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Scott Rand

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Mar 13, 2026, 5:31:55 AM (9 days ago) Mar 13

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A 21 year old type 1 diabetic athlete begins training for a 50 mile bike ride with a partner. She uses an insulin pump and is experienced with running cross country in high school. During her first 30 mile ride she experiences symptoms of hypoglycemia at 25 miles and almost falls before stopping. She is confused and her BS is 40.

What is the most appropriate immediate action?

A. Eat a banana or sports bar

B. Administration of glucagon by her partner

C. Drink a carbohydrate sports drink then quickly resume riding to reach a safe destination

D. Drink 8 ounces of water to improve volume status

Scott E Rand, MD FAAFP CAQSM

Director, Primary Care Sports Medicine Fellowship

Co Director of Sports Medicine, Houston Methodist Orthopedics and Sports Medicine Willowbrook

Assistant Professor of Clinical Family Medicine Houston Methodist Academic Institute

Adjunct Assistant Professor of Family and Community Medicine, Texas A&M University

Assistant Professor of Family Medicine in Clinical Medicine Weill Cornell Medical College.

13802 Centerfield Dr Suite 300

Houston, TX 77070

Scott Rand

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Mar 20, 2026, 5:31:26 AM (2 days ago) Mar 20

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Which of the following is a contraindication for the use of cryotherapy in acute musculoskeletal injuries?
A. Muscle soreness after exercise
B. Raynaud’s phenomenon
C. Local inflammation
D. Joint effusion

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