What precautions should be taken for clients with CF-related diabetes before exercise?

What precautions should be taken for clients with CF-related diabetes before exercise?

• A. Monitor pre-exercise blood glucose and provide snacks as needed.
• B. Exercise should be avoided entirely.
• C. Increase insulin dramatically before exercise.
• D. Fast for several hours before exercise.

Answer: (A)

Before exercising, people with CFRD should check their blood glucose and have a plan for carbohydrates to prevent lows. Exercise makes muscles take up glucose, which can cause blood sugar to drop during and after activity, even if it started in a normal range. By monitoring the pre-exercise glucose and providing snacks as needed, you help keep levels safe and ensure you have enough energy for the workout. If the reading is low, give a quick-acting carbohydrate and recheck after about 15 minutes. If it’s in a safe range, you can start, but keep monitoring and have snacks available for longer sessions. Options that involve avoiding exercise, dramatically increasing insulin before exercise, or fasting aren’t appropriate because they raise the risk of dangerous glucose fluctuations and undermine safe, effective activity.

Before exercising, people with CFRD should check their blood glucose and have a plan for carbohydrates to prevent lows. Exercise makes muscles take up glucose, which can cause blood sugar to drop during and after activity, even if it started in a normal range. By monitoring the pre-exercise glucose and providing snacks as needed, you help keep levels safe and ensure you have enough energy for the workout. If the reading is low, give a quick-acting carbohydrate and recheck after about 15 minutes. If it’s in a safe range, you can start, but keep monitoring and have snacks available for longer sessions. Options that involve avoiding exercise, dramatically increasing insulin before exercise, or fasting aren’t appropriate because they raise the risk of dangerous glucose fluctuations and undermine safe, effective activity.