**8.2 Saccharide for insulin or insulin Secretagogue users**

Through moderate-intensity exercise, glucose uptake is increased by 8 to 13 g/hr.; this is the basis for the suggestion to add 15 g of saccharide for every 30 to 60 minutes of activity (depending on the intensity) over and above normal practices. Moderate exercise for less than 30 minutes usually does not need any additional saccharide or insulin adjustment, unless the individual is hypoglycemic earlier than the start of exercise. Added Saccharide should be consumed if pre-exercise glucose level are less than 5.6 mmol/L.

For the exerciser with diabetes whose blood glucose level may plunge sooner and lower than the exerciser without diabetes, feeding saccharide after 40 to 60 minutes of exercise is significant and also may support in preventing hypoglycemia. Drinks comprising 6% or less of saccharide empty from the stomach as quickly as water and have the advantage of providing both needed fluids and Saccharide. Consuming Saccharide immediately after exercise improves the repletion of muscle and liver glycogen stores. For the exerciser with diabetes, this takes on added value because of the increased risk for late-onset hypoglycemia [1].
