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Sports and Exercise from March 16, 2005

Welcome to CWD's Sports Corner chats with Rich Philbin. Rick's uses his experience in sports medicine and diabetes to help kids and adults with diabetes to do their very best in athletics. Be sure to visit the Sport Corner for great articles about diabetes and sports.


Registered User Moderator   (server) Wed Mar 16 08:00:00 PM EST 2005
Our Spring Into Fitness - Sports and Exercise chat with Rick Philbin starts at 9pm Eastern.

Registered User Moderator   (server) Wed Mar 16 08:50:00 PM EST 2005
Our Spring Into Fitness - Sports and Exercise chat with Rick Philbin starts in 10 min in the 'Sports and Exercise' room.

Registered User Shelly Mom to Bridget 7, dx'd 4/04  (24.107.141.32) Wed Mar 16 08:54:38 PM EST 2005
Hi room.

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 08:57:22 PM EST 2005
Hi everyone!

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 08:57:54 PM EST 2005
is Rick here yet?

Registered User commander   (69.237.88.20) Wed Mar 16 08:58:21 PM EST 2005
wow a new room!!!

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 08:58:25 PM EST 2005
Hello everyone~My name is Susan DiVito, I am a RN and I work with Rick Philbin who will be "on" shortly!

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 08:59:04 PM EST 2005
hi Sue!

Registered User commander   (69.237.88.20) Wed Mar 16 08:59:23 PM EST 2005
cool when did u make a new room???

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 08:59:36 PM EST 2005
i too am an RN, and I am in medical school, Sue. are you a CDE?

Registered User commander   (69.237.88.20) Wed Mar 16 08:59:48 PM EST 2005
 Confused 

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 08:59:55 PM EST 2005
Good evening, Everyone! Jeff Hitchcock asked me to please step in and welcome everyone to this evening's chat. So glad I got here before Rick.  Smile 

Registered User commander   (69.237.88.20) Wed Mar 16 08:59:56 PM EST 2005
see ya

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:00:00 PM EST 2005
Meghan, Rick will be along soon~word has it that he is stuck in a bit of traffic~gotta LOVE D.C.!

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:00:30 PM EST 2005
Commander, this is a special chat about diabetes and sports. It will last from 9-10 p.m.

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:00:33 PM EST 2005
Commander, Rick will be on!

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:00:55 PM EST 2005
Sue, I am here Cool 

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:00:58 PM EST 2005
hi Laura!

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:01:30 PM EST 2005
Rick, That was quick!

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:01:33 PM EST 2005
Hi rick!

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:01:53 PM EST 2005
Hey everyone! Let's talk sports and/or exercise.

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:02:05 PM EST 2005
Hey Meghan!

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:02:12 PM EST 2005
Hi Meghan.  Grin 
Welcome, Rick! Catch your breath. Thank you so much for leading our CWD chat tonight about Exercise and Fitness... and SPRING! (hmmm - it's still snowing in Michigan)

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:03:47 PM EST 2005
Rick - I have a hockey question (as always). You up for it?

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:04:23 PM EST 2005
I have a question about different types of exercise and why my BG does different things. With anaerobic, My BG tends to go up, and with aerobic, it tends to go down....does it have to do with different sources of energy?

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:04:25 PM EST 2005
Does anyone have any questions?

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:06:07 PM EST 2005
Meghan, You are correct. Many times with high intensity exercise BGs tend to go up. Aerobic exercise tends to bring BGs down. It also has to do with how much insulin is on board...

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:06:16 PM EST 2005
Sam has two things he struggles with:
1. Dropping too low before a game (i.e., starting at 150 or so, and by the time warmup is over, he's 70 and dropping; then he stuffs carbs and feels sick);
2. Still dropping down to 40's around midnight or so after he's played hockey that night. This happens even with a snack and turning basal down 30%. So, we turn down even more - and then the next night he doesn't drop at all, but is high instead. There doesn't seem to be any consistency with it. I know Sam feels horrible - and out of control. Suggestions?

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:09:10 PM EST 2005
I would recommend to test two times prior to a match. Once at 1hr and another at a 1/2 hr to see if you see a pattern and you also have time to make adjustments... You may want to try to be up closer to 175 to see if that helps. Testing a lot around changes is alway recommended.

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:09:31 PM EST 2005
Billetdeaux, My husband is a varsity hockey coach of a pumper. He finds that his player's Bsugars vary between practices-goes low and the actual game-tends to have highs...is that your case?

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:10:33 PM EST 2005
Also-the player checks his blood sugar during the game when they cut the ice between the second and third periods

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:11:07 PM EST 2005
When does Sam turn down his basal rates? We recommend at least 90 mins prior to the game because that is the approximate time his insulin will peak...

