Exercise Different on the Pump

Christian does not use his legs. He only uses his arms and stomach. I have tried to have him use his back (love handles) but he won’t do it.

We had a lot of skin problems mainly becasue he is allergic to alcohol swabs. One nurse told us as long as you shower daily, you don’t need to use anything to prep the site. Since then we have had no skin problems.

Christian’s number vary so much. When exercising, we have to keep him from going low too often. When lifting weights, he is high as well as immediately after exercising. His overall A1c is good so I don’t worry too much. I have relaxed a great deal about his numbers since he was first diagnosed!!

I cycle a lot but I am not a pumper. As far as carb intake (which I monitor carefully), I might notice my sugar at 180 before a 20 mile ride. I’ve gone through (on occasion) more or less 60-70 carbs on a 20 mile ride and kept my blood sugars in the 80 - 140 range for the whole trip. I’d definitely suggest seeing a diabetic sports physiologist if there is one near you. They help so much.

I’m a bit late on this thread. I hope you have worked things out.

I was a college sprinter and I just wanted to emphasize how important it is for your son to test himself fairly often while in competition. It’s really the only way to know how his BGs are and if they are affecting his play. I use a CGM now, all the time when I work out, but thinking back to how things were when I was competing, I don’t think a CGM has the accuracy to replace a fingerstick when a sprint type performance is on the line. A CGM is great for showing trends, which would be helpful, but a 10 or 20 point difference that is within the error margin of the CGM makes all the difference between a good performance and a bad performance because of a hypo. As you found put, with any kind of sprint type competition, if you have to correct for a low there’s just no opportunity to recover.

As a 20 year old even, it wasn’t exactly easy to sit there at the starting line in front of all my competitors and do a fingerstick. They don’t have a tendency to be as supportive as teammates, but one bad experience with a hypo during a 400m event in one of my first college track meets taught me I just needed to bitet he bullet and do what I needed to do.

Godo luck!

Peter, where did you go about finding a diabetic sports physiologist ?

We are in the Dallas area so I would think that we would be more likely than some smaller places to have this specialty. We are meeting with our endo on Friday and will ask and discuss it with him.

Things are better with hockey. He played really well this weekend.

We do test before going on the ice just to make sure we are in range. We plan to add a test between 2nd & 3rd period and other times on the bench if he feels “off” since he will now have his PDM on the bench and not just in the stands with us. We are also testing when we are leaving for the rink which allows enough time to adjust temp basals and/or with food to get to the range by game time.

We are still at a loss as to when or if to treat the after game highs. We were told by one CDE (who works with more athletes) not to treat these highs. We have had some 100 point drops several hours after the game and if we corrected to 100 earlier we would have been in big trouble. Last night he was in the low 200s after the game which was not as bad as some after game tests. But, he never dropped so he was still in the 200s this morning and corrected with breakfast bolus. It was a long time to be that high.

We used to get the Levemir dose at night so maybe that was taking care of some of the high with its peak. Our CDE doesn’t want him this high even during hockey. We might try correcting to a 160 instead of 100 so we have a little breathing room at night if he does drop. We could also correct and then temp basal Needless to say, Hockey Mom never sleeps after a hockey game in the evening! CGM is our next purchase.