hypo vs diet

[insanity]

Thanks for that Mileana, It's interesting to see someone elses routine. Your right though, nothing's ever simple with it all.

I might try to time my exercise an hour after a bolus and see what happens. Whether, Knowing my luck, I'll go hypo quicker I don't know but it may help. I'm dancing tonight so I'll see how it goes and let you know afterwards.

I've started a little diary to see if depending what my tea is, if that makes me more liable to a hypo on exercise etc, I've sorted my saturday 5k run out, I don't seem to go hypo any more which is good. Just need to sort the rest out

[Klang180]

As the OP is a type 1 i am very uncomfortable with people proscribing a low carb diet especially as he is also talking about diet. Yes LC might work for T2s but for a T1 good quality comple carbs should be the basis of your meals especially when exercising.

For example i am extremely insulin sensitive and this is increased when i exercise. For a 30min walk i require something to the effect of 50-60 carbs to cover it. If i was on a low carb diet how would i do any exercise at all?

For the OP, i would recommend the ExCarbs system (google it), i think it is the best guideline on this and can help you stay in control. I do a lot of exercise and i am really starting to get a hold of my control whilst doing it because of this system. I have also noticed that exercise is also the best BG regulator out there so the more you do it the more you want to do it!

Please don't be drastic and go LC without serious research. I know it is fashionable and the majority of people on this forum seem to do it but don't forget most people are T2 and the majority isn't always right.

[phoenix]

i would recommend the ExCarbs system

there's a good page about that on the runsweet site.
http://www.runsweet.com/CarbsAndExercise.html

[Klang180]

hanadr, yes i've been reading about the low carb/non low carb diets to see where i fit.

I seem to be on the high end of a low carb diet. I eat really healthily to be honest but I think because i'm also a coeliac, i wonder if the absorption of the foods and insulin work differently?

Like last night, I ate 50g pasta, tuna, sweetcorn, carb counting told me to do 5 units but I knew that would be too high so I only gave a bolus of 3.5 units. I waited 2 hours checked my bs which was 5.2 went off to the gym having 1 swig of lucozade and came home to a bs of 2.0 (I didn't even feel hypo)!

But i'll bet if i do exactly the same tonight I'd get through it hypo free...

Hey insanity, if your BS is 5.2 after 2 hours then you cannot go to the gym. The fact is that your bolus is only half done and so even without the gym you are goign to go hypo. You need to make sure that after 2 hours you are a little higher than that unless you are eating very very low GI food.

As someone already mentioned. You need to carb count and work out your IC ratio. Once you know what your normal none exercise IC is you can start to adjust for goign to the gym. I would say however that unless you are very light or very fit then 50g probably isn't enough to cover the exercise. You always have basal in your system as you pump is providing it in small doses all the time. So with this in mind i would be tempted to eat your meal of say 50g, have 0.5 bolus and then go to the gym within 2 hours. You will of course shoot up to a relatively high level but as long as it is below 13 when you start you will find it rapidly drops once you start exercising.

As you are on a pump however you can probably also have a mixture or bolus & basal reduction. I don't know much about pumps but "Think Like a Pancreas" is a great book to explain how to do this effectively.

[Klang180]

Oh and the best tip that i ever had about diabetes management is to always do some moderate exercise (10 min walk) after each meal. This makes you more sensitive to the insulin you injected and creates a more stable and flat effect of the insulin.

I used to have my bolus and then sit around and all would be fine. Fine that is until i started to do things and i would fall rapidly. So for greater flexibility and predictability i now just make sure i go for a 10 min walk after every meal. This means that i have a lower I:C ratio and means that when i do more activity i don't need as many ExCarbs, if at all.

Oh and the biggest take away i have is that exercise as a diabetic is very hard to get right but once you do it is also your most powerful tool.

[Klang180]

i would recommend the ExCarbs system

there's a good page about that on the runsweet site.
http://www.runsweet.com/CarbsAndExercise.html

Thanks Phoenix