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:11:14 PM EST 2005
why do I seem to have trouble with lows immediately after exercise and even 18 hours later? I thought that if I would eat after running or dance that that should take care of any lows that may happen....

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:11:30 PM EST 2005
I did get Sam to eat a more complex carb + protein type of small meal prior to games like you suggested last summer - that has helped.
Sue - yep, Sam can be well over 300 after a game. Interestingly, a few weeks ago, he was playing in a championship tournament. It was down to the last 2 minutes, they were down by a goal, and the coach sent Sam on the ice (he's a defenseman). I knew he was high high high from looking at him. Slow response, glassy look on his face. I couldn't believe they sent him out - he knew his bg was nearly 400.

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:12:56 PM EST 2005
Sam checks bgs frequently before and during the match. In between shifts, Neal has his meter ready for him.
Rick, I don't think he turns down his basal before a game...

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:13:11 PM EST 2005
Meghan, It is common for BGs to drop after exercise. Some people will drop 4-6 hrs afterwards but others up to 36hrs. That is why it is recommended to snack but it will also replace glycogen stores that are lost during exercise.

Registered User Becca Type 1  (24.21.217.181) Wed Mar 16 09:13:14 PM EST 2005
Hello

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:13:27 PM EST 2005
Is the coach involved~ does he know the importance of treating high, lows and how old is Sam-what level does he play?

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:13:37 PM EST 2005
Hi Becca!

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:14:09 PM EST 2005
gotcha.

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:14:14 PM EST 2005
I like that Sam uses food to keep his BGs up because it is important to have fuel (i.e. carbs) for the activity.

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:14:49 PM EST 2005
Sue, the coach has been working with Sam for nearly 4 years. The Assistant coach is my husband. I'd like to say that yes, they know what they are doing, but I was furious that they put Sam on the ice with a nearly-400 bg. I honestly think that's dangerous. I don't think you can respond as quickly as you might need to with a bg that high.

Registered User Becca Type 1  (24.21.217.181) Wed Mar 16 09:16:04 PM EST 2005
I won't do any exercize if I am over 250

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:16:19 PM EST 2005
Got to love the game of hockey and our hubbies who coach-IS your husband the D coach and at that door?

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:16:22 PM EST 2005
Also - he's 15. Plays Bantam AA travel this year. Moving up to Midget A this spring (now).
Rick, when he starts to drop prior to a game, he panics. Eats/drinks everything in sight (gatorade, tons of glucose tabs). Doesn't give it time to work because he feels the time pressure - he needs to be on the ice with his team. That's one of his most frustrating times.

Registered User reese type 1 38 years pumping 2 years  (68.72.18.230) Wed Mar 16 09:16:30 PM EST 2005
Rick, if I lower my basal for exercise I then go high after my exercise, so now I don't mess with basals and eat, something I did not want to do when I started pumping,I have now raised my basals after exercise to try to correct this, is that an option

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:16:30 PM EST 2005
BGs above 240-300 with ketones or just above 300 is not recommended. The chances of going into DKA is much higher.

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:16:34 PM EST 2005
Can using your brain a LOT (as in studying heavily) consume glucose at about the same rate as exercise? I tend to have a LOT of lows around exam time.

Registered User Sharon mom of Sean, 9 dx'd at 3.5  (65.114.227.155) Wed Mar 16 09:16:47 PM EST 2005
just thought I'd drop in for a while. Sean just finished
basketball a few weeks ago first year with the pump. He had better bs levels this year and now we are waiting for baseball season to start. He started the pump last year June 1st at the beginning of baseball. So hopefully this year goes well.

Registered User reese type 1 38 years pumping 2 years  (68.72.18.230) Wed Mar 16 09:17:15 PM EST 2005
and how much do you recommend lowering your basal for exercise?

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:17:16 PM EST 2005
Becca, That is a good rule to follow. Make sure you drink a lot of water to help clear ketones...

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:17:58 PM EST 2005
Sue - Hubby runs the offense lines. Luckily. :) However, he keeps an eye on Sam's bg and should know better about putting him on the ice when high or low.

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:18:13 PM EST 2005
Sharon, YEA for basketball, that's my sport. I am glad things are going well.

Registered User Becca Type 1  (24.21.217.181) Wed Mar 16 09:18:48 PM EST 2005
Rick, I start producing ketones at 300+ but I just feel my strongest to either run, or bike 250 and below (feel the best between 130 and 170)

Registered User john father of Nolan, 6, dx'd one month ago  (12.158.141.98) Wed Mar 16 09:18:48 PM EST 2005
The parents of a boy (age 10) that I coach in baseball tell me that soccer tends to give him high BG and basketball tends to give him low BG. Why the different response to what seems to me similar exertion levels ?

