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Laryisgary
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Posted: 4/26/2012 2:43:43 PM

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Ok, I know there are many body building forums and diabetes forums out there but I can't be bothered joining any more forums! I already have more accounts than I can remember, I figure there must be someone here who can help.

I've been doing weights training for the last 6 months more so than ever before as part of my personal resolution to actual get and keep healthy. Part of this includes keep my blood glucose levels where they should be. My doctors have not been the most helpful when it comes to diabetes and excercise, infact the only advice they gave me was to check my blood sugars throughout my work out...like every 5 minutes...Gee thanks doc great help.

Anyways I notice when i do 1-2 hours of cardio I have near perfect glucose levels for the entire day without having to correct much with insulin etc.
However when I do weight they spike something shocking and then come crashing back down often going too low.

Anyone able to explain what is happening and give any tips to better manage it to help prevent the spike?
darktide
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Posted: 4/26/2012 2:52:42 PM
[Last Edit: 4/26/2012 2:55:17 PM by darktide]
Are you insulin dependent?

IDDMII is something I'll not give advice on, as Endocrine is away from my area of medical expertise.

Assuming you're NON-insulin dependent

You have to understand that when you lift weights, your muscles do something amazing... they are able to uptake bloodsugar without insulin (crazy, isn't it?). This is why your sugars drop after you weight train.

Why they spike?... I actually don't know. (like I said, not my area of medicine).

another question (assuming you're not insulin dependent) ––> Why test your blood sugar during training? You say dangerously low How low?...


Edit–– reread it.... Disregard- you'r IDDM2... out of my lane.
Brave men tell the truth. A wise man's tools are analogies and puzzles.
MrKasab
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Posted: 4/26/2012 3:06:32 PM
I knew I shouldn't have slept through the diabetes portion of my exercise prescription class. Do you use a slow acting insulin?
GST
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Posted: 4/27/2012 6:14:30 PM
From "Dr. Bernstein's Diabetes Solution", p.203:
Moderate to strenuous exercise such as swimming, running, weight lifting, or tennis-as opposed to more casual exercise. such as walking- causes an immediate release of "stress", or counterregulartory, hormones (epinephrine, cortisol, et cetera). These signal the liver and muscles to return glucose to the bloodstream by converting stored glycogen into glucose.
Laryisgary
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Posted: 4/27/2012 11:36:32 PM
Type 1 Insulin dependant
35 units of Lantus around 11am - Noon
Small doses of Novarapid (quick acting) with Meals as required.

I don't generally test while excercising, takes to long and is too messy.

I normally test before going and again after.

Im generally at 90 - 150 pre work out, If I do Cardio it will stay around that, maybe drop to 55 if I didn't have a meal before or if I worked harder than normal. If I do weights it tends to spike up to 360-400 so I'll normally have a shot of insulin to cover this and my post work out meal then within 2-3 hours it will drop back down to 35-55 forcing me to have something more to eat even when im not hungry.

Thanks for the ref GST, I'm going to see if I can find a copy of it to read.
darktide
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Posted: 4/27/2012 11:43:48 PM
I don't know if the cortisol (stress hormone) release is an adequate explanation for the spikes, honestly...



The high sugar spikes don't worry me too much... as acute episodes of hyperglycemia are pretty benign... It's the sustained that cause problems.

The hypoglycemia is dangerous, and when you start dropping to those levels, keep some honey with you bud ;)

It seems that you're understanding your body better than we will/can... If you are able to manage it well enough with experimentation, then I'll say you're doing fine. So what, you have to eat without being hungry?... You worked out... eat healthy post workout meal(s) to keep you level and help recovery? =)


Brave men tell the truth. A wise man's tools are analogies and puzzles.
GUNGUY148
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Posted: 4/28/2012 12:19:58 AM
My ex wife had the same problems and after going from 400ish down to 30 she would be wore out for the rest of the day....when she got on the pump she went to totaly using a fast acting insulin and that was the best thing she ever did. She was able to control her BS much better and could drop a high BS very quickly. I know its not what you where asking about and is just a cover for a fix but you may check into it.....I am confident she wouldnt be alive today if not for the insulin pump.
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