Post Time: 2025-07-26
For individuals with diabetes, physical activity offers significant health benefits, but it also presents unique challenges in blood glucose management. Exercise can lead to unpredictable fluctuations in blood sugar levels, making it essential to employ strategies that mitigate these risks. Real-time blood glucose monitoring during exercise empowers individuals to make informed decisions, adjust their insulin dosages, and consume appropriate carbohydrates to optimize performance and prevent dangerous highs or lows. Understanding this dynamic is crucial for those who manage diabetes through insulin or other glucose-lowering medications, as it enables proactive, instead of reactive, adjustments to activity levels and diet.
This proactive approach is significantly different from the traditional method where monitoring is only done pre- or post-exercise. Continuous glucose monitors (CGMs), and more standard blood glucose meters, have become invaluable in providing the real-time data required for this personalized management strategy. By constantly tracking these fluctuations, one can prevent not only hypoglycemia (low blood sugar) and hyperglycemia (high blood sugar) but also improve their exercise capacity and overall management.
Different Types of Blood Glucose Monitoring Devices
Navigating the market for blood glucose monitoring devices can seem daunting. There are essentially two main categories: traditional blood glucose meters (BGMs) and continuous glucose monitors (CGMs). Understanding the difference in how they function is vital in selecting a device best suited to your exercise routines.
Blood Glucose Meters (BGMs):
- How They Work: BGMs require a small blood sample, usually obtained through a finger prick, which is then tested on a strip inserted into the meter.
- Use During Exercise: BGMs can be utilized to obtain a quick reading pre-, during, or post-exercise. These spot checks offer immediate data that will assist in making management decisions at a particular moment during your routine.
- Pros: More affordable, simple to use, readily available and have good accuracy.
- Cons: Provide only a single data point in time and cannot catch sudden changes that happen between tests.
Continuous Glucose Monitors (CGMs):
- How They Work: CGMs use a tiny sensor inserted just under the skin, typically on the abdomen or arm, that continuously measures glucose levels in interstitial fluid. Data is transmitted wirelessly to a receiver, like a phone or separate device, to display trends.
- Use During Exercise: CGMs are invaluable for real-time tracking during activity, displaying current glucose levels, historical trends, and often giving alerts for hypo or hyperglycemia.
- Pros: Continuous real-time data, ability to detect trends and predict fluctuations, alarm settings, convenience.
- Cons: More expensive than BGMs, requires sensor replacements periodically, needs calibration in some models.
| Feature | Blood Glucose Meter (BGM) | Continuous Glucose Monitor (CGM) |
|---|---|---|
| Data Type | Single Point in Time | Real-Time Continuous |
| Cost | Lower | Higher |
| Convenience | Needs Finger Pricks Each Check | Requires Sensor Insertion |
| Trend Tracking | Not Available | Provides Trend Data |
| Alerts | No automatic alerts | Alarms for High/Low Blood Sugar |
| Accuracy | High when used correctly | High accuracy, can have slight delay |
For an individual whose exercise regimen has a lot of variety and inconsistency in intensity and duration, or for those on intensive insulin therapy, CGMs are the obvious choice. Those with simpler exercise habits, whose routines and intensities are fairly consistent, or those who cannot afford a CGM, may benefit greatly from spot-checks using a BGM, used diligently pre-, during, and post-exercise.
Implementing Real-Time Monitoring for Exercise
The actual implementation of real-time monitoring involves more than just carrying a device, but rather understanding how it works and how to utilize its information. For both BGMs and CGMs, certain basic rules should apply.
Pre-Exercise Planning:
- Check Blood Glucose Levels: Whether using BGM or CGM, always check glucose levels before starting.
- Understand Trend (CGMs): If using a CGM, observe if glucose levels are trending up, down or holding steady. This will help you predict your needs during the exercise.
- Plan Ahead: Based on the data and how your body responds to exercise, plan any adjustments to your routine and your nutritional intake that might need to happen.
