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Old 02-28-2013, 04:33 PM
type1rachelle type1rachelle is offline
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Join Date: Aug 2011
Location: Brooklyn, NY
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if you're having extreme morning highs consistently, have you thought about adjusting your insulin dosages? have you heard of Dawn Phenomenon? many people with diabetes have higher BGs in the mornings because of this - usually you can account for it with a little extra insulin - talk to your Dr about it.

as for high BGs during exercise - this happens because of stress hormones being released. I'm not sure how fast you run, but would recommend longer slower efforts to start out with. 6 miles is fine if that's what you're used to, but maybe slow the pace way down to a conversational pace/jog to reduce the cortisol release. giving yourself insulin for highs before/during/after exercise is fine, but make sure you give yourself a reduced bolus (same with meal boluses) because your insulin sensitivity will be higher. there's no set formula for this as it greatly depends on the workout activity, intensity, the last time you worked out, how much sleep you got, etc.... but I typically cut my boluses in half generally speaking, and go from there. I don't work out if my BG is above 300 (the stress hormones that are released can cause it to go higher - not good) and I will correct with 30g of carbs if I'm below 70, and wait about 15-30mins before exercise.

if your Dr is saying you're having issues with inflammation, I would take an NSAID (Aleve, Motrin, Advil) over aspirin (Bayer) as these are anti inflammatory. The aspirin will help with pain, but will not reduce inflammation. There is evidence against taking NSAIDs long term or even on a prophylactic basis before runs, since they inhibit the formation of osteoblasts and can therefore increase your risk of stress fractures. also, they are harsh on the stomach (so is aspirin), so always take with food (if you're used to taking at night, take after dinner).

just a few suggestions.
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