Newbie. Self-testing & exercise ...

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keith97

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Relationship to Diabetes
Type 2
So this is my story. I guess it belongs better here than lost in exercise/sport where I put it.

I was diagnosed in 2005, weighing just over 15st and with a spot-check BG of 17.

My GP told me to thow away my meter, as the Hb1Ac test was more accurate & useful. I regret accepting that advice now. It?s so obvious that the average that test represents masks all the damaging peaks.

I changed my diet radically to be largely toast, rice, pasta, fruit & veg and homemade fruit & veg juice, and had the nutritionist tell me it was excellent.

I was prescribed metformin & statins, lost some weight with exercise, joined a gym, and watched the Hb1Ac results creep steadily upwards to 7.2%

In July 2011, with the GP about to ?intervene? further, I started looking at the internet and found Blood Sugar 101, Not Medicated Yet, and loraldiabetes.

I applied the Test, Review, Adjust principle to both my food and exercise, and quickly lost more weight and got a September 1Ac of 5.6%

I?ve upped my gym sessions from 3 to 6 per week, and added in a weekly yoga session and some road running. In November I did a 10k race in 52 minutes, which was my best running in about twenty years. This was greatly inspired by Tom Ross's site (Not Medicated Yet).

I closely monitor my fasting and 1 hour post lunch & evening meal readings. I keep spreadsheets to help me monitor trends, by checking the average of the last 20 days of each kind of reading. I also mirror the numbers in spreadsheets for each day of the week, with similar averages. That way I can easily see that ?Thursday night yoga is worth about one point off my Friday FBG? and ?a Friday night curry costs about 1 point on my Saturday FBG?. This all enables me to say I expect my next 1Ac to be about 5.2%.

Any time I get or expect a post-prandial reading over 7.8, I either immediately add in an extra walk or do 10 minutes gentle jogging on the spot.

Everything?s fine for me right now, though I recognise I?m lucky that I can cover the cost of my test strips.

My only concern is that I?ve not been able to find a definitive answer to the question of whether raised BG following exercise is as damaging as raised BG as a result of food. I work on the assumption that it?s not, but I?m still trying to tweak my exercise sessions, my pre- and post-snacks, and extend my warm-down routine to try to limit the length of time the reading stays high.

I?m off now to put in some miles ready for a half-marathon in two weeks?.
 
Thanks for sharing your story Keith and well done on your amazing A1c improvement.

Sorry that I don't have an answer to your exercise question. Or even know if one exists. The only thing that I can think of that relates is the general principle of a smoother/steadier line being less damaging (even if at a higher level) than low-to-high swings.

Good luck with your marathon training 🙂 Oh, and welcome to the forum!
 
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...My only concern is that I?ve not been able to find a definitive answer to the question of whether raised BG following exercise is as damaging as raised BG as a result of food. I work on the assumption that it?s not, but I?m still trying to tweak my exercise sessions, my pre- and post-snacks, and extend my warm-down routine to try to limit the length of time the reading stays high.

I?m off now to put in some miles ready for a half-marathon in two weeks?.

Hi Keith, welcome to the forum 🙂 My levels tend to rise after exercise, unless I've had a particularly hard session, in which case they will usually fall. A small carb snack immediately after exercise seems to prevent the rise. As I understand it, the liver will release stored glucose after exercise in order to replenish muscle glycogen, and this process can be reduced by having a small (around 10g carbs) snack straight after exercising. I'm planning on trying a small glass of milk as I've heard that is really good post exercise.

If your levels rise during exercise, it is probably due to the fact that your insulin production is not quite sufficient to keep you in range. I don't worry too much about any rise due to exercise (unless it's a big rise, suggesting I need to inject more insulin!) as it is a gradual process rather than a sharp spike like you may get from some foods.

Well done on doing your research and learning how to manage your diabetes well - some doctors really do need to update their skills! I look forward to hearing more from you - let us know how the running goes! 🙂
 
Hi Keith, welcome to the forum. A very interesting and informative history there, well done on taking control.
 
Welcome to the forum Keith, great news on the HbA1c improvement!
 
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