What precautions should I take before exercising if I have diabetes?

Having diabetes can throw off the way the body regulates insulin and other hormones during exercise. That, in turn, can cause blood sugar to go either too high or too low. But that doesn't mean you can't exercise or even become an athlete.

It just means that you have to make sure to get the right combination of medications, carbohydrates, and calories to keep your blood sugar in a safe zone while exercising. This is particularly critical if you're taking insulin and/or oral medications that raise insulin levels, because if you have too much insulin in your system and not enough carbohydrates, your blood sugar level will fall. The fall could be anything from a slight dip that makes you feel a little more fatigued than usual to a serious hypoglycemic plunge.

Getting enough carbohydrates is just half your glucose-stabilizing strategy; most likely you will, in consultation with your doctor, also decrease your dose of insulin or insulin-raising medication before exercising.

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