Last week after my 9 mintue run and a swim that I dropped to 60 during my coach gave me 4 days off to analyze my blood sugars without exercise. After two days one of the major culprits of all my lows caused by exercise was basal rates that were completely off!
On Thursday I had my typical turkey sandwich for lunch, about an hour later I was down to the 50s. On Friday the same thing happened - it dawned on me that within an hour after lunch I'd be stuffing my face with unbolused clif bars. Since I was adding so much unbolused food to my system in a desperate attempt to get my bs near 200 I failed to realize that the reason my unbolused clif bar was only getting my bs to 130 or so was because it was treating a low, not getting me high.
I reduced my basal rate and have had great results. On Monday I completed my 40 minute run without a problem, ending with a blood sugar of 100. Tuesday I had a blood sugar above 68 after a lift for the first time in a month. Yesterday was the biggest indicator of all - I tired to cram in a run about two hours before I normally go to the gym when my basal rate is at .25/ hour instead of .15/ hour - blood sugar crashed down to 85 within the first 10 minutes of running. So, I went back to the gym later that night when my basal rate was at .15/ hour for about 3 hours and had turned my pump down to 5% for 2 hours - I was able to complete both a swim and a run! I had to take 10 or 15 minutes off between the two to let the gatorade get into my system but after that I felt like I could have run all day.
This indicates a bigger problem however. For weeks I had been contacting various CDEs in addition to the ones I speak with at the Berrie Center. I asked in each e-mail, what am I doing wrong, why isn't my blood sugar high enough when I work out, why am I having to cut workouts short? I heard suggestions of having an unbolused bagel, turning my pump down to 5% 3 hours before I workout before 1 and 1/2 hours - NOT ONE OF THEM IDENTIFIED THAT MY BASAL RATE COULD HAVE BEEN A PROBLEM. As diabetics shouldn't we be able to trust our team of experts to identify problems before we do? Or is this a fight that we all have to live trusting ourselves and our bodies more than advice we hear based on a few excel spreadsheets?
I simply want to find doctors and CDEs as much as I trust the teams that performed my 4 orthopedic surgeries. The surgeons at the Hospital for Special Surgery have let me live my life as athletically as I wanted - I had reconstructive ankle surgery as a high school junior, I have half my rotator cuff in my right shoulder from surgery my sophomore year in college, post college I've had my left shoulder and right knee scoped. After each surgery I went through aggressive rehab, the doctor's warned of any possible problems but gave me the confidence to pursue my athletic career. Right now, I don't have alot of confidence in any of the diabetic professionals I want to trust that they'll identify the problem long before I do but I'm not close to there yet.