Monitoring During Exercise:
- Regular Checks: If using BGM, check levels as recommended by your healthcare provider or at key moments during activity. With CGMs, glance at the trends often to identify changes quickly.
- Response Time: Be prepared to respond to immediate alerts or trends—whether that involves decreasing intensity, consuming some fast-acting carbohydrate, or administering insulin (as appropriate based on glucose levels and trends, under guidance by your care team).
- Adjust Exercise: Modify activity intensity or duration as necessary to stay within your target glucose range. For example, reduce intensity if levels are dropping fast, or add interval activity if your levels are trending upwards, while consulting with your healthcare provider.
Post-Exercise Management:
- Post Exercise Glucose Levels: Continue to monitor to observe changes. Blood sugar fluctuations may occur hours after the exercise, depending on your intensity and exercise duration.
- Refuel Appropriately: Restore your glycogen stores and avoid hypoglycemia using balanced meal plans which include complex carbohydrates and protein, as prescribed by a nutritionist or dietician specializing in diabetes management.
- Insulin Management: Consult with your medical provider for an insulin plan that works best to maintain healthy glucose levels and optimal body functioning pre-, during, and post-exercise.
These processes and decisions are not set in stone. They must evolve alongside your routines and in dialogue with your healthcare providers. A healthcare professional can be a great partner in interpreting your data from both BGM and CGM readings, adjusting management plans and advising on the most effective ways to monitor.
Practical Strategies for Different Types of Exercise
Different types of exercise impact blood glucose in various ways, requiring tailored strategies for real-time management. The two main considerations when adjusting routines are duration and intensity of activity.
Aerobic Exercise (Long-Duration, Moderate Intensity):
- Impact: Usually tends to lower blood glucose.
- Strategy: If using insulin, you may need to reduce pre-exercise insulin or ingest additional carbohydrates prior to or during long duration activities like running, swimming, hiking and cycling. Keep fast-acting carbs handy to address sudden drops. Continuous monitoring via CGM is particularly helpful for these kinds of routines to track levels steadily over long time periods.
Anaerobic Exercise (Short-Duration, High Intensity):
- Impact: May cause a temporary rise in blood glucose due to stress hormones, followed by a drop.
- Strategy: It is key to be prepared for both increases and drops in blood sugar levels. Consult your healthcare provider for specific modifications to your insulin therapy, or for instructions on nutritional needs for fast and slow changes to glucose levels during these kinds of routines. Spot-checks with BGM before, during, and after may be necessary if CGM readings are lagging.
Weightlifting:
- Impact: Can cause varying responses in blood glucose depending on the intensity of the routine.
- Strategy: Monitor closely before, during (if your routine allows), and after, and adjust insulin as needed, based on trends and recommendations by a health care professional. It may be useful to also monitor your levels many hours after a weightlifting routine, as blood sugar drops may happen over extended time.
| Exercise Type | Typical Glucose Response | Monitoring Strategy |
|---|---|---|
| Aerobic | Generally Decreases | Reduce insulin/add carbs, CGM helpful |
| Anaerobic | Initial Rise then decrease | Monitor and adjust for both increases and drops, BGM or CGM needed |
| Weightlifting | Highly variable | Close monitoring and flexible approach |
Having individualized exercise protocols for different forms of exercise may require patience and self-monitoring. It is critical to also consider your individual response. It is valuable to meticulously document your readings, the intensity and length of the exercise, the timing, duration and quantity of any meals, insulin dosages and how it impacted your levels, so that patterns can be noted, and future management can be customized.
Title 5: Overcoming Challenges and Ensuring Safety
While real-time monitoring provides the data needed for making appropriate adjustments to exercise and insulin dosage, several common challenges must be addressed in order to use the data effectively and ensure optimal safety and benefit.
Common Issues:
- Sensor Inaccuracy (CGM): CGMs may lag in reflecting true glucose levels momentarily and need calibrating with a BGM. Understanding these limitations is important when making decisions about treatment.
