• 1 month ago

    Diabetes and Exercise

    I need advice. I have been exercising for over a month daily but still have not lost any weight. I think part of the problem is the amount of calories I need to consume during the exercise so I dont go too low is too much. Sometimes I need 3 glasses of juice. I know that exercise is good regardless but if anyone has tips on what to do to maintain their glucose levels while not consuming high calorie drinks, I would love to hear about them. Thanks!

Responses

  • 1 month ago

    RE: Diabetes and Exercise

    How do you control your diabetes? If you are on insulin, you need to take less when you exercise. A lot of testing will help you work out how much to take on exercise days.

    Otherwise, if you are going low, protein/fat and a bit of carb before hand will often help people. Again, testing will tell. you how much.

    How low do you go while exercising?
      • 1 month ago
        Thank you. I am on insulin and I turn my insulin pump off while exercising. Maybe I should do it sooner when I know Ill be exercising. I exercise for 90 minutes. I will go down to about 70 but that is with 24oz of juice. Im trying to avoid having to drink that much, if possible.
      • 1 month ago
        As you know, there are no hard and fast rules. I know of several pumpers who dial their basal down anywhere from 3 to 4 hours prior to exercise, and then have a lower temporary basal for 12 hours or more afterwards. Exercise can affect you for up to 24 hours or more.

        With a bit of testing....ok, a lot of testing....you will figure out what basal regime works for you. Maybe stock up on a bit of a lchf/p snack before hand too, so you'll have some readily available energy.

        I was lucky, I didn't have to make a lot of adjustments for exercise (I was pumping for 5 years prior to pancreas transplant). Some people have to jump through hoops with a flaming poodle under their arm to keep things stable. You appear to be one of those people.

        Don't worry, you will figure this out. May I suggest DiabetesDaily (dot com)? There are a bucket load of pumpers on that site who could probably add some input.

        Cora
      • 1 month ago
        I will go on there and see if there are more tips. Yesterday I let my blood sugar stay around 260 after dinner to prepare for exercising a couple of hours later. That seemed to help some but Im not sure that is the best way to do it with leaving me high for hours. Ill keep working at it. Thank you!
  • 1 month ago

    RE: Diabetes and Exercise

    Hi Joyk1,

    I am an exercise physiologist and CDE and may have a few pointers for you! First, the pump is a great tool to adjust insulin before, during and after your workouts. But, because there are sooo many options it can get a bit overwhelming too. First, you may need to do a temporary basal rate a few hours prior to your workout. You may need to do a temp. basal rate during (or disconnect) and post workout too. And, if you are eating meals before or after your activity you may also need to adjust your bolus dose too! Ultimately, you are correct. If you are drinking or snacking a lot to offset a low blood sugar, it can negate the calories burned during your workout. It can be very frustrating!

    As a VERY general guideline, you do not want your blood sugar lower than 110mg/dl after your workout (and if it is less than this during your workout it is obviously too low). Pre-workout, most of my patients find if they go above 200-220mg/dl they do not feel like they have a lot of energy and then we will have to start checking for ketones when your blood sugar is above 250mg/dl. Of course, always speak with your physician/endocrinologist regarding your insulin adjustments and prior to starting any moderate to intense physical activity program.

    Keep up the great work and don't forget to check your blood sugars before, during and after your workouts while you are "sorting" out how to make your insulin adjustments.

    Feel free to ask me more questions!

    Best,
    CoachCDE
  • 1 month ago

    RE: Diabetes and Exercise

    I use to do business with a brilliant dude that ran a highly successful wholesale supply company on the West coast. One day, while having lunch, he shared with me that he was Type 1...

    Me: "Wow, Jake, I'm floored; I never suspected...How the hell do find the energy, day in, day out, to run this business?"
    Jake: " Thanks. That's a great compliment. But, truth be told, my diabetes forces me to think 10 steps, ahead...for my health...my family...and, actually, it's made me a better businessman..."




    ...the glass is half full. Every problem is solvable when you plan and anticipate.