People with diabetes often overlook how exercise affects their blood sugar levels. Regular physical activity is key to managing diabetes, improving insulin sensitivity, and lowering A1C levels1. Yet, some exercises can surprisingly change blood glucose levels.
Ever seen your blood sugar spike after a tough workout, like heavy lifting or sprinting? This is often because stress hormones like adrenaline increase glucose levels2. On the other hand, exercises like moderate cardio or circuit training with lighter weights can help keep blood sugar stable2.
Key Takeaways
- Exercise can lower blood glucose levels for up to 24 hours or more after a workout by increasing insulin sensitivity1
- Certain high-intensity exercises like heavy weightlifting can raise blood sugar due to stress hormone release2
- Moderate-intensity aerobic activities and light circuit training are better options to prevent blood glucose spikes2
- Monitoring blood sugar levels before, during, and after exercise is crucial to managing diabetes3
- Adjusting insulin or medication, and timing workouts to avoid the dawn phenomenon, can help stabilize blood sugar2
Adrenaline’s Role in Raising Blood Glucose
When you exercise, your muscles burn glucose and make your body more sensitive to insulin. This usually lowers your blood glucose levels. But, some workouts can make your body produce stress hormones like adrenaline4. Adrenaline helps your body get ready for action or recover from low blood sugar4. This can cause your blood glucose to go up during or after exercise, especially with hard activities like heavy lifting or sprinting.
Stress Hormones and Blood Sugar Spike
5 Adrenaline makes your blood sugar levels jump up quickly5. It also increases your heart rate, blood pressure, and breathing rate5. Adrenaline quickly raises blood glucose for a quick energy boost5. High stress and adrenaline can raise cortisol levels, which can stop insulin from controlling blood sugar5. This can lead to metabolic syndrome and increase the risk of type 2 diabetes, heart disease, and stroke.
6 Adrenaline is for sudden stress, not ongoing stress6. It spikes during emergencies like bike accidents6. Adrenaline releases glucose for the brain, causing high blood sugar in these situations6. Stress hormones like adrenaline and cortisol can make blood sugar hard to manage for people with diabetes.
Adrenaline and stress hormones are key in our body’s response to stress and activity. But, they can also affect our blood glucose levels. Knowing how these hormones work can help people with diabetes or prediabetes manage their blood sugar better during and after exercise.
Strategies to Prevent Blood Glucose Rise
Managing blood glucose levels during exercise can be tough for people with diabetes7. But, there are ways to stop your blood sugar from going up while you’re active8.
Moderate Exercise and Relaxation Techniques
Choose moderate-intensity workouts like aerobic exercises or circuit training with light weights and lots of reps. These exercises don’t usually cause a big jump in blood sugar9. Also, using relaxation methods like deep breathing, visualization, or meditation before and during your workout can help keep your blood sugar stable8.
Timing Workouts and Adjusting Medications
Think about moving your workouts to later in the day if you usually exercise in the morning. The dawn phenomenon, a natural increase in blood sugar in the early morning, can make your morning workouts harder on your blood sugar levels7. Also, talk to your doctor about changing your diabetes meds before workouts that make your blood sugar go up9.
By using these tips, you can stop your blood sugar from going up and make sure your exercise helps your health and well-being8.
“Consistently monitoring your blood sugar levels and making adjustments to your exercise routine and medication as needed can help you achieve better blood sugar control.”
| Nutrient | Potential Benefits for Blood Sugar Control |
|---|---|
| Vinegar (e.g., apple cider vinegar) | May increase insulin response and potentially reduce blood sugar spikes7. |
| Chromium | May enhance insulin action and improve blood sugar control7. |
| Magnesium | May improve plasma insulin levels, lipid profile, and insulin resistance7. |
The Dawn Phenomenon and Morning Exercise
The dawn phenomenon is a rise in blood glucose levels that happens between 4:00 and 8:00 a.m1011. This early-morning spike can be tough for people with diabetes who work out in the morning. Their blood sugar might already be high before they start exercising10. But, exercising later in the day usually doesn’t cause blood glucose to go up as much. This is because the dawn effect is weaker10.