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:19:29 PM EST 2005
Reese, After checking with your health care team a good starting point is 50%. The time may vary depending on the type of exercse and how long you are going...

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:19:29 PM EST 2005
Sharon, where will Sean wear his pump on his uniform? Last year I heard of a few kids sliding right onto the pump and smooshing the screen!

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:20:08 PM EST 2005
Bill...in the "thick" of the game...anything is possible! How about the D coach is he aware thAT HE SHOULDNT OPEN THE DOOR AT ANYTHING OVER 250!

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:20:12 PM EST 2005
Becca, Your 130-170 range is good. I try to be at 150 prior to playing basketball.

Registered User reese type 1 38 years pumping 2 years  (68.72.18.230) Wed Mar 16 09:21:35 PM EST 2005
rick when you lower your basal for basketball and go into playing at 130 do you still have to eat during the game?

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:21:45 PM EST 2005
John, That is strange because you are correct that they use similar energy systems. Does he play longer or start out faster comparing one against the other?

Registered User Sharon mom of Sean, 9 dx'd at 3.5  (65.114.227.155) Wed Mar 16 09:21:53 PM EST 2005
He wears the pump on the waistband of his pants on his non
sliding side. Between his sliding shorts and pants so it is on the inside of his pants More toward his back than on the side. Worked last year and I am hoping it will work again

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:22:20 PM EST 2005
a few years ago, in college, i had an incident where I started my last season of field hockey (varsity college) and we had 3 practices a day in addition to running and lifting...I had perfect sugars, but I ended up in DKA anyway. The answer I got is that it was a bad insulin vial. my sugar was never really over 200...

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:22:48 PM EST 2005
Nope. The D coach is the type who puts the wrong shifts out - or has the wrong number of players on the ice - keep track of Sam's bg? No way. But Sam and Neal should have an agreement that beyond a certain bg level, being on the ice isn't safe. Or... Maybe MOM should sit on the bench.  Eek 

Registered User Stacey mom to Jesse dx.12/01.... pumping 4/23/03  (64.12.116.134) Wed Mar 16 09:23:21 PM EST 2005
hi

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:23:47 PM EST 2005
Bill...Keep score or run the clock...this way YOU would have a say...ask me how I know!

Registered User john father of Nolan, 6, dx'd one month ago  (12.158.141.98) Wed Mar 16 09:23:51 PM EST 2005
I'm not sure. I'll ask them. I assume baseball is easier to maintain steady BG ?

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:23:52 PM EST 2005
HI stacey!

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:24:04 PM EST 2005
Stacey! Hi!

Registered User Stacey mom to Jesse dx.12/01.... pumping 4/23/03  (64.12.116.134) Wed Mar 16 09:24:23 PM EST 2005
did momma laura treat you ok???

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:24:26 PM EST 2005
Sharon, I have used and recommended for contact sports a pad cut out to the size of the pump. Another pad (not cut out) over top of the other pad with the pump inside. An Ace bandage or secured in biker shorts will help protect the pump.

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:24:52 PM EST 2005
yes....I had a wonderful weekend

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:25:41 PM EST 2005
Rick, with summer coming and and the use of the beach increasing...do you recommend the untethered method?

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:25:43 PM EST 2005
Stacey - I made Meghan test her bg a lot, and I taught her how to cook. And neither of us worked out all weekend...

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:25:46 PM EST 2005
John, You may be correct as long as you are not cutting back on insulin (if that is the case) like you would with basketball.

Registered User Sharon mom of Sean, 9 dx'd at 3.5  (65.114.227.155) Wed Mar 16 09:26:34 PM EST 2005
rick, thanks for the heads up. His sliding shorts are like biker shorts so it does help hold it pretty tight.
As he gets older I'm sure it will become more of an issue.
But he is only 9 and plays against 9 and 10 year olds.

Registered User Becca Type 1 27 years, Cozmo  (24.21.217.181) Wed Mar 16 09:26:38 PM EST 2005
John, in highschool and then at uni, with soccer I was drinking gatorade spiked with Karo to prevent lows, for I would always durring half time be in the 40's and 50's. But with competitive swimming, I was the other end.. 200+ and they would only allow me 3 events (100 free, 100 back and 500 free or the 400 IM)

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:26:58 PM EST 2005
Ok, Sue... I'll bite. How DO you know? (sounds like an experience to share to me!)

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:28:14 PM EST 2005
Meghan, That is something Steve Edelman, an endocrinologist with Type 1 diabetes has done. Basically he uses about 70% of his basal with glargine and the other 30% through the pump. He can keep his pump off for several hours while he is boating and swimming. I would not recommend anyone doing that without consulting your doctor...