- Alarm Fatigue: Overly sensitive alarm settings for CGMs can lead to fatigue. Customize alarm ranges to best fit your comfort and management styles and check with your provider to find the sweet spot for your goals and needs.
- Cost Barriers: The cost of sensors or supplies may make CGM inaccessible for many people. Explore patient assistance programs, alternative brands, and ways to maximize sensor longevity in order to minimize cost-related stress.
- Interpreting data: Some people may have difficulty in analyzing data and trends. Consult a diabetes educator, registered dietitian, or exercise physiologist to become fluent in the metrics and learn best practices.
Strategies for Safe Exercise:
- Educate Yourself: Educate yourself about exercise's impact on blood sugar and learn how to effectively use your glucose monitor.
- Consult Professionals: Seek advice from healthcare providers on pre- and post-exercise insulin adjustments, nutritional needs and strategies for the routines you are engaging in.
- Personalize Management: Adjust strategies and routines based on your experience and readings. Understand that what works for one person may not work for you.
- Start Slow: Increase intensity and duration gradually, and as you collect data and consult with your healthcare provider.
- Bring Essentials: Always carry glucose tablets, a BGM (or a CGM) and your insulin whenever exercising. Make sure to always have emergency contact information as well.
- Be Aware of Symptoms: Understand symptoms of both high and low blood sugar so you can act quickly.