About half of people with type 1 or type 2 diabetes have the dawn phenomenon10. This rise in blood sugar comes from hormones like growth hormone and cortisol. These hormones make insulin resistance worse and glucose levels go up11. To figure out why blood sugar is high in the morning, people should check their blood glucose at bedtime, during the night, and when they wake up1011.
Exercise can help manage morning highs by keeping blood glucose levels stable overnight, especially for those with low insulin levels10. But, everyone is different, and finding the right approach may take some trial and error. It might involve changing medication or lifestyle habits10.
If someone often has high blood sugar, over 180 mg/dl, they should talk to a doctor to prevent serious problems12. High blood sugar often can lead to serious health issues for people with diabetes. It’s key to work with doctors to manage the dawn phenomenon and keep blood glucose under control12.
Understanding the dawn phenomenon and how it affects morning exercise helps people with diabetes manage their blood glucose better. This way, they can make the most of their workout routine101112.
Pre-Workout Carb Intake and Blood Sugar
Eating too many carbs before and during workouts can make your blood sugar spike13. It’s better to eat just enough carbs to fuel your workout without a big glucose spike13.
A study by Supersapiens found that about 15 percent of people got rebound hypoglycemia, showing they were at risk13. This risk was highest about 50 minutes before working out and stayed high from 30 to 90 minutes before13.
To avoid blood sugar spikes, try a snack with moderate carbs like yogurt with nuts or peanut butter 30-60 minutes before your workout14. This snack can give you energy without messing with your body’s glucose levels14.
The best blood sugar level before working out is between 100 to 180 mg/dL14. If your levels go over 250 mg/dL, check for ketones before exercising15. Snacks with 15-30 grams of carbs, like a small fruit, a slice of bread, or oatmeal, are good choices for fuel15.
If you take insulin, it’s key to plan your meals and adjust your medication to avoid low blood sugar during or after exercise14. Talk to a healthcare provider to figure out the right insulin changes for before and after working out14.
By managing your carbs before working out, you can keep your blood sugar stable and have a safe, effective workout13. Always check your glucose levels and tweak your diet and medication to keep performing well and staying healthy14.
Exercise and Blood Glucose Takeaway
Understanding how exercise affects blood glucose is key for people with diabetes or those wanting better health. Most aerobic exercises lower glucose levels. But, high-intensity workouts and weightlifting can raise them16. It’s important to know how your body reacts and adjust your routine to fit your life.
Keeping track of your workouts and checking your blood glucose can show how different exercises affect you17. Starting your workout with blood sugar between 150-200 mg/dL can prevent low blood sugar in young people17. Also, eating a small snack of about 15 grams of carbs before exercise helps if your levels are under 100 mg/dL17.
When you exercise can also affect your blood glucose. Studies show that most moderate-to-vigorous exercise in the evening can lower your average glucose levels over 24 hours16. This effect is stronger in people with trouble controlling their glucose levels16.
To manage exercise and blood sugar well, be proactive and adjust as needed. Find a routine that suits you best. By understanding these details, you can use exercise to improve your health and manage diabetes18.
Monitoring Blood Sugar Levels
It’s key to check your blood sugar levels often, especially before, during, and after exercise19. The American Diabetes Association says to keep A1C levels under 7%, aiming for eAG less than 154 mg/dL19. For adults with diabetes, aim for blood glucose levels of 80–130 mg/dL before meals and less than 180 mg/dL 1-2 hours after eating19.
Before Exercise Blood Sugar Check
Test your blood sugar 15-30 minutes before your workout, especially if you’re on insulin or other meds that can cause low blood sugar20. Checking your blood sugar is vital for people with diabetes to see if their treatment plan is working20. It helps you make smart choices about food, exercise, and insulin doses20.
