01-04-2012 12:01 PM - edited 01-04-2012 12:04 PM
i am type II. i have been diagnoses 2 years, and i currently take 1500mg metformin daily.
During normal weeks, i run an average of 12 to 15 miles in addition to elite weight training ('elite' defined as enough weight weight to keep me in shape to compete in weight training, something i have done for over 20 years, avergae squate 135, average bench 110, etc. i am a 57 year old female)
During the winter i like to cross country ski. After a ski day, my morning fasting blood glucose has been over 140 for 3 days in a row before dropping back to normal. I ****UNDERSTAND**** **** ALL ABOUT*** WHY THIS HAPPENS!!!
But.....***but*** I would like to know if anyone has any effective strategies to have better control after a weekend on the slopes. If nothing else, looking at those spikes in the morning is very very stressfull for me!!!!
Would taking extra metformin during those times help? What about other startegies?
This is very discouraging as i'm hoping to get to a more competitive level with my training and all that sugar rambling around in my system can't possibly be helping. Are there any competitive endurance athletes in here that know anything about this and can offer some advise to manage this better than i currently am?
Helpful Response Given! Go to this response.
01-04-2012 09:57 PM
I'm not on meds, but one thing I've noticed. If I eat one of those Atkins 22 grams of protein bars before bed. My sugar is always lower in the morning. It seems to work for me. Maybe you kicked up your furnace enough to burn more sugars and the liver rebound is larger?
Or could be an over training/stress thing?
A1C 5.7 (2 month home test)
3 month A1c 5.4
6/22/12 A1c 5.4 (home test)
11/8/12 A1C 6.0
4/18/2013 A1C 5.4
Diet and exercise
01-06-2012 07:34 PM
After training or a race I will drink whey protein or a recovery drink that has whey protein. Whey is quickly absorbed and may help levelize your bgl.
At night I drink casine protein which aborbs into the system slowly and will help rebuild muscles and I think helps keep my overnight bgls more level.
What works for me may not work for you.
Team Novo Nordisk www.teamnovonordisk.com
Personal Blog: www.cycling2live.com
01-10-2012 01:49 PM
My understanding is that the liver function is to provide glucose when you have not eaten for a while or when one exercises. Since Metformin interferes with the functioning of the liver in providing glucose one would expect poor performance and slower recovery with high doses of Metformin.
Based on your fitness level, your diabetes may have little to do with insulin resistance and more with an aging pancreas. You may need insulin, if your pancreas is not providing enough. I know the low issues with insulin use but your body needs enough insulin to function properly.
Because of your exercise program, you probably have great blood flow and few or no complications. However, you need to have a normal functioning metabolism to exercise at the levels you want. It is extremely hard for me to find doctors that understand a diabetic that exercises, we are too far out of the normal and many tables and guidelines need to be adapted.
A book "The Diabetic Athlete" may be of great help to you. Dr. Sheri Colberg the author is is one of the leading experts concerning diabetes and athletic activity. She has answered several questions that I asked her.
I would strongly suggest that you discuss with your doctor about a test of your circulating insulin levels to see if they are sufficient. You could be hurting the very muscles you are trying to build if they are not getting the glucose they need.
Just my thoughts.
01-12-2012 03:20 AM
wow that's a really helpful answer....and i like your suggestions of asking to have my ciruclating insulin level tested (if the doctor will consent to it!!! I'm so nervouse!!)
i'm guardedly optimistic about my new doctor, who i will meet soon ( i had to wait over a month for a appointment)
i got sick of morning glucoses of 130 to 150 because the last doctor wouldn't prescribe any meds , and i started buying my own metformin that anyone can buy without a script from outshore providers. it's helped a lot, but i'm still not a doctor and i still need someone that knows more than me.
the diabetic athlete is on order, and i'm exicted that i should get it soon. sooo maybe...progress. I know what you mean about diabetics at my level of fitness being a little uncommon. it sticks in my throat every time i say it, cuase it sounds like a conceited thing to say, but i just havn't met any other diabetics with my problems, though i lover reading about the diabetic olympians. but of the diabetic olympians i've read about, those have only been type I diabetics, and much younger than me as weelll, so i am really in a small weird group. really i hate it....would be so much easier to be more common!
but thanks for the support...i'll keep you posted on this same thread in a week or so when i see the doctor.
01-12-2012 04:05 AM
thanks, and (by the way) i've gotten busy with life so its cuased me to be really slow responding to these. I've been meaning to try whey protien...since several have offered that idea, i guess i'd better get on the ball!!!
01-12-2012 04:07 AM
I can get whey protien easy enough, but i know of no way (whey...lol...that's a pun!!) to get straight casien...i guess i could eat a pice of cheese...that would be close to 100% casien , but chees at bed bothers me. i will try your tip with a glass of whole milk, which still has the whey and casien together!! thanks! and sorry for being so slow...as i've said other matters have kept me from my puter for a few days.
01-12-2012 10:03 AM
I never though about being conceited for being fit, in fact I am quite proud of my fitness. My desire is to help others to find better ways to live with diabetes as I have. It seems the one common factor in all 70 year old or older the type-2 diabetics without complications is a strong fitness program.
