Group Fitness Instructor

Category - Emergencies

Tanya is diabetic, but she has been managing it well with proper diet and exercise. She is running late to the 1PM outdoor T’ai Chi class and confides in you that she did not eat all her lunch. During class, she stops participating and looks pale and uneasy. As the Group Fitness Instructor, which of the following would be the LEAST appropriate plan of action?
  1. Have her sit down and check her blood glucose level
  2. Knowing she did not eat, have her eat a small portion of something which has rapidly absorbing carbohydrates
  3. Do not allow her to leave until her glucose level is normal
  4. Activate the EMS
Explanation
Answer: D - Extremely low blood sugar - also known as an insulin reaction - can typically be addressed without activating the EMS as long as the participant is conscious and mentally alert. The symptoms seen are due to decreased brain cell function because of lack of glucose within the bloodstream. The more prolonged the period of hypoglycemia, the more severe the symptoms. Typically, the best course of action is to have the participant stop exercising, sit down, test her blood glucose and then eat something that has rapidly absorbing carbohydrates and have her wait until her blood sugar rebounds before resuming exercise or leaving class.
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