During Exercise Monitoring
Check your blood sugar every 30 minutes while exercising to keep an eye on your levels20. This is important if you’re trying something new or upping your workout’s intensity or duration20. Many things can affect your blood sugar, like what you eat, your meds, exercise, stress, and more20.
For type 1 diabetes, doctors might suggest using a continuous glucose monitor (CGM) or testing your blood sugar 4 to 10 times a day21. If you have type 2 diabetes and use insulin, you might need to test your blood sugar several times a day, especially before meals and at bedtime21.
CGMs track your blood sugar levels every few minutes, mainly for people with type 1 diabetes21. Healthy blood sugar levels for people with diabetes are between 80 and 130 mg/dL before meals and less than 180 mg/dL two hours after meals21. The American Diabetes Association recommends higher levels for seniors or those with certain health issues21.
Blood sugar meters show the sugar level in a small blood sample from your fingertip, giving you the reading quickly21. Keeping track of your blood sugar levels is crucial, whether through apps, notes, or device data for your doctor to review201921.
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Post-Exercise Blood Sugar Response
It’s key to check your blood sugar right after you exercise. This is because exercise can change how your body handles glucose. Make sure to check your blood sugar levels22 after your workout is done.
After exercise, your body uses stored sugar from muscles and liver. This can lower your blood sugar levels. You might need to take steps to keep your levels stable22.
It takes 4 to 6 hours to refill glycogen, and up to 12 to 24 hours for intense workouts22. If your blood sugar drops right after exercise, you might need to eat 15 grams of carbs or a mix of carbs and protein22.
| Metric | Value |
|---|---|
| Low blood sugar threshold | Below 70 mg/dL |
| Glycogen replenishment time | 4-6 hours (12-24 hours for intense exercise) |
| Carbohydrate intake for post-exercise low blood sugar | 15 grams, or 15 grams carbs + 7-8 grams protein |
To avoid low blood sugar during exercise, check your levels before you start. Don’t drink alcohol before or after working out. Try not to do more than 1 or 2 workouts a day. Keep an eye on your blood sugar after exercising22.
Working out on an empty stomach can cause a spike in glucose levels. This can be worse if you exercise right after waking up23. Activities like weight lifting and sprinting can also raise your blood sugar because of adrenaline23. But, your body can lower blood sugars after resistance training, which is good for diabetes23.
Adjusting your insulin pump settings and changing your insulin dose can help manage glucose spikes from exercise23. Keeping track of how exercise affects your blood sugar can help you find the right routine for managing your levels23.
“Hyperinsulinemia prevents prolonged hyperglycemia after intense exercise in insulin-dependent diabetic subjects.”24
It’s important for people with diabetes to understand how exercise affects their blood sugar. By watching your levels, adjusting your insulin and carbs, and planning your workouts, you can enjoy the benefits of exercise safely. This way, you can keep your post-exercise blood sugar and diabetes under control.
blood sugar levels and Exercise Benefits
Exercise can sometimes raise blood glucose levels, but it has big benefits for people with diabetes25. Regular aerobic exercise makes insulin work better and lowers blood sugar over time25. Strength training twice a week also helps control blood sugar in diabetics25. Exercise helps the body use insulin, keeping blood sugar levels in check25.
Exercise does more than just help with blood sugar25. It burns fat, strengthens muscles and bones, and improves blood flow25. It also lowers blood pressure and cholesterol, cutting the risk of heart disease and stroke25. Regular exercise boosts energy, mood, and helps manage stress25.
The American Diabetes Association suggests 150 minutes of aerobic exercise weekly for people with diabetes25. They also recommend two or three strength training sessions a week25. Activities like yoga, Pilates, and tai chi are good for strength, balance, and flexibility in diabetics25.
