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Fitness, Top Tips

How to handle a hyper mid-workout

When our sugar levels spike during a workout it can be super confusing and we are left not knowing what to do. Here are my tips on preventing sugar spikes and how to correct it!

Why do hyper’s hit mid-workout?

why hyper's can hit mid-workout

One of the main reasons a hyper hits mid-workout is due to adrenaline.

Your body secretes adrenaline to increase your heart rate and increase oxygen delivery to working muscles. Adrenaline also increases glucose release into the blood so you have plenty of energy to workout.

Normally, small amounts of insulin would be secreted from the pancreas to ensure glucose can be used as energy. Of course people living with type 1 diabetes cannot do this, so we must adjust our prep.

The aim of the game is to find trends during exercise, e.g. when you spike, when you drop and what helps you to stay in range.

Don’t panic if you get it wrong, sometimes we have to make mistakes to learn. I used to get it wrong all the time and it would result in me having to stop my workout.

Prepping to workout

There are so many factors to consider when prepping to workout, some to consider are:

sleep - hypers during workout
  • The type of exercise
  • Nutrition
  • Insulin doses
  • How much you slept on the previous night
  • Recent alcohol consumption
  • Stage of menstrual cycle

In order to get your prep right, you have to record and learn how certain factors impact your sugar levels. For example, if I sleep less than 7 hours the night before weight training, I can expect my sugar levels to spike. I have noticed this time and time again, therefore I know my workout prep requires more insulin.

The menstrual cycle is a big factor for women to consider. Sugar levels tend to spike at certain stages, so it is a really good idea for women to track their sugar levels over a few months and apply what is noticed.

In summary, take a few weeks/months (as long as you need) to track how your sugar levels react to situations. You can then adjust your nutrition, training method and insulin dose to accommodate and keep your levels in range!

Correcting a hyper mid-workout

cardio - hyper's during workout

We need to be careful not to over correct here, the last thing we want is to drop into a hypo!

The type of workout I’m doing decides how I treat high sugars.

If I’m weight lifting I will inject a bigger correction dose (usually 1-2 units) and swap to cardio based exercise until my sugars come back down.

If I’m doing cardio and spike (this is pretty rare for me), I will inject a smaller dose (1/2- 1 unit) and continue with cardio.

When sugar levels spike above 13mmol/L I would recommend stopping your workout and continuing once your levels return to normal. This rarely happens to me, but if it does, I will calculate a correction dose and go for a slow walk. This is how I treat hyper’s normally.

If your sugar levels consistently spike while working out, you need to bring this up when you see your consultant. They will help you make a plan and can give you tips on how to calculate your insulin doses based on your sugar level data.

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Thank you for reading how to handle a hyper mid-workout! I hope you found this useful, be sure to subscribe and follow me on Instagram!

If you liked this post, be sure to check out How to handle a hypo mid-workout! and my Simple guide to fitness with diabetes!

Education on Diabetes, Top Tips

5 ways to handle high carb meals

Sometimes all we fancy is a nice burger and chips, but the anxiety of our sugar levels spiking stops us.

Here are my top 5 ways to handle high carb meals, so you can eat that cheat meal and stay in range!

1. Nail your insulin to carb ratio

Finding your insulin to carb ratio should be part of your consultation with your endocrinologist.

Insulin to cab ratio is essentially how many units of insulin you need per 10 grams of carbs. If you know this number, it makes it 10x easier to figure out how much insulin you need for each meal.

If you are unsure of your ratio, be sure to ask your consultant at your next appointment!

2. Pair it with protein and good fats

Having a balanced meal with carbs, protein and fat is essential. The presence of fat and protein slows down the digestion of carbs, slowing down the absorption of sugar. This really helps to keep sugar levels balanced post mealtime.

So ensure you are having a portion of protein – a palm sized portion of meat/fish/tofu, or 2-3 eggs for example.

Also ensure you are consuming good fats with your meals – by good fats I mean unsaturated fats. E.g. extra virgin olive oil, avocado, hummus, nuts, seeds etc.

3. Staying active is your bestie

walking - high carb meals

Another trick I like to use when eating higher carb is to walk post meal.

I like to go for a leisurely walk with my family/friends for around 30 minutes, or until my glucose comes back down into range. I will usually begin walking when my glucose goes above 9mmol/L with sharp rise (arrow pointing up on my FGM).

This not only keeps sugars balanced, but it is also a lovely routine to get into for socialising and for mental health!

4. Go for brown carbs

 brown rice- high carb meals

If you can, opt for brown or wholegrain carb sources. I know this is harder when eating out, so don’t sweat it if you can’t – it is fine to eat white carbs every now and then!

The reason I recommend brown carbs is because they contain higher amounts of fibre, protein, essential fatty acids and micronutrients than white carbs.

Therefore, opting for brown for the most part of your diet is adding essential nutrients!

5. Give your insulin enough time to kick in

Another tip I have is to give your insulin enough time to kick in. This amount of time varies between individuals, but it is a tip that has helped me so much!

Before higher carb meals (for me that is 60g of carbs or more) I will inject about 20 minutes before eating. – This works wonders for me, if you want to try out this tip I recommend starting slowly to avoid hypo’s.

So start with injecting 10 minutes before eating, then increase or decrease this time if you spike afterwards. Set a timer straight after you administer the insulin so you know exactly when to eat!

Experiment and adjust this time until you find what suits you! – Using an FGM or CGM is especially helpful for this!

timer - high carb meal tips

Thank you for reading 5 ways to handle high carb meals, I hope you found this useful! Be sure to subscribe and follow me on Instagram!

If you liked this post, be sure to check 5 ways to improve digestion! and 5 Easy ways to lower your HbA1c!