{"id":547,"date":"2023-09-06T14:51:45","date_gmt":"2023-09-06T14:51:45","guid":{"rendered":"https:\/\/site.uvm.edu\/hughlanslab\/?page_id=547"},"modified":"2023-09-07T19:18:37","modified_gmt":"2023-09-07T19:18:37","slug":"resources","status":"publish","type":"page","link":"https:\/\/site.uvm.edu\/hughlanslab\/?page_id=547","title":{"rendered":"Physical Activity"},"content":{"rendered":"\n<div style=\"height:75px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h1 class=\"has-secondary-deepblue-color has-text-color wp-block-heading\">Exercise and Type 1 Diabetes<\/h1>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-black-color has-text-color\" style=\"font-size:22px;line-height:2.0\"><em>The following are general recommendations from the American Diabetes Association and the Juvenile Diabetes Research Foundation. We encourage you to follow your own personalized diabetes plan, and speak with your endocrinologist about concerns or making any changes to your care plan.<\/em><\/p>\n\n\n\n<p class=\"has-black-color has-text-color\" style=\"font-size:22px;line-height:2\">With type 1 diabetes, it\u2019s very important to balance your insulin doses with the food you eat and the activity that you do\u2014even when you are doing house or yard work.&nbsp;Planning ahead and knowing how your blood sugar and body respond to exercise can help you keep your blood sugar from going too low or too high. <strong>Before you begin exercise, it is first important to make sure your blood sugar is in safe range.<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"has-secondary-deepblue-color has-text-color wp-block-heading\" style=\"font-size:35px\"><strong><span style=\"text-decoration: underline\">Preventing lows<\/span><\/strong><\/h2>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-columns ab-layout-service-1 ab-layout-columns-2 ab-2-col-wideleft has-white-background-color ab-columns-center\" style=\"padding-top:5%;padding-right:2%;padding-bottom:5%;padding-left:2%\"><div class=\"ab-layout-column-wrap ab-block-layout-column-gap-1 ab-is-responsive-column\" style=\"max-width:1409px\">\n<div class=\"wp-block-atomic-blocks-ab-column ab-block-layout-column\"><div class=\"ab-block-layout-column-inner\">\n<figure class=\"wp-block-embed is-type-video is-provider-vimeo wp-block-embed-vimeo wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Stop the Drop\" src=\"https:\/\/player.vimeo.com\/video\/376832662?dnt=1&amp;app_id=122963\" width=\"620\" height=\"349\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write\"><\/iframe>\n<\/div><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-column ab-block-layout-column\"><div class=\"ab-block-layout-column-inner\">\n<p class=\"has-black-color has-text-color\" style=\"font-size:24px\">Sometimes people experience a drop in blood sugar during or after exercise, so it is very important to check your blood sugar, plan ahead, and be prepared to treat hypoglycemia (low blood sugar).<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<p class=\"has-black-color has-text-color\" style=\"font-size:22px\">There are a few ways that exercise lowers&nbsp;blood sugar:<\/p>\n\n\n\n<ul class=\"has-black-color has-text-color wp-block-list\" style=\"font-size:20px\">\n<li>Insulin sensitivity is increased, so your muscle cells are better able to use any available&nbsp;insulin&nbsp;to take up&nbsp;glucose&nbsp;during and after activity.<\/li>\n\n\n\n<li>When your muscles contract during activity, your cells are able to take up glucose and use it for energy whether insulin is available or not.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-black-color has-text-color\" style=\"font-size:22px\">Physical activity can lower your blood sugar up to 24 hours or more after your workout by making your body more sensitive to insulin.