Nutritional guidelines for the athlete with diabetes
The impact of exercise on blood glucose and insulin levels
During exercise, insulin levels decrease, along with an increase in another hormone, called glucagon. This effect causes your liver to produce more glucose. As a result glucose levels can remain stable for about 2 hours of continuous exercise without any food intake. However during prolonged exercise of more than 60-90minutes, such as running, cycling or rowing, blood glucose levels tend to fall. There is some benefit in consuming carbohydrate (CHO) rich food during exercise to maintain blood glucose levels.
Repeated aerobic exercise increases insulin sensitivity and predisposes the individual with diabetes to hypoglycaemia (low blood glucose levels). The natural response during exercise is for insulin levels to drop. Therefore to mimic this natural response diabetics on medication may require an adjustment in medication as well. Hypoglycaemia can occur in people with diabetes who are taking insulin or certain oral medication.
Emphasis in the treatment of hypoglycaemia in response to exercise, is on medication reduction rather than increased carbohydrate intake from food.
It is really important that you speak to a dietitian and your doctor for personal advice especially if you are using insulin or other medication. You can find a dietician in your area by looking up ADSA (Association for Dietetics in South Africa).
The importance of carbohydrates
For optimum sports performance you need to consume a high carbohydrate diet, because carbohydrates produce the largest stores of muscle glycogen. (glycogen = carbohydrate that we eat is stored as glycogen in the muscles and liver). When you are running, your muscles rely on glucose and glycogen for energy. At lower exercise intensities your body can also use fat stores for energy, however the fat cannot provide the energy fast enough when you are exercising very hard. The larger your stores of glycogen and glucose the longer you can go before fatigue sets in.
Carbohydrate stores in the body are fully depleted within 2 – 3 hours of intense training. Your blood sugar levels will then drop and you become disorientated and weak (“hypo”). It is important to eat a diet rich in the right type of carbohydrates, not just before your event, but throughout your training program.
The GI and you
The rate at which glucose enters the bloodstream affects the insulin response to that food and this affects the fuels available to the exercising muscles. There is a place for both high and low GI foods in your diet to give you that competitive edge!
The recommended CHO intake for athletes with diabetes is no different from those for athletes without diabetes, assuming that blood glucose levels are well controlled between 4mmol/L and 8mmol/L. If blood glucose levels are either side of this range, food intake may need to be adjusted or exercise postponed. Speak to a health professional who can assist you on your journey to better glucose control.
It is important to monitor blood glucose levels frequently and adapt CHO intake on the basis of your own personal response. Therefore test your response on a regular basis during training, prior to the event. Get to know your own body well.
You might also want to read about how sleep can improve athletic performance.
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Tiaan Lötter
Teacher
Tiaan Lötter is a digital learning enthusiast and Google Certified Innovator. He has a background in Public and Private Secondary Education teaching Afrikaans as a first additional language. Through his teaching, he strives to use technology in his lessons in pedagogically valuable methods to engage students in learning opportunities. He presents at summits, conferences and workshops on the integration of digital technologies into education. He believes failure is a step to success and that all teachers are superheroes. Education 2014 Google Educator Certification 2013 Google Certified Teacher 2012 Post-Grad Certificate in Education 2012 Post-Grad Certificate in Editing (English) 2009 Post-Grad Certificate in Pension Fund Law Post-Grad Certificate in Advanced Company Law 2008 B.Com Law (Economics major) 2003 Grade 12 / Matric (National Senior Certificate) Skills
- • Geek-level computer skills on Windows and Apple Mac.
• Excellent education and technology integration skills regarding Apple Apps and Google Apps For Education using pads/tablets and macs/computers.
• Training in the context of professional development regarding the integration of technology in teaching.
• Training provided:
o Google Apps for Education: Chrome and Extensions / Google Drive and Extensions / Google Sites
o Augmented Reality (Setting up and using Aurasma and Daqri apps)
• Compiling training / educational material in the context of a classroom and professional development.
• Notably:
o Wrote and contributed to grade 9, 10 and 11 Afrikaans First Additional Language textbooks.
o Developed poetry resources across multiple platforms like Prezi, Keynote and Google Drive Slides.
o Developed language in context resources using Keynote.
o Developed prose resources using Aurasma's augmented reality.
o Following creationist theory with learner work.
• Attended Google Educator Group Leader training workshop.
• Excellent editing, proofing and translating of English and Afrikaans.
• Excellent written and verbal communication in English and Afrikaans.
Contributors
- Andrea Kellerman
- Anne-Marie Stanisavljevic
- Casha Meintjes
- Celynn Erasmus
- Dr. Jacobus Lieb Liebenberg
- Dr. Melodie De Jager
- Dr. Pieter Kitshoff
- Estelle Barnard
- Frank Magwegwe
- Green Beings
- Jennifer Cosslett
- Joanie Strauss
- Keren Hoy
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- Marené Jooste
- Marinda Botha
- Marlene Mouton
- Melissa Roos
- Mind Moves
- Monique Theron
- Opti-Baby and Kids
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- Paulus Pilatus
- Phumeza Langa
- Prof. Dr. Ina Shaw
- Rozanne Vincent
- Saurabh Tyagi
- Sister Sonja Sauer
- Stephanie Makhlouf
- Takudzwa Collen Hanyani
- Tiaan Lötter
- Wietske Boon
- Window 2 Learning Excellence