Running a marathon! :D

Today was a great run for you! Your BG management was awesome today! :star_struck:
:star2:

I am jealous of your Monday miles! But were you really asleep by 10pm?!? :grinning:

Glad you are sleeping early. You earned it! :sleeping:

2 Likes

Fantastic!! And on a lonnnnng run!!! :running_woman: I bet your run felt better, too, at these levels! :smiling_face_with_three_hearts:

Did you experience any BG spike post run as a result of keeping your basal at 20%-10%?

I use a similar strategy except I switch back to my scheduled basal and allow Loop to high temp me as needed about a mile or more (if trending up) before run end to try to prevent the post run high.

3 Likes

Yes, I feel soooo much better when running not high! I don’t notice it being too hard running low until I get lower than like 50 (which of course I try to avoid!)

I did have a bit of a spike up to 220, but unsure if it was from the basal alone or the gels kicking in from blood flow returning to the GI when I was finished running, or a combo of the two!

I try to combat the post-run spike with a decently sized bolus right when I finish running. I don’t always get the spike (depending on what basal I had and for how long, how many carbs I took in while running, and how hard I was running, how far I ran etc.).

But I do try to always have insulin, carbs, and water after running (sometimes rushing to class gets in the way though :sweat_smile: )

4 Likes

Maybe I was kinda beat from running a million miles! I was actually asleep closer to 9pm lol :yawning_face:

5 Likes

Yes, this is the same for me! Sometimes there is no spike, so I sort of wait to see what my BG will do. Sometimes I wait too long and suddenly I’m climbing 20 points every 5 minutes! This is why I enable my normal basal before my finish to try to get some insulin while I’m still running. I think this helps combat the spike, but not too much to be dangerous. But as you say, so many other things are involved, too!

1 Like

@Trying - that’s pretty smart to get a head start on combatting the post-run spike with normal basal. Maybe I’ll try that tomorrow :blush: It can be tough fiddling around with my pump while running sometimes, but I definitely want to try this, especially on runs where I’m running a low basal for a while and have taken in lots of fueling carbs!

1 Like

There is something that I have discussed with @LarissaW about this, which I think is fascinating.

High intensity or very long efforts or hard efforts can have the effect of causing insulin inhibition. Part of the reason is because of epinephrine (adrenaline).

During times of stress, the body wants to down-regulate glycogenesis - the storage of glucose as glycogen. The idea is that it wants your body to have the fuel available instead of storing it.

Amazing. Your body says, “Stress? Let’s keep the fuel available instead of storing it, so let’s make insulin less effective. Epinephrine (adrenaline) will do that for you!”

So if you run extremely hard, you may need more insulin immediately after a workout instead of less insulin. Totally counter-intuitive, right!?!

Would be great to have a discussion about this some time!

5 Likes

Yes, totally counter-intuitive to me!!! But I remember you mentioning this here FUD before so I know this can happen, I just never know WHEN it will happen! lol! :face_with_raised_eyebrow:

3 Likes

I actually use my Apple Watch, so it is just a tap on the watch face. Even for this, I actually stop and do it just to be sure I do it right! :wink:

4 Likes

O that’s pretty cool! That’s a loop feature right? If I could bolus through my phone that would be awesome for my runs. When I get bored on my easier runs I’ll just start checking my emails or go on facebook :rofl:

2 Likes

Yep, it’s a Loop feature and is really convenient. I can view my BG, IOB, and basal on my watch, and even ask Siri to tell me my BG, too. I don’t actually use Siri, but I have tried it out.

Wow, really, you can check emails while running! That is really multitasking!! But I know as a med student you need to be!! :star_struck:

4 Likes

Just as a side note - I try to set my ZB’s so they end a little before the run ends!

For example, suppose it is a 2 hour run. I might set a 2 hour ZB, wait 15 minutes, and then start my run. That way, without any further button pushes, my base will automatically turn back on 15 minutes before my run is over.

Maybe try it like that?!?

2 Likes

basil???

1 Like

Here it is! Wikipedia is never wrong!

2 Likes

:rofl: Where’s the references?? How do I know that there aren’t any competing interests here??

