2011 Diabetes

 

"We struggled a couple of years ago because we were rebuilding. We played a lot of freshmen that year," Fries said. "Last year we played a lot better, and this year we're a lot more experienced. We're playing well, but there is lots of room for improvement. We don't think we've reached our full potential yet.

Mott-Regent has a young team. Juniors Chad Mosbrucker (13.7 points per game), Tanner Vesledahl (6.0 ppg) and McCahen Schweitzer (5.6 ppg) join Fries in the starting lineup. Sophomores Taylor Zentner (6.2 ppg), Jonah Honeyman (2.3 ppg) and Logan Haberstroh are giving the Wildfire quality minutes off the benc

Senior Jon Carlson (3.5 ppg) is the other starter. Seniors Jacob Greff, Ethan Keller and Aaron Keller have seen extensive action as reserves

"I stepped into a very good situation here," Heckaman said. "We have a good group of athletes and nice depth. We have good chemistry, and kids who have a real desire to win."

With so many underclassmen playing major roles this season, the prospects look good for 2011-12. But Fries isn't thinking at all about next year.

"There are a lot of reasons to be optimistic about next year, but we really want to get things done now," Fries said. "We have an opportunity this year and we're going to do our best to make good on it."

Fries was unable to play football last fall because the season started shortly after he was diagnosed. He's hoping to return to football this fall, and to track and field this spring.

But for now, he's fully enjoying the basketball season.

"It's been a lot of fun," Fries said. "Everyone here is pretty excited. Hopefully we can finish out the season strong and make a run at tournament time."

WATCH: Cade's Cause: Busek stepping into forefront with diabetes

Nov 7, 2018

 

The Shanley quarterback was diagnosed with Type One diabetes when he was 12 years old.

 

FARGO - The pressure of being the starting quarterback in the Dakota Bowl can be unbearable.

Waiting all your life for a chance to be a hero.

But don't talk about pressure with Shanley senior Cade Busek.

He's been dealing with real life issues since he was 12 years old.

 

Busek was diagnosed with Type 1 diabetes, but did not let that stop him from pursuing his dream of playing high school football. Busek was inserted into the starting lineup four games into last season for injured starter Kaden Kuehneman and went on to lead the Deacons to the Dakota Bowl, falling to Bismarck St. Mary's in the North Dakota Division 2A title game, 31-12.

"That's something that goes thru my mind everyday. I've got the quotes on my door reminding me of how I need to be better if I want to win this game" Busek said.

Over the last 14 months, Busek has moved to the forefront of battling this disease.

He's met younger kids who also have diabetes and become a role model for them.

"I got a lot of people telling me about the relationships they had with people that were diabetic, and that was cool to hear, after that, I started to meet people that were diabetic, and now I feel less on an island. It's the greatest feeling in the world that I go thru on a daily basis" Busek said.

"To be an advocate for diabetes at his age is remarkable, he's an example that everything can be accomplished. He wants his story told" said Shanley head coach Troy Mattern.

Busek participated in the JDRF walk in September in Fargo to help raise money to end diabetes.

"I can make a difference with this, raise some money, and try and help so it doesn't affect someone else later, make their life easier. I think it's cool for someone in the community for them to look up to. "

Busek says he doesn't have to check his blood sugar as often, and with new technology that's in development, it may allow for him to not have to check his blood sugar for months for a time.

Busek will lead Shanley in its final game in Class 2A Friday when they meet St. Mary's for the Dakota Bowl championship Friday at 3pm at the Fargodome.

Exercise Often Raises Type 1 Diabetes Blood Glucose

Exercise Often Raises Type 1 Diabetes Blood Glucose – Have you ever wondered why your blood sugars can vary so much during exercise, depending on the type of exercise? Dr. Kris Berg, a long term type 1 diabetic wrote this helpful article posted on diabeteshealth.com. It should help you make sense of what can otherwise seem nonsensical blood sugar numbers associated with exercise.