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:29:03 PM EST 2005
Bill...Iknow that all 3 coaches would put my "sweet pumper friend" on the ice at any number, so consider me the "watch dog"!

Registered User john father of Nolan, 6, dx'd one month ago  (12.158.141.98) Wed Mar 16 09:29:37 PM EST 2005
Becca, Maybe you found swimming more stressful since it's more individual pressure ?

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:30:17 PM EST 2005
Becca, Many competitive sports cause BGs to go up due to the hormonal activity. Drinking a lot of water and maybe even some stress release activities prior to and during activies will help...

Registered User Stacey mom to Jesse dx.12/01.... pumping 4/23/03  (64.12.116.134) Wed Mar 16 09:32:11 PM EST 2005
We just got back from jesses D support group.. 2 hrs of laser tag... and he didnt go low, only went to 91, which is good... I've figured it out... 60% decrease starting an hr before the sport... and only bolus him for 75% of his food. He does this for gym and basketball too... then he keeps lifesavers in his pocket for a quick pick me up...

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:32:23 PM EST 2005
Sue/Rick - I guess I wonder about this short term high bg, though. I'm sure it's adrenaline causing it - it's not longterm and comes down fairly easily after the game; so would you pull all diabetic athletes from the middle of their sport for an adrenaline-induced high? I remember Gary Hall, Jr saying that he was well over 300 in the few seconds it took him to complete a race. Adrenaline. So, do you stop the sport right then and there - and treat - or do you stop for a second, treat, and then go right back in.... ???

Registered User Sharon mom of Sean, 9 dx'd at 3.5  (65.114.227.155) Wed Mar 16 09:33:06 PM EST 2005
Last summer with the pump start we turned down the basal rate to 60% for 1 hour pregame, during the game and 30 minutes after for a total of 4 hours. He always ran high.
During basketball I did not turn it down at all and he had good numbers but would have lows hours later. Never predictable. I am going to start baseball and not turn down the basals to see what happens then adjust as needed.

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:34:10 PM EST 2005
Sharon-good thought , you always have to start with a base line and work it from there

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:34:37 PM EST 2005
300 BGS... That is a good question which may have a couple of answers. If I had a 300 BG prior to an event I would want to know that 30 mins before not just before. I would give some insulin and drink water. If just before I would see it come down to say 240 I would go ahead and compete...

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:35:47 PM EST 2005
Sharon, It sounds like you have a good plan. I'll bet you experimented with it until you found out what works best. Test, test, and test...

Registered User nataliesmom natalie's mom dx'd11/04, 11  (64.30.124.153) Wed Mar 16 09:36:12 PM EST 2005
My daughter is newly diagnosed type 1, and she plays indoor soccer, she is 11. I found right after her games she is quite high, do we treat that or wait 30 minutes?

Registered User Sharon mom of Sean, 9 dx'd at 3.5  (65.114.227.155) Wed Mar 16 09:36:21 PM EST 2005
sue, thanks. I hated him being high all the time, but we were just starting the pump. Now that I've had a year I am more willing to adjust and try things to see how it works. Grin 

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:37:24 PM EST 2005
Stacey, You are right on target. Sometimes you will hear 50% of pregame bolus but 75% sounds like it works for you. Remember this is an individualized disease...

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:37:35 PM EST 2005
Ok, Rick... but what if your bg was 170 prior to the event, and then 20 minutes into it, you were 300 from the adrenaline? That's the situation I'm asking about. Stop, treat, and wait? Or stop, treat, and get back into the game right away...

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:38:01 PM EST 2005
this may sound weird....when I run a treadmill, my sugar stays pretty good till after I am done, and when I run on a road (outside) I tend to start going high...and the longer I go, the higher I get...is this just something that deals with intensity of exercise?

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:39:19 PM EST 2005
I also am not good about checking before I run...I "just do it" and deal with the consequences...

Registered User Stacey mom to Jesse dx.12/01.... pumping 4/23/03  (64.12.116.134) Wed Mar 16 09:39:19 PM EST 2005
meghan- maybe you're getting dehydrated???

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:39:42 PM EST 2005
Nataliesmom, I would first check with your health care team but if her BG comes down within 30-60 mins into a better range I probably would not treat it with insulin. If it takes 3-4hrs I probably would but always snack once it gets into a good range. The snacking help prevent lows and also restore glycogen lost during exercies.

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:40:51 PM EST 2005
i have honestly never thought about that. in which situation...on the road or on the tready?

