FUDiabetes

DN’s Running and Other Mishaps Thread


#825

Can we discuss it now??

Oh! And I’m traveling between the 31st and the 2nd. I will be able to run early in the morning on the 31st, there should be a treadmill where I’m going on the 1st, and then I’ll be back in time to run on the 2nd on my own treadmill. I just want you to know I’m traveling, but I think I shouldn’t have to miss anything.

That’s a big cut, right?? Like 9 miles??


#826

Yes.

Let’s do it on Friday. Rather than you spending 5 days thinking you can’t do something or worrying about it, I want you to spend just 1 day showing yourself what you can do.


#827

Okay. :heart:


#828

Just saw that it was supposed to be a 1/4 mile cooldown… I did a half. Honest mistake. Again. I’ll read all the way to the bottom before starting next time. :smiley:

Anyway, everything today was great. I started a little higher than I wanted, but that was strictly a problem with my not being able to walk away from FUD before I started to rise. I was busy talking and should’ve been busy getting my stuff on. It was still not too bad— I started at a BG of 136. I did my half mile warm up and then the first 1.5 mile at 7.5. It felt good at maybe an RPE of 6. I checked by meter during my first 1/4 mile recovery and was still at 1 138. I decided I could make it to 3 miles before taking any more carbs and then added 20g at that time. I did the second 1.5 miles at an RPE of maybe 6.2?? Not much difference than the first. I tested again during the next recovery and was at a 138. With just the 2 miles left and after the other day’s spike, I nixed the idea of more carbs. This time I tested with meter while at the 7.5 speed as I approached 5 miles. I was a 144. Maybe a 148. I did a .5 unit bolus and finished the last 1.5 miles at about an RPE of 7. I tested again as soon as I entered the cooldown and was at a 168. I did another bolus by pump for 2 units and finished with a slow half mile. I jumped again after getting off of the treadmill to a 188 and then onto a 204. I chose a 2 unit IM bolus this time figuring I would either need all of it to help cover the high or would just need to have a banana if it turned out to be too much. I was hoping for the banana, but I didn’t need anything for almost an hour after the run. However, I didn’t stay high for long either… maybe a few minutes at 200 and back within 175 for another couple of minutes and then between 120 and 150 for an hour. Finally I dropped and got my banana.

I think that’s it. Really enjoyed it. :slight_smile:

Oh! I did not check my Dexcom once today. No reason to. I was happy to have it just be the meter and me. :smiley:


#829

Did you eat anything before starting, or was the rise totally from the ZB? How long was the ZB?


#830

Nothing before I ran, and the ZB was … probably more than an hour. I set it for 2.5 hours this time so it wouldn’t turn back on during my run but probably was slow getting onto the treadmill…


#831

Based on the rise from start to finish, it looks like that is too long.

Maybe 15 minutes is not right for you either ( :grinning: ), but let’s work on finding a good middle-ground there.

I told you to set it longer so it would not turn back on in the middle of your run, but just make sure to restart it when you are finished. That helps reduce the spike after you finish!

For long runs, I try to set mine to turn back on about 15 minutes before I am scheduled to finish. For example, for a 60 minute run I might set a 1 hour ZB, wait 15 minutes and then start running, so that it returns with 15 minutes left.

All kinds of ways to do it, just find a system that works for you. But I suggest shortening that ZB time before the run a good bit. And then time it so that it returns.

You can also just reset it once you know you are about to start. Like set if for a few hours, get dressed, get ready, get on the treadmill, and then reset it so that the ZB will finish a little bit before you finish your run. Hope that makes sense.


#832

Don’t I know. :roll_eyes: Not yet at least.

I’m thinking this might be a good strategy for many of my runs. I won’t need it on the easy or short stuff, but I’ve been bolusing toward the end of the longer ones and again once I’ve finished… and still have climbed. I was getting into the habit, before I got hurt, of doing a one hour ZB before heading out the door and then just suspending once the hour was up. I would end the suspend as soon as I finished and bolus for the missed basal and for the carbs I wanted to eat. It was a good routine, but I’ve never managed to get it organized again since I’ve been back running…

But I can.

Come to think of it, if a solid hour was working well before the injury, but my runs have gotten longer… what would that mean for what I should be doing now?? My brain is mush. I’ve spent it all helping my kid with his science fair project. :neutral_face:

I can try this.


#833

For the easy or long slow runs, try a ZB that starts one hour before the run, and lasts throughout the entire run, except for the last 15 minutes when it turns back on.

For the speedwork, you can turn the basal back on early in the run. Go by feel.


#834

The problem with going “by feel” on that is that it feels counterintuitive. It feels like I’m going to have a bigger, faster, harder crash with speedwork… but I’m guessing this is because of the cortisol spike I’ve been watching for?? And just how early? If it’s a five mile run, where would you try turning it back on??


