Glucose rise during a match

Hello everyone, I want to tell you the values ​​of my son during the basketball game that he has played this afternoon, because I have some doubts.Sorry for the roll but I want to give you maximum information so you can help me.The game has been at 4pm, but they were summoned at 15: 15h to start warming.He has started eating at 12:45 p.m.(The game begins) It was in 145, at 4:40 p.m.: 30h I was at 98 at home.It has not taken juice or anything (only water) during the game.What worries me is that 197 that has reached, I do not know if it is in a normal value when doing intensity sports, because I am concerned about the issue of ketoacidosis but I still do not understand well or when it occurs (in sport).Also tell you that he has played in the 4 rooms, the third of them (10 minutes), they were nervous because they had to win if or if to be able to pass seconds to the next phase, I say it because I have read that this can also influence theglucose (adrenaline).By the way they have won 5 points, it has been very disputed.Thank you !!

Good @Elisa74 is totally normal, more, the values ​​are great.

Ketoacidosis occurs when you have lack of insulin and high glycemia values, it is more ... it is difficult to have ketone bodies even with high blood glucose while you are putting insulin.

Let's say this issue has to worry you when the constant mean of blood glucose is for example 250-300 and glycosylated above 9.

There are many times to start the exercise with 200 and so quiet ... as you see ... even having that 197 the post exercise has been nailed to 98 ..... if instead I would have uploaded only up to 140 p.e.... the post exercise would have ended in hypoglycemia ...

All good ... Don't worry.

Hi @Elisa74, I don't know if you have been told that the Freestyle meter with the right strips tells you the ketone bodies.These strips give me in the health center to measure them in case of getting bad if I have the high glucose <img alt = "" class = "img-fluid mb-3" src = "https: //www.diabetesforo.com/Uploads/editor/bv/qjbkjtyabzgf.jpg "style =" max-width: 300px;

Hello,

Without being a doctor and of course you should consult with a sports doctor, I think what you say is normal.

I have always been told that when you start a physical exercise, the first thing to what is grabbed to consume energy is the sugars, first those in the blood and if the liver is not enough expels to take them to the muscles thatThey are the ones who need it urgently.It is not until past as a half hour in which the body begins to use other substances to consume energy, that is, fats, lipids etc. That is why I have heard that if you want to lose weight you have to exercise more than half an hour because only if onlyYou do it a little time, you burn other calories but not fat.

What I tell you take it with the caution due since I am neither a doctor nor have I ever considered checking whether this is true although several people have told me.

High intensity sport is normal for glucose and a game between nerves and intensity can rise a lot.It depends a little on each person and the type of exercise.He almost always rises to me.
Ketoacidosis is not easy for it to occur, due to a timely climb, or ketones are not available.Even making ketogenic diet that always has ketones a peak glucose does not cause you ketoacidosis.For that, it is necessary to be without insulin for a while and if you use bolis you always have the basal (there would only be a risk if you forget a dose or if you have high glucose for days).If you use pump there is a risk when it is blocked and does not put insulin in the body for a while.There is also a risk of ketoacidosis in gastroenteritis due to dehydration and loss of salts, in those cases always continue to put the insulin necessary to be in normal values ​​and take sera with salts not to dehydrate.
But for a timely climb do not worry.In addition, sports increases are often corrected as you comment and in a few hours they are in rank again.And if the climb is for something else and do not go down alone then you put quick and fixed.

Totally agree with what they have told you!
All normal.
The Stress of the party made that as a defense mechanism generate glucose of its reserves.A punctual climb that will never produce ketoacedosis.In fact, that saved him from a hypoglycemia in full party.A situation to avoid.
Greetings and keep enjoying sport

Thank you @marine, you leave me calmer, it is not well understood by the ketoacidosis process, and the endocrine has not explained anything about it either.If he told me that if the boy was in 250 he could not play sports, then of course I was seeing in the app how the blood glucose was going up (when he was close to the mobile on the bench) and did not know if when he reached 250 he had himWhat to say to stop playing ... would you have to stop playing if next time for whatever it puts in 250?I mean ... I suppose it is not the same to have 250 before playing sports (at rest) than if you are doing sports and it goes up in a timely manner, right?But I don't know if in both cases you have to refrain from sports ... That is my question ...

