Exercise for Diabetics

Question 1

True or False: Regular exercise can help improve insulin sensitivity in people with Type 2 diabetes.

Answer 1

True

Question 2

What type of diabetes requires special consideration for adjusting insulin doses and carbohydrate intake before, during, and after exercise to prevent hypoglycemia?

A) Type 1 diabetes
B) Type 2 diabetes
C) Gestational diabetes
D) Prediabetes

Answer 2

A) Type 1 diabetes

Question 3

For people with diabetes, how many minutes per week of moderate-intensity exercise is typically recommended?

A) 60 minutes
B) 150 minutes
C) 300 minutes
D) 500 minutes

Answer 3

B) 150 minutes

Question 4

Which hormone is not responsible for causing hyperglycemia during high-intensity exercise?

A) Cortisol
B) Epinephrine
C) Glucagon
D) Thyroid hormone

Answer 4

D) Thyroid hormone

Question 5

During high-intensity exercise, which hormones are released as a stress response, potentially causing temporary hyperglycemia?

A) Insulin, Thyroid Hormone, and Melatonin
B) Epinephrine, Norepinephrine, Cortisol, and Glucagon
C) Dopamine, Serotonin, and Oxytocin
D) Growth Hormone, Estrogen, and Progesterone

Answer 5

B) Epinephrine, Norepinephrine, Cortisol, and Glucagon

Question 6

When should a diabetic be concerned about hypoglycemia during exercise?

A) If they are taking insulin
B) If they are taking sulfonylureas
C) If they are taking Glinides
D) All the above

Answer 6

D) All the above - potential hypoglycemia if taking insulin or insulin secretagogues

Question 7

True or False: Exercise decreases insulin sensitivity

Answer 7

False - it increases insulin sensitivity

Question 8

How often should diabetic patients partake in resistance training per week?

A) Once a week
B) 2x a week
C) 3x a week

Answer 8

B) 2x a week

Question 9

A type 1 diabetic patient engages in 3 hours of exercise. How many grams of CHO should they take?

A) 15 grams
B) 30 grams
C) 45 grams
D) 60 grams

Answer 9

C) 45 grams

Question 10

True or False: a type 2 diabetic taking Glipizide does not need to take 15 g of CHO for their 30 minute exercise routine.

Answer 10

False - Glizipide is a insulin secretagogue and therefore they need to add 15g CHO for every 30-60 minutes of activity

Question 11

Which scenario does not need to take 15 g of CHO for every 30-60 minutes of exercise?

A) A type 2 diabetic taking metformin
B) A type 1 diabetic taking insulin
C) A type 2 diabetic taking Prandin
D) A type 1 diabetic taking Wegovy

Answer 11

A) A type 2 diabetic taking metformin

(Not D because the type 1 diabetic is also taking insulin, and wegovy is a GLP-1 receptor agonist that suppresses glucagon and is therefore potentially hypoglycemic)

Question 12

True or False: A type 1 diabetic consumed 15 g of CHO for their 30 minute workout. Their blood glucose is below 95 mg/dL. They don’t need to eat more CHO because they aren’t hypoglycemic.

Answer 12

False - They need to have another serving if their BG < 100 mg/dL

Question 13

For moderate to strenuous activities, individuals taking insulin should decrease how many units per 45-60 minutes of exercise?

A) 1-2 units
B) 2-3 units
C) 3-4 units
D) 4-5 units

Answer 13

A) 1-2 units

Question 14

Question: If a patient with Type 1 diabetes plans to engage in moderate exercise for 90 minutes, how many units should they reduce their insulin dose by according to the guidelines?

A) 1-2 units
B) 2-4 units
C) 3-5 units
D) 15-20% of their daily dose

Answer 14

B) 2-4 units (1-2 units per 45-60 minutes, so 2-4 units for 90 minutes)

Question 15

A person with diabetes usually takes 40 units of insulin per day. They are planning to do prolonged vigorous exercise. According to the guidelines, by what % should they decrease their daily insulin dose?

A) 5-10%
B) 10-15%
C) 15-20%
D) No change needed

Answer 15

C) 15-20%

Question 16

True or False: For moderate activity lasting 45 minutes, it’s recommended to decrease insulin by 15-20% of the daily dose.

Answer 16

False (For moderate activity, the guideline suggests reducing by 1-2 units. Prolonged vigorous activity should reduce 15-20% of the daily dose)

Question 17

For a person with diabetes, which of the following can help prevent exercise-induced hypoglycemia?

A) Consuming a carbohydrate snack before exercise
B) Increasing insulin dosage
C) Exercising on an empty stomach
D) Avoiding any carbohydrates around exercise time

Answer 17

A) Consuming a carbohydrate snack before exercise

Question 18

True or False: low to moderate-intensity exercise poses a risk for hyperglycemia

Answer 18

False - usually associated with high-intensity when the body undergoes stress.