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:41:04 PM EST 2005
Meghan, Sometimes it is the adrenalin "rush" Think about it on a treadmil...blah. Out on the road, the difference is looking around dealing maybe with cars, etc Somewhat like a games practice sessions compared to the intensity of a game

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:41:17 PM EST 2005
The best answer is stop, treat and wait... In the real world unless forced to most kids will not wait. If that is the case push water, test within 20-30mins.

Registered User Sharon mom of Sean, 9 dx'd at 3.5  (65.114.227.155) Wed Mar 16 09:41:50 PM EST 2005
hydration must be a key in this. One of the CDE keeps telling me to push the water into Sean. How much water should a 9 year old drink during summer/ baseball?

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:42:29 PM EST 2005
i don't really "feel and adrenaline rush" but i do know about the "runner's high"...same hormones or different?

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:42:49 PM EST 2005
oops..meant "Feel an adrenaline rush"...

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:43:18 PM EST 2005
Ok. We'll try that. Treat, hydrate, let him back on the ice, test in 20 minutes. If it doesn't work, we'll have to recruit Sue to run the clock...  Razz 

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:43:43 PM EST 2005
Sharon, The general recommendations around activity is 16oz and hour prior, 8 oz 1/2 prior, 4-6 oz every 15-20 mins during...

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:43:50 PM EST 2005
Meghan~Same hormones just different circumstances

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:44:24 PM EST 2005
gotcha

Registered User nataliesmom natalie's mom dx'd11/04, 11  (64.30.124.153) Wed Mar 16 09:44:35 PM EST 2005
WE have found that after most exercise her number are low within 90 minutes. Would treatment with insulin be wise if that is the case?

Registered User Trish Mom of 7yr old, pumping  (24.50.92.60) Wed Mar 16 09:45:07 PM EST 2005
Sharon, I don't find that baseball affects my daughter that much. No constant running, etc. Soccer and tap dancing are the only ones I do differently right now. Treat her for highs during game/dance, then give her temporarily low basal around bedtime for two hours.

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:45:36 PM EST 2005
Bill...where do you live, what state?

Registered User nataliesmom natalie's mom dx'd11/04, 11  (64.30.124.153) Wed Mar 16 09:46:42 PM EST 2005
I guess I should tell you she is on Humalog at meals and Lantus at night, no pump (yet)

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:47:41 PM EST 2005
 Razz 

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:49:02 PM EST 2005
Nataliesmom, Whether she is on a pump or shots it may be wise to decrease insulin prior to and yes even after if she has low BGs. I will decrease my insulin by 50% for 6-8hrs after exercise...

Registered User Sharon mom of Sean, 9 dx'd at 3.5  (65.114.227.155) Wed Mar 16 09:49:11 PM EST 2005
Yea but sean is on the infield, sometimes pitching or catching. Involved it it all. And he does not stand still when he's outfielder either. Always moving, backing up the infield etc. The most he sits still is when his team is batting and he does not get up.

Registered User nataliesmom natalie's mom dx'd11/04, 11  (64.30.124.153) Wed Mar 16 09:50:03 PM EST 2005
I see Rick, thanks.

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:51:10 PM EST 2005
so if I do an untethered thing, and I turn my basals down, would I need to decrease my Lantus as well? or just turn down the basals?

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 09:51:57 PM EST 2005
Sue - I'm in Michigan, outside Ann Arbor.

Registered User Monkey 19 pumper- Minimed 712  (69.76.165.18) Wed Mar 16 09:52:06 PM EST 2005
hey all

Registered User Sharon mom of Sean, 9 dx'd at 3.5  (65.114.227.155) Wed Mar 16 09:52:31 PM EST 2005
Rick thanks for the guideline for water. They all just kept telling me make him drink. He would but them he had to run to the bathroom when his team came in to bat. Maybe this will work out better.

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:52:57 PM EST 2005
Megan, Email me and I will send you an article on this... rick.philbin@animascorp.com

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:53:09 PM EST 2005
Hi Monkey!

Registered User Monkey 19 pumper- Minimed 712  (69.76.165.18) Wed Mar 16 09:53:21 PM EST 2005
hi sue

Registered User Melanie (BC), Amber 7, dx'd at 3.5  (209.145.109.2) Wed Mar 16 09:53:40 PM EST 2005
Amber is on injections...she sometimes goes low about 1hr after gym and sometimes she doesn't. Why? Could it be just the amount of energy used differs from each class?

Registered User nataliesmom natalie's mom dx'd11/04, 11  (64.30.124.153) Wed Mar 16 09:53:42 PM EST 2005
In sleep, after play of her games, or strenous exercise in general, she is waking and is not sure why, she is not sweaty, would that be a low?

