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Medical Forum / Diseases and Disorders / Diabetes / November 2005

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Exercise and BG

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Yolande Smith - 07 Nov 2005 12:53 GMT
I've just come back from an hour at the gym - feeling very pleased with
myself  - only to discover that my BG has risen from 4.8 to 6.6 mmol/l.  Why
does it go up after exercise, please?  And what am I doing wrong?

Yolande
VBHol - 07 Nov 2005 13:14 GMT
> I've just come back from an hour at the gym - feeling very pleased with
> myself  - only to discover that my BG has risen from 4.8 to 6.6 mmol/l.  Why
> does it go up after exercise, please?  And what am I doing wrong?
>
> Yolande

It goes up during exercise.

As I understand it, when you're exercising, the liver dumps glucose into
the bloodstream to give you the energy you need to be active.  How long
after exercising did you test?  It takes a little while to go back down
again.

I tend to eat before going to the gym so that the spike hits when I am
exercising - running the risk of indigestion.  However after exercising,
plus shower etc, I get back to the car and bg is a little under 6.

6.6 is nothing to worry about after exercise.  Relax, you're perfectly
normal.

Cheers,
VBH.
Yolande Smith - 07 Nov 2005 14:45 GMT
> 6.6 is nothing to worry about after exercise.  Relax, you're perfectly
> normal.

First time anyone has told me that for years! :))

I tested about 20 minutes after but hadn't had much of a breakfast because I
intended to swim - so the liver dump is quite a possibility.  I suppose I
will get used to all this eventually and I have managed to lose over a stone
in weight.

Thanks for your support.

Yolande

> Cheers,
> VBH.
oldal4865 - 07 Nov 2005 16:01 GMT
Yolande Smith wrote in message ...

>> 6.6 is nothing to worry about after exercise.  Relax, you're perfectly
>> normal.
[quoted text clipped - 9 lines]
>
>Yolande

  One point to add:   Vigorous exercise can improve your sugars for up to
24 hours.    You pay a price at first (liver dump),   then reap benefits for
hours afterwards.

 The exercise liver dump is caused by the release of stress hormones,  not
really related to the Morning Effect/Dawn Effect,  etc..    The body sees
the exercise as stress and acts accordingly.

Regards
 Old Al
Yolande Smith - 07 Nov 2005 16:08 GMT
> Yolande Smith wrote in message ...
>>
[quoted text clipped - 25 lines]
> Regards
>  Old Al

Oh for the days before type 2 Dx when all this was taken care of by my
automatic (autonomic?) system.

Yolande
VBHol - 07 Nov 2005 16:04 GMT
>>6.6 is nothing to worry about after exercise.  Relax, you're perfectly
>>normal.
[quoted text clipped - 9 lines]
>
> Yolande

Eating before swimming I suppose is the same as any other exercise
except that the buoyancy affects the digestive system - a wild guess.

However depending on what you eat, you can guesstimate the time of the
peak BG after eating and start exercising around that time in order to
burn it as it hits your system.  For me, it tends to be porridge which
is a little slower than most carbs and should be 60-90 mins from first
bite.  I tend to be exercising before that point so there is a slight
danger of indigestion but I have only had it once.  Having said that so
long as I am being "good" and sticking to my routine I rarely have
indigestion which I did frequently before taking control.

Now that I have had 6 months of falling off the wagon, I am getting back
to routine again.  This means gym 3 mornings a week before work and
losing the extra kilos I have put on.  At dx I was 102kg falling to 77kg
after about 5 months.  Now I'm back to 84 so I desperately need to shed
some weight.  I never did reach my target of 76.  Want to race to lose a
stone ? ;)

I'll find out how much damage the last 6 months has done to my a1c and
other tests by the 22nd.

VBH
Pete - 11 Nov 2005 10:20 GMT
>> 6.6 is nothing to worry about after exercise.  Relax, you're perfectly
>> normal.

>First time anyone has told me that for years! :))

>I tested about 20 minutes after but hadn't had much of a breakfast because I
>intended to swim - so the liver dump is quite a possibility.  I suppose I
>will get used to all this eventually and I have managed to lose over a stone
>in weight.