Even with temporary blood sugar spikes during exercise, the long-term benefits are key for managing diabetes and staying healthy26. Regular exercise improves insulin sensitivity, controls weight, and lowers the risk of complications25.
| Diabetes Diagnosis | Physically Inactive | Meeting Physical Activity Guidelines |
|---|---|---|
| Americans | 34.3%27 | 23.8%27 |
| Worldwide | 27.5%27 | N/A |
Adding regular exercise to a diabetes plan is key for staying healthy25. By prioritizing physical activity, people with diabetes can enjoy many benefits, like better blood sugar control, lower heart risks, and better overall health25.
“The more muscle mass you have, the better your body can handle blood sugar.”25
In conclusion, exercise’s impact on blood sugar is temporary, but its long-term benefits for diabetes are huge25. Regular exercise helps people with diabetes manage their health better and live well252627.
Hypoglycemia Risks During Exercise
Exercise can be both good and bad for people with diabetes. It can lower blood sugar levels and increase the risk of hypoglycemia28. Hypoglycemia is when blood glucose is less than 70 milligrams per deciliter (mg/dl). Most people don’t feel symptoms until it’s below 55 mg/dl28. If not treated, it can lead to serious issues like seizures, coma, and even death28.
Exercise can cause hypoglycemia in people with or without diabetes29. The risk factors include intense workouts, low blood sugar from skipping meals or diabetes meds, and being more sensitive to insulin or taking insulin28. Managing diabetes can lead to hyperglycemia, while taking too much diabetes medication can cause hypoglycemia28.
The 15-15 Rule for Low Blood Sugar
If you have low blood sugar during or after exercise, use the 15-15 rule: Check your blood sugar, and if it’s 100 mg/dL or lower, eat 15-20 grams of carbohydrates to raise it30. Check again in 15 minutes, and repeat until your blood sugar is at least 100 mg/dL30.
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To prevent low blood sugar during exercise, eat carbs before working out and check your blood sugar often if you have diabetes28. If you don’t have diabetes, prevent it by slowly getting used to exercise, eating regularly, and avoiding alcohol before workouts28. High-Intensity Interval Training (HIIT) can also help lower the risk of hypoglycemia for people with diabetes28.
Signs that need emergency help include confusion, seizure, losing consciousness, or not feeling better after eating28. If you often or severely experience low blood sugar, talk to a doctor, especially if you have diabetes, to adjust your meds29.
“It is essential for individuals experiencing frequent or severe exercise-induced hypoglycemia to seek medical advice to exclude underlying medical conditions and receive personalized recommendations to prevent future occurrences.”
Long Duration Exercise Considerations
If you have diabetes and plan to exercise for a long time, you might need to eat a small snack before and adjust your meds. This helps prevent low blood sugar during and after your workout31. It’s important to talk to your doctor to find the best plan for you.
Before starting a long exercise session, check your blood sugar levels. They should be between 4 – 7mmol/l (72 – 126 mg/dl)31. If they’re between 7 – 13mmol/l (126 – 234 mg/dl), it’s okay to exercise, but keep an eye on them31. If your levels are over 13mmol/l (234 mg/dl), talk to your healthcare team before exercising31.
During long workouts, your body might use insulin better, so you might need to adjust your insulin doses31. Work with your doctor to figure out the right changes to keep your blood sugar stable before, during, and after your workout.
It’s also a good idea to keep track of your blood sugar during exercise, especially if you’re at risk of low blood sugar31. Having things like glucose tablets or sugary drinks ready can help if your blood sugar drops suddenly31.
Don’t forget to check your blood sugar after exercising too. The effects of exercise can last up to 24 hours31. This helps you see how your body reacts to long workouts and adjust your diabetes plan as needed.
| Blood Sugar Range | Recommended Action |
|---|---|
| Less than 4mmol/l (72 mg/dl) | Treat hypoglycemia with glucose tablets or sugary drinks before starting exercise |
| 4 – 7mmol/l (72 – 126 mg/dl) | Acceptable range to begin exercise |
| 7 – 13mmol/l (126 – 234 mg/dl) | Acceptable range to begin exercise, but monitor levels throughout |
| Above 13mmol/l (234 mg/dl) | Consult healthcare team before proceeding with exercise |
By watching your blood sugar, adjusting your meds, and being ready with hypo treatments, you can safely enjoy long workouts while managing your diabetes31. Working with your healthcare provider is crucial to make a plan that fits you and lets you enjoy exercise without worrying about your blood sugar.
