|My max speed from last weeks ride. I am a bit of a demon descender!|
Even the slightest incline can see me dropping off the pace. So my goals were to do this hill (a category 4, 2KM climb) in under 6 mins and to see if I can manage my sugar better to avoid the huge swings I am getting after intensive training. In case you don't want to read on I did not achieve either goal. I did cut my best time for the hill down to 6:12, 24 seconds better than my previous best, and I climbed the hill 7 times in total in under and hour and a half. So that being said it wasn't a total bust of a day.
The past two weeks have been a similar pattern. Fine during the ride, and blood sugar rising fast after the ride. I make the same mistake both times, over compensating for the hyper by taking too much insulin and have a low blood sugar episode sometime later that day. From the previous ride until this one my blood sugar control has been really good. The raise in metabolic rate as a result of my exercise seems to be keeping everything else in check.
In More DetailThe night before the the ride we went out for dinner. I always find this a little tricky. I have learned not to take my short term insulin before I get my main course or at least until the first course arrives if it is accompanied by bread. The reason being if I take my bolus when I sit down and there is a delay in getting the food then I will have a hypo before I get to eat anything and that will be dinner ruined. Inevitably service was very slow, the staff were great, and we were given a number of complimentary dishes. They were mainly deserts so I missed out on that somewhat, but thankful as every that I waited to take my insulin. The other tricky part is I never know how much food I am going to get (unless I have been to the restaurant and ordered the exact same dish before). So I wait until I can see my food to do a better estimate of how much insulin I need.
I took 2/3 my normal dose of long term insulin (20units) and lowered my bolus a few units as well. I probably should have skipped the alcohol, but it was only a glass and a half of wine, not like a serious binge. After dinner I was out playing poker with some friends until 2am. Whilst I have done this before I am pretty sure I would have a better performance if I had 2 or 3 extra hours sleep the night before. I do not believe however that it makes much difference to my diabetic control. I woke up with higher than normal blood sugar as expected. I decided this time not to eat substantially before riding. So I had a cup of coffee and a granola bar on the drive to the area where I was riding.
After a little warm up I started the repetitions. I checked my blood sugar after a few repetitions and ate an energy gel and a granola bar during the training period. As usual after the training my blood sugar started to rise. After I returned home I ate and had some insulin to try to bring my blood sugar down. This was fine, but I found myself a little later at a picnic and eating again. I only ate a small amount and the additional bolus was unnecessary less than 3 hours after my previous one. As a result later that afternoon I had a serious hypo, which while resolved was unpleasant. I made sure to go to bed with high blood sugar and the following morning I was fine.
23:39 - 254mg/dL
02:02 - 228mg/dL
06:48 - 157mg/dL, - leaving the house
07:39 - 196mg/dL,Granola bar - before exercise
08:49 - 166mg/dL, Energy gel, Granola bar - during exercise
09:36 - 249mg/dL, after exercise
10:21 - 279mg/dL, back at home
11:25 - 313mg/dL,Hafouch. Tuna toast, Insulin 14units
12:48 - 256mg/dL,Some pita and humous, Insulin 6units
17:08 - 41mg/dL,Cookies, 1 piece of toast.
17:36 - 99mg/dL
20:03 - 234mg/dL
20:32 - 253mg/dL,Beet tart (pastry) with goats cheese, Insulin 10units
22:46 - 306mg/dL
07:19 - 136mg/dL
08:13 - 126mg/dL