I climb regularly and love the physical and mental exercise.
The macho experienced climbers wear shoes a little too small.
As a starter, I would recommend shoes that are comfortable and allow you to feel the wall.
I find the adrenaline raises my BG. Pre-pump, I would take a correction dose with a low target (4.0) before I started climbing. With the pump, I now increase my basal during the climb.
After the climb, my BG drops so I either need a glucose boost or a reduction in basal.