<\/p>\n\n\n\n<div class=\"wp-block-group has-primary-skyblue-background-color has-background is-nowrap is-layout-flex wp-container-core-group-is-layout-ad2f72ca wp-block-group-is-layout-flex\">\n<div class=\"wp-block-atomic-blocks-ab-columns ab-layout-columns-2 ab-2-col-equal\"><div class=\"ab-layout-column-wrap ab-block-layout-column-gap-2 ab-is-responsive-column\">\n<div class=\"wp-block-atomic-blocks-ab-column ab-block-layout-column\"><div class=\"ab-block-layout-column-inner has-primary_skyblue-background-color\" style=\"padding-top:1px;padding-bottom:1px;padding-left:7px;text-align:left\">\n<p class=\"has-black-color has-text-color\" style=\"font-size:22px\">Your blood sugar response to exercise will vary depending on:<\/p>\n\n\n\n<ul class=\"has-black-color has-text-color wp-block-list\" style=\"font-size:20px\">\n<li>Blood sugar prior to beginning exercise<\/li>\n\n\n\n<li>Intensity of exercise<\/li>\n\n\n\n<li>Low long you are active<\/li>\n\n\n\n<li>Any changes you&#8217;ve made to insulin dosages<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-column ab-block-layout-column\"><div class=\"ab-block-layout-column-inner has-primary_skyblue-background-color\" style=\"padding-top:1px;padding-right:10px;padding-bottom:1px;padding-left:10px\">\n<p class=\"has-black-color has-text-color\" style=\"font-size:22px\">Become familiar with how your blood sugar responds to exercise. Checking your blood sugar level more often before and after exercise can help you see the benefits of activity. You also can use the results of your blood sugar checks to see how your body reacts to different activities. Understanding these patterns can help you prevent your blood sugar from going too high or too low.<\/p>\n<\/div><\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-black-color has-text-color\" style=\"font-size:22px\">To prevent lows, always plan and bring a snack to raise your blood sugar if it is needed.<\/p>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-container ab-block-container\"><div class=\"ab-container-inside\"><div class=\"ab-container-content\"><\/div><\/div><\/div>\n\n\n\n<p class=\"has-text-align-left has-primary-skyblue-background-color has-background\" style=\"font-size:22px\">If you experience hypoglycemia during exercise, <strong>follow the 15-15 rule<\/strong>:<\/p>\n\n\n\n<p><\/p>\n\n\n\n<ol class=\"has-black-color has-primary-skyblue-background-color has-text-color has-background wp-block-list\" style=\"font-size:20px;line-height:2\">\n<li>Check your blood sugar.<\/li>\n\n\n\n<li>If your reading is 100 mg\/dL or lower, have 15-20 grams of carbohydrate to raise your blood sugar. This may be:\n<ul class=\"has-black-color has-text-color wp-block-list\" style=\"font-size:18px\">\n<li>4 glucose tablets (4 grams per tablet), or<\/li>\n\n\n\n<li>1 glucose gel tube (15 grams per gel tube), or<\/li>\n\n\n\n<li>4 ounces (1\/2 cup) of juice or regular soda (not diet), or<\/li>\n\n\n\n<li>1 tablespoon of sugar or honey<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Check your blood sugar again after 15 minutes. If it is still below 100 mg\/dL, have another serving of 15 grams of carbohydrate.<\/li>\n\n\n\n<li>Repeat these steps every 15 minutes until your blood sugar is at least 100 mg\/dL.<\/li>\n<\/ol>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-black-color has-text-color\" style=\"font-size:22px\">If you want to continue your workout, you will usually need to take a break to treat your low blood sugar. Check to make sure your blood sugar has come back up above 100 mg\/dl before starting to exercise again.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color\" style=\"font-size:22px\">The time of day you exercise may also have an effect. Exercising in the evening and night might make you more likely to experience on overnight low. Exercising at the end of the day is still feasible, but make sure you adjust your insulin to help prevent a low.