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I pay very close attention to my blood sugar at all times, testing it as much as 10 times a day. I always test my blood sugar immediately before and after workouts, and during workouts of over 2 hours. Ironman training is difficult enough by itself, so battling high or low blood sugar hurts my workouts and cripples my performance. I work very hard to control my blood sugar so that my diabetes does not control me.
I train approximately 18-22 hours a week, twice a day, preparing for and during the Ironman triathlon racing season in North America, May - November. My weekly training varies in intensity, volume and workouts as I prepare for and/or recover from specific races on my schedule. For this reason, I do not have an "typical" training week.
Managing blood sugar on race and long training days is a lot of monitoring and correction, and paying attention to signals from my body. Although I attempt to keep a stable blood sugar during workouts, I accept that such stability is often impossible, thus I always have a plan and nutrition and insulin available to quickly correct blood sugar fluctuations. I eat a consistent diet and adjust my insulin dose based on my pre-workout nutrition. I always have high carbohydrate sports drinks and food during the workout to correct lows as well as provide fuel to workout at all.
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