Hi, I'm a Type 1 diabetic as a side effect from Immunotherapy for liver metastases (since 2016). I'm a very competitive Duplicate Bridge player and I have glucose problems every time I play. After an early evening meal I manage to reduce my blood sugars from a high of 14 to near 8 when I depart for a Bridge game: normally at this time I would be heading for sugars of around 6.
However, in the first hour of the game I'll nudge up to around 10 then it'll soar to 20 without any eating or drinking. I also get extremely red and flushed halfway through the three and a half-hour session. After overnight sleep it'll come down to 12 (even with a little insulin) and it takes nearly another 16 hours to get back on an even keel.
I've tried stopping playing and I don't get this problem but I love the mental stimulation. I'm aware that the 'fight or flight' mechanism requires lots of glucose and insulin use/production is shut down. If I inject normal amounts of insulin it builds up to a hypo. Has anyone any suggestions to overcome this?
However, in the first hour of the game I'll nudge up to around 10 then it'll soar to 20 without any eating or drinking. I also get extremely red and flushed halfway through the three and a half-hour session. After overnight sleep it'll come down to 12 (even with a little insulin) and it takes nearly another 16 hours to get back on an even keel.
I've tried stopping playing and I don't get this problem but I love the mental stimulation. I'm aware that the 'fight or flight' mechanism requires lots of glucose and insulin use/production is shut down. If I inject normal amounts of insulin it builds up to a hypo. Has anyone any suggestions to overcome this?