{"id":11276,"date":"2010-10-19T12:44:39","date_gmt":"2010-10-19T16:44:39","guid":{"rendered":"http:\/\/asweetlife.org\/?p=11276"},"modified":"2015-12-27T15:41:57","modified_gmt":"2015-12-27T20:41:57","slug":"adjusting-my-insulin-for-running","status":"publish","type":"post","link":"https:\/\/asweetlife.org\/?p=11276","title":{"rendered":"Adjusting My Insulin for Running"},"content":{"rendered":"

During my failed attempt to run a sub 4 marathon in Tiberias last year<\/a>, I had decided to run the Tiberias Marathon again this year. This decision, however, did not include a hasty registration for the race but was more of a mental commitment of knowing I\u2019m going to do it.<\/p>\n

Although I \u201cofficially\u201d started training for the race on September 1st<\/sup>, giving me 4 months (and one week) of training, I did not register for the race until Friday night. I don\u2019t know why, but it seems I am scared of commitment when it comes to races. Or maybe I\u2019m a little superstitious about it.<\/p>\n

The truth is that maybe I should be superstitious.<\/p>\n

So far my training has gone very well, including a new 10K personal record<\/a>. I\u2019ve been feeling faster and stronger and until Saturday night was quite certain I would break 4 hours easily this time.<\/p>\n

What have been continuously bothering me are the lows I experience while running. So far I have been able to get over most<\/a> of them and keep running, but Saturday night was different. \u00a0I went out for a 19 mile run, the longest I\u2019ve attempted so far during this training season.<\/p>\n

I headed out feeling fine with BS level of 122. I ate halva right before starting (that worked well for 10K<\/a>) and started running. I checked my blood sugar for the first time after 6.5 miles. It was 75. I ate a dried apricot (9g carb) in addition to my halva (14g carb) that I eat every half hour, and continued to run. After 13 miles I started feeling weak and checked my BS again.\u00a0 It was 47. I ate a dried date (18g carb) and some more halva, but it was too late. I was wiped out.<\/p>\n

When I finally got home (I ran 2 more miles at a slow pace) I was tired and frustrated.<\/p>\n

I\u2019m two weeks away from a 30K (18.75 miles) race and I\u2019m in the midst of marathon training and I\u2019m experiencing lows more often than I ever have during runs. I would really like to reach a point where checking my BS during a run is only an emergency action and not a regular part of the run itself. I don’t think that lows need to be inevitable parts of long runs.<\/p>\n

Since going on the Paleo Diet<\/a> and drastically reducing the amount of carbohydrates I eat, I have significantly reduced<\/a> the amount of insulin I take during the day, and I reduced my night time dose of Lantus (long acting insulin) \u2013 from 20 units to 18.<\/p>\n

I thought that the reduction in carbs would prevent highs (it does) and that the reduction in insulin would keep me from going low. Before going on the Paleo Diet I used 20-40 units a day of Apidra (some days more). Now I use 3-15. I thought this serious reduction in insulin would prevent hypoglycemia.<\/p>\n

But it seems that while I run my BS drops dramatically, even on days like Saturday when I didn\u2019t take any short acting insulin (Apidra). So I have decided to try and tackle this problem through reduction of my long acting insulin (Lantus). My first step will be a reduction from 18 to 16 units.<\/p>\n

I know this may cause my waking BS levels to go up and I will probably need to take more insulin during the day. But this is a price worth paying if it helps me avoid dangerous lows on runs.<\/p>\n

I know some of you pumpers out there may think this is nuts (just suspend or lower your basal while running) but I’m not ready for a pump<\/a> (yet), and I am sure the pump comes with a whole new set of problems.<\/p>\n","protected":false},"excerpt":{"rendered":"

…<\/p>\n","protected":false},"author":129,"featured_media":53098,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1501],"tags":[575],"yoast_head":"\nInsulin Adjusting for Running<\/title>\n<meta name=\"description\" content=\"Since going on the Paleo Diet I reduced my Apidra insulin dose from dramatically. This has not prevented hypoglycemia while I run. 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