Guidelines for the reduction of pre-meal dose of rapid-acting insulin (eg, lispro, aspart, or glulisine) for patients with type 1 diabetes mellitus in anticipation of postprandial exercise

Exercise intensity	Percent reduction in pre-meal bolus insulin dose
Exercise intensity	30 minutes of exercise	60 minutes of exercise
Low (25% VO₂max)	25*	50
Moderate (50% VO₂max)	50	75
High (75% VO₂max)	75	–

These estimates are designed for individuals with type 1 diabetes mellitus managed intensively with a basal bolus insulin regimen (eg, insulin glargine-lispro).

VO₂max: maximal oxygen uptake.
* Extrapolated.

Used with permission of American Diabetes Association, from: Rabasa-Lhoret R, Bourque J, Ducros F, Chiasson J-L, Guidelines for premeal insulin dose reduction for post-prandial exercise of different intensities and durations in type 1 diabetic subjects treated intensively with a basal-bolus insulin regimen (Ultralente-Lispro), Diabetes Care 2001; 24:625, Copyright © 2001; permission conveyed through Copyright Clearance Center, Inc.

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Guidelines for the reduction of pre-meal dose of rapid-acting insulin (eg, lispro, aspart, or glulisine) for patients with type 1 diabetes mellitus in anticipation of postprandial exercise