For most sporting activities performance will be closely linked to matching nutrition intake with energy expenditure. Insulin is one of the main keys to this metabolic process. In a normally functioning pancreas it is released or withheld in an automatic fashion depending on blood glucose levels.In a person with diabetes who is dependent upon the delivery of insulin from subcutaneous absorption this moment to moment control of blood sugar is impossible to achieve although a reasonably close match has proved possible with fine tuning of food and insulin delivery.

In order to optimise performance you will need to assess your requirements for both long acting background insulin and your pre meal short acting insulin.

In pre-planning for a vigorous activity, the insulin quantity may have to be significantly reduced the night before. If you are already using a brand of pre-mixed insulin, then you will find this task difficult. Ask your physician to consider changing to multiple injections, which will include separate shots of long and short acting insulin.

One of the main challenges during sporting activities is the balance between food and insulin. One has to take into account the different requirements needed at any given time. These will vary upon the intensity of training and the stress of the competition as well as the need to replenish the glucose stores within the muscles.

Regular and constant monitoring is the key to your understanding of your body in this situation. It is your navigation tool and a way to predict your energy and insulin requirements.
Fizzy Drinks and Fruit juice ‘The News story’
The News Story: Fizzy drinks and fruit juice cause Type 2 diabetes, opting for plain water might pre... more
Laser treatment for retinopathy
It always important when you are a diabetic to maintain good blood glucose and blood pressure contro... more
Diabetes and Cardiovascular Disease
Heart attacks and stroke are by far the most frequent cause of premature death with patients in diab... more
Nutrition and diabetes
In the past patients have been given a prescription called a diabetic diet with many foods banned. ... more
Kidneys and diabetes Kidney Disease (nephropathy)
Diabetes represents the commonest cause of kidney failure in the Western World, Normal functioning ... more
Feet and Diabetic Peripheral Neuropathy
We often forget about the importance of foot care. But simply having diabetes greatly increases the ... more