A friend of mine is recently lower-carb paleo and has T1D. He experiences a "low" when he wakes up and after a good riding practice.
Usually he drinks Orange juice to bring his sugars back up then also experiences another low then. He would usually have a sandwich or chocolate then to stabilize that low.
He just had an appointment with his diabetes dietician..who says he should incorporate more healthy grains and bread into his diet. I told him that shes an idiot.. anyways, they adjusted his basal insulin and his bolus for the day is also signifigantly reduced now. All the lows were before adjusting the basal so I dont know if they will now go away or not.
any suggestions to problem solve a low would be greatly appreciated.
asked bydurward (229)
Get FREE instant access to our Paleo For Beginners Guide & 15 FREE Recipes!
on June 27, 2013
at 08:59 PM
My question would be: What is he eating prior to working out or going to bed? Making sure he has plenty of protein and healthy carbs before the workout are key to avoiding blood sugar drops after working out or upon wakening.
After the workout, eating some protein and fruit is good, too.
Also like someone else mentioned, the glucose tablets are a good option, too.
on June 27, 2013
at 07:35 PM
There are a few Paleo for Diabetics and Type 1 diabetic athlete facebook groups he can join as a support/knowledge exchange. Moderate exercise uses glucose in the blood as a primary fuel. Post workout or moderately strenuous activity he is likely more insulin sensitive. I usually cut my bolus in half and still end up eating extra. Dr Sheri Colberg has a blog and a book "The Diabetic Athlete's Handbook.". Her recommendations for food are not Paleo but there is some basic info in the book and on her blog that is useful. He can use Paleo food like a yam or banana to stablize. They also make glucose tabs that are pretty natural and gluten free. The tabs are best as it is a metered response.