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Tom Stormcrowe
02-20-08, 05:52 AM
Since as much as 30% of the adult population has diabetes ora prediabetes condition, I thiught this might be a good short read:
Diabetes and Sports do Mix
Date effective: December 05, 2006
Content provided by Cleveland Clinic

Many people with diabetes are afraid to exercise because they fear low blood sugars (hypoglycemia). But, with careful control and by eating properly, you can succeed in sports. In fact, there are many professional athletes who have diabetes. The most important thing is to be aware of the signs and symptoms of hypoglycemia and be prepared.

Sometimes it's easy to think you are sweaty or light-headed because you are playing hard. However, this could be a sign of low blood sugar. Other symptoms of hypoglycemia are: weakness/fatigue, shaking, headache, irritability, confusion, dizziness, hunger and impaired vision.

The following tips can help you control your blood sugars and perform your best:

1. Blood glucose levels should be closely monitored before exercise.
2. Do not start exercise with low blood sugars (below 70). Have a snack first.
3. Do not exercise if your blood sugars are 300 or above. Be sure to check for ketones in your urine if blood sugars are 240 or above. Do not exercise if there are ketones.
4. A carbohydrate-based meal or snack is recommended one to three hours before exercising.
5. Always carry some form of carbohydrates with you, such as hard candy, dried fruits (raisins), fresh fruits, granola bars or crackers.
6. Be sure to let your coach and/or other teammates know that you are diabetic and what the signs/symptoms of hypoglycemia are so that they can help you if this should occur.
7. If you are on insulin, be sure to talk to your doctor about adjusting your dosage for exercise. Most of the time, having a snack before exercise will suffice.
8. Plan to snack during the activity if it lasts longer than one hour.
9. For day-long events, eat six small meals containing both carbohydrates and protein. (Avoid high-sugar, high-fat foods.)
10. Eat after the event to prevent hypoglycemia and to refuel your glycogen stores. Hypoglycemia can occur four to 48 hours after exercise, so it is important to monitor your blood glucose levels frequently and eat balanced meals and snacks.
11. As always, drink lots of water to prevent dehydration.

Source: CE Leora Bock, RD, LD, dietitian, Cleveland Clinic Sports Health

http://www.revolutionhealth.com/conditions/diabetes/diabetes-exercise/walking-other-exercises/sports

doghouse
02-20-08, 08:36 AM
Great points! Thanks Tom.

I use an insulin pump and would add to point #5, carry glucose tablets. They are much faster acting than any of the items listed.

Once the "low" is overcome with the glucose (or simple sugars in the candy) the complex carbohydrates like those in the granola bars are necessary to sustain the lift in blood glucose. Otherwise, one's blood glucose level just spikes and soon starts down again.

b_young
02-20-08, 10:30 AM
This may sound a little strange but we found a can of Slimfast is perfect for treating a low with my son (type 1). It has fast acting sugars and has carbs to sustain you and it is easy to carry. We keep that and some type of peanut butter crackers with us, especially at sporting events.

Tom Stormcrowe
02-20-08, 10:32 AM
Dpoesn't sound a bit strange...:D

By the way, a hint: Equate Brand, from Walmart IS Slimfast....from exactly the same labs. :D It is a LOT cheaper, too.This may sound a little strange but we found a can of Slimfast is perfect for treating a low with my son (type 1). It has fast acting sugars and has carbs to sustain you and it is easy to carry. We keep that and some type of peanut butter crackers with us, especially at sporting events.

B Piddy
02-20-08, 11:06 AM
9. For day-long events, eat six small meals containing both carbohydrates and protein. (Avoid high-sugar, high-fat foods.)

Sounds alot like the reccomended daily eating habits for people looking for help losing weight. Just an observation, not sure if there's any connection obviously.

Tom Stormcrowe
02-20-08, 02:21 PM
Weight loss,even for nondiabeticsis partially based on management of insulin. You are keeping your body in Ketosis intentionally while losing weight.:D

9. For day-long events, eat six small meals containing both carbohydrates and protein. (Avoid high-sugar, high-fat foods.)

Sounds alot like the reccomended daily eating habits for people looking for help losing weight. Just an observation, not sure if there's any connection obviously.

DieselDan
02-20-08, 06:40 PM
Past experience has taught me #6 will get you kicked out of some events. There are enough ignorant mofos out there that don't want fat diabetics with their problems screwing up their event. In their words, you caused this problem, don't make it mine, and get lost fat ass.

Tom Stormcrowe
02-20-08, 08:05 PM
UNderstood, but the law is quite supportive of you in general....if it happens, mention your lawyer and or the News. ;):D Generally works VERY well. I've used the tactic a couplke of times and you should see the fast backpedaling that occurs :D

Past experience has taught me #6 will get you kicked out of some events. There are enough ignorant mofos out there that don't want fat diabetics with their problems screwing up their event. In their words, you caused this problem, don't make it mine, and get lost fat ass.

BigBlueToe
02-21-08, 09:29 PM
Greetings. I've had type 2 diabetes for around 10 years. I regulate my blood sugar with pills, diet, and exercise. During my normal routine the exercise is hard to get - usually just on weekends - so riding my bike doesn't do much except help with the sugar management. But when I go on tour and ride 30-50 miles every day, it throws things out of whack - in a good way, because it lowers my blood sugar, which is what I want, but it lowers it too much. I have to cut back or stop my medicine. But it always takes several days to get things squared away. I keep sucrose pills on hand for when it gets really low, and I have to have food on hand. I try to eat something whenever I feel myself getting low.

The bottom line is that bike touring adds some wrinkles to managing my blood sugar, but it's a good thing. If I could stay on tour all year long I probably wouldn't need any medicine at all.