One endocrinologist that I went to indicated that ALL diabetics should exercise, but most don't and she seemed to treat diabetics as if they didn't. Since 65% of type-2 diabetics die of CVD, most at an age younger than they should, I think that use of medication is overrated; so, I would have probably liked the doctor you left.
Target levels for A1c should rise with age because lows in seniors are more likely to cause strokes or heart attacks, a clinical study ACCORD showed that tight control is an older, ill group of type-2 diabetics was deadly and the tight control group was ended because of too many deaths.
Based on what I have read, glucose levels lower than 180 are safe and a recent ReachMD program stated that the kidneys didn't start filtering out glucose until glucose levels go above 200. When I was diagnosed it took 2 fasting tests above 140 to determine diabetes. It was lower to 126 when it was proven that complications were often present before diagnosis. The key to understanding fasting glucose levels is that they are not bad in and of themselves, but what they indicate about glucose levels during the rest of the time. A1cs are now used to determine diabetes/pre-diabetes and I believe them to be far more accurate. An A1c reading of 5.7 to 6.4 indicate pre-diabetes, 6.5 or greater indicates diabetes according to the ADA.
01-12-2012 03:40 PM
now that i realize i can easily check for new forum replies in my gmail (which is not a mail account that i check often), i should catch my replies and respond to them in a more polite interval.
there was really a lot in your reply, and it effectively caused me to have a paradigm shift in how i'm looking at my fasting blood glucose levels. (Of course, it almost goes without saying that FBG correlates to BG the rest of the day; the only reason i always talk in terms of FBG is because that's the easiest one for me to conscientiously record every day before my routine kicks in)
Anyway, took note of your mention of hypoglycaemia being tied to adverse cardiovascular events. When you speak of low BG , what BG range are you referring to? Even with my metformin, the lowest FBG i ever had was 90. Typically, its 110 to 120, and on the day of the weak that training is heavy (monday i do squats and running), my FBG the next morning is usually 130 to 140 (Note: day-after-squats this FBG is fairly consistant irrespective of how i eat the rest of the day after squats, EXCEPT that if i eat MORE on squat-run day, my FBG is LESS the next day, i.e., negatively correlated with amount of food and positively correlated with amount of exercise)
What i am hoping is that you might be able to give me links or references to some of your sources so that i can go and read them. So much to learn, so little time is so cruelly true in the case of our disease!!
And regarding the motivation of my training (besides that its fun)--- two motivations. one is that i somewhat need to train competively because i've been a competitive weight lifter and was in the top of my sport since 1995. If i am not striving to improve, i loose my motivation. i can't go into the gym and plod away for an hour of more "because it's good for my diesease and longevity". For good or ill, whether it speak well of me or poorly, proceeding with that frame of mind makes me feel broken and depressed and i don't do well. Even if i am broken, i can't think of it that way.
But there is a second more important reason i train so hard, and that's a social reason. while i excell at weight lifting *for* *my* *age* *and* *gender* *and* *stature*, i am nearly a 57 year old , five foot tall female. I've never been a natural athlete by anyone's standard. But the people i recreate are...most are 30 -somethings, uber athletes, centuarians (cyclist that compete in 100 mile events). They people ski to relax and just recreate, but to ski with them, i have to work really hard to stay on the top of my game. For safety, they don't want me along if i need a babysitter (like i did on the last trip).
I would gladly ski with people that are more my level. I would gladly hike with people that aremore my level. BUT THERE AREN'T ANY!! As you said in your reply, most diabetics don't even exercise or don't exercise enough to do themselves any good. That is what i have found to be tru also. The ones i am friends with at the gym have the same atttitude that i eschew, which i would paraphrase like this: "I'm a broken old diabetic so i'll plunk away on the treadmill reading a magizine and not really pushing myself or putting myself out because what's the use anyway."
I find that kind of energy really discouraging to be around, and i find being alone and having no playmates really discouraging to be around.
On the bright side, in the two years since i have been training hard, my weekly milleage has continued to improve, my speed has continued to improve, my amount of weight pushed has continued to improve, and also my resting pulse and other factors i track as markers of my training status....all this despite my many set backs and complaints. It's being in the context of these many tiny tastes of successes that is keeping me going.
thank you so much for sharing your thoughts and knowledges with me. I sometimes feel very very misunderstood. Well, ---not just sometimes---most of the time. iTs always been a lonely road but i stay on it because whenever i've strayed off it i didn't like the results and also because i keep meet encouragers like you whose ideas and it seems like every time i've gotten to that point when i'm so discouraged i feel like just giving up, i encounter someone that gives me a word or two of encouragement or morsel of knowledge that helps me press on.
A million years ago when we were all young and some of us listened to hippy music, i recall a Bob Dylan song in which he said "he who is not busy being born is busy dying" I'm not ready yet to "go gentle into that good night" thanks.
01-28-2012 11:46 PM
Metformin does not interfere with athletic performance. It regulates the liver's production of glucose but does not interfere with glucose production if glucose is needed -- that's why metformin does not cause hypoglycemia.
I do agree that it's difficult to find doctors who understand the needs of athletic diabetics. The only answer is to ask around and interview doctors .. tough chore but necessary. I found a doctor who is also an avid cyclist and very active in the local cycling community.
Team Novo Nordisk www.teamnovonordisk.com
Personal Blog: www.cycling2live.com