JR has type 1 and tells you they limit their carbohydrate intake to 30 gms a day to prevent hyperglycemia. Their A1C is 6.7% and time in range is over 70%. They tell you their main goal is to figure out how to prevent hypoglycemia during exercise.
What would be the best response using a person-centered approach?
- Explore how they are currently managing blood sugars around exercise.
- Reinforce that glucose needs to be above 100 mg/dL according to ADA Standards to prevent exercise induced hypoglycemia.
- Gently suggest referral to a RD to evaluate actual daily carbohydrate needs.
- Redirect the conversation to evaluate if JR might be experiencing disordered eating.
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