Preventing and treating diabetic hypoglycemia associated with exercise: the forgotten problem

06:48 EST 8 Nov 2011 | BioPortfolio

Regular exercise is recommended for people with type 1 and 2 diabetes, but it can increase the risk of hypoglycemia. In the latest issue of Diabetic Hypoglycemia (, Younk and colleagues discuss the topic of hypoglycemia risk during exercise in people with diabetes and behavioral strategies for reducing this risk,1 such as ingesting carbohydrate before, during and/or after exercise to reduce the likelihood of hypoglycemia.2,3 Carrying glucose tablets or glucagon during periods of exercise may provide additional protection should an episode of severe hypoglycemia ensue.

As well as discussing the dangers of developing hypoglycemia during or after exercise, this issue’s Treatment Review presents recent clinical data on the new ultra-long-acting basal insulin analog, insulin degludec, highlighting its potential to lower the frequency of hypoglycemia, particularly at night.4

1. Younk LM, Hedrington MS, Davis SN. Diabetic Hypoglycemia 2011;4(2):3-10.
2. Nathan DM, Madnek SF, Delahanty L. Ann Intern Med 1985;102:483-6.
3. Hernandez JM, Moccia T, Fluckey JD, et al. Med Sci Sports Exerc 2000;32:904-10.
4. Diabetic Hypoglycemia Editorial Team. Diabetic Hypoglycemia 2011;4(2):17-21.

About Diabetic Hypoglycemia
Published by ESP Bioscience (Crowthorne, UK), Diabetic Hypoglycemia is an influential online diabetes journal led by Editor-in-Chief Professor Brian Frier (Edinburgh, UK), with Associate Editors: Professor Simon Heller (Sheffield, UK), Professor Christopher Ryan (Pittsburgh, USA), Dr Rory McCrimmon (Dundee, UK), and Professor Anthony L. McCall (Virginia, USA). Published three times annually, Diabetic Hypoglycemia provides an interactive forum for the sharing of practical knowledge and opinions in the field of hypoglycemia.

To explore Diabetic Hypoglycemia, please take the guided tour:

Diabetic Hypoglycemia is published by ESP Bioscience, supported by an unrestricted educational grant from Novo Nordisk A/S (Bagsvaerd, Denmark).

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