going to be doing demanding exercise for a long time, check your BG 1 hour before you begin, then check 30 minutes before to find out if your blood glucose is stable or falling.

Eating during exercise: you might need to eat during or after sporting activity if you work out hard, or if it lasts longer than an hour.

Length of BG reaction: You can have a blood glucose reaction up to 24 hours after exercise, depending on how hard or long your workout.


Clear, accurate answers to your diabetes questions

1: What is type 1 diabetes (T1DM)?

2: Why is insulin important in the body?

3: What does glucose do in the body?

4: When was insulin invented?

5: Why is low blood sugar a problem?

6: Why is high blood sugar a problem?

7: What causes low blood sugar?

8: What causes high blood sugar

9: Is there a cure for type 1 diabetes?

10: Explain diabetes to a young kid

Diabetes advice

By Alan L. Rubin MD, Type 1 Diabetes For Dummies gives clear, easy-to-understand explanations and advice on living with type 1 diabetes.

This is an excellent choice for busy parents of kids with type one diabetes.

Riding for diabetes awareness

Exercise and fitness training are good for everybody, including people with T1DM. But in addition to the demands of training, type ones must constantly monitor blood sugar levels to prevent deep lows and excessive highs.

Team Type 1 is a professional cycling team based in the United States of America. It was founded in 2004 to promote awareness of type 1 diabetes.

A number of the team's riders have type 1 diabetes, including Javier Mejías, Fabio Calabria and Martijn Verschoor. The team's co-founders, Phil Southerland and Joe Eldridge have T1DM.

The team turned professional in 2008 after success in amateur races. In 2009, the team won the Race Across America, having entered a team of cyclists who all had type 1 diabetes.

In the beginning

Southerland, who as a student raced for the University of Georgia Athens (UGA), was diagnosed with type 1 diabetes at the age of seven months.

He was nursing constantly but losing weight; doctors told his mother, Joanna Southerland, that he had the flu. When his symptoms persisted she took him to the emergency room.

His weight was down from 21 pounds to 14, his skin was grey and his breathing was labored. Just hours away from death, he was finally diagnosed correctly.

On April 21, 2003, Phil Southerland met Joe Eldridge at a college bike race. Eldridge, who raced for Auburn University, was diagnosed with Type 1 diabetes at age 10.

Eldridge and Southerland noticed they were each taking insulin before the start. They were riders with Type 1 diabetes.

Blood sugar game

After the race, the duo's friendship grew. Southerland, who knew a lot about the long term dangers of diabetes, became frustrated Eldridge's casual approach to diabetes.

He suggested a bet where the person with the higher blood sugar paid for dinner. For three months, every time they ate out together, Joe ended up taking the bill.

Joe began to get better at managing his blood sugar and eventually won the dinner bet .

Inspired by their friendship and Eldridge's battle to bring his blood glucose under control, Southerland starting thinking of ways the two of them could combine their energy and insights to raise awareness about type 1 diabetes.

Team Type 1

On a 300-mile bike ride from Athens, Georgia to Tallahassee, Florida, Southerland called Eldridge with the idea of founding a cycling team with type 1 cyclists. Eldridge came up with the name: Team Type 1.


Southerland hopes Team Type 1 will be an inspiration to young athletes. He says, When a 12-year-old who has been diagnosed with diabetes sees that a team with diabetes is winning bike races maybe he starts riding a bike.

He adds, Some kids going through their rebellious teen-age years may drive fast or drink, but kids with diabetes who don't take care of themselves can do long-term damage. If you are riding a bike, you have to have good blood control. Kids realize that and they just do things better.

By David Hay Jones

(Fact-checking: This information has been double-checked against The American Diabetes Association recommendations in its American Diabetes Association Complete Guide to Diabetes: The Ultimate Home Reference from the Diabetes Experts and Alan L. Rubin's Type 1 Diabetes For Dummies, both of which are excellent resources.) Thanks also to the New York Times.

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