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-default\" \/>\n\n\n\n<h2 class=\"has-secondary-deepblue-color has-text-color wp-block-heading\" style=\"font-size:35px\"><strong><span style=\"text-decoration: underline\">Exercise and hyperglycemia<\/span><\/strong><\/h2>\n\n\n\n<div style=\"height:12px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-columns ab-layout-columns-2 ab-2-col-wideleft\"><div class=\"ab-layout-column-wrap ab-block-layout-column-gap-2 ab-is-responsive-column\">\n<div class=\"wp-block-atomic-blocks-ab-column ab-block-layout-column\"><div class=\"ab-block-layout-column-inner\">\n<figure class=\"wp-block-embed is-type-video is-provider-vimeo wp-block-embed-vimeo wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Anticipate the Rise\" src=\"https:\/\/player.vimeo.com\/video\/376832606?dnt=1&amp;app_id=122963\" width=\"620\" height=\"349\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write\"><\/iframe>\n<\/div><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-column ab-block-layout-column\"><div class=\"ab-block-layout-column-inner\">\n<p class=\"has-black-color has-text-color\" style=\"font-size:22px\">Blood sugar can also run high during or after exercise, particularly when you do a high-intensity exercise that increases your stress hormone (i.e., glucose-raising hormone) levels.<\/p>\n\n\n\n<ul class=\"has-black-color has-text-color wp-block-list\" style=\"font-size:20px\">\n<li>If your blood sugar is high before starting exercise, check your blood or urine for ketones. If you test positive for ketones, avoid vigorous activity.<\/li>\n\n\n\n<li>If you do not have ketones in your blood or urine and you feel well, it should be fine to exercise.<\/li>\n<\/ul>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<h2 class=\"has-secondary-deepblue-color has-text-color wp-block-heading\" style=\"font-size:35px\"><strong><span style=\"text-decoration: underline\">How different types of exercise effect glucose levels:<\/span><\/strong><\/h2>\n\n\n\n<div style=\"height:12px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-columns ab-layout-columns-3 ab-3-col-widecenter ab-columns-center alignwide\"><div class=\"ab-layout-column-wrap ab-block-layout-column-gap-0 ab-is-responsive-column\" style=\"max-width:983px\">\n<div class=\"wp-block-atomic-blocks-ab-column ab-block-layout-column\"><div class=\"ab-block-layout-column-inner\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-column ab-block-layout-column\"><div class=\"ab-block-layout-column-inner\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Exercise and Type 1 Diabetes with Eric Tozer - JDRF\" width=\"620\" height=\"349\" src=\"https:\/\/www.youtube.com\/embed\/LQKlHyVfReY?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-column ab-block-layout-column\"><div class=\"ab-block-layout-column-inner\">\n<p><\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-columns ab-layout-columns-2 ab-2-col-wideright\"><div class=\"ab-layout-column-wrap ab-block-layout-column-gap-0 ab-is-responsive-column\">\n<div class=\"wp-block-atomic-blocks-ab-column ab-block-layout-column\"><div class=\"ab-block-layout-column-inner\"><\/div><\/div>\n\n\n\n<div class=\"wp-block-atomic-blocks-ab-column ab-block-layout-column\"><div class=\"ab-block-layout-column-inner\"><\/div><\/div>\n<\/div><\/div>\n\n\n\n<p class=\"has-black-color has-text-color\" style=\"font-size:22px\"><strong>Aerobic<\/strong> exercise tends to be longer but less intense. It includes activities like running, walking, long-distance swimming, and biking. Typically, these activities will cause blood sugars to drop.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color\" style=\"font-size:22px\"><strong>Anaerobic<\/strong> exercise is generally shorter or in spurts but at high intensity. This includes training like sprinting, boxing, ice hockey and weight training. These workouts are great for building muscle and getting stronger. But because of the intensity, these kinds of activities can cause blood glucose levels to spike.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color\" style=\"font-size:22px\"><strong>Mixed<\/strong> exercise is a combination of the aerobic and anaerobic activities above. Sports like basketball or soccer fall under this. Because it is a mix of an activity that lowers your blood&nbsp;sugar&nbsp;levels and one that can cause them to spike, it\u2019s easy to see why it\u2019s difficult to manage.