Wednesday, December 24, 2008

Diabetes Game: Exercise Resistance?

Howdy From Atlanta,

The game has taken a twist. If you recall, about 10 days ago I would have to eat everything in site, and then some on rides. Insulin was being cut drastically. I think that was my body being inefficient at fueling on the bike, as a major switch has happened.
I have had to increase basal a touch, and think I am going to get it up some more. The past 3 rides I have done, eating the normal goods before hand, oatmeal, my blood sugars have skyrocketed. I have been getting up to 250 on the rides, and then a slow drop down to the 180's, and if I eat, BS goes right back up. Yesterday for example, I had a total of 40 grams of carbs on a 3 hour ride.

I think my body is now becoming more efficient, and I may be able to add some additional basal, or I may need a very small bolus (.5 unit of Apidra) with meal before ride. Today I am driving home to see mom, and should be on the bike by 11am for a 4hour ride. I am going to eat my oatmeal, with .5 units, and see what the reaction is. I do enjoy not having to stuff my face on the rides, however, I would much rather be between 140-180, than 180-220.

It is great having the FreeStyle Navigator, so I can really monitor these adjustments, and know immediately if I made the right call.

Although, I initially thought this is crazy, thinking back it happens every year. Insulin drop, drop, drop, and then all the sudden, add, add, add... If I can keep the training going without interruption this will be very helpful for racing, as I won't be stressing about low's.
It is also good for training, and my pockets won't be so stuffed full of food, and bars for my rides.

This is the start of week 4 of training post hamstring break. It took 2.5 weeks for the switch to happen. Could this be the same for non-diabetic metabolism? Has anyone out there with diabetes had similar experience with fueling?

Also, working with some top docs on potential research studies, and trying to find out more info for you. More details to come!!!
Very exciting step for me here, now time to fine tune it a little more to ensure I am at the best on the bike with both legs, and blood sugars.

Have a great day.
Merry Christmas, Happy Holiday, and Happy New Year to ALL!!!

Phil

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