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Ultra running with diabetes type 1
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<blockquote data-quote="ElyDave" data-source="post: 1764400" data-attributes="member: 74042"><p>Bloody simple to go keto as a T1, you just need to train to do it, you can't switch in on for race day and hope it will work. </p><p></p><p>I've been up to 50 miles running using both basal/bolus and pump. Injections, I took half basal the night before, half a unit basal the day of the race and half a unit bolus with a breakfast of about 30g carbs. NO MORE insulin was required, and I halved my bolus for the post race meal, and still went low. There are other carb transport mechanisms than insulin, and you'll be more insulin sensitive as well. </p><p></p><p>You need to accept that BG willl be higher pre-start, but drop pretty quick. Keep testing regularly, I go about 5km running on ultras, about 25km/1hour on audax (up to 200km so far), and eat as required to keep the BG steady - I can normally manage 5-6 throughout an event with about 20g carbs per hour. I've worked to be fairly well keto adapted. </p><p></p><p>On the pump much easier, I set a TBR of 20% of normal 4 hours prior, and for the duration of the event, that does the trick for me</p></blockquote><p></p>
[QUOTE="ElyDave, post: 1764400, member: 74042"] Bloody simple to go keto as a T1, you just need to train to do it, you can't switch in on for race day and hope it will work. I've been up to 50 miles running using both basal/bolus and pump. Injections, I took half basal the night before, half a unit basal the day of the race and half a unit bolus with a breakfast of about 30g carbs. NO MORE insulin was required, and I halved my bolus for the post race meal, and still went low. There are other carb transport mechanisms than insulin, and you'll be more insulin sensitive as well. You need to accept that BG willl be higher pre-start, but drop pretty quick. Keep testing regularly, I go about 5km running on ultras, about 25km/1hour on audax (up to 200km so far), and eat as required to keep the BG steady - I can normally manage 5-6 throughout an event with about 20g carbs per hour. I've worked to be fairly well keto adapted. On the pump much easier, I set a TBR of 20% of normal 4 hours prior, and for the duration of the event, that does the trick for me [/QUOTE]
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