blood sugar levels up and down despite meds and exercise

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LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5397
   Posted 9/28/2007 6:24 AM (GMT -7)   
Granny, I started this as a new topic so it's not lost in the longer thread.  This way, I hope you'll get more responses from those who are on meds and have experienced this.   Lanie
 
Granny2643 wrote:
 
"I recently starting a walking routine with the Parks Department. Much to my surprise my sugar is getting higher after exercise. I can't figure out what is going on. I am going to the doctor tomorrow to check my A1C. Last night at 10:00pm my BG was 67 so I thought I should eat something so it don't get too low while I sleep. I ate 1 oz. cheese, 10 grapes, 4 oz yogurt. When I woke up in the morning at 7:00am my BG was 127. I took 1 metformin and 1 glimerpiride. I decided to check BG again before walking. It was 160. At 10:00am it was 174. I took a januvia (which i had stopped taking because of cost and my BG was in good control). I came home and ate egg beaters, with 1 slice no fat Amer. cheese for breakfast. I laid down and slept for about 2 hours. I checked my BG again at 3:00pm and it was 94. At dinner at 5:00pm. pot roast, gravy, stewed tomatoes, salad. took 1 metformin and 1 glimerpiride. BG at 9:00pm is 108. I really don't think my dr. will have a clue but I will let you know what he says."


Lanie
forum moderator - diabetes
 
"pre-diabetic" controlled so far by diet and exercise
following low/no carb diet, no meds

Post Edited (LanieG) : 9/28/2007 7:30:26 AM (GMT-6)


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 9/28/2007 7:30 AM (GMT -7)   
Granny,

Your exercise may be causing lows during activity which in turn prompts your liver to do a glucogon to glucose conversion and causes the spike. For us it's better to eat before exercise instead of after. Exercise can affect blood sugars up to 12 hours after the activity so monitoring it immediately after may not give you a true picture of what is going on. Exercise enhances our ability to utilize our own insulin, as does metformin, but both of these things have to circulate thru the bloodstream and work on the body as a whole to change numbers. That might explain your 94 and 108 reading later in the day. The combination of exercise and metformin hits your body and takes effect a number of hours after the activity, then as it wears off overnight you have another spike. How about a little walk after dinner, too?

Also, are you eating low fat yogurt? That evening snack may have too little fat in it to prolong it's effectiveness. For that snack I'd choose either yogurt or fruit, but not both since they are both high carb. You may have better luck with nuts and cheese and fruit. Because of my blood pressure meds I need to eat bananas so my nighttime snack is crunchy peanut butter on a banana. These are only my opinions... not gospel so you still need to go over this with your doctor. Sometimes with this whole food plan/medication/exercise thing I feel like I'm juggling eggs while walking on a tightrope! A bit confusing to say the least!
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
~Please remember that 50% of all doctors graduated in the bottom half of their class! Yours may be one of them...
==================
"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."
- Elizabeth Kubler-Ross


tutorgirl
Regular Member


Date Joined Aug 2007
Total Posts : 235
   Posted 9/28/2007 8:03 AM (GMT -7)   
Granny and Jeannie,

I, too, have always noticed a spike after exercise, but it has never lasted too long, although I have had in the past months had a mid-morning dawn phenomenon. I recently changed meds to metformin and januvia so am waiting for awhile to see how those meds shake out.

Jeannie said what I was thinking about all of this...I just couldn't figure out how to explain it. You're good Jeannie. Maybe after a few more years, I will get it all figured out well enough to do some 'splainin'.

Good luck, Granny, and let us know what the doctor says.
===================
>Karen<
~Forum Moderator/Diabetes~


gelchick
Regular Member


Date Joined Aug 2006
Total Posts : 477
   Posted 9/28/2007 8:24 AM (GMT -7)   
Granny
 
As Jeannie said- you probably are seeing a glycogen (not glucagon- glucagon is the hormone that opposes insulin) to glucose conversion after you exercise- your muscles are unable to store much energy even if you don't have diabetes, and if you are insulin resistant- you store even less- so your body has to create the glucose you need for energy while you exercise.
 
