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We had a spate of hot weather at the beginning of June and Olivia, like the rest of us, was guzzling liquids like no tomorrow. At the time, all we had in the house was lemonade mix, juice and water. She does drink a fair amount of water, but was also drinking a lot of juice and lemonade. I wasn't thrilled with all the extra calories she was taking in, not to mention the cost of restocking all that juice and lemonade. It's amazing how quickly the people in my house go thru that stuff - I don't drink it, but man, I hear about it when it's gone.

 

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Last night my buddy and I played some Racquetball. When I got off of work at 4:00 pm the temperature outside was a whopping 104° F. I figured this would be a total sweat fest and a great opportunity to melt some pounds off.   

 

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We went to Stonington, CT this past weekend, to visit my aunt who was here visiting from Spain. It was a glorious weekend - the house was right on the water and the weather was beautiful and it was fantastic to see relatives that I rarely see.

 

But Olivia's blood sugars dropped like a rock and just stayed there all weekend. She went from being high, high, high to low, low, low and with little appreciable difference in her activity or food intake.The weather wasn't hot, she wasn't swimming as much as splashing in the shallows with the little girls and yet we had a hard time keeping her blood sugars above 80.

 

She's been better about putting her blood sugars into her pump, although if I slack off at all about reminding her, she slacks off about entering them. I've put reminders into my phone about it, but if I don't have my phone next to me at all times, I sometimes forget too.

 

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Many hot-weather health issues center around proper hydration. My last post discussed how much water we should be drinking, and whether or not fluids other than water counted towards that volume. I finished up by mentioning that in addition to the amount we consume, we need to take into account how quickly we process those fluids, and what should (or should not) be in the fluids we are taking to maintain proper hydration. 

 

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The most recent heat wave may have passed, but summer is still in full swing -- which means heat-related health alerts. While these issues are not directly related to diabetes, diabetes can confound a heat-related health issue, making it harder to recognize and treat. Heat-related symptoms can mimic sugar-related symptoms and vice-versa, so it is in our best interests to know our normal ranges and reactions to the greatest degree possible.

 

The most basic heat issue is hydration. For some of us, dehydration will cause our blood glucose levels to drop; for others, it will cause those readings to rise. For some of us, the physical stress of dehydration will, at one point or another, trigger an adrenaline response and its associated glycogen release, leading to u-shaped curves (think "Dawn Phenomenon").

 

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When you think about the weather in Phoenix what's one of the first phrases that comes to your mind? C'mon, I know you know it. Yep, "It's a dry heat."

 

Well, that's definitely true. It's quite dry here. I can feel fine just before leaving the house for my walk and within the first two minutes I feel absolutely parched.

 

So, while it's dry, it's still hot. Really hot. I'm amazed at the number of people I see exercising outside in the middle of the day. All I can think is how crazy they are! This is yet another reason why I walk in the early morning; I'm out the door before 5:45 a.m., preferably by 5:35 a.m., but some mornings require a few more minutes to get my tired butt out of bed.

 

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One more Sunday up bright and early, missing most of the final day of the Tour de France to join the shop ride over at our usual Virginia Beach retailer. I arrived on site with enough time to give a Team Type 1 water bottle and set of team cards a good home with Matt-with-two-"t's", the type 1 rider who wore his 2011 Tour de Cure fundraising jersey last Sunday. It's always good to find swag a good home... and then there was also the surprised-and-very-happy look on Matt's face when I delivered the goods. Then again, several of the regulars thought we were heading home Sunday, rather than today -- so the surprise may have been as much that of me showing up, ready to ride, than anything else.

 

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Good grief, it's been hot here. Depending on which bank I was driving past, it was either 99, 101 or 103 today. Any one of them is too freakin' hot, especially for early June and most especially for New England. My Yankee bones don't like that kind of temperature one little bit.

 

Nor do Olivia's. She's been miserable the last few days. Weather had a lot to do with it and I've been making sure she's checking her blood sugars frequently and staying well hydrated. Her numbers haven't been great, but I don't know whether I can attribute that to the weather or to the fact that she just got dumped by her boyfriend.

 

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It woke me up just before 2 a.m.

 

I was uncomfortable and confused; hot.

 

The Mr. was sleeping soundly next to me, but I didn't have the strength to shake him awake.

 

My heart was pounding like a cartoon character in love -- in and out of my chest.

 

I felt like I was hyperventilating.

 

Finally awake and aware of what was happening to me, I eyed my meter; it was just an arm's length away but felt so, so far.

 

I tried to reach for it, but my arms flopped around like the bones and muscles had been removed.

 

So tired. I just wanted to sleep. I felt like a coma.

 

The Mr. was still sleeping and I still didn't have the strength to shake him awake.

 

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With the summer heat scorching down upon most of us, two big issues are keeping cool and keeping hydrated. For those of us blessed by dry heat, it's easy not to feel as if you're sweating; the air soaks up your skin's moisture almost before it's shed. For those of us in humid environments, the air becomes hot and heavy, our sweat clinging to us like plastic wrap, making us feel consistently hot and wet. In either case, it's easy for us to forget to replenish those fluids we so rapidly shed.

 

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