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Close monitoring of glucose levels before, during, and after activity Adjust medication dose and/or food intake before exercise Perform daily, rather than sporadic, exercise performed at the same time in order to facilitate diet and medication adjustments Morning exercise recommended Multidose insulin regimens make it easier to adjust dosage when exercise is anticipated Consider use of lispro (Humalog) insulin (faster onset and shorter half-life) If pre-exercise blood glucose <100, take a carbohydrate snack (15 g carbohydrate will raise blood glucose approximately 50 mg dL 1) Avoid exercise when insulin is at its peak activity Inject insulin in abdomen, not exercising extremities Eat a well-balanced meal 2 3 h before a planned bout of exercise Ingest carbohydrate containing foods/beverages during sustained activity (30 60 g h 1 if activity lasts >1 h) Replete glycogen stores immediately post-exercise Have easy access to carbohydrate containing foods should hypoglycemia begin to develop Have easy access to glucagon (1 mg) for s.c./i.m. injection Train coaches, athletic trainers, fellow athletes to recognize the early warning signs of hypoglycemia

private time, work, and play Ideally, a client will not spend an inordinate amount of time in one life activity at the expense of others If a person spends too much time in one activity, and this imbalance adversely affects other activity areas, then the person is likely to become stressed and worn down, and perhaps experience negative moods or emotions that make him or her vulnerable if confronted with a high-risk situation Lifestyle imbalance is a common misstep in early recovery by many clients, who are tempted to channel all the time and energy that used to be spent in drug-using behavior into another type of behavior (such as work) In an effort to fill the time, the client may inadvertently stress him- or herself by not seeking balance in activities The second vulnerability that can place clients in high-risk situations is a desire for indulgence.

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Call*Trace is a service that is available to everyone on a pay-per-trace basis If you receive a prank, etc you hang up, pick up, and immediately dial *57 A recording lets you know if the trace was good or bad, and you get charged $100 accordingly Unfortunately you have to call the phone company to get the phone number This service is for serious complaining and is meant for people who get pranked a lot and want to file charges All of the above features can be generally replaced with ICLID As a substitute for Call*Block I can simply not answer the phone if I don t want to speak to someone, since my ICLID lets me know who it is Of course, that prerecorded message adds a nice touch Call*Trace is pretty much useless with ICLID unless you want to bring in the Gestapo.

The beginning of the interview process is the turning point for the recruiting process. This is where a significant portion of firm time and resources begins to be spent, and thus the opportunity cost in lost business or lost opportunities for other candidates increases. Thus, firms should be careful as to how many persons are considered for interviews and how much time is allotted for them. If a firm interviews 100 people for five job openings, someone has invited far too many candidates to interview, and the firm should reassess its advance screening phase to rule out more candidates.

Many times a client will feel like he or she should be rewarded with something pleasurable for his or her strong efforts in overcoming a drug problem, but sometimes the rewards that are sought place the client in an awkward situation that tempts him or her to use drugs Other times the client may experience stress or a poor mood and may want to alter the stress or mood with an indulgence Sometimes the desire for indulgence constitutes an attempt to compensate for lifestyle imbalances An indulgence may not even be directly associated with drug use behavior, but frequently it places the client in a situation in which drug use may be an option.

For example, the client may simply desire to see old friends as an indulgence without any clear intent to use drugs, but the old friends may be using drugs when she or he arrives (also see the discussion of apparently irrelevant decisions, later in this section) The indulgence may not start out to be related to the use of drugs, but it can place the client in a high-risk situation for doing so A third vulnerability can arise when the client experiences cravings or urges to use As mentioned in 1, cravings can be triggered by social cues as well as physical cues Obviously, cravings or urges to use can place a client in a high-risk situation for drug use, sometimes before the client is aware of the danger In other cases, a client may cause a high-risk situation (eg.

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