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)