If the blood glucose value is around 300 mg/dL without ketones, what should be done?

If the blood glucose value is around 300 mg/dL without ketones, what should be done?

• A. The athlete may exercise with caution and continue to monitor blood glucose levels
• B. Stop exercising immediately
• C. Administer insulin before continuing
• D. Hydrate only and continue freely

Answer: (A)

When blood glucose is around 300 mg/dL but there are no ketones, you have hyperglycemia without ketoacidosis. In this situation, activity isn’t automatically stopped, but it should be approached with caution. The athlete can continue exercising, provided glucose is checked frequently (about every 15–30 minutes), hydration is maintained, and intensity is monitored to avoid worsening hyperglycemia. Do not try to push insulin during the session unless a healthcare provider has given specific guidance for on-the-spot adjustments. If glucose trends higher or ketones appear, stop and reassess with medical guidance. Hydration alone won’t correct the high glucose, so simply continuing freely isn’t appropriate.

When blood glucose is around 300 mg/dL but there are no ketones, you have hyperglycemia without ketoacidosis. In this situation, activity isn’t automatically stopped, but it should be approached with caution. The athlete can continue exercising, provided glucose is checked frequently (about every 15–30 minutes), hydration is maintained, and intensity is monitored to avoid worsening hyperglycemia. Do not try to push insulin during the session unless a healthcare provider has given specific guidance for on-the-spot adjustments. If glucose trends higher or ketones appear, stop and reassess with medical guidance. Hydration alone won’t correct the high glucose, so simply continuing freely isn’t appropriate.