Lot’s of diabetic runners around, Mike. Check out the Athletic Diabetics group here at tuDiabetes.com or the Diabetic Runners group at RunningAhead.com. Then there’s always the blog page of The Diabetic Runner at, of all places, diabeticrunner.com. !!
I’ve run the L.A. Marathon twice since being diagnosed and trained both times with Team in Training, mostly because I couldn’t find a ADA or diabetic supporting sponsor. I’m glad you found one.
The primary thing to be concerned with, especially as you go on longer and longer runs, is keeping your blood sugar level up and keeping hydrated. This means carry water, plenty of fast acting carbs and your meter. I carry glucose tabs and my UltraMini, which is perfect for testing when on the go. I carry them on a small belt I found at the Long Beach half-marathon which was intended to be used to carry I.D. and cell phones. It’s basically an elastic strap with a stretchable pouch attached.
Oh, yes. Always carry I.D. and medicalert bracelet/necklace/card. Don’t forget to tell your coach you’re diabetic. The coach will likely say he/she knows what to do or has trained diabetic runners before, but don’t count them really understanding what’s going on.
Get a copy of “the Diabetic Athlete” by Sherri Colberg for tips about basal insulin and bolusing. Your profile indicates that you’re using MDI. I use a pump so my strategies are different.
If you can’t cut back on you basal insulin or long acting insulin you might try carbing up before your longer runs. If you eat within an hour or two before your runs, reduce your bolus or correction dose because running is going to reduce your BG even further. For instance, I reduce my correction bolus by a full unit if I’m going to be running within two hours after eating.
It doesn’t hurt to start out your run with your BG a little high, even as high as 200. It should come down soon. Test often, every 30-40 minutes. You’ll soon master the art of testing while walking, but don’t sweat it - stand still if you have to.
If you’re running long distances, it doesn’t hurt to keep the carbs pouring in during the run. Sports gels are good, though not tasty, watered down sports drinks are good, I like pretzels and hard candies. Believe me they are not going to bite you in the ■■■ and it’s frankly better to be running with a slightly high BG than to go low, because your lows will come on fast and hard.
Keep track of your BGs after the run, too, because you can still go low. don’t start chowing down on everything at the training table, use moderation (as in all things). If you try to use some of the ‘recovery’ drinks or foods on the market watch out because they are literally packed with carbs. Adjust accordingly.
DO NOT, IMHO, consider cutting off your insulin during a run because within a few hours you’ll have NO insulin and are risking ketoacidosis.
Thats my experience, in brief. Your mileage will vary. Test and try different things to see what works for you. Boiled down to its simplest terms, my advice is “Test often. Watch out for lows.”
Most of all - have fun! Keep up with your training and have a great run in Phoenix!!