Hi @Lalonsoa, the truth is that neither the endocrine nor the educator have told me anything about the ketone bodies, in the next appointment I will tell it because I understand that it is an issue that we at least have to be informed.

Hi @colt, yes, it's what I had read on the subject, thanks.

Thank you very much for the explanation @yessica_a !!

Thanks @jldiazdel !!!

@Elisa74 is looking for this on Google "Cetosis-no-e-lo-mismismo-which lameteoqueviene" and enters the first link that comes out that explains everything very well and in a lot of detail.It is a page of a pediatrician who knows a lot about these issues.You are clear about asking the endocrine.Most give you an explanation well above and do not understand it well or confuse things and it is good to be clear when there is risk and when not.

To do sports in 250 is not the same to start doing it (which is not recommended) than to start in good figures and then go up.It is not necessary to stop if you see that you go up because as you have already seen you once ends the game then goes down alone.It is a normal body response that in diabetics reaches higher figures but in a non-diabetic can also reach 150-160 perfectly.In non -diabetics the body compensates a little with insulin and that's why they don't go up anymore, but if your son then goes down, don't worry.And if you do not go down alone you can put a little quick but always taking into account that the effect of the exercise will make much more effect.

And normally, cardiovascular exercise usually lowers glucose and very intense exercise usually rises.For example, run at average or soft rhythm, bike, walk ... usually go down.Weight exercises, sprints, or any very intense effort where you go up.In the case of basketball when they run they make butt sprints and several times during the game so it is normal to go up.Also if you join the adrenaline of a real party because it could rise even more.In training they probably do not go to the top or high adrenaline and do not upload it so much.The best thing is that you do not have an active insulin so that you do not give it hypoglycemia and once you finish the game or training you see.If you go down alone then you do nothing and if you don't go down you put a little quickly.

@Elisa74, the ideal answer is no, if it is in 250 pre -exercise, the ideal is previously correcting with insulin.

It also depends a lot on the year because if it is hypoglycemic, it will not have problems either.

He thinks that ketoacidosis occurs mainly in people that diabetes with them is not going.

Thanks again @yessica_a, I will look for the link you tell me and read it before the appointment with the endocrine that we have next week.Yes, the truth is that in their category (cadet) they play with great intensity and the sprints are continuous.
Thanks @marine !!

@Elisa74 The explanation that gives you @yessica_a basically internally of the body and well above is ...

If exercise demands energy very quickly, the liver that has a glycogen reserve releases it for that energy that the body needs ... This is equivalent to intensity.

If the exercise is of low intensity but prolonged the liver does not act but the body takes it from the bloodstream so it has a hypoglycemic effect.

It also helps to understand this image that I recently knew her and is great.

This great @marine, thank you very much !!!

@ Elisa74, a value of 200 or more, you can find it many times.If it's sports, you will go down alone.If not, it can be corrected with a fast unit.
And if repeated at the same time for three days, the insulin that acts at that time will have to be increased.
And to enter a severe ketoacidosis, it would have to be for days with high values ​​maintained or reach very high values ​​if insulin was not put on.
Mild ketosis run quickly as soon as the control is recovered.

elisa74 said:
hello to everyone, I want to tell you the values ​​of my son during the basketball game that he has played this afternoon, because I have some doubts.Sorry for the roll but I want to give you maximum information so you can help me.The game has been at 4pm, but they were summoned at 15: 15h to start warming.He has started eating at 12:45 p.m.(The game begins) It was in 145, at 4:40 p.m.: 30h I was at 98 at home.It has not taken juice or anything (only water) during the game.What worries me is that 197 that has reached, I do not know if it is in a normal value when doing intensity sports, because I am concerned about the issue of ketoacidosis but I still do not understand well or when it occurs (in sport).Also tell you that he has played in the 4 rooms, the third of them (10 minutes), they were nervous because they had to win if or if to be able to pass seconds to the next phase, I say it because I have read that this can also influence theglucose (adrenaline).By the way they have won 5 points, it has been very disputed.Thank you !!

