For each aspect of physical exertion in people with insulin-dependent diabetes mellitus A–E, select the most appropriate option from the following list of physiological terms.
1. Decreased insulin requirement.
2. Increased insulin requirement.
3. Hyperglycaemia.
4. Hypoglycaemia.
5. Parasympathetic effects.
6. Sympathetic effects.
A. Prior to a two-hour period of strenuous physical afternoon’s activity, diabetic patients require to increase their nutritional intake and adjust their dose of insulin compared with that taken before a sedentary afternoon.
B. A major risk for such people is that they will develop a period of confusion during strenuous activity or during the following evening or night.
C. During such a period of confusion, the patient often shows pallor and sweating.
D. Prior to a period of strenuous activity it is reassuring rather than alarming to find the blood glucose around the renal threshold for glycosuria.
E. After a full day of strenuous activity, the person with diabetes may set the alarm several times during the night so as to be able to test the blood glucose level.