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Please let me emphatically second wool socks (I wear Smartwool), extra water, and a emergency water filter such as a Lifestraw.

I didn't pack enough water for a long hike at Petit Jean in Arkansas a few summers ago and about fell out. Water was flowing in the most beautiful creek beside me but I couldn't drink it. Too risky. Wanting to drink from that creek was as bad as not bringing enough water.

I also recommend Hoka hiking boots with the wool socks. Hokas have been a game changer for me.
 
Posts: 1128 | Location: Arkansas | Registered: September 25, 2008Reply With QuoteReport This Post
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Originally posted by wrightd:
Good point on a treadmill. I'm assuming by that you mean one's body getting normalized to a daily exercise to help brittle diabetes not react so badly to exercise otherwise resulting in emergency hypoglycemia. Is that what you're saying ?

An interesting thing I found out since I op'd this thread - it appears there are more modern glucagons that are faster than the kind I'm currently using. I also learned about a dry nasal spray glucagon - meaning, in an emergency I could hit it with BOTH. I was also wondering if I could purchase powdered glucose or powdered dextrose, and mix my own super-duper-sickening sweet emergency "shots" that I could drink. My thinking is 1) drink the glucose, 2) take the glucagon injection, 3) take the nasal glucagon. After that all I can do is lay down and hope the ambulance gets there before it's too late. It bothers me that there's no self-administration of intraveneous glucose avail for self-rescue. After researching it last night in the medical literature it's still the fastest and surest way to bring a diabetic out of a hypoglycemic coma, particularly those patients whose bodies do not respond to glucagon.

Have any other diabetics here tried anything like that - a double or triple approach like that ? And does anyone know if self-administration of intraveneous glucose/dextrose/D50 is safe enough to try if one could get the "training". Though it's illegal for any non-medical person to punch their own IV drip, but at that point, who fucking cares ? I can't imagine a jury or judge prosecuting someone for saving their own life - what about that ?


I have not tried anything like that, but my fight is usually to keep my sugar down....getting it up is easy. If you're at the point where you're considering taking a triple dose of glucagon and concerned that even that won't work, I'd say this is probably a discussion you should be having with your Endo, not with a bunch of us on a forum who are unfamiliar with your medical details. He can probably help you determine the limits of exertion you should put yourself under to avoid such a situation, and give you some strategies to dose your insulin accordingly.

With what you describe, I definitely wouldn't stray from vehicle-accessible paved surfaces, and make sure you have a partner with you at all times who knows how to check your sugar and administer aid if necessary. While I love hiking in the woods, it's not a good place to be if you go unresponsive.

I'm not sure how things are in your area, but locally in recent years there have been a lot of nice paved paths put in for walking and biking. A lot of them follow old railroad lines, so they're nice and flat and easy to navigate, have easily accessible parking lots at reasonable intervals, and they're big enough that ambulances can get out on them if needed. I'd still have that conversation with your Endo first, but once you have a plan in place, something like that might be a good place to start taking you walks. A treadmill is a good suggestion as well, and I do have access to one that I use when the weather absolutely sucks, but it always makes me feel like a hamster on a wheel Big Grin.
 
Posts: 9645 | Location: In the Cornfields | Registered: May 25, 2006Reply With QuoteReport This Post
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Yep, there is a continuum on the line, walking on one end, ‘hiking’ on the other. If I go for a 3 miles trek on a woods trail, am I walking or hiking? I realize hiking sounds cooler.

Yes a little prep depending on the activities planned.
 
Posts: 6595 | Location: WI | Registered: February 29, 2012Reply With QuoteReport This Post
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Problem with self-administering D50 is twofold—you’re going into the fuzzy zone and trying to do something that requires exact accuracy (it’s got to go into a vein, all it will do in tissue is hurt like hell) and #2, it’s thick and hard to push. It’s like injecting maple syrup. So if you do get the needle in the right spot, now you’ve got to push it in without the needle/catheter coming out.