2 Likes

It is Wikipedia, the all knowing source that is never wrong. Lovely picture of basil, makes me want to make some sauce this weekend.

3 Likes

Hi FUD! Sorry, it’s been some time since posting. There has been a lot going on. It started with pain along my ankle, and I saw a podiatrist and was told that I had peroneal tendinits and to cut back on all running. So, I cut back on some running to let that heal, then was getting back into the swing of things for marathon training.

As you could probably guess though, my marathon race which was scheduled in the spring has been postponed until the fall due to limiting COVID spread. That was pretty depressing news for me since I had been training since November for the race. I totally agree with the race organizers’ decision, but nevertheless, a race postponement (of 8 months) has been pretty tough to come to terms with since that put me in a position of feeling like my training has been a little fruitless. And dealing with the personal and family/friends’ anxieties around COVID has been tough. Additionally, medical school has moved completely online, which has been tough in not socializing with classmates and feeling kind of aimless with the material and education, but I digress.

So - what I’m getting at - the last couple weeks have been tough for me! I definitely have been feeling down. And I can only imagine how has it been for everyone else. These are some frustrating, anxious, sad times for us all, I’m sure.

But anyways, so I’ve been a bit down with everything going on. I wish I could lie and just say that I’m ready to tackle all the uncertainties of my own health, family and friends’ health, my education and what I am/am not gaining from it and how that will impact my abilities to care for patients, the state of the world and what it will look like in a few months and a few years. Those all seem to have some aspects that are out of my control at the moment, and of course I’ll continue to worry about them, but I really am trying to get out of my funk and divert my attention to things that might be a little more positive.

Something that I can control right now is if I keep on keepin’ on trying to achieve my goal of finishing a marathon. And I believe this will help me out of my funk a bit, fingers crossed. So I’ve decided that I will wake up the morning of the original race date (april 26), and I will run the course. I’ll get to run my marathon. It is twinged a bit with disappointment that I won’t get the full experience of the crowd cheering, the big finish line, and the nerves heading to the start. But none of those things are in the title of this thread. I had set out to run a marathon, and dang it I will run a marathon!!

I imagine that it will be tough without crowd support and the adrenaline of race day, and I imagine the last 10 miles will really really feel long. But I want to do this, and I’ve put in the effort for this, so every ounce of physical, mental, and emotional strength will get put into that morning. It won’t be pretty, but I’m going to do it (hmm that kind of rings a bell of how I handle my diabetes most of the time anyways)!

8 Likes

Did he/she mention how to prevent it in the future, by any chance?

@LarissaW, you are amazing.

We will be cheering for you from afar! I am assuming your marathon course is not within driving distance of San Francisco?

6 Likes

There will be a crowd of one and it will be plenty loud, in your ear the whole way. I promised you two lines, and you will see them both.

It is going to be an incredible day for you!

Accroches-toi a ton reve - Hang on to your dream

Hold On Tight
By Electric Light Orchestra

Hold on tight to your dream
Hold on tight to your dream
When you see your ship go sailing
When you feel your heart is breaking
Hold tight to your dream.

It’s a long time to be gone
Time just rolls on and on
When you need a shoulder to cry on
When you get so sick of trying
Just hold tight to your dream

When you get so down that you can’t get up
And you want so much but you’re all out of luck
When you’re so downhearted and misunderstood
Just over & over & over you could

Accroches-toi a ton reve
Accroches-toi a ton reve
Quand tu vois ton bateau partir
Quand tu sents – ton coeur se briser
Accroches-toi a ton reve.

When you get so down that you can’t get up
And you want so much but you’re all out of luck
When you’re so downhearted and misunderstood
Just over & over & over you could

Hold on tight to your dream
Hold on tight to your dream
When you see the shadows falling
When you hear that cold wind calling
Hold on tight to your dream.

:heavy_heart_exclamation:

5 Likes

@Lorissa, you are not only amazing, but also Unlimited! If I was nearby, I would offer to come and cheer - though keeping my social distance, of course. :rofl: It’s a good step forward, too, to the other stresses in your life. :athletic_shoe: :athletic_shoe: :athletic_shoe:

7 Likes