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T1DM - not really an injury! 22-Dec-2013 At 11:49:50 PM KatieK

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Hi Patto,

Great to know I'm not alone - had a read through, and the info in these threads is good but not quite what I'm after.

To be more specific, I have just started climbing harder than I ever have and am running into the same problems I did with competitive swimming: Blood Glucose Levels spike with adrenaline (so anything pumpy, e.g. a sports route or scary trad or hard trad pitch), which makes me feel pretty sick, and to feel better I personally need to use insulin to reduce the hyper (otherwise its a few hours of feeling very average). Result: usually a hypo. To avoid this, I eat if I correct, but then am increasing my carbohydrate intake which I am currently watching like a hawk.

Then there are the down periods between pitches/climbs, when ideally I would do some active recovery but this seems to increase my chance of having a hypo shortly after.

So essentially, I am not after advice re: long days out/what to take to the crag/reducing insulin rates, but more how to handle the spikes efficiently. When I was swimming competitively I used to have to go on a pen for as-required short acting insulin. I feel like that's a whole heap of fuss while on a wall when I should be able to tweak the pump to manage this - any anecdotes/experiences/advice would be helpful!

Sorry for the jargon.