How to Stay Safe with Diabetes While Swimming and Doing Sports

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Marco Diabetic since 2015

Playing sports and staying active are fantastic for both your body and mind. But if you have diabetes, whether you’re Type 1 or Type 2, there are a few extra things you’ll need to think about—especially when it comes to swimming. Let’s dive in (pun intended!) to how you can stay safe, manage your glucose, and enjoy your favorite activities. 🏊‍♀️

Why Does Swimming Require Extra Attention?

Swimming is an awesome workout—it’s low-impact, works almost every muscle in your body, and hey, being in water just feels good, right? But for people with diabetes, it can be a bit of a balancing act. Your body burns a lot of energy while swimming, which can lead to sudden blood sugar changes, especially Hypoglycemia (Low blood sugar). And here's the catch: swimming often hides the symptoms of a hypo, like sweating or shivering.

Plus, water can sometimes make insulin absorption unpredictable, particularly if you’ve injected right before hopping in the pool. So, while swimming is super beneficial, a little prep will make a huge difference in keeping things safe.

Plan Ahead to Swim Safely

  1. Check Your Levels Beforehand: Always measure your blood sugar before hitting the water. Ideally, aim for levels between 120-180 mg/dL before you start. If it’s on the lower side, grab a quick snack like a banana or glucose tabs. Safety first!

  2. Pack a ‘Rescue Kit’: Keep glucose tablets, juice boxes, or other fast-acting carbs close—yes, even on deck or poolside. If you’re using an insulin pump or CGM (continuous glucose monitor), make sure they’re waterproof or remove them securely and monitor manually.

  3. Consider Timing: If you’ve just taken insulin, it’s better to give your body some time (1-2 hours) to stabilize, so you’re not diving in during peak insulin action. Otherwise, the combo of insulin plus exercise can lead to rapid drops in blood sugar—something you definitely want to avoid.

  4. Tell Someone Nearby: Let the lifeguard, coach, or a swimming buddy know about your diabetes and how to help if needed. A quick explanation like, "Hey, I might need a snack or assistance if I look unwell," can be a lifesaver in an emergency.

Young black woman with Type 2 diabetes happy with her blood glucose results.
Image by @sweetlifediabetes via Unsplash.com

Swimming and managing diabetes together just takes a little extra effort. 🎽

Food & Insulin: Striking the Right Balance

Eating and injecting insulin when you’re active is like performing a balancing act on a tightrope. Too little insulin and your blood sugar might spike; too much and you’re at risk of going low—both scenarios no one wants, especially mid-pool!

Timing Your Meals and Snacks

  • Eat Smart Before a Workout: Having a meal or snack with a mix of carbs and protein (think Greek yogurt and fruit or a turkey sandwich) 1-2 hours before you swim could give you some steady, lasting energy.
  • Small Snacks During Breaks: Keep something light and quick nearby—granola bars, glucose gels, or even a handful of dried fruit can be great. Listen to your body and don’t hesitate to pause for a bite if you feel off.

Insulin Tips for Active Days

  • Adjust Doses if Needed: Talk to your doctor or diabetes educator about temporarily lowering your insulin dose on active days. They might suggest a reduced basal rate if you’re on a pump, or slightly less Rapid-acting insulin before your workout.
  • Avoid Injecting Near Muscles You’ll Use: If you inject into your arm or thigh and then work that area, it may absorb the insulin faster than usual. Instead, consider injecting into your stomach or an area not directly involved.

Final Thoughts: Know Your Body 💡

The golden rule for swimming, sports, and life with diabetes is listening to your body. You know better than anyone else when something feels ‘off.’ Monitoring your blood sugar, always being prepared, and keeping an open line of communication with those around you ensures you’re set up to stay safe—and have fun.

And remember, living with diabetes doesn’t mean sports are off-limits. In fact, staying active can improve endurance, stability, and overall glucose control over time. With swimming’s amazing benefits, it’s worth a little planning to make the most of it. So go ahead, stretch, swim, and enjoy—your next lap could be your best yet!