Monday, 20 July 2009

Adrenaline and bs (actually bg)

I wanted to share w/you my experience w/adrenaline and exercise as a type-1 diabetic who was diagnosed @ age 7. As Ted says, adrenaline continues to pump (sometimes hours) throughout the body after exercises. Studies have proven that when a game is played, the team who wins continues high adrenaline levels well after the game, comparatively to the team that looses, who's adrenaline levels peak and end quickly (although still present). Here's an example of my own struggles w/adrenaline and controlling my BS levels. Just on Wednesday evening I was meeting some friends at the park to play basketball. I was high (220 mg/dl) before playing, however I did not give any insulin to correct high BS. An hour and a half later I got home and tested again, my BS was at 330! This was after an hour and a half of rigorous exercise. I gave 5 units of Novolog as a basil had a bowl of soup and tested again before bed. I was down to 211, but still these numbers are much higher than I am used to. So I went to bed around 10:30 PM at 211, but, even at this number I ate a fudge pop (12 cho) and an 8 oz glass of orange juice (24 cho). (I know, I know, orange juice at above 200???) I woke up at 6:45 AM the next morning and my BS was at 66 mg/dl! These were the delayed affects of my exercise, affecting my BS well after the actual exercise.

As a type-1 diabetic who lived through puberty and the raging hormones middle schoolers have I have become well versed in adjusting on the fly. There are some commandments in diabetes-management that we all know (don't eat when high, don't inject when low) but sometimes (especially as a type-1 insulin-dependent) we need to shift or bend the rules to fit our lifestyle. Obviously the 12 year old male has a greater range of hormones pumping through him than the 65 year old male. Regardless of age there are certain adjustments that must be made and the longer you live with the illness (you and your son for that matter) the more you both become aware of which adjustments work and which do not. As was mentioned before, have a bag of tricks some with fast-acting carbs for a low (lifesavers or starbursts) and some long-acting (chocolate or other peanut-butter based snacks for more protein to slow the absorption of the sugar) that the body will take longer to break-down. Just be on top of it, on trips like these don't be afraid to test up to 10-12 times per day, more often than you would normally at home on a "regular" schedule. The last time I was at Disney Land I was 17. I carried around my trusty fannie pack and the embarrassment I felt as a teen with a fannie pack is long-gone. However, the positive experience that I could do Disney World on my own as a self-responsible diabetic is with me to this day. I hope you have a fantastic trip. All the best,

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