In conclusion, blood glucose monitoring is essential for managing exercise safely and effectively. By combining real-time insights from BGMs and CGMs with personalized adjustments, those living with diabetes can enjoy the myriad health benefits of activity while minimizing associated risks. It’s a process of learning, adapting, and collaborating with healthcare professionals to achieve balanced glucose control during exercise and overall improved health outcomes.
【血糖實驗】吃豆腐會升血糖嗎? 喝無糖豆漿血糖會升多少?蛋白質會升多少血糖呢?糖尿病可以吃嗎 ＃氣炸豆腐＃低醣飲食_淳手藝 請點贊、訂閱、留言、分享，幫助我做出更好的視頻，也可以購買『超級感謝』支持我創作更好的視頻！ *喜歡的話請訂閱並分享出去 *您的批評鼓勵是我進步的動力 大家好，我是Vivian 豆腐和無糖豆漿是低醣飲食中常見食材，這次想來試試看，吃豆腐和喝無糖豆漿，血糖升多少？ 另外說明一下，我不是醫生也不是護理師也不是營養師，今天做這個血糖測試，完全是因為自己想做實驗，血糖實驗結果僅供參考 (時間標記) 0:00重點特寫+引入Close Up Shots +Introduction 0:16 空腹血糖 0:34 吃氣炸豆腐 0:45 餐後1小時血糖 1:01 喝豆漿和吃豆腐的蛋白質份量換算 1:06 喝豆漿前的空腹血糖 1:16 喝無糖豆漿 1:26 餐後1小時血糖 1:35 實驗結果分享(數據分析) 2:10 結尾 #血糖實驗 #吃豆腐會升血糖嗎? #喝無糖豆漿血糖會升多少? #蛋白質會升多少血糖呢? #糖尿病血糖管控 ＃氣炸豆腐 ＃低醣飲食 ＃測血糖 吃完食物的血糖波動越小對身體比較有好處，因為如果血糖的波動大，會促使胰島強烈分泌 胰島素，容易合成脂肪，抑制脂肪分解，因此血糖波動大對減肥以及維持體重比較不利，另外血糖波動大也與心血管疾病風險增加有關， 容易造成血糖波動大的食物就是澱粉（碳水量）高或者是含精緻糖的食物，這些我們都要適量吃，避免我們的血糖過度波動，造成身體不健康或者是沒有辦法達到對自己身材要求的標準 如果你喜歡我的影片，請給我一個讚也請訂閱我的頻道，不要忘記開小鈴鐺喔，才不會錯過我每次的分享跟留言回覆，謝謝收看 總結: 「很多人把豆製品當『菜』吃。」其實黃豆雖然是植物性食物，但營養學分類上，豆製品屬於「肉魚豆蛋類」。一杯240c.c.無糖豆漿（即一份）所含5公克脂肪、7公克蛋白質，等於一份中脂肉，若早餐店常用來盛裝豆漿的白色塑膠杯，容量更多，通常有300c.c.。 馬偕醫院營養師楊亦而說，一杯感覺有甜味的豆漿，熱量至少100大卡，微甜熱量更多，若把豆漿當水喝，一天2,000c.c.，就可能喝下800到900大卡熱量。顏麗呅說，正常甜度的加糖豆漿，熱量近200大卡。 營養師建議，豆漿及黃豆製品含膳食纖維，能促進腸道蠕動，還有飽足感，但食用時別忘了與當天吃進的肉魚蛋類合併計算，才不會超量。 網路豆漿減重法分析與建議 豆漿＋黃瓜減肥法 早餐／1杯豆漿（240c.c.）+幾根黃瓜 中午／按自己習慣，避免油膩食物 晚餐／1杯豆漿（240c.c.）+幾根黃瓜 ⊙分析 1.黃瓜幾無熱量，早、晚餐只喝豆漿、吃黃瓜，幾乎採半飢餓方式減肥。短期似乎有成效，恐難以為繼。 2.此減肥法屬低油脂配方，若午餐沒有水果，完全不碰澱粉類主食，營養不均衡，長期可能酮酸中毒，危害健康。 ⊙建議 雖減少油脂攝取量，減重者每餐至少要吃半碗飯，一天仍要吃6份豆魚肉蛋類食物；男性每餐主食約8分滿，豆魚肉蛋類則要7、8份，還要吃足量蔬菜、水果等，維持營養均衡。 