A lot of it depends on how much basal you have and how long you are running.
I am not a big fan of starting that high. If you can be around 100 and level when you start, that’s great. Because then you can take a few carbs right when you start and those will be translated into quick energy.
Without being able to cut basal, you will have to take more carbs than you normally do. But waiting until right before you start can prevent that BG pop up. If you are on the treadmill, you can take carbs as needed throughout the run, a little at a time.
So in this exact same scenario, maybe 15 carbs right at the start, and another 15 carbs 2 miles into the run could have provided you the necessary amount.
Remember, if you start lower, you will need more total carbs, than if you start higher. And remember to keep an eye on your BG and take a bit before you need it.
For example, once you are able to test as you run, if you start at 100, and 2 miles into it you are at 80, that means you need carbs. If you are still at 100 after 2 miles, you are probably in good shape.
Those are the things we can work on a little bit.
Try for these 3 things - 1) no IOB, 2) level BG, and 3) in range. Do not treat a 100 far out (like 30 minutes before the run). Treat when you start. If you treat it too soon, you will be rising and out of range. If you treat when you start, your body will take that glucose and give you energy.
If you time your runs at the end of your Levemir duration, you will be able to exercise with less basal. I know this is not always possible, but if you keep in mind when you did your Levemir injection, and consider the 8 hour cycle you are on, you can get an idea of if your Levemir is fading out.
If your Levemir is ending, you need less carbs. And if it is not ending, you will need more carbs. So a lot depends on the timing.
Very good!
Also very good!
I will keep you off the inclines. That may have inflamed it a bit.
This week we will do flat and easy and see how you are on Thursday.
My medical history, at this point, includes S1/S2 cysts, neuropathy, history of brain surgery to minimize presence of a collection of spinal fluid that went from my C4-T10, and… some kind of hamstring injury. The evaluator today said it all could be contributing— or could’ve contributed at some point— and the first thing he recommended was a case manager of sorts. Because without one, I’m playing whack-a-mole. Which sounds about right.
And, that’s okay. I can certainly enjoy a couple of songs and then cut it out— and get my exercise-exercise from running.
I was very happy about this yesterday, as it really worked well for my numbers, but after today’s stuff, I’m sure it probably won’t be a great solution for the future… and I really did think it was a great solution for the future. So coffee 45 minutes before my run, 2 songs of merengue, and then I timed everything else really well— I was 100% ready to run by the time I had my banana, which I ate, dropped peel in the trash, and got on the treadmill. My BG at start was about a… 138? I can’t remember for sure, and it was about an 85ish at finish. I ran 4.75 miles in 40 minutes. Some pinching but hip was good.
), ate 8 sugar tabs, and still ended at a… well a 95. But what happened between that 194 and 95 wasn’t pretty. Either way, it’s done, and I’m very happy with how it felt.
