Dang Kim, good memory!
All the way back from March!
Dang Kim, good memory!
All the way back from March!
See! I was paying attention!!!
First time ever!
July 2
No ZB coffee a bit ago late run tough time getting motivated
Starting BG 160
Mi 1: 114
*Cut basal
Mi 2: 70
*Huma
Mi 3: 49
*Transcend
Mi 4: 74
*.1 bolus
*Resume basal
Mi 5: 86
Mi 5.5: 96
So that was pretty much a 2.5 mile spacewalk for me with that crash. I saw the drop early but was just too stubborn to take the carbs. A mile later, it was a little too late.
It’s not like my old days of running my numbers up to the 300s and plummeting and bottoming out 10 minutes in, but it’s still not exactly ideal. The running part has been pretty nice, but the diabetes part… is kind of kicking my butt. I realized yesterday I can run after dropping from 160 to 49, but it’s not pleasant. And it’s not necessary. It means getting myself organized and focused before the run again— which is definitely something I’ve been sleeping on.
Groin: swollen lymph nodes… frommmmmmm… infection from pump belt clip. Another undesirable result of stubbornness.
Thinking: I’d be glad to give it all to you, Eric. Let you do the thinking. Tell me when you’re ready to take it over.
A year ago?
Yeah, but I knew you weren’t ready then.
I love this statement! I’ll have to tell this to myself on my next “pending” low during a run so I take action and head it off!
I admire how you bolus during a run. I tried that today during my beach run. I went from 89, downto 67, had 17g carbs, downto 53 and then up to 126, when I bolused .5u. Continued to climb to 135, then suddenly fell down to 60, at run end was in 50s. I know, a complete rollercoaster. No basal for several hours. Several errors along the way, starting with the large 17g carbs which was way too much at one time. I should have split that, have half at pre run, and save rest for during run. Then .5u bolus was way too much during a run. Should have taken half that. Then finally, instead of zero basal for hours, I should have just used 5-10% temp of scheduled basal.
Oh, infection from your waist belt sounds awful. That wouldn’t occur to me, but as I now carry my iPhone and RileyLink similarly, I will be on the lookout! I hope you are on the mend!
For me, a .5 is a HUGE bolus during a run. Like I have to hate myself to do a bolus that size. Even a .25 is hefty. I’ll go up in a second and try to find the run where I bolused a .5 just before starting BECAUSE OF A HIGH BG, and I STILL plummeted. And you’re looking at your CGM, right? For those numbers? I know you know how I feel about the CGM during exercise, but I’m really not sure I’d be willing to do any insulin during a run if I only had that number to look consider. The potential for a roller coaster is way too great.
You came around with a nice comment and I showered you with lecture.
But I can’t stop… so I’ll just say very quickly that I have learned to use a LOT less carb during an early part of my run when I’ve got a solid ZB going into it. Or to do that 17g with a .l bolus-- .15 tops. That little bit buys me some time to see how I’m doing in another mile. It helps control the rise… without causing a drop. Now if I have no ZB, then I’m not doing any boluses early. At all. I’m probably going to use up those carbs and will be in need of more sooner than later. Any insulin in this case could cause a fast drop.
I’m done now. I had a good run today. Now I’d like to coach everybody.
Just looking for sympathy. Really not that awful at all.
Focused on focusing a little today. And not just leaning on scrap work blood sugar management before my run… like I’ve kind of been doing lately. It’s nice to run when not too high, not too low, and some confidence in which way you’re headed. My line wasn’t exactly where I’ve come to prefer it, but it was nice and even-ish. More this than this . Baby steps.
Collected about one hour+ ZB before run and refrained from carbs, coffee, and anything else I do in abundance in my regular life. Had a banana at start.
Starting BG: 96
Mi 1: 109
Mi 2: 114
Mi 3: 127
*Huma for really no good reason at all other than I’m a caffeine addict, and that one had a fix
*.25 unit bolus (I rarely do one that big, @Trying, but I was trying to get my caffeine hit)
*Resume basal
Mi 4: 147
Mi 5: 137
Mi 6: 122
In this case, I think I bounced because of the combination of ZB, banana at start, AND Huma. I also wasn’t terribly worried because I know that .25 is a pretty big bite and, with 3 miles left to run, I probably wouldn’t rise out of control.
