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Managing the Diabetic Athlete.

In brief: Being in good diabetic control-ie, having a blood glucose level near the normal range-is possible for almost any diabetic athlete whose sport allows consistent and predictable energy expenditure. For example, the physiologic demands of cycling or marathon running can easily be anticipated. But even sports such as football that may wreak havoc on blood glucose levels can be managed by the diabetic who frequently self-tests for glucose and then makes appropriate adjustments in insulin and food intake. The author discusses the metabolic responses to exercise in the non-diabetic vs the diabetic and offers practical advice on specific problems, such as managing the obese diabetic who wants to start an exercise program.