On Sat, 17 Jan 2004 08:56:10 GMT, "eriana" > wrote:

>For a few reasons, actually.
>
>1. He is NOT a morning person, and getting up at 4:45AM does NOT make him
>happy as it is. He, like me, cannot "leap out of bed to greet the morning"
>and eat right away; he has to wake up for a while first.
>
>2. He doesn't want to throw up. They often do some really strenuous
>stuff, and his command specifically tells them not to eat first.

Well, they also probably aren't used to the specific problems this could
cause for diabetics.

>3. If he exercises first and eats after, he feels better than if he did it
>the other way around.
>
>4. Eating after exercise gives him a little something to look forward
>to...and he won't be "starving" by lunchtime -- because PT can take up to 2
>hours, meaning that if he eats before he goes to PT, he won't have anything
>else to eat for another 5 hours or so...and for him, not eating after all
>that stress/strenuous activity makes him feel sick.

One question I have is, when he gets up, what is his BG? What is his BG
when he tests before eating his breakfast after his exercise?

If he's not doing those two tests, he's not going to get an accurate
picture of 1) when he should be having at least a little something in this
stomach to fend off the liver dump and 2) what this pattern could be doing
to his body.

Also, until you know what those numbers are, it's difficult for people to
help recommend what the best things to consume are. He may actually need
something with a little higher carbs in the morning *because* he's doing
the exercise. But you can't know this unless you have a pattern of testing
to figure it out. There's no reason to guess when he can just test and
find out.

If his BG when he first wakes up is above 130, then he needs to do
something about this, try something new to work it out. If it's between 120
and 130 then that's not great, but it's tolerable. If it's consistently
under 120, then what he's doing is working for him. If it's high after
exercise (pretty much anything over 120 after strenuous exercise) then he's
getting a liver dump because his stomach is empty and he should have
*something* when he wakes up to fend that off.

In such a situation, one thing he might try is something very light and
small, like one of those cups of sugar free jello. It's light on the
stomach, shouldn't interfere with PT or cause vomiting, and it might be
enough in his body to prevent a liver dump. If not, then he needs some
carbs first thing. It doesn't have to be heavy. Just no sugar added little
cups of fruit cocktail, right when he wakes up, will give his body a little
carb boost that should prevent the liver dump.

But the real thing here is to figure out first if he's having any morning
spikes at all, because people can be in control all day long, but first
thing in the morning they can be all out of whack, and that's still not
good. Anyway, hope this is helpful.

--
Siobhan Perricone
The actions taken by the New Hampshire Episcopalians are an affront to
Christians everywhere. I am just thankful that the church's founder, Henry
VIII, and his wife Catherine of Aragon, his wife Anne Boleyn, his wife Jane
Seymour, his wife Anne of Cleves, his wife Catherine Howard and his wife
Catherine Parr are no longer here to suffer through this assault on our
"traditional Christian marriage."
- Owen Keavney