Exercise, Blood Sugar and Blood Pressure

Even before I was diabetic I knew that after a long run, I would look pale round the eyes despite having a red face and my hands would tremor.  This is hypoglycaemia in a non diabetic brought on by my burning of all of the bodies reserves too quickly for my body to break down its fats and other substances in the liver and muscles into usable glucose.

If I was not diabetic my body would reduce its insulin production and releases glucose for the remaining insulin to use when I start to exercise.  Insulin is like a catalyst your body needs it to break down sugars.  However as a diabetic on insulin my insulin level will be constant so if I do anything that requires extra energy, and I need to balance it with extra sugars.

Playing Squash

Before I became diabetic I liked the occasional game of tennis or squash.  I'd arranged to meet somebody, book a court, turn up with a bottle of water and play and afterwards I would have a sweet snack.

As a diabetic I can't do this:

1. To play squash I must either reduce my insulin (to prevent me burning to much carbohydrate), this requires forward planning. 
2. Or I drink a high carbohydrate drink before, during and after the game.

Okay thats seems simple enough, choose 1 or 2.  Unfortunately its not that simple.  In both cases diabetic control depends heavily on the reliability of your partner and the time of day of the game,

In both case if my squash partner doesn't arrive on time then I will have to begin exercising myself, i.e. go for a run in order to make up for the lack of a game.

All of the doctors have always told me to reduce my insulin before sport or heavy work that brings me out in a sweat.  I do this only very very occasionally, the reason is quite simple people are unreliable and get caught in traffic, forget or possibly decide not to bother to play.  I may also decide not to do the heavy work if the weather is too bad.  With little insulin in my blood my sugar will go high, and stay high for a long time.

So I tend to have a small mouthful of lucozade just before a game or heavy work and another just as it progresses.  For squash I am ready, if they don't turn up I have a modest bit of exercise to do, to get my blood sugar down.  If they do turn up i'm ready to play.

I also noted from observation, that with the reduced insulin plan it took me longer to recover and I noticed little in the way of physical benefits.  Whereas taking my normal insulin and topping up with high carbohydrate drinks to exercise, feels like watching a Popeye cartoon with spinach (if you don't know about Popeye type it into youtube).  My muscles swell and become more toned and my recovery time is vastly improved and my stamina lasts for days.

Warning, playing with my insulin level is not for the faint hearted and I acknowledge it can be dangerous, so I always have carbo's in my pockets and check my blood levels before and after sport for the some time.  Also tell the other person what you are planning to do and what to do if you start talking nonsense and falling around.

Learning Point

Reducing my insulin allows me to do exercise without lots of extra carbs

Eating or drinking extra carbs allows you to do extra exercise

Doing neither can lead to hypo if you exercise, or high blood sugar if you don't

TBC

My Diabetes - Angry Diabetic Syndrome

One of the most common things I hear about diabetics and I have experienced it myself many times is what I will call my 'Angry Diabetic' syndrome.

I liken this to a real life Jackal and Hyde situation.  One minute I am a kind rational person and the next even the most simple thing anger me.

By monitoring my blood glucose and my moods I very quickly noticed there is a direct correlation between my mood, rationality and my blood sugar levels. As the blood sugar drops and the amount of sugars available in my brain also drops.  I become angry, anxious, confused and my higher reasoning functions seem to drop away and I become a like an aggressive animal.

I put this down to the fact that I as a human being are basically a violent animal and we had to be to survive and end up at the top of the food chain.  But realistically the only thing that separates me from other animals is my larger brain(which needs lots of food) and my associated higher functioning centres. When these higher functions get switched off or suppressed due to lack of sugar then then not surprisingly I revert back to a lower animal state.

I liken this to a 'kill to eat' reflex and if you want to see it in action trying taking food away from a very hungry pet.  If they are not too hungry they will let you, but there becomes a point where they will growl and fight you for it.

The thing which is fascinating about this is that moment the blood sugar comes back even slightly up I am immediately calmer and like nothing has happened.

It's not just diabetics who show aggression there blood sugar levels drop.

It's been know for centuries that a hungry army is more violent, aggressive, less rational and more likely to take risks.  Interestingly, after a great battle and plunder there was often a great feast and the soldiers and commanders became less violent and began to behave with some compassion, until the food ran out?

Some years ago european lager companies brought out strong beers with no sugars in them.  Suddenly there was a massive rise in bad behaviour and violence linked to these beers.  Drinking sugar free alcohol and an empty stomach is a sure fire way to make anybody hypoglycaemic,  out of control and aggressive.

From my own experience I noted that violent drinkers had very poor diets preferring to drink alcohol rather than eat.  Most likely causing a very drunken Hyde to visit.

This is certainly an area requiring study.

Learning Point:

1) To avoid Hyde coming out to play and becoming an angry diabetic, I make sure my blood sugars do not drop too low.
2) It appears to me from my monitoring that if I stick to the very low levels of blood sugar demanded by my medical advisers, then I can quickly become Hyde from the simplest mild exertion.
3) If I have low blood sugar and my meal is delayed for whatever reason, then Hyde comes out to play.

For me there is a definite tradeoff of ultra low blood sugar, hypo and anger. With slightly higher blood sugar I remain calm and rational.

It is up to the reader to decide in discussion with your medical team and family what is acceptable and best for you.  I was making my own life and that of Debbie a misery with Hyde outbursts until I found the best levels for me.

TBC