(Source)

Regular physical activity and exercise are recommended for the general population for overall improved health. However, exercise of moderate intensity increases the risk of hypoglycemia during and following exertion in those with type 1 diabetes mellitus. Accordingly, exercise guidelines for type 1 diabetes focus on prevention of exercise-induced hypoglycemia.

The risk of hypoglycemia may discourage some with type 1 diabetes from exercising. Children and youth may be embarrassed by the temporary reduction in coordination and physical performance associated with hypoglycemia and by the fear of letting teammates down while playing. Some parents may discourage their children from normal participation in physical activity and from playing competitive sports because of concern about severe hypoglycemia. However, this fear may reduce a child’s physical activity, which may lead to reduced overall health, reduced enjoyment from exercise, and restricted confidence in meeting the demands imposed by living with a chronic health condition like diabetes. As a result, long-term exercise habits as well as personal growth and psychosocial development may be blunted.

Concern with hypoglycemia from exercise is probably even more heightened in those with hypoglycemia unawareness, or the absence of symptoms during hypoglycemia. However, some of these concerns might be allayed by the realization that vigorous exercise tends to raise blood glucose (BG) rather than lower it.

The fact that vigorous exercise tends to raise BG appears to be relatively unknown to many with type 1 diabetes. However, the effect has been confirmed in a number of studies. These studies have identified an exercise threshold that elicits this response. The threshold exercise intensity occurs at or above 80% of a person’s maximum exercise capacity, which is also known as the VO2 max (maximum or peak volume of oxygen consumed in exhaustive exercise). The relevant question then becomes, what type of exercise is performed at this 80% level? The following guidelines can be used to estimate whether or not you are exercising at or above this intensity:

• If you are exercising at a constant speed for several minutes or longer, such as you might do while running, cycling, or swimming, and your breathing is deep and fast enough that you cannot talk to someone close by, then you are probably at or above this 80% level of intensity, and your BG level is likely to rise during exercise.

• If you are playing a vigorous sport that includes short bursts of speed alternated with periods of moderate intensity, such as occurs in football, soccer, basketball, wrestling, or singles tennis, then your BG will likely rise during exercise.

School age youth on athletic teams such as track and swimming do much of their training at or above this threshold intensity when they perform a type of training known as interval training. This training technique alternates periods of fast pace with periods of moderate pace during which one partially recovers from the previous high speed interval. For example, high school milers might run a fast lap at race pace followed by a lap of jogging. They then alternate between fast and slow laps which is very effective in conditioning for sport. The intensity during the fast laps would probably surpass the 80% intensity threshold and therefore raise BG.

The intensity of the short speed bursts while playing sports such as football, soccer, and basketball is also well above the 80% threshold level, which explains why BG tends to rise following such activities.

Why does vigorous exercise raise BG instead of lower it?

Exercise above the 80% threshold is very strenuous. Heart rate is elevated to about 90% of maximum or even higher; breathing is difficult, and we tend to huff and puff while straining to meet the energy demand of the activity. This level of exertion activates the sympathetic nervous system, which in turn elicits the “fight or flight” response. The sympathetic nervous system is excitatory, in that it helps us to meet emergency needs such as fighting for survival or completing a race or vigorous game. Strenuous exertion requires high energy expenditure, and the sympathetic nervous system helps achieve this by exciting endocrine organs such as the adrenal gland. The adrenal gland releases the stress hormones adrenaline and noradrenaline into the blood, which then stimulate the liver to release glucose at a faster rate than normal. When this rate exceeds the rate at which glucose is absorbed by active muscle tissue, BG rises.

In one study, subjects with type 1 diabetes cycled for alternating periods of maximal exertion for 4 seconds followed by 2 minutes of easier cycling, for a total of 30 min. This alternating pattern of high and low intensity exertion was used to mimic metabolism of many sports and games. After the exercise bout, BG was elevated as compared to the BG level just before exercise. In comparison, a 30-minute session consisting of moderate pace exercise work at only 40% of maximum intensity decreased BG, although less total work was done in this time.

