This week I completed two athlete days for Sanofi in the Daytona Beach, FL area. Because I am entering the 5th day of my rest week, the rollercoaster of blood sugars is in full effect. So far with my experience, athlete days typically consist of Apidra reps bringing lots of food to doctors’ offices and then I provide the entertainment by telling about my life with diabetes. Post meals this week, while speaking with the physicians, I was doing a good bit of correction boluses and able to show the doctors that Apidra actually does work rapidly.. haha..
So after my 3rd day in the rest week, I officially switched to my 2nd basal program. After I spent half the previous day checking and doing correction boluses, I decided it was time to enable it. Every time I have to switch to my 2nd basal program, it makes me a bit anxious to get back to training. The thought that I am in need of more insulin and my control is pretty crappy, makes me cringe when I think of what it’s doing for my next a1c reading :( If I am going to dominate Phil in our a1c competition we've got going, I gotta make sure I'm running a tight ship! (for those who are unaware, Phil and I are going to get our a1c's checked in about a month and the winner gets an epic prize! if you want in, be prepared to be in the high 5's/low 6's)
To give you an example of an "into the 5th day of a rest week, crappy control, rollercoaster of blood sugars” typical day I will tell you about my Friday...
To begin the day, started out at 134 mg/dL. It was a bit higher then I like to start the day at, but whatever! Had breakfast, 4 egg whites, 2 pieces of wheat toast, coffee, and some O.J. I did 2.75 units of Apidra. I also set a temp basal of (-65%) because I was going to go for an easy ride about 1.5 hrs after breakfast. 1 hr after my meal, 243 mg/dL. That’s not good! Typically an hour after breakfast, while on a temp basal rate of (-65%), I am about 180-200 mg/dL. So I do a correction of 1 unit. About 30-45 minutes later as I am getting ready to head out the door for a few hours on the bike, I am 200mg/dL. Before I get to riding, I set a temp basal of (-70%) for the duration of my ride. If I run a temp basal of (-70%) I typically don't have to eat anything while I am out riding and I was only going out for 2 hrs. 30 minutes into the ride I check and I am 146 mg/dL, decide to eat 5 dex 4 glucose tabs and continue on my merry way. During the ride, I ended up hanging around the 150-180 mg/dL area which was solid! Basically post ride, for the rest of the afternoon, my blood sugars were pretty spot on just because I was able to go out earlier in the day and get the blood moving! In rest weeks, I typically alternate one day on the bike for a few hours going easy, and one day off the bike. The days completely off the bike are the days that like to really mess up the average blood sugar reading on the meter.
So the conclusion is everyone, especially diabetics, should buy a bicycle and ride (or just exercise a bit) because your blood sugars will be much better, you’ll probably win the lottery, and everyone will like you.
Catch y'all later!