Monday, February 13, 2012

Hiking for Diabetes

We keep reading about people who walk hundreds if not thousands of miles to promote a cure for diabetes. I’m not sure how that is going to work, although it will certainly help the health of the walker. Anyway, I would rather hike than walk. The difference is subtle, and the esteemed Oxford Englis...
Anonymous
Rob
4/27/06 9:50pm
On any hike, one should assume that things may go wrong: injury, weather go sour, and that you will be on your own for at least two days, hence food, medications, jacket, matches google for the ten safety item, may vary in different areas. Rob
Anonymous
Mark
5/ 1/06 3:28pm
And remember to take some glucose tabs or fast acting carbos with you, just in case all that backpacking/hiking drives you too low. I've found myself out on 4 mile walks without any candy or glucose and by the time I got back was feeling pretty dizzy and shaky. Now I take some sort of fast acting carbo along and halfway through the walk will eat or suck on that and then I'm fine. Mark
Anonymous
Amy
5/ 6/06 2:49pm
I am not on any medication and do a lot of hiking. It would be difficult to carry my BG meter with me. I never feel low but wonder if I should ingest more carbs when I hike for 5 or 6 hours. Am interested in your opinion as I tend to eat low-carb; don't eat much in the way of grains. Thanks Amy David's Response: It's my opinion that a low-carb diet is unsustainable, Amy. But a low-grain diet does make a lot of sense. I will have a blog post about it soon. There is actually one blood glucose meter that is so small that it warrants your consideration. It is the Sidekick and I wrote about it at http://mendosa.com/sidekick.htm The only kicker might be the limitations of its recommended storage temperatures: 36 degrees to 86 degrees.
Anonymous
oldbill
8/13/06 5:32pm
I do not agree that lowcarb is "unsustainable." Otherwise eskimos and others could never have done the endurance things they did. I can hike the same mileage (15-20 mi/day) that I did when I was 25. The difference is, then I was taking diabinase, and had to stop every 45 minutes and eat dried fruit or orange juice or whatever. And like one to the posters here, would get weak and shaky. Now my diet is approx. 80 % fat, 15% protein, 5% carb...both at home and on the trail. And I can walk 4 or 5 hours if necessary...get hungry, but not hypo or shaky, if you see the dif. I pass the same spots where I used to "eat the shakes away." David's Response: I should not have written that a low carb diet was unsustainable, Old Bill. You are right. Indeed, you and some others, most particularly Dr. Richard K. Bernstein, can indeed stay on a low carb diet. I should have written that a low carb diet is hard for most -- but not all -- people to stay on.
Anonymous
oldbill
8/19/06 1:21am
thanks for your thoughtful response, David. You're so right about the difficulty of staying on diets...most any of 'em will improve things, but the tragedy is that so many don't, and i've not figured out any difference between my friends who do, and those who don't, even after they suffer awful complications.
Anonymous
Mike MacFerrin
8/ 3/07 3:31am

I've been backpacking & hiking long distances with Type-1 diabetes for years now, and have enjoyed reading others' perspectives on the trials & rewards of hiking for the Diabetic (including your article posted here). However, given the high demands of the treks I tend to undertake (multiple weeks at a time, solo through remote country in Alaska, British Columbia, Washington, Oregon & Colorado), I found that most the common tidbits of advice ("pack glucose tabs, check your blood sugar often") were useful, but wholly incomplete for the types of treks I undertook. For years, I found dealing with my condition a frustrating battle.

 

Over multiple years, through a lot of trial & error (as well as speaking with other diabetic hikers online), I've finally worked out a system of insulin doses & diet that have helped me kick the old demons of constant low blood sugars and unending snacks I found necessary under strenuous conditions. I'd enjoy hearing your feedback. Those who hope to venture far beyond the pavement to places where most don't go, I hope they'll give it a read. Some of my methods may seem a bit unorthodox, but it's what I've found necessary on extended rigorous treks where I might burn up to 4-6,000 calories a day (losing up to 12 pounds in a single trip).

 

My website is called RainForestTreks, with the Diabetes page located here:

 

http://www.rainforesttreks.com/diabetes.asp

 

Don't be afraid to contact me if you have suggestions, additions or gripes about the advice I offer (I wholly hope you do, actually). My e-mail address is on the website (under "Contact Me"). I wish you the best, and I hope to keep fighting the good fight... trying to prove there's nothing out there that a Diabetic can't do with a bit of planning & a healthy dose of willpower. It's one of the things I feel most passionately about.

 

Best to you,

 

- Mike

www.RainforestTreks.com

Anonymous
Mike MacFerrin
8/ 3/07 3:35am

Oh, I just read your profile... I also live in Boulder, CO.  It'd be a pleasure to get together sometime over a coffee (or anything) to chat about this stuff in person. I always love doing that kinda thing with a fellow like-minded personality.  Best,

- Mike

 

8/ 4/07 12:49pm
Dear Mike,

I really appreciate your comment right now. I have been hiking longer and longer day hikes and love the solitude of the mountains and forests. For example, yesterday I hiked for a total of eight hours up to about 12,000 feet and never passed a sole on the trail or heard a word until I returned to the trailhead. It was one of the most wonderful hikes of my life!

My sister and her daughters keep telling me that I should never hike alone and that I should always tell people where I'm going. I tell them in return that I am safer on the trails than I would be in the city. Besides, if I were to go hiking with someone else, I would not be taking many hikes. I also like to set my rather slow, reflective pace, which I think is appropriate for my age, which tomorrow will be 72. I don't tell people where I'm going because I often don't know my destination until I get there.

Your backpacking advice comes at just the right time for me. As I make longer and longer day hikes, just yesterday I was reflecting that it is probably time for me to get back to backpacking for multi-day hikes, like I did 30 years ago. While I don't take insulin and don't have to concern myself all of the considerations that it requires, your advice on diet is excellent. In the next few minutes I will be going to Boulder's farmers market where I have sampled Justin's Nut Butter. I definited will buy several of the single-serving packages for my hikes next week. I have been thinking of more of a variety of trail foods, subsisting mostly on Fiona's organic quinoa bars (http://www.fionasgranola.com/quiona-bar.html), but they raise my BG a little too much and for longer trips, I will certainly need more variety.

Special thanks for your website, that I hadn't seen before. I will link it on my site.

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