Dan Steiner, Novonordisk

1. Mixing Sports and Diabetes
Dan Steiner, M.Ed., CDE
ACSM Certified Clinical Exercise Specialist

2. Are any sports/exercises
off limits for athletes with
diabetes?

3. No Way!!!!!!
Just have to
figure it out

4. What’s Awesome About Sports?
↑ self-esteem ↓ stress
↑ muscle/bone strength ↓ fat storage
↑ coordination ↓blood pressure
↑ circulation ↓ anxiety
↑ immune system ↓ LDL cholesterol
↑ height(perceived)
It’s Fun!!!!

5. Sports’ effects on Diabetes Stuff
• Decreases Blood Glucose
• Increases Blood Glucose
• Hydration needs
• Requires a plan—more variables
• Teach the coach/friends about the stuff
• Wear or not wear pump

6. Lowers BG
• Lower to moderately intense exercise
• Duration has an effect
• Depends on timing of insulin
*Before bolus/correction--if within 2hrs of sport ↓ 50%
*↓ basal 1 hour before and during exercise to 50%
• Delayed BG lowering up to 24hrs
*decrease overnight basal by 10 – 20%?
*decrease Monday Morning basal
*Higher Intensity and longer duration ↑ effect

7. Lowers BG(cont.)
• Need to Check more
– 1-2 hours before—see where its going
– Just before
– During(if needed every 30 minutes)
– After
– Few hours later…
• Source of Carbs/Protein and Fat
– Carbs for lows or to prevent lows-before/during/after
– .5 - 1gm/minute of exercise
– Increase protein, fat and maybe carbs in evening to
prevent nighttime lows

8. Raises BG
• High intensity exercise-
– Intervals of hard effort/burts
– Strength Training—depends on workout/person
– Sustained intensity
• Competition/Adrenalin
• Not enough insulin onboard
• Dawn Phenomenon

9. Sport Specific Examples
What are possible BG issues
What supplies need to be transported
What might I need to do before/during/after

10. WHY NOT DO THEM ALL!!!
Soccer Football Gymnastics Track and
Field Wrestling Dance Cycling Volleyball
Running Rugby Basketball Equestrian
Cricket Swimming Badminton Lacrosse
Motor Sports Golf Archery Triathlon
Tennis Softball Baseball Skateboarding
Skiing Rock Climbing Boxing Fencing
Ultimate Frisbee Curling Surfing