Registered User Melanie (BC), Amber 7, dx'd at 3.5  (209.145.109.2) Wed Mar 16 09:53:53 PM EST 2005
Oh by the way...hi everyone Grin 

Registered User Monkey 19 pumper- Minimed 712  (69.76.165.18) Wed Mar 16 09:54:11 PM EST 2005
how old were you when you were dxd

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:54:32 PM EST 2005
I still have the one you sent me a few months ago on the untethered regime...is this one different?

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:55:01 PM EST 2005
Hey Melanie, Do you play any sports?

Registered User Michelle Mom of Dylan, 8, dx'd 12/03, pumping  (65.99.189.203) Wed Mar 16 09:55:26 PM EST 2005
Hello. This all seems so confusing. How does one go about figuring out whether to give carbs, how much, when? Or turn down basals-how much, when and for how long?

Registered User Melanie (BC), Amber 7, dx'd at 3.5  (209.145.109.2) Wed Mar 16 09:55:59 PM EST 2005
Rick..anyway you can hook me up with the "Lara Takes Charge" book. I requested it via email but since I am from Canada I was denied. It looks like a great book for my little daycare kids to read so they understand why Amber is being tested..etc.

Registered User Monkey 19 pumper- Minimed 712  (69.76.165.18) Wed Mar 16 09:56:35 PM EST 2005
what pump does amber have melanie

Registered User Sue Dx'd 17 years ago  (66.7.133.180) Wed Mar 16 09:56:37 PM EST 2005
Monkey are you asking me?

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:57:08 PM EST 2005
Michelle, The general rule is to eat 15 grams of carbs for every 30-60 mins of exercise.

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:57:15 PM EST 2005
Michelle, I have wondered that too. when DOES one lower basals vs. giving food?

Registered User Melanie (BC), Amber 7, dx'd at 3.5  (209.145.109.2) Wed Mar 16 09:57:17 PM EST 2005
My daughter Amber is hoping to join soccer this year. She also loves to give the boys a run for the money in gym class and on the playground...gets that from mom Cool 

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:57:47 PM EST 2005
Rick, If I am not low to start, can I just decrease my basal and not eat?

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:57:49 PM EST 2005
Melanie, Email me with your address and I will send you one. rick.philbin@animascorp.com

Registered User Melanie (BC), Amber 7, dx'd at 3.5  (209.145.109.2) Wed Mar 16 09:58:00 PM EST 2005
Monkey...Amber is not on the pump though after playing the game "Pump Expedition" online she is a bit more curious.

Registered User Monkey 19 pumper- Minimed 712  (69.76.165.18) Wed Mar 16 09:58:16 PM EST 2005
better go all
good night Cool  Razz  Wink 

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 09:58:36 PM EST 2005
Meghan, Yes, but I like to eat to have energy to exercise...

Registered User Michelle Mom of Dylan, 8, dx'd 12/03, pumping  (65.99.189.203) Wed Mar 16 09:58:50 PM EST 2005
We were taught that but now the Dr doesn't want us to just fill him with carbs and start lowering his basal.

Registered User Melanie (BC), Amber 7, dx'd at 3.5  (209.145.109.2) Wed Mar 16 09:59:25 PM EST 2005
Thanks Rick...I'll do that.

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 09:59:42 PM EST 2005
my big fear is weight gain....I see it as taking in 100 or 200 extra calories and having to work that much harder to burn those calories.

Registered User Michelle Mom of Dylan, 8, dx'd 12/03, pumping  (65.99.189.203) Wed Mar 16 09:59:59 PM EST 2005
Dylan is going to start playing hockey this summer. Do we plan to turn down basals ahead of time and give carbs?

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:00:00 PM EST 2005
Michelle, It is all about BALANCE!

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:00:19 PM EST 2005
Is Billetdeaux still here?

Registered User Billetdeaux CWD Events  (66.82.9.20) Wed Mar 16 10:00:51 PM EST 2005
We are just about at 10:00, which is the official close of this chat. I want to thank Rick for leading the chat this evening, and also for his wonderful input to CWD in so many other ways. This chat room will stay open for another half hour or so if you'd like to continue to talk. Not sure if Rick is able to stay on or not...
Anyway, thanks for chatting everyone! G'night.  Smile 

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:01:11 PM EST 2005
Michelle, That is what I do. You basically have three choices to eat carbs, turn down basals, or a combination to the two...

Registered User Stacey mom to Jesse dx.12/01.... pumping 4/23/03  (64.12.116.134) Wed Mar 16 10:01:21 PM EST 2005
meghan- its me jesse- hihihihihi
 LOL  LOL  LOL  LOL 

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:01:26 PM EST 2005
Goodnight Laura!