>Thanks for your support.
>Yolande

When you exercise, you burn the available energy in your blood system
first. Takes about 15/20 mins dependant upon exercise rate etc. After
this, you then begin to metabolise whatever is in your gut. Most
diabetics will not have a great deal so as your BG starts to lower and
when it gets to a trigger point, then nutrient is obtained from the
gut. If there is not much there then you start to burn the available
reserves stroed as fat about muscles. If you have little fat reserve
or the rate of energy requirement is too great then your liver will
dump to take up the slack until the fat is metabolised.

If you have weight to loose then fine, if not then when the liver
dumps you will end up weakening quite quickly. The tell tale sign for
me is when after a bout of heavy exercise I feel hungry. That means I
have nothing in my gut to metabolise and what fat I have [not much]
will take too long to kick in so I become damn useless.....tired and
feeling awful. if I get into this state I just sit down and nod off
for a few minutes and I can recover after about 15 mins [when the fat
burn kicks in].

The problem with a liver dump after exercise is that it does so only
once and then takes some time to recover. Whilst recovering, it bleeds
nourishment from the gut/fats and the net result is that after your
standard meal, you will feel hungry again sooner than you might
otherwise have done. This will tend to lead you into eating more than
you would want to and probably have an urge for something naughty.

I am very fit and from my experience I'd advise you to be wary of
feeling 'hunger pains' or a 'hollowness' in your gut during strenuous
exercise. If you do get this then you might like to ease off. When it
happens to me I pack it in altogether and review my pre exercise
meals.

If I know that i am going to be exercising or doing heavy and or
prolonged physical activity, I feed beforehand [the preceeding normal
time meal] based on my anticipated work load.

I think of it this way - I have a leaky fuel tank so I must only put
in what i intend to use. If I need more than planned for then I have
to stop and re fuel.

Fuel?? Well I decide on what to eat based on physical exercise
[anticipated] and how long I might have to go before the next meal.

I have discovered that I can last for a damn long time on a fried
breakfast.

Congrats on the weight loss but please be careful not to loose more
than will give you optimum benefit. Going too far will present you
with an impossible situation......trust me. Been there.

HTH
fastmoggy - 12 Nov 2005 13:03 GMT
>>> 6.6 is nothing to worry about after exercise.  Relax, you're perfectly
>>> normal.
[quoted text clipped - 62 lines]
>
> HTH

Thanks for that reply as it has answered a few questions i was going to ask!
Lurking paying off! LOL

Well i thought along the same lines.

When i exercise, normally cycling which involves a 3 mile route with a very
steep hill either way, ive noticed my levels drop within the 15>20 minutes
you mentioned. I was already aware of this as i take Gliclazide (only 40Mg a
day) but the effect can be quite noticeable if symptoms ignored and a 2.4
after one such ride has made me more aware of this!
Well net result is that when i do go out for that ride i always have on hand
some Dextro energy tablets just in case but i normally have a quick nibble
on something before i do go out and no problems since!
Now winters here im thinking of taking up swimming as part of my exercise
regime so any additional advice on that much appreciated

DX'd Type2 June 2004 HbA1c 6.9>5.2  113Kg>83Kg 40Mg Gliclazide(which i can
now pronounce! LOL) daily.
MOT next month (why on/ near your birthday?) i can remember to go in the
summer!

Cheers
Chris is a sunny but cold Nottingham
Yolande Smith - 12 Nov 2005 15:10 GMT
> On Mon, 07 Nov 2005 14:45:51 GMT, "Yolande Smith"
>> If you have weight to loose then fine, if not then when the liver
[quoted text clipped - 5 lines]
> for a few minutes and I can recover after about 15 mins [when the fat >
> burn kicks in].

I am not fit and I have weight to lose - so these are not my problems :((

> The problem with a liver dump after exercise is that it does so only
> once and then takes some time to recover. Whilst recovering, it bleeds
> nourishment from the gut/fats and the net result is that after your
> standard meal, you will feel hungry again sooner than you might
> otherwise have done. This will tend to lead you into eating more than
> you would want to and probably have an urge for something naughty.

