Since moving to Boston for my summer internship I've been working out on a much more consistent basis than my schedule in C'Ville permitted. Seeing Kim train daily for IM Cozumel has given me extra incentive to work out (I can't let my gf make me look soft!) and with Coach E pushing me I have a great incentive for consistent exercise. However, what I forgot to calculate into my nutrition plan was the enormous effect increasing my daily exercise workload would have on my basal rates.
Over the past three weeks I've performed something like 30 hours of exercise and noticed a gradual reduction in my blood sugars. This week my blood sugars were attacked by a pack of rabid dogs so I've had to fight to maintain a blood sugar above 80. At the beginning of the week my basal rate was about 13.5 units of insulin per day, today my basal rate is down to 12.15 units and falling. Each day this week I've had at least three instances of blood sugars below 60 and on Wednesday night I had to have a full on carb fest to keep my blood sugar above 70.
This reminds me of the benefits and dangers of a type 1 diabetic undertaking arduous training. The huge benefit is that as my body becomes more responsive to insulin I'll be able to enjoy some of the foods I've had to avoid over the past year. But if I am not constantly monitoring my blood sugars during this transition period the chance of a really dangerous low is greatly enhanced. That relationship reinforces how essential it is to be vigilant in monitoring blood sugars and flexible enough to adapt environmental factors in blood sugar management.
Showing posts with label Basal Rates. Show all posts
Showing posts with label Basal Rates. Show all posts
Friday, June 26, 2009
Wednesday, September 10, 2008
Slowly But Surely
My basal rates continue to creep down each week. The day before the Ironman my basal rate was 6.25 units of insulin/ 24 hour period. Two to three weeks after that my basal rate over a 24 hour period climbed to 13.5 units of insulin. While I know other Type 1s who have a much higher basal rate requirement the doubling of my basal rates led to blood sugars that were less stable and less reliable. Today, after slowly easing myself back into a regular workout routine my basal rates have dipped to 10.3 units/ 24 hour period.
The best news out of all this is that maintaining more stable blood sugars hasn't required training 18 to 23 hours a week. Each day I'm afforded about a half hour to get into the gym, or get out for a run. The Darden case load is simply too demanding to do any more than that. Over the past two weeks I've been on two half hour runs, lifted for 45 minutes 3 times, gone on a 42 mile bike ride and playing a rousing hour match of racquetball (with a former pro triathlete!). Not only has this helped stabilize some shaky blood sugars but it has also done wonders for my mental state.
Since March I've been dealing with an Internet stalker. Normally I don't get too personal on this blog as I try and keep it as professional as possible as I look to be an outlet to help people with a chronic illness. However, after yesterday's encounter, enough is enough. In the days leading up to IMLP this person had left me dozens of comments asking what my "excuse" would be for Placid, after I became an Ironman they consistently harassed me over a time I'm very proud of. This individual has consistently e-mailed me and began to sexually harass a person who is very special to me via the web. They have obviously compromised my e-mail account because they have made some comments that no one but me and one other person know about.
I confronted whom I had hoped this person to be last night, but was not shocked when that person convinced me it was not them. The person who has been leaving these comments and harassing people I know is someone from my past and totally inconceivable that after all this time they still spend this much time on me. I find it disgusting that someone who has set up a non-profit to help children try to derail the efforts of someone who has put himself in a public forum to help so many.
The anonymity of the Internet provides an outlet for cowards everywhere to have a voice. No matter what public service you are trying to provide immature individuals will try to detract from those efforts with insane comments that can best be described to acting like a 7 year old. I've stayed silent for too long about this and simply want to say I'm disgusted by this person's actions and believe it speaks volumes about their character and is truly pathetic.
The best news out of all this is that maintaining more stable blood sugars hasn't required training 18 to 23 hours a week. Each day I'm afforded about a half hour to get into the gym, or get out for a run. The Darden case load is simply too demanding to do any more than that. Over the past two weeks I've been on two half hour runs, lifted for 45 minutes 3 times, gone on a 42 mile bike ride and playing a rousing hour match of racquetball (with a former pro triathlete!). Not only has this helped stabilize some shaky blood sugars but it has also done wonders for my mental state.
Since March I've been dealing with an Internet stalker. Normally I don't get too personal on this blog as I try and keep it as professional as possible as I look to be an outlet to help people with a chronic illness. However, after yesterday's encounter, enough is enough. In the days leading up to IMLP this person had left me dozens of comments asking what my "excuse" would be for Placid, after I became an Ironman they consistently harassed me over a time I'm very proud of. This individual has consistently e-mailed me and began to sexually harass a person who is very special to me via the web. They have obviously compromised my e-mail account because they have made some comments that no one but me and one other person know about.
I confronted whom I had hoped this person to be last night, but was not shocked when that person convinced me it was not them. The person who has been leaving these comments and harassing people I know is someone from my past and totally inconceivable that after all this time they still spend this much time on me. I find it disgusting that someone who has set up a non-profit to help children try to derail the efforts of someone who has put himself in a public forum to help so many.
The anonymity of the Internet provides an outlet for cowards everywhere to have a voice. No matter what public service you are trying to provide immature individuals will try to detract from those efforts with insane comments that can best be described to acting like a 7 year old. I've stayed silent for too long about this and simply want to say I'm disgusted by this person's actions and believe it speaks volumes about their character and is truly pathetic.
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