Registered User Sharon mom of Sean, 9 dx'd at 3.5  (65.114.227.155) Wed Mar 16 10:01:32 PM EST 2005
Thanks Rick.
Good night everyone Smile 

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:01:34 PM EST 2005
HI Jesse!

Registered User Michelle Mom of Dylan, 8, dx'd 12/03, pumping  (65.99.189.203) Wed Mar 16 10:02:02 PM EST 2005
So it is all trial and error to find the right mix?

Registered User Trish Mom of 7yr old, pumping  (24.50.92.60) Wed Mar 16 10:02:06 PM EST 2005
Informative...thank you.

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:02:12 PM EST 2005
Since I showed up one minute before the chat I will put in a little extra time Grin 

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:02:55 PM EST 2005
Michelle, This disease is an art not a science Rolling Eyes 

Registered User Michelle Mom of Dylan, 8, dx'd 12/03, pumping  (65.99.189.203) Wed Mar 16 10:03:41 PM EST 2005
Which just makes it all that more frustrating......

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:04:10 PM EST 2005
I hate art!

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:05:08 PM EST 2005
Meghan, Even finger painting? LOL 

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:05:44 PM EST 2005
that gets messy, just like my control....!

Registered User Michelle Mom of Dylan, 8, dx'd 12/03, pumping  (65.99.189.203) Wed Mar 16 10:06:17 PM EST 2005
what usually ends up happening with Dylan is we under or over treat him for his activity.

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:06:20 PM EST 2005
how is it one can have normal blood sugars, but in the midst of intense exercise end up in DKA?

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:07:10 PM EST 2005
Meghan, I think I have heard of some organization called Taking Control of Your Diabetes Confused 

Registered User Stacey mom to Jesse dx.12/01.... pumping 4/23/03  (64.12.116.134) Wed Mar 16 10:07:10 PM EST 2005
speaking about your control.... have u done an A1C lately??? Mommma # 2 speaking!!! Evil Grin 

Registered User Michelle Mom of Dylan, 8, dx'd 12/03, pumping  (65.99.189.203) Wed Mar 16 10:07:12 PM EST 2005
how often does something like that happen?

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:07:39 PM EST 2005
yes...5.3

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:08:02 PM EST 2005
waht does that mean, rick?

Registered User Stacey mom to Jesse dx.12/01.... pumping 4/23/03  (64.12.116.134) Wed Mar 16 10:08:05 PM EST 2005
yea right...... LOL 

Registered User Brenda H. mom of Marissa, 17 dx'd 9/89  (216.68.227.251) Wed Mar 16 10:08:29 PM EST 2005
Hi Rick. Sorry I missed the chat. Not much to contribute though since Marissa is not getting too much exercise these days.
Actually, I do have a quick question? How many laps around a standard high school track make a mile? I just got back from soccer practice with non-D Kathryn. Practice field is at a school where there's a track. I hope to walk around the track when it's not so dark. Practice field was lit, but the track wasn't.

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:09:03 PM EST 2005
it was!

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:09:15 PM EST 2005
pump will do wonders for that number!

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:09:25 PM EST 2005
Meghan, The body recognizes exerecises as a stress and releases hormones (i.e. adrenaline, epinephrine, etc) which tells the liver to produce glucose causing BGs to go up.

Registered User Brenda H. mom of Marissa, 17 dx'd 9/89  (216.68.227.251) Wed Mar 16 10:09:31 PM EST 2005
Rick, Dr. Steve Edelman runs Taking Control of Your Diabetes. He often travels around the country and has what I'll call expositions. Never been, but Jeff has.

Registered User Stacey mom to Jesse dx.12/01.... pumping 4/23/03  (64.12.116.134) Wed Mar 16 10:09:34 PM EST 2005
I cant believe it.... LOL  LOL 

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:09:35 PM EST 2005
hI Brenda! Most outdoor tracks are 4 laps to the mile

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:10:40 PM EST 2005
Brenda, It is good to hear from you. I will get Marissa in Sports Central at the conference in Orlando and make her exercise... 4 times around is a mile...

Registered User Brenda H. mom of Marissa, 17 dx'd 9/89  (216.68.227.251) Wed Mar 16 10:10:48 PM EST 2005
Thanks Meghan. Practice is 2 hours so I should be able to do 4-8 miles depending on how I feel.

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:10:52 PM EST 2005
considering I am low a lot...that causes low a1c numbers

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:11:04 PM EST 2005
that is awesome Brenda!

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:11:43 PM EST 2005
Brenda, I know Steve very well. He is a funny guy. I like to hear him speak whenever I can...

Registered User Stacey mom to Jesse dx.12/01.... pumping 4/23/03  (64.12.116.134) Wed Mar 16 10:12:21 PM EST 2005
its also 1/2 of the previous one...

