What should be done before exercising if ketones are present in the blood with high glucose levels?

Before exercising, especially in individuals managing diabetes or metabolic disorders, the presence of ketones in the blood alongside high glucose levels signals a state of potential hyperglycemia and metabolic stress, indicating that the body may not be in an optimal state for physical activity. The body can be at increased risk for complications such as diabetic ketoacidosis, which can occur when ketone levels rise and glucose is poorly managed.

Delaying exercise until ketones clear from the system is crucial because engaging in physical activity could exacerbate the situation. When exercising, the body can increase its glucose requirements and might push the body further into metabolic distress, potentially worsening high ketone levels. This can lead to serious health issues if not monitored and managed properly.

In contrast, focusing on hydration and insulin treatment might be necessary steps but should not be done with the intent to exercise immediately. Exercising moderately or adjusting carbohydrate intake does not address the underlying metabolic condition caused by high ketone levels and hyperglycemia. Therefore, the safest course of action is to ensure that ketones have cleared before beginning any exercise regimen.