Exercise in diabetes patients has many benefits but also several risks, of which hypoglycemia is most often discussed. We present a case with recurrent keto-acidosis post-exercise, in which we hypothesize that glycogen replacement strategies were insufficient. Our experience in this case and review of the literature emphasize the importance of discussing glycogen replacement strategies with your diabetic athletes.
Keywords: T1DM; exercise; ketosis; liver glycogen.
© 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.