I'd like to say something about the Januvia- it sounds like you take it like you would take an aspirin for a headache- it doesn't work that way. It takes from 2 weeks to 3 months to see the effects of Januvia. It has to build up in your body, and it works to keep you from spiking after eating carbs- it won't do anything for after exercise highs. If you only take it intermittently, it won't do you much if any good-
 
Also, if you want to eat yogurt- F A G E and OIKOS are greek style low carb/ high protein yogurts. Buy the plain in any fat level you want ( 0%, 2%, full fat), add a bit of your favorite flavored no sugar sweetner (I use vanilla flavored Stevia, lemon ,lime, koolaid)- I even mix in mocha flavored peanut butter at night sometimes.
 
good luck with your numbers
sandy
I just want to live happily ever after-every now and then. Jimmy Buffett


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5397
   Posted 9/28/2007 7:08 PM (GMT -7)   
Hi Granny, don't beat yourself up!  Take one step at a time, one positive step, and try to keep on track eating a good diet.  This will help your meds work better to keep your blood sugar down.  Keep on walking.  It's important to be consistant.  Buy one of those radios or CD players to clip onto your waistband to keep you occupied while you walk.  It will help you pass the time.  Or, get a walking buddy.  But the point is to do it everyday.  Keep a record, a journal or check it off on the calendar, put it on the refrigerator - when you look at all those checks, you'll be so satisfied that you accomplished those walks.  Remember - if you have any other questions, ask them here.  Several of our members also take the meds that you're taking, so they can help guide you, and of course this is with the supervision of your doctor.  Take care.

Lanie
forum moderator - diabetes
 
"pre-diabetic" controlled so far by diet and exercise
following low/no carb diet, no meds


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5397
   Posted 9/29/2007 5:05 AM (GMT -7)   
Good morning, Granny.  Yes, sometimes there are other things that are going on that effect us.  I hope all is better.  Being consistant is very important with the meds and exercise in order to level out the blood sugar.  Writing down the exercise as well as the food, etc. might help you "check one more thing off" and that can give some satisfaction.  Have you talked to your doctor about not sleeping?

Lanie
forum moderator - diabetes
 
"pre-diabetic" controlled so far by diet and exercise
following low/no carb diet, no meds


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 9/29/2007 7:16 AM (GMT -7)   
Granny,
You'll get this, it just takes some time. I've been diddling around with this diagnosis for almost 15 years so hang in there.

Sandy,
LOLOLOLOL! Thank you for correcting my brain fog. If you look at my signature you can see that I'm a fibro, too. My DH calls me his little space cadet! ... Glucogon, glycogen... what do I know?
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
~Please remember that 50% of all doctors graduated in the bottom half of their class! Yours may be one of them...
==================
"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."
- Elizabeth Kubler-Ross


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 10/3/2007 5:28 PM (GMT -7)   
Granny,
If you are living near a YMCA I would recommend joining. They have heated pools and you can walk in the pool without hurting your joints. The water provides resistance for your muscles and the water also supports your body weight, relieving the stress on your joints. Works for me! Also, I have dropped about 40 lbs. since I switched to the nothing white but cauliflower food plan and that helped my joints as well.

Good luck with this.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
~Please remember that 50% of all doctors graduated in the bottom half of their class! Yours may be one of them...
==================
"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."
- Elizabeth Kubler-Ross


linwill
New Member


Date Joined Feb 2005
Total Posts : 2
   Posted 3/28/2008 10:06 AM (GMT -7)   

I had the same results with my blood testings after exercise.  I am loosing weight eating right and go to the gym and when I come out my readings about 6 to 7 (Canadian) which is way above where I am keeping them..Normal is no higher than 6 and I am trying very very hard to keep them there.  I went through depression at the start like 10 years ago and played with denial off and on and more on than off.  This past year I lost 2 sisters one only 67 and the other 76 the year before a brother 70 and a sister 77.  They all had different issues from heart attach to kidney failure, to arthritis but only one had type 2...This has scared me straight.  I am the youngest of 6 now aged 61.  My advice to granny is to move a little and each day it will get better. 

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