David – how to solve problems

As David is taking his normal insulin dose at breakfast, he will have his normal amount working up until teatime. This is how he is at risk of hypos from when he starts to exercise, and also right through until his next injection at evening meal., as he is then at risk of delayed hypos. He could try:

1. Before – Reducing his breakfast insulin dose on days when is playing badminton. This may cause him to be higher before playing as he doesn’t start until 3 hours after his insulin dose.

2. If he doesn’t want to reduce his insulin he would have to have a carb snack before badminton, and after, and possibly more carbs at lunch. This will depend on the intensity of his exercise.

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