FREQUENTLY ASKED QUESTIONS

Everything we do is ‘with’ Type 1 Diabetes but everything we do is not ‘about’ it.
Here are the answers to some common questions relating to Type 1.

What is the difference between Type 1 and Type 2 diabetes?

Too many to list here. Generally Type1 occurs in children and is a lifelong condition that must be treated through daily injected doses of the hormone Insulin. Type 2 generally occurs in adults and is treated through oral medications-it is commonly seen along with obesity and lack of physical activity. This is in no way comprehensive, but rather a caricature of each condition. Check Google for a more thorough study of the issue.

What does insulin do?

It regulates how your body uses sugar–which is your bodies main source of fuel, needed to think, talk, walk, climb…and how much sugar remains in the blood. Insulin makes the blood sugar go DOWN.

What is the big deal with carbohydrates?

Carbohydrates are in almost ALL foods (go through the supermarket next time you go shopping and LOOK at the nutritional info and see!) and they break down into sugar during digestion. This is why we talk about blood sugar going up from eating starchy foods like pasta or rice which you might not think of as “sweet” but that are loaded with carbs. Carbs make blood sugar go UP.

What do “blood sugar/glucose” numbers mean?

These numbers indicate the amount of sugar in your blood–which fluctuates constantly due to myriad variables. Ideally it should be between 80 and 120–this is the normal, healthy balance that most non-diabetics enjoy.

Pump or Multiple daily injections?

Either can work really well depending on your preference. Blake uses a pump and loves it. Steve takes injections and loves it. Both of us use CGMs.

What kind of diet should people with diabetes eat?

The kind where you eat when you’re hungry and stop when you’re full. In short there is a lot of snake-oil-cinnamon-pill cure gimmicks out there which we aren’t into. Each person needs different types of nutrients depending on what they are doing. We aren’t dieticians-but we have learned what works for each of us individually. On a general level, high quality food from a reputable, local source which does not process it to death or add tons of sugar, salt or preservatives would seem to be a good start. Eat more veggies and drink more water too.

What does climbing do to your blood sugar?

There’s a tough one to answer. Sometimes it makes it go up-others it goes down. Exercise is really helpful in managing diabetes but it takes careful monitoring to make sure that you can stay on top of your diabetes while you’re out climbing. The rule of thumb is that less strenuous climbing done over a long period will make BGs drop (like hiking) while bouldering or intense bursts of powerful climbing can raise BGs. Adrenaline can also cause a spike-so it’s important to always test and learn how your body responds.

How do you keep your insulin from getting too hot or cold while climbing?

To avoid heat: be aware of the sun and shadow. Keep your pack out of direct sun. Most times this is sufficient-one can also use FRIO packs to add a layer of precaution to insulin storage. Some sort of insulation (like a FRIO) and getting creative to avoid long periods in the direct sun (packing insulin deep within your pack) will work very well for long periods of time.

To avoid cold: a thermos can keep insulin at a stable temperature for a long time. How long? If you’re going beyond a day or so without any heat or shelter then all bets are off. Under normal conditions, a thermos or keeping insulin in an inner jacket pocket should work to keep it safe. Meters are also subject to the cold-make sure to keep it warm too and carry extra batteries as the cold will deplete them more rapidly.

Is climbing safe for people with diabetes?

If it’s done 100% correctly it’s 100% safe. Just like everything else in life like eating, swimming, walking, having sex or driving. The reality is that there are unknowns that we face in life so nothing is ever 100% safe-or unsafe. It is always up to us to make good decisions and use the tools that we have to adapt diabetes to anything we are doing.There is no reason why a person with diabetes who feels comfortable going to the gym to workout or play basketball should have any greater risk going to a climbing gym to climb with diabetes. Likewise if a person feels comfortable to go on a hike with their diabetes then they should be able to adapt to climbing without any significant additional risk.

Climbing is about good decision making and analytical precision. It’s not a mountain dew commercial about flouting the laws of nature.

Don’t see your question answered here on this FAQ page?
Contact us we would be happy to help share our experiences with you!