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Type 1 and golf

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Richard Evans

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Type 1
I have been type1 for 35 years and since having a bad coma last year have found it difficult to regulate my blood sugar while playing golf. What I do at the moment is to allow myself to be quite high, 20 ish, before I start and with help of a sandwich half way round reach a lowish figure by the 18th hole. This is not satisfactory and would appreciate any tips! Richard.
 
I wouldn't recommend deliberately making yourself so high before starting exercise personally, but 18 holes could be 6-7 miles of walking not to mention the effort of waving the clubs around 😉

As a pump user I can reduce my basal insulin from about 30-45 minutes before starting to around 50% or it's normal level. I will then take fast acting carbs with me that I can have in small increments (eg sips of Lucozade) and possibly a cereal bar as a backup.

While on MDI I used to find it helped to reduce my meal bolus for the food immediately before exercising, but I have not tried that with golf.

I also find it very handy to have some sort of continuous sensor so that I can check my levels regularly. A Freestyle Libre is not cheap, but well worth the expense when trying to develop a system.
 
In addition to Runsweet website, where you should look at the physiology pages, as well as golf case studies, there's also info about exercise with diabetes on www.teambloodglucose.com
 
everydayupsanddowns said:
I wouldn't recommend deliberately making yourself so high before starting exercise personally, but 18 holes could be 6-7 miles of walking not to mention the effort of waving the clubs around 😉

As a pump user I can reduce my basal insulin from about 30-45 minutes before starting to around 50% or it's normal level. I will then take fast acting carbs with me that I can have in small increments (eg sips of Lucozade) and possibly a cereal bar as a backup.

While on MDI I used to find it helped to reduce my meal bolus for the food immediately before exercising, but I have not tried that with golf.

I also find it very handy to have some sort of continuous sensor so that I can check my levels regularly. A Freestyle Libre is not cheap, but well worth the expense when trying to develop a system.
Click to expand...
everydayupsanddowns said:
I wouldn't recommend deliberately making yourself so high before starting exercise personally, but 18 holes could be 6-7 miles of walking not to mention the effort of waving the clubs around 😉

As a pump user I can reduce my basal insulin from about 30-45 minutes before starting to around 50% or it's normal level. I will then take fast acting carbs with me that I can have in small increments (eg sips of Lucozade) and possibly a cereal bar as a backup.

While on MDI I used to find it helped to reduce my meal bolus for the food immediately before exercising, but I have not tried that with golf.

I also find it very handy to have some sort of continuous sensor so that I can check my levels regularly. A Freestyle Libre is not cheap, but well worth the expense when trying to develop a system.
Click to expand...
Yes thanks for that. I currently use a Freestyle Libre and find it very convenient and am considering trying a pump. My difficulty is that I tee off at midday and even if I reduce my breakfast dose I was finding me getting low after only 6 holes. The regular sips of Lucozade sounds a good idea.
 
What do you use for your basal (background) insulin @Richard Evans? If Levemir you might also try reducing the basal insulin dose that will be active on days when you play?

Levemir is the more responsive analogue basal and people say that changes seem to happen straight away. Lantus and Tresiba take a couple of days for a change to register
 
I use Toujeo which I changed to from Lantus
Toujeo has a flatter line over the 24hr period with fewer peaks
 
Interesting! I don't know much about Toujeo, but thought it was a u300 version of Glargine (so 3x as concentrated as regular Lantus)

I would assume - as a form of glargine, that you'd probably still get the 'Lantus lag' of 2-3 days when changing dose. Is that how you've found it?
 
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