I had to pull out my glucose testing kit this week.

It’s been in retirement for 3 years.

I am not gonna lie.  It was a bit of a low moment.  I was sad and a little scared.

I had a sudden flash of fear that Type 2 (T2) Diabetes was back or trying really hard to creep back in. I was noticing some things…  Things that seemed disconnected, but hauntingly familiar.

Fuzzy thinking. Thirsty. Sleepy. Insatiably hungry. Irritable out of the blue/out of porportion. Craving sugar.  Feeling ‘puffy’.

Not just the normal things that happen in life, I mean, the ‘symptoms’ were out of place given what was happening in my life.

All of the sudden it dawned me WHY these were familiar…  This is the crap that happens when my blood sugars are out of whack.

I hadn’t felt these symptoms in these odd clusters in over three years…

Holy crap.

It was time to test and see what the numbers had to tell me.

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I tested as soon as I put the pieces together and realized I was possibly experiencing some blood sugar issues. My post-prandial (2 hours post-meal) glucose was 111.  For me — that’s a solid, if tad-bit high, number.  But respectable.

Whew.  Little breathing room and stab of relief.

I tested a fasting number the next morning and it was 110.  Exhaling in relief.  On the high side, but arguably good.

Yesterday was 100.

I’m in a ‘safe space’ with the numbers I’m seeing and recording.

They’re not as low as I would like, nor are they as low as I can make them when I’m keeping my diet ‘tight’.

While I’m clinically in a non-diabetic range, I still felt pretty clearly this was a wake-up call.

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After Mountain Lakes 100 miler back in September, I had a revelation of sorts.  The conversation in my head (and out loud to Spencer…) went sort of like this:

‘I just ran for 100 miles, for close to 30 hours and fueled that effort with about 5,000-6,000 calories of SUGAR.  And while that’s pretty typical running fuel for ‘normal’ folks, uh…  You aren’t normal.  How horribly WRONG/DUMB/STUPID/RIDICULOUS is that equation for someone like YOU??!  Can I remind you that you used to be morbidly obese, insulin-injecting, T2 for two DECADES.  HOLY CRAP BETSY.  You’re a reformed T2 diabetic and you just ran (which you can only do because you are no longer morbidly obese) eating pure, easily accessible to your blood, sugar. This.is.utterly.asinine. You can’t keep doing this.  It’s a recipe for disaster.’

So I made the decision that I needed to change some things.  Immediately.

It all has to start with my day-to-day food plan.

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There’s a health condition called ‘Insulin Resistance’.  It also gets talked about as ‘Carbohydrate Intolerance’.  I’ve done a ton of research on it, and I have come to understand that I am no longer T2 Diabetic, but I am still insulin resistant.  And I always will be. I can certainly manage it, but it’s not going to go away. While it is not an entirely accurate description, I kind of think of it as being ‘allergic’ to carbs.

((Here’s the disclaimer in all of this:  I’m an experiment of one. I lost over 200 pounds, reversed type 2 and somehow fell head-over-heels in love with the endurance running world. Turns out that there aren’t a lot of people like me out there, and the ‘normal’ rules for food/nutrition/fueling just don’t ever seem to work well for me. My solutions and chosen paths are not likely to work or make sense for anyone else.))

I’m well aware that if I eat too many carbs {ANY KIND OF CARBS – YES… Even the ‘healthy ones’}  I get swinging blood sugars.  If I keep carbs {even the healthy ones…} to a minimum — my glucose stays in a horizontal and largely stable line.

‘My body hates carbs!’ — me

‘No.  Your body loves carbs.  It loves them to DEATH.’ — Deb, my sister.

So…

Good-bye to my plant based diet that I loved and enjoyed for almost three years. (Averaging 300 – 400 ish grams of carbohydrates per day with a healthy balance of grains, fruits and veggies.)

Hello again to my old friend, no-and-low carb. (Averaging 40-70 grams of total carbs per day.)

I’m tightly restricting my daily carbohydrate load. ANY carbohydrate source.  Aiming for whole, non-processed foods. And I am most especially vigilant for any of the added or hidden variations of sugars/corn syrups that were truly and absolutely my worst enemy as a T2.

I know how to do this.

I just willingly and knowingly strayed from the basics that got me ‘here’; I strayed from the food plan that helped me lose weight, become non-diabetic, learn to run…  I mean I reversed T2 Diabetes — I suddenly felt FREE and healthy enough to try new things with food, fueling, diet.  So I did!  I’m totally OK with those experiments and what they have taught me about myself and the way my body works.

I just find it humbling and interesting that I am back where it all started.

Back to the very basics of what worked when I first started this crazy journey.  Back to low carb, NO SUGAR, low glycemic indexed foods.

((For my running friends who are wondering about fueling during training and events that this dilemma now hands me…  Well. Join the crowd. Me too.  I’m lost and little bewildered with it all at this moment in time.  But I am deeply driven by the knowledge that if I want to stay healthy and running; I have to stay the course in managing this or T2 Diabetes could possibly win this whole freaking thing. I won’t, can’t let that happen.  So let the new fueling experiments begin. 🙂 )) 

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This week has been a solid reminder that T2 diabetes is still chasing me 365 days a year.

It never takes a Holiday.

But, guess what?

I have NO PLANS to take a Holiday either.