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I made a statement in another tread about how food and carbs were not high on the list of things to consider when eating. So now I will attempt to let you see what goes through my mind and what must be considered in order to treat my diabetes.
Lets take breakfast as it is everyones favorite meal. Now I can't just get up and eat. I have to take my steroids a couple hours before I eat. Those consist of, prednisone, fludrocort, DHEA, levithroid, crestor and a baby asprin. Although they are not all steroids 4 of them are horemone replacements. This is usually taken in the early morning hours between 4 and 6.
When I do get up for the day I will check my blood glucose level and think about what the day has in store. I ask will I ride my bike today, will it be hot out and if so how hot. With this information I can decide what to eat and when Yo take my first bolus and what type of bolus do I want to take.
Ok so lets run through it real qiuck. Got up at 4:45 and took pills, checked blood glucose and it was at 84. Good no weed for any thing to eat right now. If it was 20 points lower i would but this is good so dack to bed. Get up at 9:20 and check again and it is now 136. Not bad I can live with that. Now how hot is going to be today. OK only going to be in the upper 80's today so I will ride for a couple hours.
Now with all this I decide it will be a breakfast of waffels, sausage, fruit, and coffee. So I count the carbs and do my bolus. It was 58 grams total so I bolus for 60. Now I will be riding so I will just do a normal bolus as I want my glucose up to abot 200 when I start. Then after I take this bolus I turn down my basal rate on my pump to 50% of normal. This is done so I don't crash and burn while I am riding. So 2 hours have gone by and my glucose is now where I want it. Check right before leaving and it was 224. Do I have all the things I need. Glucometer-check, plenty of test strips- check, hypo fixxers-check, water-check, phone-check.
Half an hour in I check and glucose is at 142. Good keep riding and drink some water. Second half hourand I am now at 71 so it is time to eat a little. I will go with a fruit snack package and a beef stick. about 20 grams but I am not going to bolus. 30 minute break taken snad ride another half hour and check again and something must be wrong or I have been riding a lot harder than expected as I am now at 42. Weather has been good so it is not that but it could be that I need a steroid boost to get me home so I take some cortisone accitate and eat crackers and cheese, rest of my beef sticks, pour 2 pacakges of Koolaid into my back up water bottle , and have some fruit snacks. I am now an hour and a half away from home, about 35 miles. So I will not bolus for this stop. Ok blood sugar is bak up after that 60 gram stop, lets ride home. The other stops were good with glucose levels around 100 and when I got home it was 96. So I get undressed and shower and then turn my basal rate back up to normal.
This is just an example of what it is like to plan a day for a simple bike ride. If I get it wrong or if somthing out of my control goes wrong I pay a dear price.
So when I say food is not high on the thought list I was wrong it is up there but in a different sort of way. It is up rhere in the since of do I have enough to do what the day calls for not in what will it do to me but rather what is going to do for me.
Lets take breakfast as it is everyones favorite meal. Now I can't just get up and eat. I have to take my steroids a couple hours before I eat. Those consist of, prednisone, fludrocort, DHEA, levithroid, crestor and a baby asprin. Although they are not all steroids 4 of them are horemone replacements. This is usually taken in the early morning hours between 4 and 6.
When I do get up for the day I will check my blood glucose level and think about what the day has in store. I ask will I ride my bike today, will it be hot out and if so how hot. With this information I can decide what to eat and when Yo take my first bolus and what type of bolus do I want to take.
Ok so lets run through it real qiuck. Got up at 4:45 and took pills, checked blood glucose and it was at 84. Good no weed for any thing to eat right now. If it was 20 points lower i would but this is good so dack to bed. Get up at 9:20 and check again and it is now 136. Not bad I can live with that. Now how hot is going to be today. OK only going to be in the upper 80's today so I will ride for a couple hours.
Now with all this I decide it will be a breakfast of waffels, sausage, fruit, and coffee. So I count the carbs and do my bolus. It was 58 grams total so I bolus for 60. Now I will be riding so I will just do a normal bolus as I want my glucose up to abot 200 when I start. Then after I take this bolus I turn down my basal rate on my pump to 50% of normal. This is done so I don't crash and burn while I am riding. So 2 hours have gone by and my glucose is now where I want it. Check right before leaving and it was 224. Do I have all the things I need. Glucometer-check, plenty of test strips- check, hypo fixxers-check, water-check, phone-check.
Half an hour in I check and glucose is at 142. Good keep riding and drink some water. Second half hourand I am now at 71 so it is time to eat a little. I will go with a fruit snack package and a beef stick. about 20 grams but I am not going to bolus. 30 minute break taken snad ride another half hour and check again and something must be wrong or I have been riding a lot harder than expected as I am now at 42. Weather has been good so it is not that but it could be that I need a steroid boost to get me home so I take some cortisone accitate and eat crackers and cheese, rest of my beef sticks, pour 2 pacakges of Koolaid into my back up water bottle , and have some fruit snacks. I am now an hour and a half away from home, about 35 miles. So I will not bolus for this stop. Ok blood sugar is bak up after that 60 gram stop, lets ride home. The other stops were good with glucose levels around 100 and when I got home it was 96. So I get undressed and shower and then turn my basal rate back up to normal.
This is just an example of what it is like to plan a day for a simple bike ride. If I get it wrong or if somthing out of my control goes wrong I pay a dear price.
So when I say food is not high on the thought list I was wrong it is up there but in a different sort of way. It is up rhere in the since of do I have enough to do what the day calls for not in what will it do to me but rather what is going to do for me.