Tailoring Your Exercise Routine
If you have diabetes, it’s important to know how your body reacts to different exercises. Regular physical activity can make your body more sensitive to insulin, lower heart disease risks, and help with weight control. These benefits are great for managing your blood sugar levels32.
It’s key to check your blood sugar before, during, and after exercise, especially for longer or harder workouts32. Keeping fast-acting carbs like glucose tablets or energy bars with you can prevent low blood sugar during exercise32.
To make your exercise plan better, keep a workout log and check your blood sugar often32. This helps you see patterns and how your body reacts to different exercises32. Use this info to adjust your workout, diet, and meds as needed32. Everyone’s body is different, so it’s important to watch and change your plan as needed32.
The33 Australian guidelines say you should do at least 30 minutes of moderate exercise every day for good health33. Try to get 150-300 minutes of moderate exercise or 75-150 minutes of hard exercise each week33. Adding strength training two days a week can also help manage your blood sugar33.
As you get better, aim for 30 minutes of aerobic exercise most days and 20-30 minutes of strength training, two to three times a week34. Stretching can also help with muscle soreness and lower blood sugar levels34. Making an exercise plan that fits your age, fitness level, interests, and health can make it easier to stick with and improve your results34.
Issued in public interest (Official Website)
Finding activities you like and can do regularly is key to a good exercise routine. By watching how your body reacts and making changes as needed, you can make a plan that helps manage your blood sugar and supports your health.
Conclusion
Exercise is key to managing diabetes well, but it affects blood sugar levels in complex ways35. By knowing how your body reacts to exercise and using strategies to control blood sugar, you can safely add it to your daily life36. Working closely with your healthcare team and making adjustments as needed will help you get the most out of exercise while keeping your blood sugar in check.
Finding the right balance between exercise, diet, and medication is crucial35. Regular workouts can help lower blood sugar and control weight35. But, it’s important to work with your healthcare provider to know how to manage your blood sugar during and after exercise37. Taking an active part in managing your diabetes lets you enjoy exercise’s health benefits while keeping your condition under control.
Everyone’s response to exercise and diabetes management is different35. Stay alert, be proactive, and keep working with your healthcare team to create a personalized exercise plan36. With the right approach and support, you can make exercise a part of your diabetes management and enjoy its many benefits.
FAQ
How does exercise affect blood sugar levels?
Exercise is key for managing diabetes. Being active most days can lower long-term health risks, make insulin work better, and boost mood and life quality. Yet, some exercises like heavy weightlifting, sprints, and competitive sports can make stress hormones like adrenaline spike. This can raise blood glucose levels.
How do stress hormones like adrenaline affect blood glucose levels?
Using your muscles burns glucose and makes insulin work better, so blood glucose usually goes down during exercise. But, some workouts can make stress hormones like adrenaline, which can raise blood glucose. This happens by making the liver release glucose. This glucose increase can happen during or after exercise, especially with heavy weightlifting, sprints, and competitive sports.
What strategies can help prevent a blood glucose spike during or after exercise?
Choose moderate-intensity aerobic workouts or circuit weight training with light weights and high reps. Use relaxation techniques like paced breathing, visualization, or meditation before and during your workout to cut down the adrenaline effect. Consider moving your workout to later in the day if you usually exercise in the early mornings, as the dawn phenomenon can cause higher glucose levels in the morning. Talk to your doctor about changing your rapid-acting insulin or other short-acting diabetes medicines before workout sessions that usually lead to a glucose rise.
How does the dawn phenomenon affect blood glucose levels during morning exercise?