I also know I’m getting settled in nicely to some less than ideal numbers. So. I’ve got some work to do.
@Trying, there’s a .4 unit bolus with a starting BG of 198 and no ZB. It wasn’t even a hard run. Just a plummet. I also tried to fix it late with a GU. But anyway.
There was something we talked about a while ago, I’d like you to try it every once-in-a-while.
NOT for hard runs. NOT for long runs. But occasionally on the easy runs for your base mileage (your general Tuesday and Friday runs), when the stars are aligned and you have no IOB, no carbs, no coffee or anything wacky going on, and your BG is in range and flat…try doing the run with no meter, and not needing anything.
Bring only a few carbs and your pump. The goal is good prep, and not needing any carbs or insulin for the run.
If you need something - either insulin or carbs - take it of course. But try to manage with no testing, and ideally, see if you can set yourself up so that you don’t need ANYTHING during the run!!
Just try this every once-in-a-while, when your stars are aligned. The key is good setup before the run. This is the next level for you. This elevates you to boss level.
yes, I haven’t forgotten the assignment. and have actually thought about it on every run. my stars just haven’t been aligned yet. trust me. I’m headed in the right direction again though… I think.
Care to elaborate? I’ve been thinking of lymph nodes lately - EH had another new in-situ melanoma removed earlier this week. And I don’t really get lymph nodes but we should be aware of them I guess (per Dr. Google, not the real doctors who’ve never touched his lymph nodes once).
I’m curious how this happened. And sad. I’m sorry. Infections suck.
My non doctor self would suggest a hot bath. With Epson salts. But mostly because I like baths and don’t own a tub.
Yep, you are right, cgm numbers from Dexcom G6. G6 has been really accurate for me when the sensor is working!
Thank you for your analysis! It is really helpful. Yes, I agree, .5u was way too much! I’m terribly impatient when it comes to highs. But I really appreciate hearing you, too, feel it was too high. Otherwise I feel I’m just grasping at straws!
Today was better. As you know, I’m now on Loop, which supports overrides for temp basals. So today I tried an override which gave me 20% of my scheduled basal of .5u/hr. This is actually what I was doing pre loop. I’m not sure why I changed to zero basal after loop! Anyway, it worked so much better. Stayed at 92 and ended at 98. No lows or highs, amazingly.
If you keep that up, we’re gonna have to ask you to leave our diabetes forum.
Hah, that would be a miracle!!
Wow, thanks for this! It clearly shows how fast a bit of insulin can drop us when running!! Thank goodness your drop stopped just about 60, my personal low cutoff for time in range (60-120)! I need to tell myself to be more patient with highs!!
oh NO! Really?? And may I ask if EH is applying any kind of sunblock?? Because with a second site, I’d recommend you getting a paint tray and paintbrush and hit him up as he heads for the door. Did they get everything?? Is everything good now? and how is YOUR foot, by the way?? And belly?
About lymph nodes, I rarely check for mine. I mean once in a blue moon, when I start getting all medical-sketched out, I might start poking around, but in general, I don’t pay any attention. In this case, I had an infection on my left hip, so I figured I’d give it a feel–and almost fell over when I realized I had a huge one. Infection is gone, and the lymph node is still pretty much enlarged, so at some point I might go down somewhere and get some more information to share. But I’d prefer for it just to disappear instead.
You have naturally inclined non doctor and non coach selves. Just in case you didn’t know. They often have better ideas than the real doctors and coaches I’ve come across.
I’m with Eric on that one. You keep that up and you’re either going to have to get out of here or lie about it. That’s brilliant.
Friday and Saturday runs…
Going to try to get focused here and keep to the point so I can do this fast. Not expecting much.
July 5th–
No ZB AND had a insane number of bowls of cereal within about 30 minutes of starting. So not really the way it was supposed to go, but okay. The only thing I can remember is that I was definitely low as I was nearing run time, so I decided NOT to cut my basal an hour before and ate the cereal. Stab in the dark, and it turned out okay. (This time)
Starting BG: 144
Mi 1: 145
(Treadmill problem at mi 1.25. Danced Flashdance style for 10 minutes while I waited for it to come back on)
BG after dance: 129
Mi 1 again: 107
*Huma
Mi 2: 82
Mi 3: 77
Mi 4: 84
Total distance: 5.25 miles. Never did cut the basal, and RPE was a nice and easy 5.