Hypoglycemia after workouts

CAS317
CAS317 Posts: 267 Member
Do you feel like when you do hardcore cardio your body punishes you by becoming hypoglycemic like 12 hours later? I have had issues with hypo my whole life. I did cardio around 5PM last evening. At about 2 AM I started dropping. I had a total of 12 ounces of orange juice. I use a Dexcom so I kept watching it and I never had a spike in my sugar. I wanted a spike because I was scared to go back to sleep with it being so low. Finally I had 2 Keebler Fudge Sticks (100 calories) and 1/2 of a Hershey's (105 calories). I can't stand having to sacrifice calories for low blood sugar. I'm on a pump so I turned it off for 90 minutes. I woke up to a 200 blood sugar. I can't win at this game. I put forth so much effort to try to stay normal but honestly, I believe there is no way for me to win. What does everybody else do? Do you have these issues? And what was your last A1C. I think mine was 7.1 or 7.2. I feel like for as low as I run and as often as I do it should have been lower.

Replies

  • tmlandgraf
    tmlandgraf Posts: 79 Member
    I have had to adjust my pump since starting to really workout on a daily basis. I was having lows every night between 1 and 3am and usually have oj and some graham crackers. That always does the trick. There have still been times when I wake up the next morning and test and I am only at 78. It is very hard to get the balance and I doubt a full balance will ever be the result. I am to the point where I take off my pump during my workout since I was also having drops in the middle of them. Since i have started disconnecting my pump during workout and I have lowered my overnight basil rates, I am having less lows. You can always ask your doctor what may work to help limit the lows.

    I may be the only one who does it this way, but I don't record or count the calories for what I eat for a low blood sugar. Those are calories I need to have, so I don't count them. I also don't let it become a time to binge either. I know that a glass of oj and 2 graham crackers does the trick. If I am feeling really unstable at 2am from shaking or what not, I keep Capri suns and granola bars in bedroom so I don't have far to go (I have a 2 story house).

    My last A1c was in March and it was 6.1. I tend to fluctuate between 5.7 and 6.2 depending on what's going on in life. I just got really focused on this whole exercising and weight loss journey in late March/early April, so I am interested to see what my A1c will be in June when I go since I have had very few high blood sugars and usually stick around 100 for the most part. I am hoping to get back to that 5.7.

    I am sure there are many more people who have this same problem. You are definitely not alone!
  • Amber82479
    Amber82479 Posts: 629 Member
    You are certainly not alone. The higher my heart rate gets doing cardio, the less insulin I need for a day or two afterward. I've found that if I'm running regularly or doing any workouts that get my heart rate up over 160, I have to cut back on my basal rates to avoid the crashes. I try to get my sugar up between 185 - 200 before I start too, as that seems to help. I use the little Juicy Juice boxes (16 carbs/ea.) or Archer Farms Strawberry Fruit Strips (16 carbs/ea.) to treat lows. I find that the prepackaging keeps me from bingeing. I used to suck down everything in site during lows (1,000 calories or more at times), so doing it this way has been a huge calorie-saver for me. I have one at a time and wait a little bit between to see if my sugar will come up. Sometimes it doesn't work for hours and then I spike afterward. It is ridiculously frustrating to try to do everything right and have it all go so very wrong! My A1c was 5.8 last time and 6.3 the time before. Like I said, you're not alone. (((HUGS)))
  • stephaniep12345mfp
    stephaniep12345mfp Posts: 116 Member
    Yes, yes, yes!! I have the same issue and I HATE it! Once I get that initial crash, it is so difficult to re-stabilize and I find myself having huge swings before I can get back to center again. Then I end up feeling exhausted and weak from the swings. I don't have a good solution for it yet, but I can assure you you're not alone.
  • BarbaraCarr1981
    BarbaraCarr1981 Posts: 903 Member
    Yes! Diabetes is so retarded and annoying!!! Sometimes exercise will put me high too!!! Never know though if it's gonna put me up or down....I just deal with it and get pissed off. Sometimes i binge too with it, but I certainly do count all calories too eaten for low blood sugars. If ur low all the time eating then there a good chance u will gain weight over the long run.
  • terriejones
    terriejones Posts: 518 Member
    I keep lowering my basal rate, correction amount and bolus amounts. There have been a couple of days where I hardly bolused anything all day. My mom woke me up one morning and it took hours for my sugars to rise, of course I rebounded then. I'm really lowering my overnight basal rate to keep from having those overnight lows.

    On a crazy note, I have a new primary care physician who thinks I might be a type 2 or not be a diabetic at all :laugh: , since my last A1C was 6.4. Maybe I better start seeing a specialist again.

    Cas, I hope you can get it figured out!
  • tmlandgraf
    tmlandgraf Posts: 79 Member
    TerrieJones - I had an endocrinologist tell me once that he didn't think I was a true type 1 because my A1C's and blood sugars seemed too normal. Instead of running some tests he put me on Metformin as an experiment. The only result was that I found out I am allergic to Metformin. Needless to say I switched doctors after that.

    My current endo thought I may be showing signs of insulin resistance and thought I was starting to develop Type 2. She ran blood work and it showed, once again, that I am a true Type 1. I would definitely see a specialist and always make them do lab work to back up their suspicions, especially if it doesn't sound right to you.
  • terriejones
    terriejones Posts: 518 Member
    Dr. has ordered a C-peptide blood test to settle this once and for all. I have no doubt I'm a type 1.