純豆漿減肥法 早餐／2杯豆漿（480c.c.）+1份點心（油條除外） 中餐／清淡素食 晚餐／清淡素食+1杯豆漿（睡前） ⊙分析 早餐雖不吃油條，但點心若吃水煎包，一顆熱量250大卡，或6個小籠包也有380大卡，起司火腿三明治有200到250大卡，熱量不算太低。 ⊙建議 以素食為正餐，最好挑選天然素料，避免加工食品及勾芡，才不會吃下隱藏油脂。三餐正常吃，睡前喝豆漿增加熱量攝取，建議不喝。 超商豆漿減肥法 早餐／無糖豆漿450c.c.+茶葉蛋1顆+1份水果或生菜沙拉 中餐／控制在600大卡以下 晚餐／無糖豆漿450c.c.+1份水果或生菜沙拉 ⊙分析 1.若生菜沙拉不加醬，早餐熱量就不到300大卡，比起奶茶加蛋餅或三明治，少100到150大卡，晚餐約只有200到250大卡。 2.如此高蛋白質、低熱量，一天總熱量約1,200大卡，大約是減重女性一日建議攝取量。 3.2,000c.c.飲水可以增加飽足感，運動則消耗熱量。 ⊙建議 午餐以半碗飯當主食，且要有一份蛋白質，如一兩肉或一份豆製品等，再加上青菜，維持營養均衡。 怎麼計算一份豆製品 一份豆魚肉蛋類＝240c.c.無糖豆漿 ＝一塊田字型板豆腐 ＝75大卡（蛋白質7克） ＝20公克黃豆 ＝半塊盒裝豆腐 ＝2片五香豆乾 ＝一片豆包 ＝35公克瘦肉 註：每天攝取豆製品至少一份以上 豆製品 健康吃 ‧盡可能選擇未加工或一次加工豆製品，如豆腐、豆漿、豆包等。 ‧避免過度加工、油炸或調味豆製品，如百頁豆腐、麵輪、炸豆皮等。 ‧喝豆漿最好不加糖，或使用代糖。 ‧烹調時，避免過油、太鹹，建議採滷、炒或煮湯，避免勾芡、糖醋、油炸或三杯方式。 ‧痛風發作時，不建議吃黃豆製品。 傳統豆腐做法： 先來了解好吃又營養的豆腐是如何 製作的!首先，先將黃豆浸泡於水中， 待黃豆吸飽水後再以磨豆機研磨成生豆 漿，接著將生豆漿加熱煮沸、濾渣，添 加凝固劑後快速攪拌均勻，最後再進行 充填、加壓。製程或添加凝固劑的不 同，會製作出不同種類的豆腐。例如， 傳統豆腐添加的凝固劑為鹽滷或食品級 食用石膏─硫酸鈣，因此鈣質含量較 高，若想攝取鈣質含量較高的豆腐，傳 統豆腐就是你的第一選擇。 盒裝嫩豆腐做法： 超市常見的盒裝嫩豆腐，前段製 normal blood sugar but diabetes symptoms 程 ( 製成生豆漿 ) 與傳統板豆腐相同， 但之後直接填充至盒內，並加入凝固劑 加熱;由於盒裝嫩豆腐製作過程中的豆 漿濃度較低，加上加壓時間較短、壓力 較小，因此保水性佳，質地較為軟嫩， 相對熱量較低，因此，若想控制體重， 不妨以嫩豆腐取代部分動物性蛋白質來 源。除了製程不同，盒裝嫩豆腐所添加 的凝固劑為不含鈣的葡萄糖酸內酯，故 鈣質含量也較傳統豆腐低。 (以上內容參考引用 聯合報╱記者 陳惠惠 建議目標為空腹. ≤ 95mg/dl；餐後一小時≤ 140 mg/dl；餐後兩小時≤ 120 mg/dl。 避免血糖過度波動 控血糖好處 1、防長胖 2、食慾平穩 3、減肥助力 在正常熱量的情況下，讓餐后血糖平穩一些，利於防止肥胖。 血糖實驗的免責聲明: 1.每個人的年齡、身體狀況、疾病、藥物、活動量、運動量、作息、工作、情緒等條件皆有所不同，食物升血糖實驗僅能呈現個人的結果，不代表每個人用同樣的飲食方式也會得到相同的結果。 2.我不是醫療專業人士。 3.實驗方式:沒有運動、沒有吃點心、沒有過量活動、沒有注射速效胰島素。 4.血糖實驗呈現只有1次結果，並沒有大量試驗。 5.血糖實驗結果僅供參考，本頻道影片無法對您的健康負責。 6.糖尿病友請按照醫囑規則用藥；並依照您的醫生、營養師、糖尿病衛教師指示管控血糖。 另外，醫生都會建議餐後血糖在兩小時之後做，因為兩小時之後做，正常人在胰島素分泌之下，血糖就會恢復正常，餐前做一次、餐後兩小時做一次，可以用建議的數值分辨自己是不是有血糖異常，我會規律的在餐後1小時做，是想找到血糖《突波》，是我個人吃完食物血糖會上升最高的時候，因為我餐後兩小時測血糖，血糖就會往下降，幾乎會恢復正常值85-87之間。 