#835

For speedwork, let’s go by reps. Where you feel like you are getting around 7 for a few minutes, that’s when you might start to look for a spike. Like it might be the 2nd or 3rd rep.


#836

But even though I feel like it all fits with my couple of runs this and last week, we still aren’t calling those cortisol spikes… because the ZB prior to the run has been too long. So the plan then will be to pick a routine and try it and then see about what’s happening at a couple of minutes at 7…

?


#837

I think when you are doing the speedwork repeats, after a couple of reps at that RPE, you can turn on your basal without any problem. Especially if basal has been off for 45 or 60 minutes or so.


#838

I’ll just trust you on this. As usual. :slightly_smiling_face:


#839

So I was organized today and started up an hour of ZB before I was heading out for my run. My BG was stable at about 100 the entire time (confirmed by 75 finger sticks I took while testing out a couple of meters) :smiley:

Anyway. I actually paid attention to the time left on my temp basal and made sure to switch it to a regular suspend with 16 minutes left. I was on the treadmill within minutes at a starting BG of 114. I took my pump off and left it on the charger and wore only my meter. I had 10g of carbs as I hit start and was at a 120 at 1.3 miles. At 2 miles I was 95, at 2.5 87, at 3 91, and at 3.5 85. I didn’t take any carbs at all. I couldn’t, and didn’t need to, do a bolus before the run was finished because my pump wasn’t on me, but I did do a unit and a half when I got off just to cover the missed basal. I added a unit about 15 minutes later and had a banana. My BG has been great since.

RPE was maybe a 4 today. I’ve been getting a little nervous about the hills in the race and… don’t be mad… added a couple of small inclines to today’s run. Little ones. Not even worth any discussion really. Hips felt great. And I think that’s it…


#840

There ya go, you got it nailed! BG management sounds perfect today! Right?

Just perfect. You did it exactly right. A few carbs right before starting, a small drop 2 miles in, no panic, it settles out at 85 at the finish. BG tests, no Dexcom, remembering what do do with your basal. Perfect stuff!

Feels good, huh?

Don’t worry about the hills. We will get into them next week. For now, save your legs a bit for Saturday.


#841

Thank you, thank you… thank you, and thank you. :dancer:t2:


#842

Wait… I do have a question. I’ve been thinking about this for a couple of weeks and keep forgetting by the time I sit down…

So I understand that when you get behind on a climbing blood sugar, it can take more insulin to correct it than if you stay ahead of it. I don’t know if that made sense— but that’s how I understand it.

My question is is the same true for a falling blood sugar? Is it possible to have one get away from you and need more carbs to bring it back than if you had stayed in front of it? I’m not sure that makes sense either. Is it possible for the body to burn up those carbs faster when you don’t time them correctly??

Dang it. I’ve had the question in my mind clear as day, and now I can’t get it right. I can tell you one reason I ask is because I have those energy jelly beans on my treadmill, and there have been times I don’t want 20 grams of carbs but feel like I need a little boost— but I don’t know if a 3g boost even exists?? Does it get burned up right away?? Would it make more sense to wait 10 more minutes and have all 20? Or can waiting put me at risk for having to play catch up??

I hope you can figure out what I’m trying to ask because I can’t. :woman_facepalming:


#843

Those beans will not be as fast as a drink or a gel. Your stomach has to churn it up, which takes more time than a liquid carb. (Really, one of the fastest things you can use is Gatorade Prime. But that comes in a 23 gram pouch, which you might not need all the time.)

3 grams can help, but…if you are dropping quickly, it might not do much to help.

And yes, a quickly dropping BG will need more carbs to stop it in time than a slowly dropping one.

It’s like this - 10 grams might be enough to stop the drop and level you out. But 20 grams will stop it faster. But then you have a few extra carbs you did not need.

So if you have time - you are still not very low or it is a slower drop - you can take just what you and it will work fine. The jelly beans can help with that. Or 1/2 a gel pack, or whatever.

But if you do not have time - it is falling quickly or you are already in the tank - do not screw around with trying to take the exact right amount. Take more than you need, that will turn you around quicker.

And then when you get enough practice, you can actually be low, take a big dose of carbs, and take just a small bit of insulin at the same time to cover the carbs that are “too much”. That will fix you faster than anything, I promise.

I heard once of a guy who was in his 50’s and took carbs and insulin at the beginning of a run. You can do that too.

Does that answer your question that you were not sure if you were asking?


#844

So, okay… if I’m hugging a 90, and I have no reason to be afraid of a fast drop or impending climb, would just taking 3 g every couple of minutes— say 10 minutes— be a bad idea??

I think I know what you’re going to say, and I think it’s going to irritate me and probably be right… but you never know. :grin: