This post is a little late in the day but I figured, what the heck. :)
Recently I have been exercising a lot more, and it’s been great. Only it took some tweaking before getting to this point of awesomeness. I was about to throw in the towel a few weeks ago. It was pure frustration really.
For the past month or two I have made it a point to walk, for now, about 1-2 miles a day. The problem was that I would check my blood glucose before venturing out, it’d be a nice leveled number, then I’d come home and I would check again only to find my blood glucose hanging out in the 200’s plus. Then, for the rest of the day I’d stay low/steady. I just didn’t understand why I was running so high after working out. I mean isn’t exercise supposed to be good for me and the ol’ D? Then I came across a few articles that stated a reason for all of the shenanigans. So simple. While working out your body is releasing glucose into your bloodstream, you know, the energy you need to be active, therefore the more exercise you do the more glucose is being released into your muscles to get the job done. After reading that, and consulting my physician, I began upping my “fast acting” insulin shot, I’m on MDI, right before my walk/run/workout and that has sorted everything out. Craziness.
For example, if I check my blood glucose before my morning workout and it is in the 160’s I automatically have to correct because my goal number is 130. I take that correction injection and if I plan to workout right away I also take two extra units. Now, this can result in some funkiness (great medical term, right?) if I take those extra units and then decide not to workout because then I have too much insulin and not enough carbs/glucose to cover it. Otherwise it works out just fine. If my fasting bg is lower than 130 I usually try to ride the workout through and hope that I don’t spike. Which hasn’t happened, yet. So far so good.
Seems a bit overwhelming, right?
Perhaps I am not explaining myself very well either. In any case, I have stuck with this routine now for about a week and my post workout blood glucose has been great. Significantly lower than my fasting one or it remains steady. Now, of course, I don’t recommend this for everyone. I consulted my family doctor and she gave the approval.
However, now I am left wondering if I am the only one who has dealt with this.
Have you needed more or less insulin when working out?