Jul 11

Heat safety is something I am acutely aware of on a personal level.  As a diabetic athlete, it is of even greater necessity because I can use my senses to identify low and high BGs.  However, when high heat temps, and high humidity hit my BG sensitivity is thrown out the window.  This is because I am constantly thirsty, always a little tired and may or may not have a heat headache.

I found this guide made by Gatorade for the NFL (and football players in general):

Beat the Heat – Gatorade

It’s a pretty good guide and very informative using football references to make their points on heat safety.  The points are quite clear — prevent, prepare, hydrate, and plan.  I have to admit, my plan for heat stroke would obviously not to hit that point, and to be aware enough before that point to seek professional help, since I usually train alone.  But for preventing, knowing the symptoms are key.  One thing I did not realize is that it can take 10-14 days to acclimate to warmer conditions.  However, the biggest point is to hydrate regularly and properly.  Replacing electrolytes and sodium (and sometimes carbs too) seem like a no-brainer these days, but it was not too long ago when that was not as common knowledge.

Personal Story
As a kid, I once had the unfortunate experience of an ambulance ride and ER visit.  During the summer months of June, July and August from a young age, we learned how to race sailboats.  All day, every day; with a break at noon on land for lunch.  One day I passed out during lunch.  An ambulance was called, and the people around me knowing I was a Type 1 Diabetic, the EMTs instantly administered Glucose via gel under my tongue.  However, by this point I was already coming to (since I was being fed Coke from the fountain).  Upon being admitted to the ER, I learned that I was both dehydrated AND had low sodium.  A disastrous combination – with a slightly low, and at that point in the ER I was trying to lower my BG after way too much soda and Glucose gel while they got fluids into me by IV.

Learning Experience
Stay hydrated, watch the color of your urine.  And make sure you urinate regularly.  And test frequently (like I really needed to say that).

Jun 29

http://blogs.fasterskier.com/krisfreeman/2009/12/02/nerves-of-sugar/

As a diabetic I have to balance the “fight or flight response” on my own. I get nervous before a race and release sugar just like everyone else. Unfortunately my regulatory system is broken and I have to give myself the appropriate amount of insulin. This is where things get tricky.  How nervous I am affects how much sugar I release into my body:  more Nerves equals more glucose . The difficult  part is there is no real way to monitor how nervous I am.

-Kris Freeman, 12/2/2009

This post by Olympian Kris Freeman really gets me thinking.  How to monitor your nerves to find out how much the natural release of sugar into your body? It’s not just elite athletes like Kris that have this happening, this happens to me all the time on the bike, on boats, or even heading into a big meeting.  Your body has a physical response to a mental stimulus. 

I personally have found some correlation in the length of time I spend “nervous” – basically preparing and how long/how high the BG can go.  In sailing, there is a half hour-to-fifteen minute period to the start where I will spike.  When cycling or running, it really depends how long I am waiting around to start.  The more time spent standing around, the higher I will go (the more time I have spent thinking rather than doing).

It would be interesting to see if any breathing or relaxation exercises have any effect.

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