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The Question
07/23/09
04:11 PM
"Does doing endurance sports cause the body to metabolize my Type 2 oral medications faster than normal? "
Asked By:
tkeneipp
Category:
Type 2
Background Info Hide
I am a Type 2, diagnosed 2yrs ago. My last A1C was 5.8 I take Metformin, Januvia and Actos daily. After about 3 hours of cycling my BS seem to become steady at 150-160 even though my performance goes down It is like my body just stops accessing the free BS.
Expert Answers (1)
10/27/09
11:16 PM
Dear dLife guest:
First of all, congratulations on keeping your A1C at such a great level. It probably is primarily because of the amount of exercise you do.
There are different issues to discuss here. When you exercise there is actually more circulating glucose in the blood as a response to the utilization of it from the muscles. This is probably why your blood glucose levels may seem actually a little elevated. This is a temporary state, and it does not necessarily mean your meds are not doing their job. The other issue is that after 3 hours your muscles are completely depleted of glycogen (stored form of sugar). At this point you need to replenish not only fluids but also some carbs along with protein. You do not mention anything about this, but you need to consider that the fatigue you feel is lack of available glucose in the muscle. I hope this answered your question!
First of all, congratulations on keeping your A1C at such a great level. It probably is primarily because of the amount of exercise you do.
There are different issues to discuss here. When you exercise there is actually more circulating glucose in the blood as a response to the utilization of it from the muscles. This is probably why your blood glucose levels may seem actually a little elevated. This is a temporary state, and it does not necessarily mean your meds are not doing their job. The other issue is that after 3 hours your muscles are completely depleted of glycogen (stored form of sugar). At this point you need to replenish not only fluids but also some carbs along with protein. You do not mention anything about this, but you need to consider that the fatigue you feel is lack of available glucose in the muscle. I hope this answered your question!
Answered By:
Sonia Angel
Accreditations: MS, RD, CDE
Sources Show
(1 Answer)
Community Answers (1)
10/28/09
11:32 AM
Well I think you missed the fact that my circulating BS was at 150 and my performance was dropping. I am eating and drinking, which is the reason that my BS levels where so high.
Since I originally made this post I have learned that after about 2-3 hours of continuous cycling, I have to take more medications or my body will come to a screaming stop. So I now carry 500mg tablets of Metformin with me on long rides. As soon as I start to feel the burn/loss of performance, I take one and a few minutes latter things are going well once again.
So After four centuries and nearly 6,000 miles I have answered my own question, with a resounding yes, I do metabolize my meds faster when engaged in endurance rides and have to take more during exercise.
Answered By:
tkeneipp
FLAG
SourcesShow
(1 Answer)
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