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Ultra running with diabetes type 1
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<blockquote data-quote="Chrishamilton" data-source="post: 1735244" data-attributes="member: 470886"><p>I've done a few 400-600 km audax cycle events in recent years.</p><p>After a bit of trial and error, I found reducing basal by 50% keeps me reasonably level for rides up to 33hrs.</p><p></p><p>They generally involve checkpoints every 50-100km. Between checkpoints I generally eat a few biscuits, or flapjack on the go to keep me ticking over and at the checkpoints test blood glucose etc and do some proper eating 80-120g of carbs (usually in the form of sandwiches, cake bananas etc...). all of this is done without the need to take any fast acting insulin. Only if I have a blood glucose reading greater than 12 will I take any insulin (and only half a unit, which under those conditions is enough to lower blood glucose concs by ~9mM (so has to be partially counteracted with a few sweets about 1hr later).</p><p></p><p>On this type of regime I've managed to go 33hrs just on 50% doses of my usual twice daily basal insulin.</p><p>It took me five big rides and a few mistakes to get this right. Once I'd gained the confidence of not using any fast acting insulin for such long periods whilst partaking in what is effectively an uncomfortable eating competition, the trick was tailoring the basal insulin levels that would be enough (but not too much) to keep me in reasonable range.</p></blockquote><p></p>
[QUOTE="Chrishamilton, post: 1735244, member: 470886"] I've done a few 400-600 km audax cycle events in recent years. After a bit of trial and error, I found reducing basal by 50% keeps me reasonably level for rides up to 33hrs. They generally involve checkpoints every 50-100km. Between checkpoints I generally eat a few biscuits, or flapjack on the go to keep me ticking over and at the checkpoints test blood glucose etc and do some proper eating 80-120g of carbs (usually in the form of sandwiches, cake bananas etc...). all of this is done without the need to take any fast acting insulin. Only if I have a blood glucose reading greater than 12 will I take any insulin (and only half a unit, which under those conditions is enough to lower blood glucose concs by ~9mM (so has to be partially counteracted with a few sweets about 1hr later). On this type of regime I've managed to go 33hrs just on 50% doses of my usual twice daily basal insulin. It took me five big rides and a few mistakes to get this right. Once I'd gained the confidence of not using any fast acting insulin for such long periods whilst partaking in what is effectively an uncomfortable eating competition, the trick was tailoring the basal insulin levels that would be enough (but not too much) to keep me in reasonable range. [/QUOTE]
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