In this video, Dr. Ergin will discuss what to eat before and after exercise, if you have diabetes. With type 2 diabetes, you want to get the most out of your exercise regime and that is why you will need to eat the right way before, during, and after you work out depending on your blood sugars. Exercise impacts your blood sugar, so you need to make sure your sugar levels aren’t too high when you start exercising, but also not too low so that they’ll not drop during or right after your workout. For that reason, people with diabetes can’t disregard blood sugars and possibly eating a small snack before working out. this helps maintain blood sugar levels before and after exercise. In this video, Dr. Ergin will clarify how and when, and why diabetic patients should eat before, after, and sometimes even during exercise.
Hi everyone today we are going to talk about what to eat before or after exercise or do you have to eat before and after exercise right that questions also come up frequently in my diabetes practice i’m an endocrinologist by trade and i love treating patients with diabetes and i’m hopeful that this video will teach you something now let’s go back to what type
Of diabetes you have so if you are on agents that does not cause low blood sugar let’s say you’re on metformin only or you’re on metformin and olympic or metformin and trulicity metformin and jardine’s the agents that does not cause low blood sugar is generally okay and you don’t have to worry too much about exercise the only time you really need to worry about
Exercise causing low blood sugars is when you are on an agent such as a sulfonylurea glipizide glyburide gilliam up ride any of these agents can cause low blood sugar either during or after exercise that remember any time you exercise your blood sugar may drop during the exercise especially if it is a prolonged exercise or a longer exercise or it can drop within
The next 24 hours and that is because any time you exercise the effect can last up to 24 hours and many people do not realize that so they go exercise in the morning and later ten hours later they may have a low blood sugar because they took what they normally take with the insulin and the same insulin works much better on the days that you exercise so you have
To pay attention to that part and what to do immediately right before the exercise depends on how much insulin you took before how long before you took it and what your blood sugar is at the time right now so there’s a lot of questions to be answered so if you’re on a continuous glucose monitoring system such as dexcom freestyle libera or whatever it may be
And if you know how to manage those devices like you need to understand how the arrows work up arrow down arrow diagonal arrow and you know there are a lot of factors that play into decision making and it may not be very easy at all time so if you’re not very sure you may want to ask to someone but that someone is not available to you always is it no it’s not so
That’s why we came up with actually sugar and is calm so you have the app and you can even text from your cell phone and ask a question what to do at this time and we will assess your situation and give you an immediate answer to prevent a problem and that will also be at training for you so in a similar scenario you will know what to do but if you don’t have a
Trainer if you don’t have a professional helping you side by side at all times during your life and during different events during sickness during exercise when you’re in a party etc etc a lot of things changes your blood sugar and can give you unexpected results so your blood sugar may be perfectly okay one day and very high next day and to avoid the scenarios
You really need to be able to tweak your regimen and understand how medications work how your body reacts anyway so the the so i will give you a quick example let’s say you are your this is gonna be a simple example let’s say your blood sugar is 110 and you’re on once a day insulin so if you’re going to go to the gym for an hour it’s not a bad idea to consume
A rapidly absorbed carb and that’s not necessarily you know i’m not asking you to go eat dessert but you can have a banana or something like that that has thirty to forty grams of carbs that can carry you through the exercise if you are worried about and as i said you’re only worried about low blood sugars during or after exercise if you’re unsafe anuria agents
Or if you’re on insulin if you have taken insulin let’s say two hours ago a short-acting insulin in this case you know that the short acting insulins or you should know that the short acting insulins actually lasts up to four hours so we call that active insulin time so if i took insulin a short acting insulin two hours ago i have or i will have insulin two more
Hours in my system and if my blood sugars are already trending low or it less than 120 130 and i know it’s gonna go down further because i have insulin in my system so in that case i would eat snacks before my exercise and during the exercise if i am exercising more than thirty minutes i should stop and check my blood sugar and see where i am and then once you do
That a few times and if your exercise pattern is similar then you will understand how your body is reacting so checking more often is definitely helpful and then after you exercise if you’re starting the new exercise regimen it is not a bad idea actually to keep an eye on your blood sugar’s every two to three hours for the next 18 to 24 hours just to see how your
Blood sugar’s are trending just because if you are keeping the same diet regimen and especially if you are trying to lose weight you may end up having low blood sugars unless you make adjustments in your insulin or other medication regimens again we don’t expect you to make very correct decisions with your medications with diabetes and so many factors contributing
To it again ask your doctor if they are available and if you are one of our patients you know you’re going to hear back from us within seconds or minutes after your text or your call now with that being said if your blood sugars are let’s say 200 you may not have to worry too much about it you can just go exercise and and then see what happens maybe two hours later
But i wouldn’t be too worried unless you’re going to a marathon and you’re gonna be exercising very intense intensely then then you may want the mantra more often but if you’re gonna go on a treadmill your blood sugar is 200 you don’t have insulin in your system that was recently taken then you don’t have to worry too much about that now sometimes you will also
Notice that your blood sugars are actually going higher when you’re exercising and that’s not uncommon so what happens when you exercise your body creates this adrenaline discharge it is a stress response a temporary stress and adrenaline goes up to try to come up with is necessary blood flow through your heart so your blood since adrenaline is a hormone that
Goes against the insulin for temporarily your blood sugar may go up a little bit higher but that’s not going to last too long immediately after exercise your adrenaline goes down and then you become insulin sensitive and your blood sugar may go a totally opposite direction so again understanding your body how you’re responding check your blood sugar before if
It is on the low side eat a snack check it again in the middle of the exercise if it is more than thirty minutes and then you can continue to monitor after the exercise is done every two to four hours and if you know how your body is reacting and if you know your routine you may not have to do that every time you exercise but at least initially to determine how
You’re reacting to the exercise it is not a bad idea again continuous glucose monitoring systems make the life a lot easier at um news.com you’re always there for you to answer your questions and with that we are going to conclude and we’ll see you next time so if you have any questions ask for a free consultation from sugar and be ziko you
Transcribed from video
How to exercise with diabetes WITHOUT Having Low Blood Sugar ! By SugarMD
