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Practice makes near perfect at bedtime

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The Question
Tue Apr 06 09:34:16 EDT 2010

Competitive swimmer (age 17), w/ hard 5:30 AM work-out.Can't swim w/ food in my stomach.No time to eat afterwards.Not sure what to do re: breakfast.
Asked By: 500free  
Category: Exercise

Background Info Hide
I'm male, diagnosed 4 months ago w/ Type 1. Have 2-3 swim practices per day. After my early AM work-out, I need to quickly drive 30 minutes to college (7:30 AM class, 10-minute sprint across campus to 10:00 AM class), and then immediately drive to my high school...where I have insulin/lunch. I can't eat before practice (would vomit...they're that hard) and barely make my college class (so can't eat breakfast before class either). I can't eat while driving. I'm a state champion-level swimmer, and can't give up this practice. I'm a junior in high school, have run out of advanced math courses, and need to attend college now. I am being recruited (academically) by a few highly selective universities, so I need to continue this crazy college/high school/swim schedule for my senior year as well. Giving up the driving back and forth is not an option. I'm really concerned abut how to administer insulin/eat breakfast...and when.
Diabetes Profile Hide
n/a
Expert Answers (2)
2010-04-19 15:10:41.0

Hi there 500free - In addition to the great advice Janice has given you, I wanted you to know that we have an interview with Delaine Wright, MS, RCEP, CDE. She is also an ACSM Registered Clinical Exercise Physiologist and Certified Diabetes Educator. She talks about managing diabetes when you are doing extreme activities like sports. Take a read!
Extreme Sports and Extreme Diabetes Management
Answered By: Monica Dennis
Accreditations: dLife Managing Editor
Sources Show
2010-04-09 23:50:46.0

Dear 500free, Thanks for writing into dLife. I am concerned with your workout/diet regimen. As a person with type 1 diabetes, I am assuming you take a long-lasting insulin and mealtime insulin. You may need to work with your physician to balance the long-lasting insulin to be sure that you keep out of trouble during your swimming. Although you don't want to eat while you drive, having a juice box in the car that you sip on would probably be a good idea. I would recommend that you take your blood sugars during your swimming and afterwards. If you are going low, you must eat something, whether it is convenient or not. Driving with a low blood sugar is extremely dangerous and could cause you to lose your driver's license if you would have an accident or be found confused or passed out in your car, such as at a traffic light. This has happened to some people I know and it really complicated their lives. There are many inconspicous foods you could munch on during class. A granola bar could be quickly eaten or some pieces of candy could be eaten without drawing attention. You really need to know what is going on with your blood sugars and then discuss the results with your physician or diabetes educator.
Answered By: Janice Fisher
Accreditations: RD, LD, PHD, CDE, BC-ADM
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Community Answers (2)
2010-10-13 22:35:20.0

I have an 11 year old daughter who has been diagnosed since she was 4 with Type 1. She is a state/national level (AAAA) age group sprint swimmer on 1 1/2 hour workouts...so not as intense as you, but she will be there in a couple of years. She is on a pump, so all insulin is fast acting. For her workouts we have found that she must carb load before and drink gatorade during workouts. The carb loading is more important during afternoon workouts (as she has more "insulin on board" at this time vs. the morning). For afternoon workouts, she'll get 40 uncovered carbs right before swimming and then drink a 20 ounces gatorade (35 carbs) during practice. For morning practices, she generally does not need the extra 40 carbs...but maybe just 10 or 15. If you can't eat anything ahead of time, then you need to drink a sports drink during practice, and until you figure out your needs, check your blood sugar every 1/2 or so...yes you will miss 3 minutes every 30, but once you figure out your needs, you won't need to unless you feel low. My guess is that for 2 1/2 hours, you need more than 35 carbs of gatorade, and maybe a little insulin at 1 1/2 to 2 hours as during such intense exercise you will deplete your fast acting insulin more quickly than its usual life.
Answered By: rmaiocco

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2010-04-11 17:58:56.0

since it is difficult for you to stop by and have somethng to eat u can rather munch on a fruit or a sandwich while walking 2 your car at times depending upon how much you work out... bcos it can bee really dangerous if you drive with a low blood sugar level as it causes dizziness.. i am sure you can take out 5 minutes for your health...
Answered By: aroosachapal

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