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<blockquote data-quote="MangosteenElbow" data-source="post: 1415882" data-attributes="member: 322425"><p>Update? </p><p></p><p>In the context of mature onset IDDM, middle and long distance running, science based nutrition and sports coaching and the real world, if I had known years ago what I know think I know, I would have gone keto, trained much more, enjoyed more effective running, possibly been only on CGM not also a pump for years longer, had fewer other health complications and better cognitive management for longer.</p><p></p><p>We rarely get a direct path to the best outcome.</p><p>If you do not get a pump, then there are other pathways foward.</p><p></p><p>All the trial and error is actually desirable. As an athlete of any ability you ought to be trialling and accepting there will be more errors than successes. </p><p>Once you find a success it becomes your norm so it only counts as one success! On the other hand, lots of trials and errors is one big, successful approach.</p><p></p><p>Keeping a record of your training and biomarkers relevant to you will help. This could be too much for most but the concept is a logical consequence of training, trialling and accepting "errors". </p><p></p><p>It reflects that you are in charge, you are the expert on you and it also helps refute the speculative bad advice of others.</p><p></p><p>So, keep any record at whatever level suits you. Maybe it is just a few words in a diary ("tried 3kms am felt **** kicked cat") or go overboard in detail if it suits you (and your coach).</p><p>I have a template that could capture far too many daily biomarkers before during and after training and competition / race but it is deliberately too much for anyone - the point is to enable coached athletes in running to choose over time what to track. Anything recorded is better than nothing.</p><p></p><p>The above is just to emphasise the benefits of trial and error, accepting it is all work in progress, no one else but you can best advise you (only support you) and you will better manage IDDM and running long distance if you keep some track of your progress, trials and errors.</p><p>And successes.</p><p></p><p>The elephant in the room is fear of hypoglycaemia especially overnight after the kind of training and competing typical for long distance runners with IDDM.</p><p>My gratuitous advice, as good or as bad as any other's advice, is that becoming keto adapted almost entirely removed the real risk to me when coupled with CGM.</p><p>It is a totally different world of running training, living a life and managing all health issues.</p><p>Most advice in research papers and so also in blogs etc assumes carb adapted athletes. Even researchers whom I respect and who directly advise international level athletes with IDDM seem to to be totally limited to carb based athletes - presumably there's too much risk and too much career effort to get off the runaway train that is the "carbs remain best substrata for athletes" hypothesis masquerading as fact.</p><p>(Regrettably, the USA aproach to gurus on keto athletes gives me headaches and white knuckles of despair. You can live a much happier IDDM sporting life keto adapted without ever once reading hearing or buying from the zealots)</p><p></p><p></p><p>Off my hobby horses and onto the envelopes. The winners are:</p><p>1. Whatever you decide. </p><p>2. CGM.</p><p>3. regular physical exercise.</p><p>4. 1, 2 & 3</p><p>5. Becoming and staying keto adapted.</p><p>6. 4 & 5.</p><p>7. Pump.</p><p>8. 6 & 7.</p><p>9. 8 & deliberate trialling (safely, of course).</p><p>10. 9 & recording biomarkers relevant to you as much as you wish and only to the extent you will actually use the record to learn from it.</p><p>11. 10 & running to compete.</p><p></p><p>Special encouragement awards also to participating in orienteering, trail running, fell running, mountain running, triathlon and refereeing team sports (they have to be fit!).</p></blockquote><p></p>
[QUOTE="MangosteenElbow, post: 1415882, member: 322425"] Update? In the context of mature onset IDDM, middle and long distance running, science based nutrition and sports coaching and the real world, if I had known years ago what I know think I know, I would have gone keto, trained much more, enjoyed more effective running, possibly been only on CGM not also a pump for years longer, had fewer other health complications and better cognitive management for longer. We rarely get a direct path to the best outcome. If you do not get a pump, then there are other pathways foward. All the trial and error is actually desirable. As an athlete of any ability you ought to be trialling and accepting there will be more errors than successes. Once you find a success it becomes your norm so it only counts as one success! On the other hand, lots of trials and errors is one big, successful approach. Keeping a record of your training and biomarkers relevant to you will help. This could be too much for most but the concept is a logical consequence of training, trialling and accepting "errors". It reflects that you are in charge, you are the expert on you and it also helps refute the speculative bad advice of others. So, keep any record at whatever level suits you. Maybe it is just a few words in a diary ("tried 3kms am felt **** kicked cat") or go overboard in detail if it suits you (and your coach). I have a template that could capture far too many daily biomarkers before during and after training and competition / race but it is deliberately too much for anyone - the point is to enable coached athletes in running to choose over time what to track. Anything recorded is better than nothing. The above is just to emphasise the benefits of trial and error, accepting it is all work in progress, no one else but you can best advise you (only support you) and you will better manage IDDM and running long distance if you keep some track of your progress, trials and errors. And successes. The elephant in the room is fear of hypoglycaemia especially overnight after the kind of training and competing typical for long distance runners with IDDM. My gratuitous advice, as good or as bad as any other's advice, is that becoming keto adapted almost entirely removed the real risk to me when coupled with CGM. It is a totally different world of running training, living a life and managing all health issues. Most advice in research papers and so also in blogs etc assumes carb adapted athletes. Even researchers whom I respect and who directly advise international level athletes with IDDM seem to to be totally limited to carb based athletes - presumably there's too much risk and too much career effort to get off the runaway train that is the "carbs remain best substrata for athletes" hypothesis masquerading as fact. (Regrettably, the USA aproach to gurus on keto athletes gives me headaches and white knuckles of despair. You can live a much happier IDDM sporting life keto adapted without ever once reading hearing or buying from the zealots) Off my hobby horses and onto the envelopes. The winners are: 1. Whatever you decide. 2. CGM. 3. regular physical exercise. 4. 1, 2 & 3 5. Becoming and staying keto adapted. 6. 4 & 5. 7. Pump. 8. 6 & 7. 9. 8 & deliberate trialling (safely, of course). 10. 9 & recording biomarkers relevant to you as much as you wish and only to the extent you will actually use the record to learn from it. 11. 10 & running to compete. Special encouragement awards also to participating in orienteering, trail running, fell running, mountain running, triathlon and refereeing team sports (they have to be fit!). [/QUOTE]
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