Being physically active is an important part of diabetes management. Children with the condition can take part in any kind of physical activity including being selected to represent school and other teams, providing they have made some preparations beforehand.
Preparations are needed because activity, such as swimming, football, running and athletics, uses up glucose. If the child does not eat enough before starting an activity, their blood glucose level may fall too low and they will experience a hypo. Also, if their blood glucose level is high prior to getting active, physical activity may make it rise even higher (hyperglycaemia).
The type of preparation required before physical activity will vary depending on:
- the type of physical activity
- the timing of the activity
- how long it will last
- when the child last ate
- when they last injected insulin and where
- their blood glucose level.
Before, during and after activities, the child will need to check their blood glucose level carefully and must make sure they have a good fluid intake.
The child’s parent/carer or PDSN who will advise on any specific preparations required for physical activities. These may include:
- having an extra snack before/during/after physical activity
- altering the insulin dose
- injecting in a particular site.
Diabetes should not be an excuse for opting out of school activities. If this does happen regularly, speak to their parent/carer or PDSN to find out more about the individual situation.
A child with diabetes need not be singled out for special attention during physical activity – this could make them feel different and may lead to embarrassment.