Always have the urge for naughty things and get really bored by this need to
be good.

>> Congrats on the weight loss but please be careful not to loose more
> than will give you optimum benefit. Going too far will present you
> with an impossible situation......trust me. Been there.

When, if ever, I get there I'll let you know! :))

Yolande
Type 2
Pete - 17 Nov 2005 21:26 GMT
>> On Mon, 07 Nov 2005 14:45:51 GMT, "Yolande Smith"
>>> If you have weight to loose then fine, if not then when the liver
[quoted text clipped - 5 lines]
>> for a few minutes and I can recover after about 15 mins [when the fat >
>> burn kicks in].

>I am not fit and I have weight to lose - so these are not my problems :((

YET! - but in time you will get fitter and you may be
surprised at how much weight you can loose.

>> The problem with a liver dump after exercise is that it does so only
>> once and then takes some time to recover. Whilst recovering, it bleeds
>> nourishment from the gut/fats and the net result is that after your
>> standard meal, you will feel hungry again sooner than you might
>> otherwise have done. This will tend to lead you into eating more than
>> you would want to and probably have an urge for something naughty.

>Always have the urge for naughty things and get really bored by this need to
>be good.

Snap - but I am sure your self control will develop as time
moves on. Fear is a great motivator.

>>> Congrats on the weight loss but please be careful not to loose more
>> than will give you optimum benefit. Going too far will present you
>> with an impossible situation......trust me. Been there.

>When, if ever, I get there I'll let you know! :))

Next Week??

>Yolande
>Type 2
Jackie Jacombs - 08 Nov 2005 23:45 GMT
> I've just come back from an hour at the gym - feeling very pleased with
> myself  - only to discover that my BG has risen from 4.8 to 6.6 mmol/l.
> Why does it go up after exercise, please?  And what am I doing wrong?
>
> Yolande

Yolande

Why the blood sugar levels sometimes rise during or after exercise.
This is a further explanation. The blood glucose level will increase from
exercise if there is a lack of insulin. The cells don't "understand" that
there is plenty of glucose in the blood stream. On the contrary they act as
if the body were starving. This is caused by the muscle cells having a lack
of glucose following a period of exercise in the presence of insulin
deficiency. The muscle glycogen is spent and due to insulin deficiency new
glucose cannot enter the cells. Signals are sent to the liver to release
more glucose from the liver's glycogen depot. Since there is a lack of
insulin the glucose will remain in the blood stream causing an increased
blood glucose level.

The signals to the liver are mediated by the hormones glucagon and
adrenaline. The increase amount of glucose in the blood comes from both a
break down of the liver's glycogen and a production of glucose in the liver.
At the same time there will be a breakdown of fat to fatty acids which are
transformed into ketones in the liver.

One can never replace insulin with exercise. When exercising the need for
insulin will be lower but if you exercise without enough insulin in your
body the bg will rise.

In other words you are doing nothing wrong and this is quite a common
experience.  When my daughter was first diagnosed with type 1 diabetes, if
she was high after school I would take her for a play and run around the
park next to the school.  Imagine my surprise when instead of the 10 -12
mmols decreasing they went even higher!!!  One DSN incorrectly told us it
was a rebound from a low!! But the senior DSN said that this was not the
case and it was a clear presentation of what happens with exercise when
their is a lack of available insulin.  At the time I didnt believe her! but
as soon as we increase the insulin this no longer happened.  Though
occasionally we do get an increase in the BG level if my daughter is extra
active and starts with a raised BG level.

Jackie mum of Sasha aged 11 pumping MM 712

Spero Melior
Yolande Smith - 09 Nov 2005 08:30 GMT
Thanks, Jackie for such a clear explanation.  That is very helpful.

Yolande
Type 2

> Why the blood sugar levels sometimes rise during or after exercise.
> This is a further explanation. The blood glucose level will increase from
[quoted text clipped - 33 lines]
>
> Spero Melior
 
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