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While all questions matter for comprehensive profiling, identifying exogenous insulin use is crucial for acute risk mitigation. Metformin alone rarely causes hypoglycemia; however, clinically significant lows are far more likely when clients use insulin or insulin secretagogues (e.g., sulfonylureas). Determining whether and how insulin is administered (pump vs. multiple daily injections, timing, and sites relative to working muscles) guides pre-exercise glucose targets, carbohydrate availability, and post-exercise monitoring. Clarifying dosing adjustments around activity, recent episodes of symptomatic or nocturnal hypoglycemia, and awareness of signs/symptoms (tremor, confusion, diaphoresis) shapes an immediate safety plan. Long-term goals and step counts inform behavior change but do not resolve imminent safety questions. Family cardiac history is important for overall risk stratification, yet it does not address the client’s current hypoglycemia complaints. Best practice includes establishing glucose check points (pre, during for longer sessions, and post), carrying rapid-acting carbohydrates, understanding injection site rotation to avoid exercising muscles with recent bolus, and coordinating timing of meals, medication, and exercise intensity/duration.