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Hiking with diabetes
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<blockquote data-quote="kitedoc" data-source="post: 1792896" data-attributes="member: 468714"><p>I did lots of hiking back in the day. </p><p>I would look at the map for the day's march and try to figure out where lunch , next campsite etc would be AND what the terrain was like. If we were going to be going mainly up hill in the morning I would ease back my morning short and long acting insulin by 20 to 30%. </p><p>Even if the reading was up a bit at lunch time I would tend to keep any lunch time bolus at abut 10 to 20% less than usual. depending if the next section was downhill or not. I would keep my blood sugar above 5 mmol/land less than 14 mmol/l if I could. </p><p>Lower than 5 mmol/l risked hypos , falls and tumbles and higher than about 14 mmol/l I would take an extra shot of short-acting dose say a half of usual bolus of short-acting insulin and wait.. The reason is that at around 13-14 mmol/l and above the body starts to think it is starving with a high sugar not getting into cells fast enough and starts to cause the liver to release more blood sugar. So the exercise at that point will just tend to send the sugar up higher, I feel rotten and ache all over. It sounds like a crazy thing for the body to do but our bodies were not designed with diabetes in mind.</p><p>Once blood sugars had dropped below 12 mmol/l I would start up walking again. At dinner time I try not to eat too much but ease back both short and long acting insulin by at least 20 %. My reason? Yes, I was not going to exercising at night (unless the river rose !) BUT my muscles had been releasing their glucose stores during the day to use for fuel, along with what I was eating AND 6 hours or so after exercise is complete my muscles would demand payback of glucose to restock their fuel supply. Where does that glucose come from? Yep, my blood stream, so if I do not keep the insulin lower than usual I will have a hypo at say 2 am and will be stuffing my face with food. And the other thing you do not want to do is be hypoing day and night by not easing your insulin back and run out of food. Also I found that if I kept my insulin dose the same as usual on a hiking trop the extra food I would need to eat all the time was causing me to be sluggish and my stomach to ache. I also found that the blood sugar would be up at lunchtime because the adrenaline released during a fund morning walking would push the sugar level up. The trick was to not let that tempt me to up my insulin dose, except if I got above 13 to 14 mmol/l. If the day turns out differently in that it starts to rain and we stop early to pitch camp I do not drop the evening insulin quite so much, but the morning walk and some of the exercise of setting up camp in the rain, finding wood to burn etc will still affect my blood sugar. Night down dose, sleeps well. night and normal dose , sleeps like hell. It is all worth it to see the views and take pictures. It is all about experience and learning.</p><p>Now that I have an insulin pump, I just alter the basal and bolus %-wise with the pump controls.</p></blockquote><p></p>
[QUOTE="kitedoc, post: 1792896, member: 468714"] I did lots of hiking back in the day. I would look at the map for the day's march and try to figure out where lunch , next campsite etc would be AND what the terrain was like. If we were going to be going mainly up hill in the morning I would ease back my morning short and long acting insulin by 20 to 30%. Even if the reading was up a bit at lunch time I would tend to keep any lunch time bolus at abut 10 to 20% less than usual. depending if the next section was downhill or not. I would keep my blood sugar above 5 mmol/land less than 14 mmol/l if I could. Lower than 5 mmol/l risked hypos , falls and tumbles and higher than about 14 mmol/l I would take an extra shot of short-acting dose say a half of usual bolus of short-acting insulin and wait.. The reason is that at around 13-14 mmol/l and above the body starts to think it is starving with a high sugar not getting into cells fast enough and starts to cause the liver to release more blood sugar. So the exercise at that point will just tend to send the sugar up higher, I feel rotten and ache all over. It sounds like a crazy thing for the body to do but our bodies were not designed with diabetes in mind. Once blood sugars had dropped below 12 mmol/l I would start up walking again. At dinner time I try not to eat too much but ease back both short and long acting insulin by at least 20 %. My reason? Yes, I was not going to exercising at night (unless the river rose !) BUT my muscles had been releasing their glucose stores during the day to use for fuel, along with what I was eating AND 6 hours or so after exercise is complete my muscles would demand payback of glucose to restock their fuel supply. Where does that glucose come from? Yep, my blood stream, so if I do not keep the insulin lower than usual I will have a hypo at say 2 am and will be stuffing my face with food. And the other thing you do not want to do is be hypoing day and night by not easing your insulin back and run out of food. Also I found that if I kept my insulin dose the same as usual on a hiking trop the extra food I would need to eat all the time was causing me to be sluggish and my stomach to ache. I also found that the blood sugar would be up at lunchtime because the adrenaline released during a fund morning walking would push the sugar level up. The trick was to not let that tempt me to up my insulin dose, except if I got above 13 to 14 mmol/l. If the day turns out differently in that it starts to rain and we stop early to pitch camp I do not drop the evening insulin quite so much, but the morning walk and some of the exercise of setting up camp in the rain, finding wood to burn etc will still affect my blood sugar. Night down dose, sleeps well. night and normal dose , sleeps like hell. It is all worth it to see the views and take pictures. It is all about experience and learning. Now that I have an insulin pump, I just alter the basal and bolus %-wise with the pump controls. [/QUOTE]
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