Consequently, exercise intensity strongly influences the BG response of exercise. When we surpass about 80% of maximum intensity, the nervous system interprets this as very strenuous exertion. To help us complete such energy-demanding work, it releases the stress hormones so that the liver can supply plenty of glucose to the hard-working muscles.

How might this information help me?

Knowledge of the unique responses of BG to different types of exercise may be quite helpful in BG control. It is important for someone with type 1 diabetes to know if a given exercise session is likely to raise or lower one’s BG. Assuming that all exercise reduces BG is an overly simplistic and outdated concept, and one that may leave you scratching your head and frustrated when your BG rises instead of falls with certain types of exercise.

The hyperglycemic response typical of intense exercise is relatively unknown in those with type 1 diabetes. Consequently many with type 1 diabetes may find it difficult to regulate BG associated with intense exercise, and they may make inappropriate adjustments for exercise, such as eating a carbohydrate snack before any type of exercise. This may lead to periods of hyperglycemia that are contrary to the goals of diabetes management and good health. Hyperglycemia during exercise may also result in reduced physical performance and enjoyment from exercise and lower long-term exercise adherence. Some may feel that exercise worsens their BG control and A1c readings, and so may be discouraged from exercising.

If you use existing exercise guidelines for diabetes, such as having a carbohydrate snack before playing basketball or soccer, you are likely to find your BG after a match or practice might be elevated instead of reduced. Parents may be more likely to encourage their children to play sports and games if they realized that hypoglycemia is less likely to occur in many sports. In a sense, sports and games and vigorous aerobic exercise such as swimming and running may be a safer form of exercise from the perspective of hypoglycemia. One study reported that a single 10-second sprint limited the decline in BG in a session that consisted otherwise of moderate intensity. It is assumed the single sprint embedded in the workout stimulated the secretion of hormones that cause the liver to accelerate the release of glucose. So, from a practical viewpoint, a jogger might toss in a sprint or two in the middle of a moderate pace run to spike the BG a bit which would reduce the likelihood of hypoglycemia occurring at any point during the run.

One wonders how many kids return home from sports practices or from play in the backyard with elevated BG that makes it seem they didn’t take enough insulin hours earlier, when in reality the insulin taken may have been adequate. Or they may assume too much carbohydrate was ingested in the last meal. Many parents and active children and youth are perplexed by the unexpected rise in BG. They may search for answers that have little to do with the cause of the rise in BG: vigorous exercise!  Hopefully, this information will help those with type 1 diabetes enjoy exercise more fully, experience fewer highs and lows from exercise, and improve BG control (A1c readings).

What adjustments can I make in insulin and diet to improve my BG readings?

Anyone with type 1 diabetes who exercises regularly is more likely to achieve effective BG control by monitoring BG more frequently. Checking BG before and after exercise is essential.

If playing a vigorous sport or game such as basketball or soccer or a vigorous aerobic activity such as hard running or swimming, consume no additional carbohydrate before exercise unless you are hypoglycemic. Do NOT reduce insulin as you might for moderate intensity exercise.

Initially, that may be hard to do. To feel safe, during a practice sport session, stop midway and check BG. Chances are that it will be elevated somewhat or will not have changed much in comparison with the pre-exercise level. If it is below 100 mg/dL, ingest a small amount of carbohydrate); perhaps just 5 or 10 grams, which is equivalent to about one or two glucose tablets. Check BG at the completion of exercise, and you are likely to find that BG rose during the session or remained about the same. This all seems counter-intuitive, but a number of studies show this is the typical response to strenuous physical exertion in those with type 1 diabetes.

If exerting at a moderate pace, such as casual walking or well below what seems strenuous to you, ingest 15 to 20 grams of carbohydrate before beginning. Check BG every 30 minutes to see if additional carbohydrate is needed. This guideline assumes that no insulin was administered for 2 to 3 hours before exercise. If you use an insulin pump, then reduce the drip rate to half of what you normally use. If your BG consistently drops below about 80 mg/dL, then try several moderate exercise sessions with the pump turned off during the exercise period.