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:12:27 PM EST 2005
most of the time my fasting BG is about 80....it is the Post prandials that tend to kill me, and when I am not ont he pump, the fastings tend to very high

Registered User Brenda H. mom of Marissa, 17 dx'd 9/89  (216.68.227.251) Wed Mar 16 10:12:28 PM EST 2005
Rick, she doesn't have too much time with school, work, tutoring, volunteering at the animal shelter, and having a social life! LOL  She did walk/jog with one of the dogs yesterday, mabye .25 mile. She has a step for step aerobics and might have used that, too, since I found it sitting out. (no way did she move it to dust it. LOL )

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:13:24 PM EST 2005
that is what the lab said....

Registered User Brenda H. mom of Marissa, 17 dx'd 9/89  (216.68.227.251) Wed Mar 16 10:14:12 PM EST 2005
Well, thanks for being here to answer questions, Rick. I'm signing off to catch up for the 3 hours I was out at soccer.

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:14:34 PM EST 2005
good night Brenda!

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:15:22 PM EST 2005
Brenda, Goodnight... I will see you in Orlando this summer! Tell Marissa I said hi!

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:15:36 PM EST 2005
It was more than just half of the other one, Stacey!

Registered User Stacey mom to Jesse dx.12/01.... pumping 4/23/03  (64.12.116.134) Wed Mar 16 10:17:16 PM EST 2005
I've got to go to ... and get Jesse to bed... he's watching South Park...ugh.....

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:17:22 PM EST 2005
Rick...about how fast is your mile time?

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:17:34 PM EST 2005
good night Mom Stacey!

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:18:25 PM EST 2005
Megan, In high school my best was 4:50

Registered User Stacey mom to Jesse dx.12/01.... pumping 4/23/03  (64.12.116.134) Wed Mar 16 10:18:34 PM EST 2005
Rick - see you in Orlando.. You're now officially on Jesse's favorite person list...  Grin 

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:18:46 PM EST 2005
what is it now?

Registered User Stacey mom to Jesse dx.12/01.... pumping 4/23/03  (64.12.116.134) Wed Mar 16 10:18:55 PM EST 2005
Meghan - see you next month-

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:18:57 PM EST 2005
my high school best was a 5:17...

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:19:05 PM EST 2005
yup. see you then

Registered User Brian   (69.208.201.8) Wed Mar 16 10:19:37 PM EST 2005
Hey Rick, I am a high school wrestler, (yeah your probably cringing) butwhen i go on the mat ill be like 140 where i try to be before a match but when i get off im like 400, i dont want to take insulin before because i dont want to go low, any suggestions?

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:19:45 PM EST 2005
Rick...I am want to out run you (or a least stay with you) this summer on the fun run....

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:20:26 PM EST 2005
I want to thank everyone for coming on tonight. I had a lot of fun. And I want to thank Sue for helping me out with the chat. Check out the Sports Column on this site for other tips on sports and exercise.

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:20:56 PM EST 2005
good night rick....any chance I can out run you?

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:21:33 PM EST 2005
Brian, Wrestling is a tough one to control BGs. It is such a high intensity sport. How long does it take you to come down after a match?

Registered User Brian   (69.208.201.8) Wed Mar 16 10:21:58 PM EST 2005
30 min with a shot

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:21:58 PM EST 2005
Megan, In your dreams Wink 

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:22:33 PM EST 2005
i am working on it!

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:22:38 PM EST 2005
 Cool 

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:23:01 PM EST 2005
Brian, I would not worry about it. My guess is if you tried to go any lower prior to exercise you may run into low BGs... Drink water too afterwards.

Registered User Brian   (69.208.201.8) Wed Mar 16 10:23:20 PM EST 2005
okay, thanks

Registered User Rick Philbin Type 1 Diabetes, Athletic Trainer  (66.7.133.180) Wed Mar 16 10:24:26 PM EST 2005
Goodnight everyone...

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:24:57 PM EST 2005
i run everyday, and can sustain a 7 mph on the tread mil for about 30 minutes.....

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:25:09 PM EST 2005
good night Rick...see you in Orlando!

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:25:45 PM EST 2005
thank you so much for coming out Rick!

Registered User meghan t1 since 1984  (24.198.184.142) Wed Mar 16 10:29:31 PM EST 2005
 Razz  LOL  Razz  Cool 

Registered User dominique BJ's mom, 13 mos dx's 2/10/05  (24.211.206.75) Wed Mar 16 11:23:05 PM EST 2005
hey all. any pump users out there

Registered User Moderator   (server) Wed Mar 16 11:25:00 PM EST 2005
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