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Question: From Madrid, Spain: Our son is 4 years old, was diagnosed IDDM at 11 months old. Often we have following problem: He practices sports (karate and swimming alternatively Monday to Friday) at same time of the day. He takes one snack of 20 grams carbohyrdates one hour before starting exercise. His blood sugar is usually about 200, but before his evening shot he is 300 to 350. Probably we must increase his insulin, but is the blood sugar increase due to exercise? Answer: Insulin requirements increase with growth. Unless your child is spilling ketones, it is unlikely the exercise is increasing the blood sugars. More likely, as you say, he needs more insulin. TGL Original posting 28 Feb 97

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Last Updated: Sun Jan 15 12:01:29 2006
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