Staying in Range During and After Exercise: A Real Pain in the…
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- Опубліковано 27 сер 2024
- If you have diabetes and are on insulin, one of the most frustrating things is dealing with blood sugar swings before, during, and after exercise. Dr. E and Dr. P go head-to-head in another challenge, using two different methods to see who can stay in better range during a workout. Does eating a sandwich on the treadmill help? Watch to find out!
For a recap of the tips, click here: bit.ly/3evrsTd
#diabetesandexercise #workingoutwithtype1 #diabetestips
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I love how you guys make it real! Even an endo isn't perfect! Love it.
Thanks Jane!
Thank yall for showing realistic experiences AND showing it is ok to not be perfect! Keep trying and learning and not being too hard on yourself.
Exactly - thanks Jason!
loop is awesome and life changing.thanks for the great video.
This really applies to having children with type 1. Birthday parties, swimming, trampoline time etc. So far I've found dosing 3/5 the usual bolus amount (to prevent lows) and not touching the basal (to prevent future highs) has helped a lot so far. Most likely a temp basal and/or correction bolus after activity will be needed, but it's much more manageable.
There's a lot of trial and error for sure - thanks for sharing, Jay.
Thanks, I really appreciate your take on living with type1. I Exercise for xc ski marathons of 30-50K…in 3.5 hrs of intensity and have lived with T1 for 33 years. It’s a challenge. As I’ve aged (61) I now fit your description of post spike bs. In my youth my glucose would drop about 1 hr after a marathon. And I could eat a meal with taking about 25% of a normal dose.
I would encourage more programs on : The strength vs. cardio exercise, duration, frequency, and volume of exercise for health benefits of a diabetic. Thanks
Thanks Randy. Appreciate your thoughts, and great ideas for additional exercise videos.
Thank you. Very helpful to see you deal with the challenges of exercising with Type I. Appreciate your honesty and humor. Would love to see more of these! Thanks!
Thanks Clayre! New ones posted every month!
You are both so helpful and real world. It means so much. Thank you. I got to talk to Dr. P about this directly at your Bellevue event a few years ago and this was the extra bit I needed. I had backed off hard cardio lately. Thanks again so much.
Sure thing Van!
My entire life, I’ve been afraid of exercise because of hypos. Thank you for letting me know I’m not the only one with trouble keeping good numbers around exercise. As soon as my fractured patella is healed, I’m eager to try these strategies.
You are definitely NOT the only one!! Hope you heal soon!
LOVE IT!!!!
Love YOU Chef!
Wow, now I don’t feel so bad when I have lows during exercise and highs post exercise since two Type 1 Endocrinologist have the same issues. 😃 But all kidding aside, your videos have been very helpful and informative so please keep more coming.
Thanks Mark! It's an ongoing challenge but we do the best we can!
I have 3-4 ballet classes a week, one at night, one or two early afternoon, and one around brunch time. Huge variation in what happens. I use an AAPS loop, and mostly forget to set a TT because I just do. I could use a geographical automation but I haven’t quite figured that out just yet.
I rarely go low during morning class. I never eat much breakfast, and I try and stick to low-ish carb so I don’t have too much IOB. My ISF is 9mmol/L/u so I really don’t want much extra IOB! I sometimes half bolus for carbs or protein.
My early afternoon class is the easiest by far. I usually hover between 6-8mmol/L, and then drop a few hours later. I usually have a very small meal a couple of hours before hand.
Night class I will often go low in, but I don’t like eating beforehand. Maybe a late arvo snack. I really do need to remember a TT for night classes! After class I usually have a big meal, even though I am often rising by then. It sorts itself out overnight.
I am more insulin sensitive than many adults normally, but after ballet class I only need someone else injecting themselves in the next suburb to go low…….
I’m not too scared of lows though, luckily I have excellent hypo awareness, even after 43y of T1.
Congrats on 43 years, and love your comment about someone injecting in the next suburb - haha! Thanks for sharing the variation in what happens for you at different times of the day. Ongoing situation for sure, but seems like you've got it figured out for yourself.
Awesome video
Thanks Melissa!
This was very helpful to be more creative and keep levels in control as it seems that it’s taking me more time for my insulin and eating digestion to work
My only question is why you didn’t wear a headband does that make a difference in going to high?
Hahahahaha!!!
I exercise in the mornings and I never expirience overnight lows since being on the omnipod 5. BUT I do notice I’ll be below target (so if my target is 110 I’ll stay around 80-90)…. Is there an insulin sensitivity peak duration ? So maybe the first 12 hours post exercise aren’t as dramatic as the remaining 12 hours?
I’m trying to get into cardio (at least 1x a week because I’m trying to lose weight.
Ik with weight training I have a sensitivity peak at 4 hours post exercise and remain sensitive for 8 hours (so I always have low snacks just in case I don’t eat a meal at that time)
I’ve been a young adult type 1 diabetic for 3 years now, I’m out of my honeymoon phase and your guys’ videos have helped me A LOT🙏🏼 THANK YOU!
This is person to person. Sounds like you have figured out your peak time of insulin sensitivity which is fantastic. I think we mention in the video that the most important thing is the time of day. In general, you are more insulin sensitive at night. So your “peak” sensitivity will change depending on when you exercise, how long you exercise, what type of exercise you do, what phase the moon is in and all the other crazy variables we have to think of. But you sound like you are doing very well and tuned in to your body/blood sugars.
My numbers have skyrocketed as covid has altered my gym time
Your experiences echo my own of the rebounding highs that can be frustrating, especially to a T1 trying to lose weight and yet having to CHO just to exercise at a safe glucose level (and then Murphy strikes and makes it go higher!). I'm sure your insulin sensitivity for the next day is far better than just avoiding the hour of exertion. I've had less exercise-induced hyperglycemia after getting into better shape (but it isn't consistent, but sure nice to have CGMS to avoid sweat missing into glucose test strips!).
As always, great production and educational content! However, I have to admit that I prefer the donut challenge far more than this exercise stuff, though, but don't tell my endo. 🤐 🍩🍩🍩
Haha! Thanks Jason, and pizza challenge coming in the fall! :)
Great video! My first reaction before watching was that this was going to be a greater challenge than the 3 donut challenge. 😃
You are so right!
Thanks! Two questions: (a) Is there a certain blood sugar level at which a person should consume carbs before exercising (to avoid the lows while exercising)? (b) Is it better to avoid intensive exercise so that blood sugar levels don't go up radically while exercising? (I'm type 2).
To answer your first question, it really depends on how much you drop during your typical exercise. You might do some experimenting because it really depends on the type and the duration and the intensity of the exercise. Some type 1s might drop 100 points so they have to start off at 200. But if you find you only drop 30 points with your type of exercise, then around 250 might be a good level to be at when you start exercising.
For your second question, great excuse to not exercise! Of course you should not avoid intensive exercise, unless it’s too intense for other reasons, but you need to learn how to adjust your diabetes to your favorite type of exercise.