Type 1 Ultra

endurance sports in the weird and wonderful world of type 1 diabetes

Confessions of a diabetic ultrarunner.

Every night when I go to bed, I make sure that there is some carb source beside the bed – a juice box, sports gel, halva, whatever. But I practise finding it in the dark, so that if everything goes out the window and I get the dreaded creeping night time low I’ll have half a chance of sorting it out.

I’ve just run my 2nd 100km event in two weeks. I’ve got a couple of niggles to work through with Physio and maybe yoga before next weekend’s road 100km. I might not make a personal best time goal, but I’ll get it done.

The thing though that plays on my mind is how erratic my blood sugars have been today. The day after a higher intensity long run is always a bit up and down. Travel is probably involved, which usually means long spells of sitting down, which means insulin not getting as active as it should, if at all. A lot of eating is DEFINITELY involved.

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But I’ve also just had to really dose extra to get sugars heading down from a high high before sleep. Is it bad tubing? We’ll, I’ve replaced that – always fun to stab yourself just one more time – just in case. Did I count carbs badly? I don’t think so. Has the insulin I used for an intramuscular injection ‘gone off’? Well, that’s hard to tell unless you have a lot of spare time to use it, wait, test, reuse, and retest. Am I just a lot less sensitive today? It would go against conventional wisdom to be significantly less sensitive after sport, but conventional wisdom also knows that type 1 can work in mysterious ways.

So?

So I watch my sugars finally respond to insulin and start coming down, so I can prevent longer term effects of the disorder and not wake up feeling sunburnt from the dehydration, as fluids from organs are redirected to dilute blood glucose levels that are way too high.

And I reach out to make sure I know where the juice box is so I can find it if I need it, when movement will be an act of will.

Filed under: exercise and type 1, run like you stole it, trail running, type 1 & ultramarathon, Type 1 diabetes, , , , , ,