Insulin Adjustments  Moderate exercise: –AM activity reduce Reg by 25% –PM activity reduce Reg by 25% as well as NPH or Long Acting  Strenuous or Long Term: –AM activity reduce Reg by 50% –PM activity reduce Reg by 50% as well as NPH or Long Acting  Insulin pumps or Glargine: as above  Liberal hydration –< 1hr: water alone OK –> 1hr: think Na+ replacement  (Sport drinks: remember they contain CHO!!)
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