血糖標準值 • 空腹血糖值：70~140 mg/dl • 飯後血糖值：80~180mg/dl • 睡前血糖值：90~150mg/dl 血糖機每日自我監測. 血糖四次以上(例如一次空腹加上三餐餐後一小時或兩小時)。建議目標為空腹. ≤ 95mg/dl；餐後一小時≤ 140 mg/dl；餐後兩小時≤ 120 mg/dl。 腸胃會在我們一邊吃飯的時候就一邊進行消化，所以要計算「2小時」，就是從第一口飯開始計算。 避免血糖過度波動 血糖波動兩大危害 1、 殺傷胰島細胞：讓本來為數不多的殘存胰島β細胞越來越少甚至，這樣一來，糖友的血糖調控完全依賴於外源性胰島素，而沒有了自身的反饋調節能力。 2、 難管控：機體對外源胰島素十分敏感。當血糖升高時，稍稍增加一點胰島素注射劑量就發生低血糖；而血糖下降時，稍稍減少一點胰島素劑量，血糖又明顯升高，就像再嚴格的家長也管不住一個正在青春叛逆期的孩子。 原文網址： 沒糖尿病，也要控血糖嗎？ 8個好處，第1個就讓你心動！ #健康美好生活計劃# 控血糖好處 1、防長胖 2、食慾平穩 3、減肥助力 4、防反彈 5、有利於控血脂 6、與心血管疾病風險降低有關 7、有利於皮膚光潔、顯年輕 8、防止餐后犯困 確實，普通人不用那麼嚴格地去控血糖，但是，普通人如果能保持餐后血糖平穩，也是有一些好處的！ 像第 1個就很誘人： 1 防長胖首先就要說說大家都關心的身材問題，其實血糖在這方面有一定的作用。 我們進食后，食物中的澱粉分解為葡萄糖進入血液，引起血糖升高。 有些食物引起血糖升高像爬緩坡，有些則像沖入雲霄的過山車，雖然都會引起胰島素分泌，但後者這樣血糖驟升刺激會引發更強烈的胰島素分泌，一方面指揮葡萄糖轉化為脂肪囤積起來，另一方面還會抑制脂肪分解，另外血糖的波動還會影響特定基因的表達 [1]，結果就是導致皮下脂肪和內臟脂肪增加——即長胖。 也就是說，在正常熱量的情況下，讓餐后血糖平穩一些，利於防止肥胖。 2 食慾平穩就像過山車衝上高處後會飛速下降，血糖爬上高點后也會在胰島素作用下驟降，而且由於胰島素不成比例地大量分泌，有的時候甚至會降過了頭，比餐前更低，這時候處於血糖窪地的你就會感覺很餓，急切地想吃東西，儘管離上一餐還沒過去多久。 回想一下，是不是有的東西吃了以後會飽很久，但有時明明吃很多，很快又餓了，這就跟血糖變化有一定關係。 在成人、兒童和青少年中進行的研究都發現，低GI/低GL飲食能降低饑餓感、增加飽腹感，減少出現加餐吃零食的狀況[2-4]。 也就是說，讓餐后血糖平穩一些，有利於管住嘴。 3 減肥助力對於在減肥的朋友，在總熱量限制的情況下，再保持餐后血糖平穩的話，減肥效果會更好。 有研究發現，與傳統均衡飲食減肥餐相比，低GI飲食讓肥胖女性在3個月後體重下降更多 [5]; 在另一項研究中，與高GI飲食相比，低GI飲食5周后，超重男性的體脂肪量下降更多 9 foods that lower blood sugar naturally foods to help stabilize blood sugar （但是體重沒變化）控血糖只是一個方面，前提是均衡飲食、 各種營養素吃夠。 可以這樣做： 首先最重要的是食物總量，還有飲食結構，你吃非常非常多，肯定血糖也會上升。 1 盡量地多吃一些蔬菜，蔬菜熱量很低，而且還有著不少膳食纖維，這些都對於控制血糖是很有好處的。 2 注意進餐順序，比起吃飯時先吃主食的習慣，養成先吃一陣子素菜、葷菜（比如前5分鐘內都吃菜）再開始吃主食的習慣，可以幫你降低餐后血糖。 或者，飯前30分鐘吃點蛋白質或者纖維類零食（比如無糖優酪乳/乳酪、原味堅果、無添加的水果乾蔬菜乾）也有類似的效果。 3 主食不要全是精製碳水，在精米白面中摻入全穀物（如糙米、燕麥、藜麥、薏米、黑米、大麥仁、荞麥仁、青稞）、雜豆（如紅豆、綠豆、芸豆），增加膳食纖維和蛋白質含量，可以降低餐后血糖反應。