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Updated: May 18, 2026

Evaluation of Blood Lactate and Plasma Insulin During High-intensity Exercise by Antecubital Vein Catheterization
Published on: May 18, 2018
Diabetes in sports
Individuals with diabetes can safely participate in sports with proper precautions. Careful monitoring of blood sugar, appropriate carbohydrate intake, and insulin adjustments are key for diabetic athletes to prevent hypoglycemia and hyperglycemia.
Area of Science:
- Sports Medicine
- Endocrinology
- Exercise Physiology
Background:
- Exercise is crucial for diabetes management.
- Managing diabetic athletes requires specific considerations for the disease.
- This review focuses on diabetes care during sports participation.
Purpose of the Study:
- To review diabetes management strategies for athletes.
- To outline precautions for diabetic individuals engaging in sports.
Main Methods:
- Literature search of MEDLINE and Cochrane database.
- Manual review of reference lists from identified sources.
Main Results:
- Diabetic athletes need pre-exercise evaluation for complications and appropriate modifications.
- Risk of hypoglycemia exists with insulin or secretagogue use; carbohydrate supplementation and insulin adjustments are recommended.
- Monitoring blood glucose before, during, and after exercise is vital. Hyperglycemia before exercise can worsen and lead to ketoacidosis.
Conclusions:
- Exercise is integral to diabetes treatment.
- Most individuals with diabetes can safely participate in recreational and elite sports.
- Adherence to specific precautions ensures safe sports participation for diabetic athletes.
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