Howdy From HotLanta:
This will be my last post from the South, as on Wednesday I am moving to Santa Barbara for final preparations for the season. Will get to train with teammates, Ken Hanson, Jesse Anthony, Joe Eldridge, and a few other fast guys to get moving quicker...
A few answers to some questions from the last post:
Sandi: I like to have my blood sugar at around 150 for the start of rides. Does this always happen? No, but it is a good goal. I usually prefer an upward trend. To get this, I will not give any Apidra (rapid acting insulin) for 2.5-3 hrs before my rides. 30 minutes before walking out, I will eat a minimum of 60gms of carbs. That will get the arrow going up on my Navigator. Then in the first 10-20 minutes, I usually am eating food to level it off. If you are starting at 200, that is great. If you are dropping rapidly, then more food earlier would be a good start. Dex4 Liquid Blast, banana, or granola bar in the first 20 minutes will help. Eat a lot in the first hour, and see how it goes. Please keep me posted...
This past week has been very solid training. Did VO2 testing with Matt Russ on Tuesday. Numbers were good! Then a 5 day block of about 18 hours with intensity. Last week, I was riding tons, with next to no food and slowly increasing my insulin doses. More for basal, more for bolus. It was crazy. Then this week, another flip/flop. Obn Wednesday I ate the normal oatmeal pre-ride, went out for 3 hours, and had to eat. Thursday, I did 4 hours hard, and was eating lots. Basal was dropping, boluses dropping. I was now confused. Friday morning I was back down to 13 units of Lantus, with no bolus for breakfast, and a lot of carbs. Friday was 12 units, HUGE breakfast (200gms carbs) with only a .5 unit bolus, and highest blood sugar on the ride was 151.
I am awaiting call backs from my doc right now to try and learn what is going on. I am used to changes happening, but not so much the flip flop. But this is the game we all play, and no two days are ever alike. Better to accept that, and make the adjustments, than to wonder about the past. That is how I see it.
I hope all is well. Happy New Year to all!
Have a great day.
Phil
www.TeamType1.org
4 comments:
So
How about the following possibilities
As you began re-training and increasing mileage and intensity after your hamstring problem your body is under a lot of stress and when exercising with the stressors being put on your body - it requires more insulin (insulin to cover food and the stress hormones being released).
Now your body is getting used to the training and stress level is lower - your hamstring healing process is probably in a much lower gear - so the stress hormones are lower and you are exercising so need for insulin is lower.
The solo RAAM effort I did was a really eye opening example of this. The first 30-48 hours I was trained for, and was not under enormous stress yet, and my body was exercising so required less insulin.
When the effort then continued into the unknown i.e. 4 days and longer with little sleep the stress hormones kicked in as well as the need to eat constantly while exercising thus the need for insulin increased.
I think you are going through this same process and when the next week of increased stress and mileage is on your schedule you may need more insulin not less depending on how stressed your body is.
What does doctor say?
Phil, my daughter is not a professional athlete, she's just a regular active 8 year old, but we see flip flops every once in a while as well. Most times I cannot explain it. I have surrendered to accepting it as a part of the game.
Interesting to see the comments though.
Thanks for sharing... When I see stuff like this happening to someone like you it makes me feel better about what we face as a family playing the type 1 game.
Healing is a complicated process.
I like Kerry's suggestion. It makes total sense to me. Men just aren't as used to changing hormones (past puberty) as women, so probably don't think of them as a cause of crazy numbers.
Welcome to California. It isn't as warm as this time last year so bring your woolies!
Angela
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