So I actually missed my morning gym practice today. Whenever I do something like that without advance planning it trips the guilt wire. Since I cannot plan for every potential incident, I am forcing myself to let go of the guilt and just make alternative arrangements.
I worked pretty hard yesterday in the gym. Walking away, it was another excellent session and yet another step in an overall positive adventure. My mind unfolds with all sorts of possibilities where I am actually good at this exercise stuff, and I figure out what, when, how much food to eat to continue the cycle. Simple things, really; my primary goal with all this stuff is not being thin and trim and looking fantastic so much as it is to stay healthy and do everything in my power to not have to begin taking the diabetes drug cocktail to keep my blood sugar in check.
Now, without medication, in 2 days I have had 3 low incidents. The first was Monday middle of the night, then Monday midday, around lunchtime, and then again this morning when my alarm went off, which was the worst of the 3. Hence my skipping the gym this morning in favor of going back to bed. That 49 is damn scary, and even with a banana and a can of juice in my system I was only at 88 a few hours later.
While I am not crazy about Kaiser the system, I do like my endocrinologist very much. I emailed him at 4:20 and he got back to me before 7. The combination of the HRT and the exercise is most likely culprit, and my system will adjust. In the meantime, he suggests eating a little more before and after workouts, ensure I have some stable carbohydrates in my system before I go to bed. Also continue to test throughout the day, especially after workouts. He is sending me a referral for follow-up with the dietician to help with my eating. If it persists, I have to go in to see him.
Sensible reassurance and advice, simple and to the point. I like that. The lows are uncomfortable and can be frightening. All the same, I’m encouraged. I actually sort of happy they happen when they do and that I now recognize the signs. And I am not giving up or cutting back on my exercise pursuits and have every intention of trying my best to keep up the pace, but I am going to have to continue experimenting and modifying my eating to ensure I stay fueled enough to avoid the crashing lows.
It could be so much worse, and trying to refine my eating habits is an ongoing project anyway, so this is just another layer to factor into my equations.