<\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/site.uvm.edu\/hughlanslab\/files\/2023\/09\/image.png\" alt=\"\" class=\"wp-image-558\" width=\"556\" height=\"314\" \/><\/figure>\n<\/div>\n\n\n<hr class=\"wp-block-separator aligncenter has-alpha-channel-opacity is-style-default\" \/>\n\n\n\n<h2 class=\"has-secondary-deepblue-color has-text-color wp-block-heading\" style=\"font-size:35px\"><strong><span style=\"text-decoration: underline\">For parents:<\/span><\/strong><\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<div class=\"wp-block-atomic-blocks-ab-columns ab-layout-columns-1 one-column\"><div class=\"ab-layout-column-wrap ab-block-layout-column-gap-2 ab-is-responsive-column\">\n<div class=\"wp-block-atomic-blocks-ab-column ab-block-layout-column\"><div class=\"ab-block-layout-column-inner\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<figure class=\"wp-block-embed is-type-video is-provider-vimeo wp-block-embed-vimeo wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Your Child Can Exercise Safely\" src=\"https:\/\/player.vimeo.com\/video\/376832691?dnt=1&amp;app_id=122963\" width=\"620\" height=\"349\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture; clipboard-write\"><\/iframe>\n<\/div><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\"><\/div>\n<\/div>\n<\/div><\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-black-color has-text-color\" style=\"font-size:22px\">The information in this section comes from the American Diabetes Association and the Juvenile Diabetes Research Foundation. For more information regarding exercise and blood glucose, talk with your diabetes healthcare team and check out these resources:<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p style=\"font-size:20px\"><a href=\"https:\/\/www.diabetes.org\/healthy-living\/fitness\/exercise-and-type-1\">https:\/\/www.diabetes.org\/healthy-living\/fitness\/exercise-and-type-1<\/a><\/p>\n\n\n\n<p style=\"font-size:20px\"><a href=\"https:\/\/www.diabetes.org\/healthy-living\/fitness\/getting-started-safely\/blood-glucose-and-exercise\">https:\/\/www.diabetes.org\/healthy-living\/fitness\/getting-started-safely\/blood-glucose-and-exercise<\/a><\/p>\n\n\n\n<p style=\"font-size:20px\"><a href=\"https:\/\/www.jdrf.org\/t1d-resources\/living-with-t1d\/exercise\/exercise-impact\/\">https:\/\/www.jdrf.org\/t1d-resources\/living-with-t1d\/exercise\/exercise-impact\/<\/a><\/p>\n\n\n\n<p style=\"font-size:20px\"><a href=\"https:\/\/www.jdrf.org\/t1d-resources\/living-with-t1d\/exercise\/\">https:\/\/www.jdrf.org\/t1d-resources\/living-with-t1d\/exercise\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Exercise and Type 1 Diabetes The following are general recommendations from the American Diabetes Association and the Juvenile Diabetes Research Foundation. We encourage you to follow your own personalized diabetes plan, and speak with your endocrinologist about concerns or making &hellip; <a href=\"https:\/\/site.uvm.edu\/hughlanslab\/?page_id=547\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":6972,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-547","page","type-page","status-publish","hentry"],"featured_image_src":null,"featured_image_src_square":null,"_links":{"self":[{"href":"https:\/\/site.uvm.edu\/hughlanslab\/index.php?rest_route=\/wp\/v2\/pages\/547","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/site.uvm.edu\/hughlanslab\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/site.uvm.edu\/hughlanslab\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/site.uvm.edu\/hughlanslab\/index.php?rest_route=\/wp\/v2\/users\/6972"}],"replies":[{"embeddable":true,"href":"https:\/\/site.uvm.edu\/hughlanslab\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=547"}],"version-history":[{"count":119,"href":"https:\/\/site.uvm.edu\/hughlanslab\/index.php?rest_route=\/wp\/v2\/pages\/547\/revisions"}],"predecessor-version":[{"id":699,"href":"https:\/\/site.uvm.edu\/hughlanslab\/index.php?rest_route=\/wp\/v2\/pages\/547\/revisions\/699"}],"wp:attachment":[{"href":"https:\/\/site.uvm.edu\/hughlanslab\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=547"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}