You have something that they don’t have. The disease gives you a resilience and persistence that none of them will ever know. Things that would seem tough for them are easy for you. What the disease takes away in some areas, it give back in mental toughness. The disease makes you tougher than anyone. Use what the disease gives you.
Ok, let’s talk about insulin management.
How long have you been diabetic? Is it T1, and your body is not making any insulin?
The swimming will be the toughest part. What time of day do you do that for training?
That huge BG drop you mentioned when swimming, did you have any IOB? How close to your meal was that swimming drop from 180 to 90? It has to be one of 3 things - either your body is making insulin, too much basal, or too much IOB.
If your body is not making any insulin, it would probably be a good idea to drop your basal for swimming. Can you do swimming in the morning?
Your Levemir shots…if you did swimming in the morning BEFORE you did your morning Levemir shot, you would only have a bit of the basal still trickling in from the night before.
Can you try this?
Would you be willing to try the same swimming workout before breakfast, with no morning Levemir, and no breakfast or breakfast insulin? The only insulin you would use would be if you need a correction before the workout, and for that you would do only half of the normal correction. The only insulin in your system would be the leftover from the nighttime Levemir.
This is just a starting point. Later, the timing of the nighttime Levemir dose can then be adjusted to either earlier or later, depending on how that works for you.
After the morning swim, you take your morning Levemir, and an immediate bolus for breakfast, and get a good breakfast with emphasis on carbs and protein.
Can we start with that and see how that works? And then we can move on to the other events and practice.
Couple more questions:
How are you injecting Apidra? Are you using a pen or syringes? I have never used an Apidra pen, so I am not sure if they can be reloaded, but if you are using syringes, I know micro-dosing can be done easily. We need to get you setup so you can do micro-dosing. I can post on this later. No matter how you dose Apidra, we are going to need to get you setup for micro-dosing…
Can you send me your TDD, your IC, and your correction factor?
Sorry, ton of questions here. Please answer them and we can work through this.
I posted 5 things on the exercise page. Take a look at those too.