I am a Type 1 Diabetic with Addison’s Disease. Addison’s Disease adds and interesting mix to things considering that I take an oral steroid twice a day. As you may know, steroids interfere with my blood sugars. I have minimized the effects of steroids, but I do have a small peak up to 165 after 4pm. I like to exercise around noon and I aim for a brisk 7 mile walk, but my blood sugar dictates how much walling I actually do. My goal is to get back to my ideal weight and run again. I ran a 10K and more everyday pre Type 1 Diabetes and fear has kept me from getting back into running. I think I’m ready to try, but I need to lose a few pounds so I don’t destroy my knees. I need to drop 20 pounds.
I normally suspend my pump around 30 minutes before I exercise and keep it suspended until I am finished. I check my blood sugar every 18 minutes or so and when I see that I’m getting below 60, I stop. I then have a small protein snack and unsuspend my pump. My blood sugars are awesome for several hours, around 65-70 and I feel great. Around 2pm I will sometimes have to take a couple glucose tablets and insulin to keep Ketoacidosis from coming on even though my blood sugar is well below 100.
My questions are:
How can I exercise for an hour, intensely without bottoming out? and how can I prevent the tendency for Ketoacidosis on some days? Any advice is appreciated.