So everyone knows that working out is good for you. That’s no secret. But when you’re living with diabetes and on medication for it, working out is a problem. My doctor used to laugh and would say something like, “Yeah, you work out to lose weight, then your blood sugar goes down and you have to eat.” There’s basically no winning in the game.
Like everything else, there is a solution to the problem, not that I’ve found it yet. Working out is like a double-edged sword. You either have to do it consistently so that your insulin intake reflects it (if you’re on the pump) or you have to turn the darn thing off when you’re stretching, moving and grooving. I don’t work out at the same time every day, so the bolus schedule that I’m on is hard to come by. I can change it every day, but I’m too lazy to do that. Usually my work outs last for about 45 minutes, so I just take it off, do my thing and put it back on. That’s not an issue.
But my question is, how are you supposed to deal with monitoring yourself when you’re not awake?! My problems have always come at night. Either my blood sugar sky rockets when I sleep or it drops dramatically. Take for example, yesterday. Yesterday I came home from work and decided to work out. Midway through, my sugar had dropped to 75 so I took a swig of regular soda and kept going. At the end after the cool down, it had dropped again to 67. That’s when I ate. I hadn’t had dinner so this was my chance to eat without feeling too guilty about it.
As I showered, cleaned and watched a little more television while Tweeting away, I was super-duper thirsty. I went to check myself and I was up at 247. “That’s why!” I thought to myself. My pump suggested about three units of insulin which I manually lowered because I knew that I might drop, and that was that.
As I drifted off to dream land, I had a peculiar dream. I was on the phone with a man who was having a heart attack. At the same time I was in a hospital, trembling and I thought to myself, “Am I feeling what this man is feeling?” I started to shake harder, which is when I opened my eyes. I was wide awake at 3:15 in the morning. As I got up, I was disoriented. I went to check my blood sugar. 37. I had dropped to 37. It was incredible. And there I went, turning on the TV, grabbing my box of Cap’n Crunch and watching a rerun of Late Night with Jimmy Fallon, or whatever it’s called. If you look at my twitter account, you’ll see my comments at about 3:30.
There’s nothing worse that going back to bed after an episode like that. I checked myself again and I was already at 75. I was on my way up. In the morning I was at 209 with a dry mouth and headache. I got my insulin and went about my day. Let me tell you, my body has not caught up yet. Last meter check, I was at 120. With that Cap’n Crunch love affair, I can tell you that I might have eaten everything I burned off with my work out. How terrible is that?
If your blood sugar has never dropped, you wouldn’t understand. The feeling of passing out and not being able to get up when you live alone is horrendous! When I was struggling to get the tiny strip out of the bottle to check my blood sugar, I was sweating, shaking and kept thinking, what if I pass out? Who’s going to help me?
If your blood sugar is too low, that’s it. You die quicker from having a low blood sugar than a high one. Hypoglycemia, when your blood sugar drops below 60, can lead to seizure, coma and even death if not treated. Dying from high blood sugar takes a little more than 24 hours. You can now understand the fear of hypoglycemia to an extent.
There are different ways to solve this problem, obviously eating is one of them. It’s just the control that gets most people. You panic, feel like you’re starving and just want to get rid of that ugly feeling so you EAT! When I was younger, that was my chance to get at those Oreos.
But if, God forbid, you ever see someone pass out from hypoglycemia, what you’re supposed to do is rub either sugar or icing on the inside of the person’s cheek. It’s the quickest way to the blood stream. If there is a glucagon injection near by, you can also administer that.
Glucagon injections do not inject sugar into your system. Glucagon itself is a group of 29 amino acids that trigger your liver to release glucose so that your system is always at a balance. When people pass out, the injection, which is concentrated glucagon, tells your liver to release all its stored up glucose so that your body jolts itself back to normality. Crazy isn’t it? All these things you have to learn!
But there’s always a balance, right? Like eating a snack before bed, which I didn’t do because my sugar was already high. I didn’t want to be that high, so I took insulin for it. I guess this just goes to show that no matter how much you THINK you have this monster of diabetes in check, sometimes you don’t. Your body is still a body, doing things on its own. We’re not machines and we don’t work like clock work sometimes. That’s the reality of it.