Good Morning:
Can anyone tell me how Threadmill use will effect my Glucose numbers?
How long after using the Threadmill will a result be seen?
Thanks [email hidden]
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Good Morning:
Can anyone tell me how Threadmill use will effect my Glucose numbers?
How long after using the Threadmill will a result be seen?
Thanks [email hidden]
Er do you mean Treadmill ....Martin?
David :-)
--
"That Damn Butterfly"
"martin2004" <[email hidden]> wrote in news:O4qub.5346
[email hidden]:
Quoted message said:Good Morning:
Can anyone tell me how Threadmill use will effect my Glucose numbers?
How long after using the Threadmill will a result be seen?
Thanks [email hidden]
The answer is different depending on what type of diabetes you have and where you are in it's
progression, not to mention what kind of medication, if any, you are taking. Attached is an answer
written from the point of view of an insulin taking type 1, but the fundamental interactions between
exercise and glucose control are discussed. It should give you the background you need.
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Batezee said:Er do you mean Treadmill ....Martin?
David :-)
And my mind had this image of mice spinning thread spools...... :-) BJ
I do not use the treadmill, but ride a bicycle. I would assume the effect on your bg will depend on
how vigorous your excercise is. Vigorous excercise about an hour after a meal will dramatically
lower your bg (if you medicate, especially with insulin, you should watch out for hypos). regular
excercise will also improve your general bg control (you can test the effect with a bg meter). I
suggest a minimum of at least 30 minutes a day, as vigorous as you can make it safely - check with
your doctor if you have any heart conditions.
--
Henry
remove spam to reply
"martin2004" <[email hidden]> wrote in message
"]news:[email hidden]...
Quoted message said:Good Morning:
Can anyone tell me how Threadmill use will effect my Glucose numbers?
How long after using the Threadmill will a result be seen?
Thanks [email hidden]
If memory serves me right, in article <[email hidden]>,
Charly Coughran said:
The answer is different depending on what type of diabetes you have and where you are in it's
progression, not to mention what kind of medication, if any, you are taking. Attached is an answer
written from the point of view of an insulin taking type 1, but the fundamental interactions
between exercise and glucose control are discussed. It should give you the background you need.begin 644 exercise5.txt M5&AE(&😉E<W0@=V%Y('1O(&1E86P@=VET:"!P<F]B;&5M<R!A<W-O8VEA=&5D M('=I=&@@9&EA8F5T97,@86YD(&5X97)C:7-
E#0IB96=I;G,@=VET:"!U;F1E
[snip uuencoded file]
This version might be easier to read:
} The best way to deal with problems associated with diabetes and exercise } begins with
understanding of what goes on in the metabolic system of } normal people and what the differences
are for diabetics. Only with } such understanding can you make intelligent choices about }
pharmacological tactics. Relying on rules of thumb can cause more } problems it solves because of
the wide variability of individual } responses and the wide variety of diseases that fall under the
rubric } of diabetes. Not to mention, I have seen postings where the rules of } thumb were clearly
misunderstood. } } While the following is intended for those who take insulin, it may } assist those
on oral medications as well. Exercise in this context } means extended aerobic activity, say a
minimum of 20 minutes of } jogging. This is a somewhat simplified account but I think it captures }
the most important aspects for exercise related bg control. Comments } encouraged. } } When a normal
person starts to exercise, the insulin output of his } pancreas goes down. At first blush, this
seems backward since the } muscles are working hard and therefore require more glucose to be }
transported from the blood into the cells. There are two reasons more } glucose can be transported
with less available insulin. The first is } that during exercise insulin becomes much more
efficient. The mechanism } of this effect is not fully understood, but it helps overcomes the }
reduction in circulating insulin. } } Second, exercise activates non-insulin mediated glucose
transport } pathways. These pathways are not sufficient to handle the load in the } absence of
insulin, but do increase the effective insulin efficiency. } } When insulin levels decline relative
to the counterregulatory hormones } -- glucagon, epinephrine, norepinephrine, growth hormone, and
cortisol } -- the liver is stimulated to release stored glucose. The blood glucose } that is being
transported into the cells is replaced by that from } hepatic stores. It is this hormonal balance
system that keeps the } levels of blood glucose in the normal narrow range during exercise. } } For
those of us who inject insulin, the first problem is obvious. Our } circulating levels of insulin do
not react to exercise. Absent any } correction, when the muscles demand glucose and insulin becomes
more } efficient our blood glucose plummets and we become hypoglycemic. This } is the reason for a
commonly encountered prohibition to not schedule } exercise when your insulin is peaking. The higher
the level of } circulating insulin, the more pronounced the effect. } } One solution is to reduce
our circulating insulin levels by reducing } insulin intake. Here specific advice starts to be
difficult due to the } wide variety of insulins, regimens, and individual variability. The }
