Diabetes Game- Ever really a conclusion??

Howdy from Sunny Santa Barbara,

How is everyone doing? Thanks so much for the great posts. If you ever have specific questions, please email me directly at phil@teamtype1.org cause I cannot reply to the blog comments directly. Thanks!

So last we were at a nice 17 units of Lantus on a rest day. This turned out to be... not enough. I woke up at 1am at 161 trending up on the Navigator, so gave 1 unit of Apidra. Woke up at 95 and was pretty happy. Tuesday worked for a while, did some acupuncture with Kathleen Zisser, who rocks, then went for a bike ride!! I was doing a good ride with my buddy/teammate Jesse Anthony for about 2 hours, when Jesse called it a day. I wanted to make it 4 so I rode the hills, getting a good 15 minutes of sub threshold in. Then went to ride more hills/mountains. At 2:45 of ride time, I decided to go visit Gibraltar, which is a nice, long climb. I started with a blood sugar of 106ish, and ate a bar, began to climb, spent 10 minutes with a heart rate of 155-162, was at 112, ate another bar, 10 minute later same heart rate, 102, ate another bar, and another 10 minute of climbing at same pace and was at 98. So it only took 60 grams of carbs for the 35 minutes of climbing to not go hypo... Funny thing was that I probably only ate 60 grams of carbs in the 2.5 hours up to that point. So maybe eating more before, would have meant less need for food on the climb?? Ride down into town, and then back home getting a solid 4 hours and 28 seconds... I love aiming for a 4 hour day, and just making it like that!!

Did my 7 units of Apidra, then took a 50 gm of carb recovery drink. 20 minutes later eating 140 gms of carbs from Pasta. The rest of the day I was floating at 80-100... Very nice. Then go hang with Jesse and Tim, go see my friend Howard Zisser to nail down what kind of research we are going to do on the team, and also comment on the game I am playing. He wasn't sure. I did 2 units for a HUGE turkey sandwich. Floated at 90 or so, and backed down to 16 units of lantus. Low and behold, I am hypo ALL night. Sitting at 60, get my alarm, eat 25gm of carbs, and then wake up at 50, eat some Dex 4 Glucose, and then 45...
Way too much basal, right???
Eat tons, and tons of food on my ride Wed. All in all, get 6 hours in, with a lot of climbing, and lot of hard work. Get home, bolus, recovery drink, pasta, later that night, more pasta, and a steak with only 2 units. Then since I went real low last night on 16 units, and did a 6 hour ride, I think 14 units would make more sense. WRONG. I wake up at 350 close to midnight, after going to bed at 93. What gives? I do not know... Did 4 units of Apidra, 1 more unit of Lantus and woke up, 27 years old, and at a blood sugar of 52.

Today- a 2 hour recovery ride, 6 units of APidra, and 140gms of carbs from pasta.
Doing 15 units tonight, and will have news to report tomorrow...

Tomorrow should be a good day, and then long hard days on Sat-Sunday. Who knows what the score to my diabetes game will be. I look for trends, and patterns, but right now it is more like a ping pong, which bothers me. But when it comes down to it, I am playing a game. I cannot win the super bowl each and every year, but I can recruit new tools, new players, new knowledge, and try to do it better the next time. I have a short memory when it comes to the diabetes game. I forget the failures, and use them as lessons, cause as long as I am alive, I have not failed, rather I have learned. So I will keep working, keep learning, and keep asking, and try to come up with a system that makes sense for all. That is the goal!

Have a great day, and thanks for reading.

Phil