Exercising with an Insulin Pump: Guidelines

How someone exercises when using an insulin pump depends on their activity of choice and insulin needs, but there are general guidelines to follow.

If you are new to wearing a pump and/or exercising, consult your doctor and begin with gentle workouts. Learn what works best for you by starting slow and making small adjustments as you gain experience.

Before Exercising

Before starting any physical activity, it is important to check your blood sugar:

Get Free Diabetes Supplies

See If You Qualify
Call 305-590-5848 Today

  • If it is low, you will need to consume 15 to 20 grams of carbohydrate (or the amount you doctor recommends) and wait about 20 minutes before working out.
  • If the glucose is high, check for ketones; if ketones are present, exercise should be postponed until levels are back within your target range.

Your diabetes team may recommend lowering your basal rate one to two hours before prolonged activities (more than 90 minutes). Insulin pumps provide an option for adjusting the basal rate for a specific time. How much the basal rate is lowered depends on your physical condition and the duration of the exercise; longer activities require lower rates.

During and After Exercising

Always have a quick carbohydrate source with you. If you notice symptoms of hypoglycemia (low blood sugar) while exercising, stop and take 10 to 15 grams of fast-absorbing carbohydrate. Wait 15 minutes and check your glucose level.

Test your glucose after working out and make necessary adjustments. Correct low levels with carb intake. For elevated glucose, wait because your depleted muscles are being replenished with glycogen. If your diabetes team has different advice, follow that.

After prolonged exercise, it may be wise to retain a lower basal rate for a while. Experience, monitoring and doctor’s recommendations are your best guides.

Exercising Disconnected

People engaging in contact sports or swimming may choose to remove the insulin pump while working out. Read the pump manufacturer recommendations and consult your doctor.

Disconnecting from the pump for fewer than 90 minutes is generally safe. The missed basal insulin is usually not replaced.

If disconnection from the pump will exceed 90 minutes, your doctor may instruct hourly reconnection to administer a bolus dose of insulin. If hourly reconnection is not possible, an "untethered" program – involving a morning dose of long-acting insulin and a reduced basal delivery system – may be feasible.

The best tips for safely enjoying intense or prolonged sports while using a pump are found on the blogs or websites of experienced pump-using athletes.

Pump Considerations

You will also want to protect your pump and insulin from extreme temperatures while exercising as that can lead to insulin breakdown.

  • When the pump is worn close to the body, cold weather is usually not a problem. li>
  • If you are exercising in temps higher than 86 degrees Fahrenheit, it is best to shield your pump and tubing from direct sunlight.
  • Pump reservoirs and tubing exposed to prolonged high temperatures may need to be changed more often.

Those participating in high-impact sports are typically recommended to use a flexible plastic cannula, which helps prevent infusion-site discomfort or injury.

Athletes who have lean bodies generally prefer angled infusion sets as they are less likely to irritate the underlying muscle wall. Angled sets also have longer cannulas that are less likely to pull away from the skin than short ones.

Source: Integrated Diabetes and Diabetes Care

Photo credit: Zach Dischner (@flickr)

Get Free Diabetic Supplies

For a limited time only, you can reduce diabetic supplies costs by more than 90%. Enrolling just take a few minutes. Fill out the form, speak to a representative and get diabetic supplies delivered to your door at little or no cost. Also, you will get a free Diabetes Meal Plan from a Registered Dietitian-Certified Diabetes Educator.

Enter your information below to see if you qualify.

By clicking Submit, you agree to send your info to InformationAboutDiabetes.com who may contact you with updates and information and we agree to use it according to our privacy policy.

More Articles

Chamomile tea has long been prized for its calming properties, but few people realize it’s also beneficial for glucose regulation. Traditionally,...

Matcha tea is a rich, creamy, full-bodied beverage with amazing nutritional properties that address several diabetes health concerns. The trace...

One way to ensure our body gets a variety of nutrients is eating nutrient-dense foods, and one of the most nutrient-dense foods on our planet is...

It would be interesting to know how many people with diabetes actually use blood glucose control solutions to regularly check the accuracy of...

A mood is an internal state or condition of feeling. It colors everything else we experience, much like colored sunglasses add a tint to...

More Articles

You may think beer, wine, and liquor would be categorized as food, but in reality, alcohol is a drug. Just like medications, alcohol has powerful...

Matcha tea is a rich, creamy, full-bodied beverage with amazing nutritional properties that address several diabetes health concerns. The trace...

When it comes to certain foods, there are always questions as to whether or not a diabetic can have them without...

Hot weather does not directly alter blood glucose levels. However, sweltering temperatures affect our metabolism and the release of hormones. Heat...

Those who have not yet been diagnosed with type 2 diabetes can greatly reduce their susceptibility by doing one key...

With such a marked increase in the number of new diabetes cases, more people are wondering if type 1 diabetes...

Although diabetes is common, many people who have been diagnosed do not completely understand how it develops or whether it is hereditary....

It would be interesting to know how many people with diabetes actually use blood glucose control solutions to regularly check the accuracy of...

Any sweetener you use to replace table sugar is a sugar substitute. One type of sugar substitute is artificial sweetener. Three other types...

One way to ensure our body gets a variety of nutrients is eating nutrient-dense foods, and one of the most nutrient-dense foods on our planet is...

The different sugar content of fruits can be confusing when you are trying to manage your...

A diabetes meal plan is a guide indicating what types of foods, and how much of them, people should eat at meal and snack time. Following a meal...

Not only is dry skin uncomfortable, but scratched or cracked skin is also susceptible to bacterial and fungal infections – common medical...

=It’s helpful to know the difference between a food’s total grams of carbohydrate, and net grams of carbohydrate since only net carbs affect blood...

Everyone from grandmothers to physicians tout oatmeal's wholesome goodness and health benefits. But, is oatmeal good for diabetics? Limited...