Good morning.I have been a basketball player and currently coach.For more diabetic since the age of 8.

The first thing I have to tell you is calm.

It may have been a punctual peak (perhaps because insulin has not been well absorbed, I imagine that it would be put in the abdomen - or if perhaps in the ass - since in legs and arms it is counterproductive for the practice of basketball), the nerves, whether or not he has worked (although I imagine that with +5 the party will have been disputed), the condition of the aerobic and anaerobic sport basketball (you are not always making efforts. It is not an individual sport), etc.

Congratulations.

@ignacioloenzo It would be interesting to know how you act in this case with basketball to have feedback.

When I played there were no patches.He wore the glucometer and juices.I put less insulin and ate a little more (mainly paste).I already retired.

As a coach I have not had any diabetic player, but in my club there has been any.

My club at the beginning of the season in the player's registration there is a section that puts "diseases."Coaches must know that this player suffers from a disease, an allergy, etc.It is the responsibility of parents or guardians to indicate it in the document.If we are not blind.

In training and games, the player and his feelings send.I recommend glucometer measurement (because with patch you can't play) in breaks.We and any string person will not play with the health of an athlete.

The Real Madrid Nacho player is diabetic.But of course he has a medical team behind Brutal.

Hi @ignaciolorenzo, how well to have you here !!!My son always carries in the backpack in training (or now in matches) the glucometer (apart from juice, gluacagon, glucose ..), but if he trains and plays with the free2 sensor, more than anything because if he takes it awayIt is no longer useful, he puts on a bracelet on top and has not had any problems.As you say, it is more guided by his feelings, in fact last week at some train (he has 3 a week) he did not pass the mobile through the sensor and I got angry at him because I told him that it was important that each measure was measuredHalf an hour or so, but he told me that he was fine and that that's why he hadn't looked at him ...It does sport even if it feels good.
The coach, physical trainer, physio, his companions ... are knowledgeable about his situation, they know that he carries the glucagon in the backpack in case something happens, the truth is that in that aspect I am quite calm.
Thank you very much for your words !!!

@Elisa74 As the partner says ... the sensors are very recent ... I have been with diabetes 20 years and learning to detect in your body how you feel is essential, in fact very rarely will have asymptomatic hypos ...

Be calm because an excess of insulin is more dangerous than an exercise to detect hypo.

elisa74 said:
hello to everyone, I want to tell you the values ​​of my son during the basketball game that he has played this afternoon, because I have some doubts.Sorry for the roll but I want to give you maximum information so you can help me.The game has been at 4pm, but they were summoned at 15: 15h to start warming.He has started eating at 12:45 p.m.(The game begins) It was in 145, at 4:40 p.m.: 30h I was at 98 at home.It has not taken juice or anything (only water) during the game.What worries me is that 197 that has reached, I do not know if it is in a normal value when doing intensity sports, because I am concerned about the issue of ketoacidosis but I still do not understand well or when it occurs (in sport).Also tell you that he has played in the 4 rooms, the third of them (10 minutes), they were nervous because they had to win if or if to be able to pass seconds to the next phase, I say it because I have read that this can also influence theglucose (adrenaline).By the way they have won 5 points, it has been very disputed.Thank you !!

I think that the simple fact of getting nervous or stressed by the game, the levels rises .. I can rise more in moments of stress or nerves than by food ... and the endocrine told me that it is normal ..,,,!

The level rise is normal, more in an intensity sport in which you pass from aerobic to Anaerobic levels very frequently and more adrenaline.With ketoacidosis I would not worry, the high glucose levels have to be kept in time, and if then it went down, everything resolved, do ketones and salts of doubts, something would come out but it would be by the exercise itself.
A +75 rise is normal, then you can lower it or the body itself absorbs it.