ACE Health Coach Certification Practice Test

For a client with type 1 diabetes who reports low blood glucose before exercising, what is the most appropriate action?

1. Increase insulin dosage before the workout

2. Wait 15 minutes and recheck blood glucose

3. Inject insulin into the muscle groups to be used

4. Consume simple carbohydrates and recheck blood glucose

The correct answer is: Consume simple carbohydrates and recheck blood glucose

For a client with type 1 diabetes who reports low blood glucose before exercising, consuming simple carbohydrates is the most appropriate action. When blood glucose levels are low, it is essential to raise them to avoid symptoms of hypoglycemia during exercise, which could lead to serious health risks such as fainting, confusion, or even loss of consciousness. Simple carbohydrates are quickly absorbed, providing a rapid increase in blood glucose levels. This quick response is crucial right before exercise, as physical activity can further lower blood glucose levels as the muscles use glucose for energy. After consuming simple carbohydrates, it is important to recheck blood glucose to ensure that levels have returned to a safe range before starting the exercise regimen, thereby ensuring the client’s safety and well-being. Other options, such as increasing insulin dosage or injecting insulin into active muscle groups, are inappropriate as they may exacerbate the low blood glucose situation. Waiting 15 minutes and rechecking blood glucose without taking immediate action would not be advisable either, as it might lead to worsening hypoglycemia before exercise starts. Hence, the focus should be on quickly correcting the low glucose levels to ensure a safe and effective workout.