This has happened before, but there’s a variation this time. I suspect DKA, but I’ve never really got my head around it. The symptoms arise an hour or so after a run: general achiness, dry breath, nausea, fatigue, high BG. I generally treat by taking insulin, hydrating and resting. Here’s what happened today:
I’m training for the Long Beach 1/2 Marathon;
6:30 a.m. get up, get dressed, BG 89, eat a slice of bread with peanut butter and a tangerine - about 30 g.
7:00 a.m. - run seven miles - no incidents except a case of runners trots about mile 5. BG 14 at 3.5 miles. No pump attached either.
8:20 a.m. - cool down and stretch - shower an shave. BG 167. Hmmm. I had two sips of watered down gatorade during the run but that’s all.
9:10-9:15 a.m. - start to feel the achiness and nauseau come on. BG 227. Take a correction bolus and start drinking water.
10:15 a.m. - sharp wave of nausea with mild dizziness and sweats. BG 179 - on the way down.
11: 15 a.m. - repeat above - milder symptoms, BG 134!!
So, I know you’re not doctors, but I’m curious if these symptoms seem familiar to anyone. I thought DKA was always accompanied by grossly elevated BGs. I consider 227 elevated but not grossly elevated. Maybe it’s dehydration?
My real goal is to avoid these symptoms at all.
Thanks for any insight or leads you might offer.