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exercise




I do exercise for at least 45 minutes after eating a main meal except on the two days that I work. On those days I get up at 5.30 to get breakfast, exercise and a 2-hour blood test in. On work days I don't exercise after lunch.

For me, it has been a total lifestyle change because of having had a stroke caused by undiagnosed diabetes. I am desperate to avoid another stroke which could be devastating and this has been my way of controlling the situation. Every day I come up against the consequences of the stroke and they are intensely irritating and I don't want another stroke so my levels need to be right down.

I also don't eat anything after about 6.30 in the evening.

It does seem a bit extreme, but for me it is worth it. The risk of another stroke has receded and I don't want to go there again. It was a horrible scary experience and I've been lucky to be relatively intact and I want to stay that way.

It does drive my husband nuts though
 
Grazer is spot on abiou the liver dumping. Before I had even heard of his phenomenon I realised that whenever I ae a smaller than usual evening meal my blood sugar ereadings would spike o
ridiculous heights whereas normally they would only rise o about 8 at the highest.

When my opthlmologist helped me to see the diabetes consultant I was able to back this up by my readings and notes. I was then given Januvia which has made an enoromous diffference to me.

It was interesing to note that I only discovered the cause via a chance convesrsation wih a dibetologist. . I had menioned the effect to several other "HCP's " who seemed to think I was barmy.

To this day , my own , expert ,diabetes nurse snorts in contempt and derision when I try to explain why I was prescribed Januvia. She may have HEARD of liver dumping but obviously doesn't believe in it.

She doesn't understand why I couldn't just eat more than I wanted at every meal . Then I could have put on weight , there would have been an enormous rise in my HBA1C and I could have beeen put on insulin. She can't understand why I won't cooperate! :lol:

I eat most of my carbs at lunchtime as I then go for a walk . The evenings are more problematic.
I would either eat too many or too few . The Januvia only kicks in if the levels are high so it is
not such a catastrophe if i get it slightly wrong.
I try to keep my levels low in the evenings for the same reason as Grazer- so that they are lower overnight.
 
Finding this an interesting thread and thanks to all contributors for their input. Just wanted to say that I do my Gym/Pool exercises on the way home from work in the evening around 6pm. I don't bother with any food intake (apart from cups of tea) after lunch, unless of course some-one has brought some cakes into the office ( miserably sinner, yes I know). Anyway back on topic, I am finding that my count is down around the 5 mark an hour or so after finishing a Gym/Swim session, its then that I have my evening meal with a 1K Met and a 80mg Glic. We are all different but, I just don't subscribe to eat just before exercise thing.
 
We all have to find what works for us ., fots into our lifestyles etc. Basically it is all just a balancing act.

The more things which have to be factored in the more difficult it gets.I have resised going on to insulin because I think insulin plus medication would probably make he balancing act very difficult.

I know some clever people manage it well but not sure I could.
 
It is definitely a balancing act and finding out what works for you as an individual. What I do has worked exceptionally well for me and I'm now fitter than I have been for over 25 years. I've gone from a size 22 to a size 14 in 6 months which is very satisfying. I'd probably have to use different strategies if I was on diabetic medication.
 
I'm also a T2 and when I exercise (jogging) my BGs are usually about 5 to 7 points higher after exercise. However, a couple of hours later, and for the rest of the evening my blood glucose level stays a few points lower.

It was explained to me once that as we exercise we use up the glucose stores within our muscles making them want more to replace what's been used, and to do this they release a hormone to stimulate the liver to make more blood glucose - this part seems to work OK in us T2s. The higher blood glucose should then stimulate the pancreas to make more insulin.
However, T2s either don't produce enough insulin, or our muscle cells have a degree of insulin resistance, either way the increased levels of blood glucose are unable to pass through to the muscle cells, which if we're still exercising get even more depleted of glucose, and release more of the hormone to stimulate the production of even more blood glucose, etc etc (The 'Liver Dump')
The harder we exercise the quicker we use up the glucose in our muscles increasing this effect, and vice versa. Part of the 'balancing act' is finding out what levels of exercise, and for how long, we can tolerate the particular exercise without sending our blood glucose through the roof.
This will be different from person to person as we all have different abilities to produce insulin, or have different levels of insulin resistance.
Our most famous olympian, Steve Redgrave, is also a T2 and to be able to exercise at the extremely high levels he was doing he went onto an insulin regime under medical supervision.
 
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