Kayaking

Mark Hoile
I am a former International Kayaker, at the age 23 and was diagnosed with type1 diabetes in December 2000. Before being diagnosed with type 1 diabetes I was ranked 10th in the world over 200m in a K4 (4 men in a kayak) (1998), and since being diagnosed my goal is to achieve a similar if not higher result. As in all sports to reach the highest standard, training is essential. Since being diagnosed, my training schedule has changed from one training session in the morning and one in the evening, to both training sessions in the morning or one session a day. This allows me time to refuel my body for the following days training.
Training Route
A normal days training and refueling would be as follows:

06.30: Check blood glucose reading to ensure they are higher than 12mmols.

07.30: Training on the water (up to an hour and a half training on the water) ensuring I drink 1 litre of water with 18% glucose added to maintain a high glucose level.

09.00: Come off the water, check blood glucose. Drink 500ml of original lucozade and inject 10 units on insulin (Humalog).

09.30: Breakfast, oat based cereal, toast, orange juice and water, inject a further 12-14 units of insulin (Humalog).

11.00: Train either in the gym (weight lifting) or swimming, always having a drink to hand, containing 6% glucose.

13.30: Lunch inject 12-14 units of insulin (Humalog)

16.00: Small snack (i.e. Flapjack or chocolate bar). Inject 6-8 units of insulin (Humalog). Some times it is not necessary to inject if I have a very low glucose reading.Inject long acting insulin 32 units (Humilin I). I inject this early in the evening so by the time I am training the following morning; I have the lowest amount of insulin in my system as possible.

2030: Evening meal. Inject between 14-16 units of insulin (Humalog).

Summary
Whenever I eat, or start and finish training, I ensure that I take a blood glucose reading and make slight alterations to keep my blood glucose as stable as possible. Not everyday is the same!This plan works as it now allows me to train hard. I have energy for most of the morning due to the refueling I can do in the afternoon. If training is spread too far apart I struggling to complete the sessions. This can become a problem when racing over weekend where races are spread throughout the whole weekend, whereby constant monitoring is essential, and usually small amounts of insulin is injected whilst taking high glucose drinks.
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