The dawn phenomenon, a natural rise in blood glucose between about 4:00 and 8:00 a.m., can make glucose levels higher during morning exercise. The same workout done later in the day is less likely to cause a rise, as the dawn effect is less strong.
How can pre-workout carb intake affect blood sugar?
Eating too many carbs before and during workouts can also make glucose rise. Instead, try a snack with moderate carbs, like yogurt with nuts or peanut butter, to fuel your exercise without spiking your blood sugar.
What is the overall impact of exercise on blood sugar levels?
Most aerobic/cardiovascular exercises will lower your glucose levels. But, activities like high-intensity training and weightlifting can raise it. Managing glucose levels with exercise is possible by understanding your patterns and making adjustments that fit your lifestyle.
Why is it important to monitor blood sugar before, during, and after exercise?
Checking your blood sugar before, during, and after exercise is crucial for people with diabetes. Before your workout, test your blood sugar 15-30 minutes beforehand, especially if you take insulin or other medications that can cause low blood sugar. During exercise, check every 30 minutes to ensure your levels are stable, rising, or falling. This is key if you’re trying a new activity or increasing the intensity or length of your workout.
How does exercise affect blood sugar in the hours after a workout?
Check your blood sugar right after you finish exercising and keep an eye on it for a few hours. Exercise uses the sugar stored in your muscles and liver, and as your body rebuilds these stores, it takes sugar from your blood. The tougher your workout, the longer it will affect your blood sugar, with low blood sugar possible even 4-8 hours after exercise.
What are the overall benefits of exercise for people with diabetes?
Exercise can sometimes cause a temporary rise in blood glucose, but the benefits for people with diabetes are big. Regular exercise can improve insulin sensitivity, help manage weight, reduce the risk of heart disease and stroke, and boost overall well-being. Adding exercise to your diabetes management plan is key for staying healthy.
What are the risks of hypoglycemia during and after exercise?
People taking insulin or insulin secretagogues are at risk for hypoglycemia if they don’t adjust their insulin dose or carb intake with exercise. If you get low blood sugar during or after exercise, follow the 15-15 rule: Check your blood sugar, and if it’s 100 mg/dL or lower, have 15-20 grams of carbohydrates to raise it. Check again in 15 minutes, and repeat the process until your blood sugar is at least 100 mg/dL.
How can people engaging in long-duration exercise manage their blood sugar?
For long-duration exercise, eating a small snack before and adjusting medications may be needed to prevent hypoglycemia during and after. Talk to your healthcare provider about the best plan for your needs.
How can people tailor their exercise routine to manage blood sugar?
Knowing how your body reacts to different exercises is key to managing your blood sugar. Keep a workout log and check your blood sugar before, during, and after exercise to spot patterns. Use this info to adjust your exercise routine, diet, and medication as needed.
