Hypoglycemia + Exercise = Annoying

Body BeastHave you ever been really looking forward to a workout, only to test your blood sugar and discover you’re about to go hypo?  Annoying right?  So you carb up, . . . . . and wait.  30 minutes later you check your blood sugar again.  Now it’s even lower?!  What the heck?!  So you carb up yet again, . . . . . and wait.  30 minutes later you check again, now you’re barely at 90 mg/dl.  You know that you need to be at least at 150 for the type of workout you’re about to do, so you carb up yet a 3rd time, with a serious case of #hyporage . . . . . and wait.  30 – 60 minutes later you check your blood sugar, and now you’re at 150ish, but now it’s either time for bed, or you’re just exhausted from the hypo and you have no energy to do your workout.  If this has ever happened to you, RAISE YOUR HAND!

Yes, this happened to me last week.  See, I’ve been doing this new Beachbody workout called Body Beast, and I really like it a lot.  It’s a home bodybuilding workout.  I actually look forward to coming home from work and going straight to my workout room and pressing play.  It reminds me of the good old days when I was a bodybuilding  photographer.  I was never a bodybuilder, but I worked out like they did.  (Check out my Flickr feed on the right.)

So I thought I’d talk about how exercise, and specifically strength training, can help with your diabetes.  Whether you’re type 1 or type 2, strength training (anaerobic exercise) improves your diabetes because it improves your insulin resistance.  Aerobic exercise doesn’t help nearly as much as anaerobic.  Anaerobic means “without oxygen”.  You don’t have to look like a bodybuilder to get improvement from strength training.  The more muscle you have, the better your insulin will work so you can use less of it.

How do you know if your muscles are deprived of oxygen?  Well, you know when your  muscles start to burn after working out for a while?  Well there’s your sign.  That burning sensation means your muscles have been without oxygen, and now they’re creating and storing lactic acid.  When you stop the exercise, the lactic acid clears, and the pain goes away almost immediately.  So if you’re not feeling that burning in your muscles, you’re not getting as much benefit as you could from your workout.  Now you certainly don’t want that burning to continue when you stop the workout.  If it continues after the workout it means you’ve probably strained a muscle.

A temporary side effect of anaerobic exercise is immediate insulin sensitivity.  That means your muscles can process glucose without, or with less insulin, for hours after your workout.  Sometimes up to 12 hours!  I have to set a “workout basal” with less basal insulin on the days I workout, so I don’t crash in the middle of the night.  My workout basal is about 8 hours long.  Do this 4 – 6 days a week, and it leads to improved insulin resistance all the time.  Now let that start turning in your head.  Then Google for more info.  Ask your diabetes educator about it.  I hope it helps!

Hypoglycemia Symptoms With Normal Blood Sugars

photoCANM2EOXHave you ever had hypoglycemia symptoms, but when you check your blood sugar, you’re completely normal?  So then you wait 20 minutes, check again, and you’re blood sugar hasn’t changed.  Yet you still feel hypoglycemic?  It’s kind of a phantom hypo.  Yeah, I have too.  Annoying right?

Recently I’ve seen a lot of tweets that people were experiencing this syndrome, and could not explain it.  Then suddenly it happened to me a few times in a few days.  It’s happened to me before, if only rarely, but all of this chatter about it made me want to know what the heck is going on.  When we ARE hypoglycemic, we know what to do to correct it, but what are we suppose to do when we have symptoms, and we ARE NOT hypoglycemic?  I don’t know about you, but I’d much rather deal with high blood sugar than low blood sugar.  High blood sugar affects my body, which I can deal with, but low blood sugar affects my mind, and I can’t handle losing my mind.  So I needed to know how to fix this.

Well, I think I’ve found the answer.  Everybody’s symptoms of a hypo are different, and mine even change every so often.  So I went looking for my symptoms on the web, and kept finding the same thing over and over.  A combination of dehydration, and low electrolytes.  My last post was specifically about the spiraling hole that dehydration can cause for a diabetic, and the importance of correcting it.  What are the symptoms of dehydration and electrolyte imbalance?  They’re almost the same, and include but are not limited to:

  • Irritability
  • Light Headedness
  • Mental Confusion
  • Muscle Cramps
  • Weakness or Fatigue
  • Irregular Heartbeat

Do those symptoms look familiar?  Looks like hypo symptoms for most people right?  So what if our phantom hypo is really dehydration, and electrolyte imbalance?  Well, I tested this theory.  Last week, when I had my last phantom hypo, and I started researching all this stuff, I reached for my carb free protein powder, which has a good dose of electrolytes in it.  I mixed up a shake, gulped it down, and 15 minutes later my symptoms were gone!  Now, I’m not saying this is definitive by any means, but I’d recommend you go ask your educator or endocrynologist about this.

Some of my favorite foods that are high in electrolytes are bananas, avocados, leafy greens,  some fish, some seeds, and more.   There are many sports electrolyte drinks out there, but I don’t recommend them because they are have carbs.  There are also things like Emergen C Electrolytes, and Pedialyte, but I think they have carbs too?

So the next time you have phantom hypo symptoms with a normal blood sugar, you might be low on electrolytes?  Again, please ask your endocrinologist or diabetes educator about this before taking action.

 

********** Now ya know, and knowing is half the battle.  Go Joe!!! **********

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More Paleo and Ketosis for Diabetics Observations

I haven’t been working out for about a month now, as I was trying to ease into a ketosis lifestyle.  I stopped my workouts because I was already stressing my body with the ketosis.  In the past when I tried this lifestyle, I found that when I did try to exercise, I had zero energy, and usually couldn’t complete my workouts.  So I’ve realized the same thing again.  Plus, when I workout on the ketosis diet, my blood sugar spikes like crazy.  It doesn’t do that if I’m not in ketosis, and it actually falls like it should.  My guess is that my liver is either entering gluconeogenesis (converting protein to glucose), or it’s just dumping whatever glucose it has left, so that my muscles can operate to the best of their ability.

The other thing that happened to me again, is that after about 10 or 12 days, just like the last time I tried this, I had a bout of DKA (diabetic ketoacidosis), where my ketones went off the scale, my blood sugar spiked, and I had to literally OD on insulin to bring it down, then I had to scarf down gobs of carbs (yeah, I don’t care about grammar right now) to keep me from seriously crashing.  This is a process that can take anywhere from 6 to 18 hours to treat, so you can’t sleep if it’s happening to you.  Don’t worry, I know how to treat DKA.  I do the same thing they’d do at the hospital.  I’ve been doing this for 42 years, so I know how this works.  Those are scary days even so.  Both times I’ve tried ketosis, after 10 or 12 days, I have this DKA fight.  Then I go high carb for a few days because I get paranoid.  Then I come back to at least eating normal paleo.

So I’ve decided that ketosis is not for me.  I’m going to stick with paleo for sure, and I’ll keep my carbs to under 100, but not under 50 which causes ketosis.  I’m a Beachbody coach, and I get paid to workout, so I have to workout.  My income depends on it!  Besides, working out to Les Mills Pump is fun, and those female trainers are hott!  What really sucks though, is that on ketosis my blood sugars were almost normal.  My 30 day average blood glucose dropped by 100 points from 265 to 166.  I’m still kind of eager to get my A1C done at the end of the summer though.

If you’re a type 1 diabetic that’s on a ketosis lifestyle, please comment below with your experience.  I wish I could find a community of T1D’s that live in ketosis?

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