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NATA Guidelines
Diabetes Care Plan
Supplies for Training Kits
Hypoglycemia
Ketoacidosis
Travel Recommendations
Athletic Injury
www.journalofathletictraining.org
Diabetes Care Plan
Blood glucose monitoring a must!
Pre-exercise exclusion values
Insulin therapy guidelines
Medication list
Emergency contacts
Consent for medical treatment
Medic-Alert Tag
Supplies for Athletic Training Kits
Copy of Diabetes Care Plan
Glucometer and supplies with expiration dates
Hypoglycemia supplies– Glucose gel or tablets– Juice or sugary liquids– Glucagon emergency kit
Hyperglycemia supplies– Urine ketone testing strips– Non sugary liquids
Sharps container
Spare parts– Batteries; infusion sets and reservoirs for insulin pumps
Hypoglycemia
Know signs and symptoms
Know treatment guidelines for– Mild Hypoglycemia (Concious and able to follow
commnads and swallow)– Severe hypoglycemia( Unconcious or unable to follow
commands or swallow)
How to administer a glucagon injection – Provide appropriate training
Hyperglycemia
ADA guidelines for avoiding exercise during periods of hyperglycemia
Exercise induced hyperglycemia (over 70% VO2
max or >85% max heart rate)
Drink non-carbohydrate fluids when BG > 180 mg/dl) which will lead to increased urination
Ketone testing– BG > 250 mg/dl test for ketones and if present omit
exercise– if > 300 with negative ketones exercise caution
Travel Recommendations
TSA in conjunction with ADA guidelines for airline passengers within the USA will require letter
Carry supplies with them and replacement Rx
Storage requirements include cool packs
Carry on prepackaged meals and snacks
Coordinate insulin therapy based on time zones and duration of action
Athletic Injury and Glycemic Control
Avoid hyperglycemia
Frequent monitoring should be allowed
Develop contingency protocols during Injury recovery
References
1. Jimenez CC, Corcoran MH, Crawley JT, Guyton Hornsby W, Peer KS, Philbin RD, Riddell MC 2007 National athletic trainers' association position statement: management of the athlete with type 1 diabetes mellitus. J Athl Train 42:536-545
2. Younk LM, Mikeladze M, Tate D, Davis SN 2011 Exercise-related hypoglycemia in diabetes mellitus. Expert review of endocrinology & metabolism 6:93-108
3. Colberg SR, Sigal RJ, Fernhall B, Regensteiner JG, Blissmer BJ, Rubin RR, Chasan-Taber L, Albright AL, Braun B, American College of Sports M, American Diabetes A 2010 Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabetes Care 33:e147-167