Thursday, November 13, 2008

diabetes daily dose... a tiny rant too

Howdy again,

I think I have now posted more in last 3-4 days, than in the last 3-4 months. It is fun being at home, with a schedule, and having time to think for myself vs always being on the run.

Sometimes thinking is not so good though. Since I had been cutting my Lantus doses way down, I have not been feeling great on the bike. This could mean one of two things:
1. I am tired from the training, and am in an adaptation phase
2. Not doing enough insulin, so muscles are not getting fueled.

So I sent an email to my buddy Howard Zisser, who is one of leading diabetes researchers in new technology in the US. A brilliant guy, even though he is a gator fan...ha Howard said that you should do 1/4 unit per kilo of body weight. I am at 64 kilos, so one would guess that I should be doing 16 units of Lantus as my basal. I explained that I was doing much less, and he said numbers should run high. I responded that #'s are as good as ever, and in fact my 21 day average is 101 (on a continuous basis!) That is better than most non-diabetics.

Needless to say, I figured I try to give a little more. Last night, I was in a heated debate with myself between 9 and 10 units. I had did 10 the night before, and woke up perfect at 78, but had also ridden 3 hours (55 miles) yesterday. I decided to eat a little extra at night, adn go for 10. WRONG answer. Should have done 9. I woke up a bit on the low side, and had a lighter day of training today. I did a 2 mile run, 1 hour in the gym, and 45 minutes on the bike, and my legs felt ok. So tonight I am going to cut to 9 units, and I think I should be good. No debate, the decision is made.

I really do appreciate the comments. Mike I am glad that this has helped. There are always 2 ways to look at everything. I could look at these decisions I have to make, and always looking at my FreeStlye Navigator, wondering how much Lantus, or Apidra (Rapid Acting Insulin-very fast) and say poor me. But as of now, I cannot control the fact that I have diabetes, so I have decided to emrace it with open arms, and use these learning experiences to be better tomorrow than I was today. I do have highs, and I do have lows. Impossible to avoid all the time. But with a conscience effort, I am able to control diabetes, not the other way around. It is fun for me, and I hope it always will be. I hope that Team Type 1 can help people with and without diabetes to embrace your challenge, overcome it, and be better tomorrow thanks to the work you did today.

Thanks for listening to my rant. Any questions, please let me know, and I will try to answer.
Have a great day.

Philpott
Team Type 1
www.teamtype1.org

No comments: