I’m about to expose just how out of shape I am, which is pretty intimidating for me in this amazing group of athletes…ha, but here goes. As the weather starts cooling down, and reading through this category in particular (thank you, @Eric, for a lot of incredible information!), I am pretty determined to start exercising regularly, which for me probably will just be long walks, likely pushing a child (or two) in a stroller. In addition to BG concerns, I also have a muscle disorder that affects my muscles ability to create energy (a mitochondrial myopathy, for the curious), and a connective tissue disease that causes joint pain with exercise (not to mention the thyroid disease that contributes to the heat/cold intolerance the muscle disorder also causes), so I’ve pretty much just avoided regular exercise because it was already challenging enough before LADA came up. But I can’t deny the impact exercise has on my BG control. Tonight, for example…
I ate ~60 carbs for dinner (used Afrezza, so didn’t count exactly). Pre-meal 89, 1 hr post meal 96, at which time we went out for a more leisurely walk with the kids (about 20 minutes total with a ~8 minute rest halfway through for my daughter to run around a bit). By the time I got home, I was at 74. The meal I had usually would’ve caused a delayed spike due to fat content, but I tried to time the walk so as to avoid a spike when the Afrezza wore off (I was successful!).
Yesterday, I took a 10 min brisk walk starting at 178 with a 1.5u correction on board injected 40 mins prior, got home at 99. This has more often been the condition under which I actually walk - to bring down a high, with or without a correction.
I’ll probably have a lot of questions, but the main ones I was talking to my husband about…
If I’m only doing ~10 minute walks now, working up to at least 30 minutes over the next few weeks, do I still need to worry about refueling after (hubby thinks yes)? Along with that question, I read on one of the posts that it’s best to refuel within 45 minutes of end of exercise - what if your pre-bolus time now ranges from 30-45 minutes, depending on what you eat? I don’t want to dose while still walking since I already drop as it is. How do y’all manage the timing?
I’ll keep the questions coming as I think of them.