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Exercise Prescription & Programming

Blood glucose testing in cardiac rehab
Peggy Kraus

We're trying to make our procedure more time efficient.

How do you manage BG testing in cardiac rehab in patients with type 2 diabetes? Do you test all regardless of what med they take? How often do you test? What are your parameters?

Joshua Beard

Hi Peggy,

Here at UNC Cardiac Rehab, we measure pre/post exercise blood glucose levels on all of our TIDM and T2DM patients. We do this for the first 3 exercise sessions regardless of what medications they are taking. If we have concerns from those first 3 readings, we may continue checking their glucoses if needed.

As per parameters, there is some gray area. Generally, if they are bellow 100 mg/dL we will have them consume CHO until it is above 100 mg/dL. If values are above 350 mg/dL, we will not allow them to exercise.

I hope this helps!

Sheryl Sebastian

Here at Henry Ford Cardiac Rehab here is our policy:

For patients with NIDDM who are controlled by oral agents or diet discontinue BG monitoring after three sessions if pre/post exercise values are stable(between 70-250 mg/dl.

For all patients taking insulin, BG testing will take place the first three sessions as long as the pre/post exercise values are above 100mg/dl and below 250 mg/dl

Patients that have three consecutive BG reading of above 300 ml/dl will be allowed to exercise however their physician that monitors the BS ( endocrinologist or PCP) will be notified.

Exercise session will be held when BG is greater than 400 mg/dl and physician will be contacted for recommendations regarding treatment.

All IDDM patients with BG below 100 mg/dl will be treated with juice/crackers or glucose gel (depends on value and or symptoms)

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