From cutting A1c’s in half, to diligently maintaining a low daily carb per day diet, Bob Hodges is the pinnacle of management compliance in the diabetes world, with one problem.
Bob’s biggest issues are lows, especially after athletic events. Low’s are most commonly associated with type 1 diabetes, but not in Bob’s case. He was diagnosed with Type 2 a cool minute ago. Through diligent daily sports routines and with focused discipline on his food, he has been able to get off all medications. But for some reason or another he cannot keep his BG’s up.
Starting in the hundreds, Super Bob runs a couple miles, eats/drinks a low carb item to stabilize his BG, checks several times, runs like a hundred more miles and then bottoms out. Bob is 69 years young BTW. Especially after consecutive athletic events, Bob’s BG’s (great name for a low food store/ BBQ restaurant) are just not coming up. This is where DASH comes in, to help Bob design a strategy with nuances to keep up his physical exertion, while maintaining his BG’s in range without lows. Before we go into our not-so-secret strategy, we want to discuss another one of Bob’s issues, one commonly shared by many others with Type 2 or pre-diabetes.
For type 1’s they might use the term, type discrimination, but we are not talking about the ignorant responses of general society and/or the media. We are talking about the T1D personal experience that subtly and overtly throws shame, judgment and disgust on the Type 2/Pre-Diabetes community. For many folks, the loss of power, anger and fear surrounding just the word “diabetes”, obstructs awareness. Obesity, fat, and laziness do not cause diabetes, period. Scientifically speaking, in a low glycemic nut-shell, fat cells increase the risk to develop high blood sugars.
Run on sentence over, Hi, no not hello, BG tangent starting. BG check, sugar out of range, refused the urge to rage boils, drinking water and walking around the block to calm my spirit and let my active insulin work. Tangent/walk over.
Why is Bob going low? Have a clue, not a doc, but I do know it could be due to a large variety of variables:
- Burnt out glycogen storage
- Low starting BG
- Skipping meals in between
- Effects of alcohol can throw curve balls at your liver function, which affects your glycogen release or lack thereof
- Something strange in the weather
- Body fatigue without proper rest
- Symptom unawareness
- Seattle Seahawks Fandom
Turns out, our main man Bob is not only aware of all of these variables, he adds several more to the table.
What are some solutions to Bob’s constant lows? Glad you asked us, Bob. There are a couple studies out there (I would most def. Google it) about intense physical excretion leading to smallish BG spikes. It may not work for everybody, but for Bob it was another notch on his BG variable WFF Champion Belt. Other avenues could be to start at a higher target BG before the workout, give yourself rest in between workouts/extreme activity, higher pre-activity carb up, etc. The list, fortunately could go on and on because everyone’s diabetes is different, but our stories of struggle, survival, and life are roots to unite any sized gap.
Thanks for your ears and thank you Bob for being a role model for all people and especially for those striving to thrive because of diabetes. Old fart or not, you are still one of the best athletes thriving because of diabetes out there!