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Re: [IP] exercising



Buster, just curious: do you wait about 15 to 20 minutes to eat after
giving yourself insulin or do you inject and just start to eat?


On Sat, Jan 18, 2014 at 12:16 PM, Buster Q <email @ redacted> wrote:

>  Managing exercise is hands down for me the most challenging and
> frustrating
> part of managing my T-1 diabetes.
>
>  I need to exercise to stay sane, healthy, and also manage my fasting
> sugars. I
> can't keep a straight line on my Dex while sleeping if I don't work out at
> least
> every other day.
>
>  Also, I'm 49 and my father died from heart disease when he was 53. I have
> all
> the risk factors. So I need to exercise.
>
>  It works too. I took an executive-level physical that included a sonogram
> of my
> heart while working the treadmill during a stress test. It was amazing to
> see
> the valves opening and closing at a 180 pulse rate. The cardiologist said
> I have
> the heart of a 20 year-old. My calcium score was 0. That's ZERO. No
> arterial
> disease at all.
>
>  Yet I struggle to keep my A1-Cs in the sevens. Failing to get the exercise
> right is a big part.
>
>  Currently I am having a great deal of luck by exercising 3-4 hours after
> my
> lunch bolus, going into the gym with 2-3 units of the bolus IOB, good sugar
> (100-150) and dissolving 2 tablespoons of powdered dextrose (18 carbs) in
> my
> water bottle and drinking it as I go, while monitoring my Dexcomm.
>
>  I use a roller and/or lacrosse ball to do soft tissue work, then stretch,
> then
> lift weights, then do an intense metabolic conditioning routine (20
> minutes of
> serious exertion), then stretch again.
>
>  Does it always work out? No. If I go low I have to stop and drink some
> more
> dextrose.
>
> Buster in MD
>
>
>
> On Jan 12, 2014, at 8:19 PM, Susan Lane <email @ redacted> wrote:
>
> > If I exercise right after eating, the carbs don't have time to digest
> and I
> > never go high enough.  If I don't eat at all, the old liver kicks in and
> > up, up up I go.  It major depends on what I'm doing, also.  If I'm
> > spinning, doing Zumba, biking, hiking, etc.  It's just too much some
> times
> > and I just figure that I'll do the best I can.  I used to turn my pump
> down
> > for long bike rides, but then I couldn't eat enough to keep the energy
> > flowing without going too high.  How I wish I was a couch potato! (not
> > really).  Just bring along foods for going low and your pump to give
> > insulin when you're going too high.  And then you get to figure out how
> > much insulin to give yourself when you're at 300 and still have an hour
> > left of biking.  Can you all hear me screaming?????  Susan
> >
> >
>  > On Sun, Jan 12, 2014 at 1:38 PM, Glenn Primack
> <email @ redacted>wrote:
> >
> >> I am with you on the good luck sentiment.  It's definitely harder to
> keep
> >> steady blood sugars when doing a lot of exercise, at least for me.  When
> >> doing exercise for that long, I try to suspend my pump about 2 1/2 hours
> >> ahead of time, and then adjust my pump to 20% to 30% of my regular basal
> >> for the duration of the exercise.  That will keep me pretty steady.
> >>
> >> If it's in the morning and I need to eat, I will eat about 70 grams of
> >> carbs RIGHT before exercise (Some people have problems with exercise
> right
> >> after eating, but seems to work for me) and inject around .5 or .75
> units
> >> of insulin for all of that food when I would normally do about 7 units
> for
> >> that food if I wasn't exercising.  The food digests slowly since I am
> >> exercising and my blood sugars stay pretty stable.  I watch my Dexcom
> and
> >> always keep gummy bears in my pockets to take one or two of if I see my
> BS
> >> headed down.  Then in the last 20 minutes or so of exercise I usually
> turn
> >> my basal back to normal and give myself half a unit of insulin to get
> >> insulin in my system again and then monitor my blood sugars pretty
> closely
> >> when I get home.  It would be hard for me without a Dexcom.
> >>
> >> I did a 10 mile run this morning with that method with good results.  I
> >> think the key for me is exercising immediately after eating and not
> giving
> >> time for my sugars to spike.
> >>
> >> Glenn
> >>
> >>
> >> On Sun, Jan 12, 2014 at 2:28 PM, Susan Lane <email @ redacted> wrote:
> >>
> >>> Melanie, all I can say is GOOD LUCK.  I'm also an avid exerciser and a
> >> type
> >>> 1 with a pump and a Dexcom.  Every time I think I have things figured
> >> out,
> >>> kapooie, something new happens.  Example, I took a 50 mile bike ride
> >>> yesterday.  Bought a new kind of bar to nourish me for the ride.  At
> >> about
> >>> 35 miles I ate 3/4 of the bar (about 20 carbs) and when I was done with
> >> the
> >>> ride, I was at 300.  FRUSTRATING.  So, now I figure that maybe I'll
> take
> >>> nibbles of the bar throughout the ride and maybe that will keep me more
> >>> level.  Or maybe not eat that bar at all.  The guessing game continues.
> >>>
> >>> Now here's the best advice I can give you.  Eat low glycemic index
> carbs.
> >>> Whole wheat, whole grain.  Eat food that is easy to digest during the
> >>> tennis game, so that your blood sugar does not suddenly rise after your
> >>> workout due to the fact that it didn't digest while you were being
> >> active.
> >>> Don't forget, your blood is mostly in your limbs when you're working
> out
> >>> and not in your digestive system, so your food takes longer to digest.
> >>> There are drinks that are way better than Gatorade.  Gatorade has a lot
> >> of
> >>> dyes and such that you may not want in your body.  I just bought
> >> something
> >>> called Skratch that you put in your water.  I will experiment with it
> the
> >>> next time out.  Also, dates are a great food for when you exercise.
>  They
> >>> are sweet, but they are lower glycemic index and you can buy date bars
> at
> >>> Costco that are made with whole wheat instead of while flour. If you
> are
> >>> eating junk food to keep your bg up, remember that they will spike you
> >> and
> >>> then you will drop fast.  Pair an apple with peanut butter, so that the
> >> fat
> >>> and protein in the pb slows down the digestion of the apple.  Stuff
> like
> >>> that.  Candy is not a good thing to eat unless you need a quick spike
> up
> >> if
> >>> you are in danger.
> >>>
> >>> I hope this helps just a little bit.  I'm still trying to figure out
> how
> >> to
> >>> get through a spinning class!!  Susan
> >> .
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> > .
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