spectrum spans from a Type II who takes a little NPH to help his beta } cells out to a c-peptide
free pumper. I have spoken to diabetic runners } whose tactics would put me in an ambulance, even
though our situations } seem to be very similar. You see a lot of advice of the form, "reduce } your
insulin 2 units for every hour of strenuous exercise". This kind } of advice ignores real world
variability and is sometimes much worse } than useless. } } Clearly, someone who takes one shot/day
has a much more limited ability } to adjust circulating insulin levels than someone using multiple }
injections or a pump. } } The other approach is to increase blood glucose levels by eating }
carbohydrates timed to arrive at the blood stream in the form of } glucose when it is needed. The
easiest way to do that is usually to eat } fast acting carbohydrates during or immediately preceding
exercise. } Again, there are rules of thumb around about so many grams of } carbohydrates for a
particular length of exercise at some defined } level. Again, they seem to be swamped by individual
and circumstantial } variability. } } Some of us do a combination of both and pump up our bg levels
somewhat } before exercise and reduce insulin levels to keep things on an even } keel. } } The
bottom line is to make careful adjustments and test, and test, and } test, to find out how things
work for your particular body. } } So much for too much insulin. What happens when the circulating
insulin } level is too low? When levels are so low that even the increase in } insulin efficiency
doesn't overcome the defect, glucose isn't } transported into the cells. Worse, since insulin levels
are low the } liver continues to pump glucose into the blood. The result is bg levels } rise with
exercise. The muscles get stressed due to lack of fuel and } the metabolism of fats kicks in,
ketones start being produced and the } danger of ketosis or ketoacidosis looms. This is the basis
for another } rule of thumb which is often misunderstood. The rule is usually stated } "don't
exercise when your bg is above 240 mg/dl (13.3 mmol/l) and } ketones are present in the urine". This
makes sense because those are } signs that you have inadequate insulin supplies -- that's how many
of } us got diagnosed. Exercise in those circumstances will make things } worse, not better. On the
other hand, if you are 300 mg/dl (16.7 } mmol/l) because you just drank a large regular cola by
mistake with } lunch, exercise is a great way to bring that bg down in a hurry. Why } your bg is
elevated is just as important as the fact of the elevated } level when deciding whether or not
exercise is contraindicated. The 240 } is also a somewhat arbitrary number. Some people start
throwing ketones } at significantly lower levels. } } In short: avoid exercise if your insulin level
is too low. Do exercise } if you are sure your insulin level is adequate but your blood glucose } is
too high. } } Exercise also produces effects at longer time scales. Sometime after } exercise, there
is often a take up of blood glucose by the muscles to } replenish depleted stores. This most often
occurs an hour or two after } exercise, but has been reported in the range of 1/2 hour to 48 hours.
} Again, as is the case during exercise, artificially high insulin levels } will lead to
hypoglycemia. The last rule of thumb is to watch for } hypoglycemia after exercise. } } *SPECULATION
BEGINS HERE* A problem some of us encounter from time to } time is a post exercise bg spike. Blood
glucose readings will be } reasonable after exercise but sharply elevated a few hours later. It is }
my speculation that this represents circulating insulin levels that } were adequate to deal with
exercise induced blood glucose demand with } its attendant insulin efficiency increase, but too low
to deal with the } post exercise demand when insulin efficiency has lowered somewhat. It } has been
my experience that post exercise elevated bg levels respond to } much less insulin than would be
required in a more normal situation. It } appears that insulin efficiency falls off after exercise
at some rate } and you can be on the correct side of the curve during exercise and the } wrong side
after. This hypothesis is the best of a couple I have come } up with. *SPECULATION ENDS HERE* } }
Regular exercise over time scales of weeks or months can reduce overall } insulin requirements. In
addition, as muscles become trained and } improve their internal storage, it feeds back into the
amount of } glucose demand present during exercise, and thus into the entire } control cycle. } }
Diabetes makes exercise, and almost everything else, harder. But, hey, } if it was easy it wouldn't
be any fun :-) } } There are two very good, readable books from which you can get more }
information. The better is Campaigne and Lampman, _Exercise in the } Clinical Management of
Diabetes_. Almost as good is _The Health } Professional's Guide to Diabetes and Exercise_ edited by
Ruderman and } Devlin and published by the American Diabetes Association.
Vance Kochenderfer | "Get me out of these ropes and into a [email hidden] | good belt of Scotch"
-Nick Danger
--
"That Damn Butterfly" "BJ in Texas" <[email hidden]> wrote in message
"]news:[email hidden]...
Quoted message said:Batezee said:Er do you mean Treadmill ....Martin?
David :-)
And my mind had this image of mice spinning thread spools...... :-) BJ
Martin,
We use hamsters in the U.K. ;-)
David
That should be B.J.
David
--
"That Damn Butterfly"
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