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Not exercised yet but have challenge approaching

Discussion in 'Insulin Pump Forum' started by enamor, Jul 28, 2014.

  1. enamor

    enamor Type 1 · Active Member

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    Hi, This is my 4th week on the pump and just beginning to understand how it all works and my levels are stabalising as well as reducing.

    When I was taking injections I knew exactly what to do when exercising, I train at the gym and run long distance. However, since being on the pump I've been to scared to do anything as I don't know what will happen, I actually feel real fear and anxiety about it. At the end of August I have The Nuts Challenge to complete, a 14km assault course, can anyone advise what I should do?

    I'm thinking I should disconnect for the challenge as some of it involves water obstacles and as its physical my levels won't increase, carry my gels and testing machine with me incase I drop too low and have my injections with supporters as back up.

    Does this sound like the right thing to do?
     
  2. ElyDave

    ElyDave Type 1 · Well-Known Member

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    How are you going to manage the water obstacles with a tester? That's one of the reason's I've not attempted any of these kinds of things yet.

    I can keep it relatively dry on the run or bike with a plastic bag, but that won't survive immersion.
     
  3. ealingr

    ealingr Type 1 · Well-Known Member

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    Looking at the website for the challenge (http://www.thenutschallenge.co.uk/faq/), they say you can leave things at the "refuel station". Maybe you could take your pump off, do the 7km first lap, test at the "refuel station" (and top-up on either energy or insulin) then do the second 7km lap? That would seem like a reasonable approach to me.

    I find it much easier to manage BGs during exercise on the pump than I did on MDI. It takes a bit of trial and error, but if you start off using a temporary basal rate lower than you need (e.g. -50%) then you can always adjust it up. I find most exercise only needs maybe -10% to -30% for me, but that just tends to be hiking or (relatively tame) cycling.
     
  4. enamor

    enamor Type 1 · Active Member

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    Hi, I have a waterproof pouch designed for underwater camera work, (bought from Ebay) I use that rolled over and tucked into my spibelt. Not had the guts to actually test it at depth yet but have used it on many a run in a downpour.
     
  5. enamor

    enamor Type 1 · Active Member

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    Thank you, thats what I've been thinking about removing it completely and adjusting with what I know, injections and gels, just didn't know if this was the right approach.

    I feel I'm only just getting to grips with adjustment to basal rates. I really need to kick this fear.
     
  6. ElyDave

    ElyDave Type 1 · Well-Known Member

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    That sounds ideal really, having a 7km pit stop.

    What you need to do is to practice that part of the race, same as anything else. Typically I test every 5km when running (comes at about 25-30 mins depending on event and training session), so you would be going slightly longer than that with the obstacles as well.

    I really don't think you'll need any more insulin, but you'll need to test that as well. I did 98km on the bike on Sunday on just 1U injected basal.

    As a starting point you may need to go a bit high on the line, but try to keep it in the 10-12 range rather than any higher (poor performance), and be ready for a drop. Carry gels with you as these are easily absorbed, work out your hourly intake and go off that. I'd leave a couple more at the rest stop with your meter and perhaps a Novorapid pen, just in case.

    I've got the same challenge in September, where I have a fast HM and I'm thinking about testing every 7km instead of 5, to cut out one test during the race.

    And watch out for that post race hypo
     
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