Issued in public interest (Official Website)
Source Links
- Understanding Blood Glucose and Exercise – https://diabetes.org/health-wellness/fitness/blood-glucose-and-exercise
- Why Does Exercise Sometimes Raise Blood Glucose – https://diabetes.org/health-wellness/fitness/why-does-exercise-sometimes-raise-blood-sugar
- Diabetes and exercise: When to monitor your blood sugar – https://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/diabetes-and-exercise/art-20045697
- Adrenaline: insights into its metabolic roles in hypoglycaemia and diabetes – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4831313/
- Impact of Adrenaline on Blood Glucose | Ultrahuman – https://blog.ultrahuman.com/blog/impact-of-adrenaline-on-blood-glucose-and-5-ways-to-reduce-it/
- How Adrenaline Affects Your Blood Sugar | Livestrong.com – https://www.livestrong.com/article/231305-adrenaline-glucose/
- How to Prevent Blood Sugar Spikes – https://www.healthline.com/nutrition/blood-sugar-spikes
- 14 Natural Strategies to Lower Blood Sugar Levels – https://www.healthline.com/nutrition/14-ways-to-lower-blood-sugar
- Diabetes management: How lifestyle, daily routine affect blood sugar – https://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/diabetes-management/art-20047963
- High Morning Blood Glucose | ADA – https://diabetes.org/living-with-diabetes/high-morning-blood-glucose
- The dawn phenomenon: What can you do? – https://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/dawn-effect/faq-20057937
- Dawn phenomenon: How to control high morning blood sugars – https://www.medicalnewstoday.com/articles/317351
- How to Optimize Your Pre-Workout Meal Timing – https://www.outsideonline.com/health/training-performance/continuous-glucose-monitor-rebound-hypoglycemia/
- Eating Tips Before and After Exercise – https://diabetes.org/health-wellness/fitness/eating-tips-before-after-exercise
- Got Diabetes? How to Eat When You Work Out – https://www.webmd.com/diabetes/diabetes-fuel-your-workout
- High blood sugar: Can exercising in the evenings help lower levels? – https://www.medicalnewstoday.com/articles/when-is-it-best-to-exercise-in-order-to-maintain-healthy-blood-sugar-levels
- Exercise & Type 1 | ADA – https://diabetes.org/health-wellness/fitness/exercise-and-type-1
- ZOE Podcast: Improving Blood Sugar Control With Exercise – https://zoe.com/learn/podcast-improving-blood-sugar-control-with-exercise
- Diabetes Tests | ADA – https://diabetes.org/living-with-diabetes/treatment-care/checking-your-blood-sugar
- Blood Sugar Monitoring: Why, How & When To Check – https://my.clevelandclinic.org/health/treatments/17956-blood-sugar-monitoring
- Blood sugar testing: Why, when and how – https://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/blood-sugar/art-20046628
- SUBHEADS – http://www.theportlandclinic.com/wp-content/uploads/7807.pdf
- Why Does Exercise Sometimes Raise Your Blood Sugar? – https://www.healthline.com/diabetesmine/why-does-exercise-sometimes-raise-your-blood-sugar
- Prevention of Exercise-Associated Dysglycemia: A Case Study–Based Approach – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4334080/
- 11 Exercise Tips if You Have Type 2 Diabetes – https://www.webmd.com/diabetes/exercise-guidelines
- Exercises to Lower Your Blood Sugar – https://www.webmd.com/healthy-aging/features/exercise-lower-blood-sugar
- The Role of Exercise in Diabetes – Endotext – https://www.ncbi.nlm.nih.gov/books/NBK549946/
- Exercise-induced hypoglycemia: Signs and prevention – https://www.medicalnewstoday.com/articles/exercise-induced-hypoglycemia-what-to-know
- Can Exercise Cause Hypoglycemia? – https://www.healthline.com/health/exercise-induced-hypoglycemia
- Working Out? Keep Your Blood Sugar In Line – https://www.webmd.com/diabetes/control-blood-sugar-workout
- Blood sugar levels and exercise – https://www.diabetes.org.uk/guide-to-diabetes/managing-your-diabetes/exercise/blood-sugar-levels
- The Beginner Club – What to lookout for when exercising with T1D – enhace-d | Diabetes – https://www.enhance-d.com/blog/the-beginner-club-what-to-lookout-for-when-exercising-with-t1d
- Exercise & diabetes – Diabetes Australia – https://www.diabetesaustralia.com.au/living-with-diabetes/exercise/
- How Does Exercising Help Diabetes—And What Exercises Should You Do? | NOVI Health – https://novi-health.com/library/how-to-improve-diabetes-control-with-exercise
- Type 2 diabetes: MedlinePlus Medical Encyclopedia – https://medlineplus.gov/ency/article/000313.htm
- Blood Glucose Monitoring – StatPearls – https://www.ncbi.nlm.nih.gov/books/NBK555976/
- Physiology, Glucose Metabolism – StatPearls – https://www.ncbi.nlm.nih.gov/books/NBK560599/