I played 4 years of college football, and was diagnosed with type one just a year after my senior season. I just say that to preface the fact that I’m experienced in a variety of exercises. In my relatively short time with the pump, I’m well versed in temporary basals and all that. I’m just so frustrated with the roller-coaster. I try to burn a certain number of calories per work out, only to have to eat those back up when I go low half the time. I guess the problem of having a few too many calories is better than being constantly too high on the meter. Just a little frustrated.
Hi Ben, have you noticed a trend yet of what type of workouts do what to your sugars? I know that lifting weights and HIIT raise my sugars so my temp basal is actually set to 200% 1.5hrs prior (I'd do it earlier but that's when i wake up). Whereas cross country skiing or paddling (lower intensity but longer duration) I have to decrease by 50-80% 2hrs prior. Which brings me to the question, how long before your workout do you start your temp basal?
The Diabetic Athlete is a great resource along with Your Diabetes Experiment and Think Like a Pancreas.
You should check out Ginger Viera, she wrote a book called Your Diabetes experiment and is a diabetic athlete. She helped me figure out what exactly I need not to go low based on my work out.I totally feel your frustration, trying to loose weight then eating because you exercised. Somethings wrong with that equation. I learned i need about 15 carbs prior to my cardio work out, and if I stay in a anaerobic state I don't have to lower my basal rate. She has some work sheets to do your own experiments to figure out your needs. Good luck, and don't give in. Kim
Ben, first of all congratulations on being athletic with your diabetes, that will pay you back a lot if you continue to do that even when your old like me..i played college soccer and i did what you are doing for 25 years eating thru my lows and never being able to lose weight because after an 90min of soccer, I would start getting lows usually about 3-8 hours after, and would be eating candy just to keep my sugars level..so all that calories I burned, I would end up eating.. the BEST TOOL IN MY OPINION, to stop and get my A1C in control was the Dexcom,..this sensor is not 100% accurate, but you will be able to see what is going on when you start going high and when you start going low, the numbers are usually about 80% correct, but the TRENDS ARE IN MY OPION, ALWAYS CORRECT(unless the sensor is on day 14).. try wearing a dexcom to see when you are having these highs and lows, a good book to read is ThinkLike a Pancreas as well as the Diabetic Athlete, by sheri colberg,..there are athletic events, that will actually cause your sugar levels to spike.. I learned a lot from other triathletes that went to a camp called Diabetes Training Camp by Dr Matt Corcoran.. it was fabulous to be working out and hang around and eat bkft, lunch,dinner with 40 other athletes and see what they do and how they do it..when I finally got a Dexcom, I could see firsthand what swimming was doing to my blood sugar, what cycling did, what soccer did..and then I figured out exactly how many carbs I need to start a workout..it is a lot of mental work and writing stuff down for about 2 weeks while you are wearing this sensor..but then talk with a doctor or some other diabetic specialist with your numbers..hope this helps, let me know
Fortunately for me, I'm as well equipped as a diabetic could be. I have a Dexcom and it does help me out. The problem with me is that now I am coaching college football, and with my schedule, most of my workouts are impromptu. I don't have a set time every day that is consistent that enables me to give a 2 hour temporary basal. I'm a morning person, but we have the player's weight workouts at 6 am, so there is no way that I am going to be able to workout at 5 am (not that I would be able to temp basal at 3 am anyway). I may get a half hour here or there, so I try to put a high intensity workout or a moderate intensity distance run.
The weight issue is not a huge issue, just a nuisance. My playing weight was 200, but now since I'm not lifting and eating like they had us in college, I dropped to 190. I would like to get down to 175, but it's just been tough.
It sounds like you’re doing most of the right things, and so I’m sure the yoyoing of your BGs is frustrating no doubt.
I was going to add that any temp basal you run is only going to be “on board” or effective after about an hour. So you have to plan your workouts out some (ie exercising at 4pm, set temp basal no later than 3pm so it’s on board at 4…but it sounds like with your current schedule, that is not easily achievable. I know once I finally started planning out my adjustments to my basal like that, I had less adverse BGs bot during and after exercise.
I was diagnosed at 12 and played football in HS and college as well. I used to try to keep 80- 120 during my workouts and played Russian roulette. Finally tested some thresholds and have been happy starting out around 175 and after an hour usually get back to normal range depending on activity etc...Your results will likely be different, keep a log. Lows all the time after workouts are more detrimental than slight climbs.
I think I may be to comfortable relying on my Dexcom. This devise has literally transformed my life no doubt. I just make my needed adjustments based off of it. I Have yet to really capitalize on my pump (also use) because I feel the Dexcom does it all. Always good to hear how others are being proactive with their devises. 83 and gradually dropping now...(direction)= Peace of mind baby!