I think some kind of sugary nasal spray would work better, but the challenge would be volume. It takes a significant amount.

And glucagon isn’t always guaranteed to work, but it doesn’t require hitting the vein.

Do you have a constant BGL monitor? Or do you check it yourself? If you had a constant one and could get an alert when it started dropping and stay ahead of it, that could be an option.




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Although sometimes distracting, there is often a certain entertainment value to this easy standard.
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Posts: 11476 | Location: NC | Registered: August 16, 2005Reply With QuoteReport This Post
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Yes I use a CGM. But even with adequate notice via the device, it still drops too fast to affect a sufficiently strong blood sugar rise. It's very disturbing. I'm going to talk with my Endo soon for more ideas, I'll let yall know what she says.




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Posts: 9159 | Location: Nowhere the constitution is not honored | Registered: February 01, 2008Reply With QuoteReport This Post
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As others have said start walking around your neighborhood. I wouldn't buy new hiking shoes until you decide if you want to stick with it. Unless your tennis shoes are horrible you shouldn't get blisters doing a few miles. I always wear Darn Tough wool socks and a wool t-shirt. Shorts are optional, but I like nylon pants from Eddie Bauer or PrAna.

Go on AllTrails and find some short trails near you and try it out. The annual membership is absolutely worth it if you get into it more. You could also do a Google search for family trails in your area. Take a friend with you and make sure you hydrate before and carry water and some snacks with you. I like Cliff bars or ProMeals from REI.

Past that just have fun and take some pictures. When you get into it more go to REI and get fitted for new shoes. If you don't like them you can take them back, but you also don't have to spend money for Lone Peaks or Hokas. I do 7-8 miles going up steep elevation gains in Adidas Terrex shoes because they feel comfortable.

As you go on longer trails bring a small backpack (10-15L) with a shell in case it rains, sun hoodie (I wear the REI one almost every hike from 100 degrees to the 50s), headlamp, more snacks, pocket knife, duct tape, an emergency blanket, wet wipes, TP, a few Pepto pills, Advil, and throw a whistle in your pocket.
 
Posts: 7934 | Registered: September 29, 2008Reply With QuoteReport This Post
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Read Bill Bryson's 'A walk in the woods' first.
 
Posts: 11524 | Location: UK, OR, ONT | Registered: July 10, 2003Reply With QuoteReport This Post
Lighten up and laugh
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quote:
Originally posted by sourdough44:
Yep, there is a continuum on the line, walking on one end, ‘hiking’ on the other. If I go for a 3 miles trek on a woods trail, am I walking or hiking? I realize hiking sounds cooler.

Yes a little prep depending on the activities planned.

If it isn't paved you are hiking.
 
Posts: 7934 | Registered: September 29, 2008Reply With QuoteReport This Post
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Well friends I saw my diabetic doctor (NP), and she explained my problems with emergency lows as "insulin stacking". After reading about it all over the net, I was embarrassed I hadn't figured it out on my own after all these years. Sure enough, insulin stacking is dangerous, and I didn't realize I was doing it regularly. I also read about the psychology behind the practice that drives it, and sure enough, guilty as charged.

So anyway I'm going back to carb counting, and STOPPING insulin stacking. I'm avoiding it like the plague now that I know IT was causing my problems. She reminded me that having high blood sugar shouldn't be so fearful, given all the pressure these days about diabetics achieving super-low A1Cs, dicey for young people, but fatal for older type 1s for like me.

BTW, many of you guys have given some incredibly powerful advice with your experience in this stuff, it's truly impressive. I can't thank you enough for that.

Anyway I just found out I have to work the next two weekends, but at least I'll have more time to plan out my first group hike.

I hope we can keep this thread going a little more, I've actually copied a lot of this advice so far into my own document, since I know in life there's no better teacher than experience.




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Posts: 9159 | Location: Nowhere the constitution is not honored | Registered: February 01, 2008Reply With QuoteReport This Post
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