If doing a new type of workout or form of exercise that is likely to be strenuous, check BG before, midway, and after exercise. For safety’s sake, ingest about 10 grams of carbohydrate before starting to give you a protective cushion. Otherwise, you may not be able to enjoy the new exercise session because you’ll be worried about your BG. If the intensity reached 80% or so of your maximum capacity, then your BG will likely have increased.

Take-Home Message

• Vigorous exercise stimulates your adrenal and other endocrine glands to secrete hormones that help you to perform hard work. But, they also cause your BG to rise. Therefore, you may not need carbohydrate before such exercise and you may not need to reduce your insulin dosage.

• With moderate intensity exercise, the adrenal gland is only minimally stimulated and your BG will not tend to rise with exercise. It will instead tend to drop, so a pre-exercise snack and/or a decrease in insulin dosage is typically needed.

When in doubt about the effect a given type of exercise may have on your BG, do extra BG monitoring. Maintain records of each type of exercise, and you will soon have a plan best suited to your own individual response to exercise. For example, when I mow the lawn, which is moderate exercise intensity for me and takes about 50 minutes, I need about 15 grams of carbohydrate beforehand to maintain my BG. Yet for two hours of vigorous singles tennis, I begin play with a small cushion just above normal (e.g., 100 to 110 mg/dL) and typically finish with a BG of about 125. During the session, I ingest no carbohydrate in spite of sweating profusely and burning a lot of energy. When lifting weights, my BG varies very little over a 45-minute session, so I begin with a normal BG and finish at about the same level. Thus, a different plan is needed for each type of exercise to optimize BG and how you feel and perform during exercise.

Having had type 1 diabetes for well over 50 years and having been an athlete nearly my entire life, I’ve learned from direct experience that vigorous exercise protects me from hypoglycemia and that I really don’t need to worry as much about my BG as when I do less strenuous exercise such as raking leaves, cutting grass, or taking a walk. It all seems paradoxical, but it is rather nice to feel less concerned about hypoglycemia when performing vigorous physical activity.

Health-e-Solutions Comment

As one of the five pillars supporting thriving health, an integral part of the Health-e-Solutions lifestyle always includes a consistent exercise regimen.  We want to help you realize the importance of exercise, but also the complexities involved in #BloodSuigarControl with diabetes while incorporating exercise into your daily routine.

Our downloadable, printable report on exercise and diabetes equips you to make exercise with diabetes, particularly insulin-dependent diabetes, more manageable, fun, and practical.

Suggested Reading

• Bailey, R., Olson, J., Pepper, S., Barstow, T., Cooper, D. The level and tempo of children’s physical activities: an observational study. Med Sci Sports Exerc 27: 1033-1041, 1995.
• Bussau, V, Ferreira, L, Jones, T. et al. The 10s-maximal sprint: A novel approach to counter an exercise-mediated fall in glycemia in individuals with type 1 diabetes. Diab Care. 29:601-606, 2006.
• Cryer, P., Davis, S., Shamoon, H. Hypoglycemia in diabetes. Diab Care 26:1902-1912, 2000.
• Ford, T.Berg, K., Latin, R. et al. The effect of exercise intensity on blood glucose in persons with type 1 diabetes. Int Sports J, 3: 91-100, 1999.
• Guelfi, K., Jones, T., Fournier, P. New insights into managing the risk of hypoglycemia associated with intermittent high-intensity exercise in individuals with type 1 diabetes. Sports Med. 37:937-946, 2007.
• Guelfi, K, Ratnam, N., Smythe, G., Jones, T., Fournier, P. Effect of intermittent high-intensity compared with continuous moderate exercise on glucose production and utilization in individuals with type 1 diabetes. Am J Physiol Endocrinol Metab E865-E870, 2007.
• Juvenile Diabetes Research Foundation. Diabetes fact sheet: diabetes statistics-incidence and prevalence. Sydney: Juvenile Diabetes Foundation, 2005.
• Lothian, F., Farally, M. A time-motion analysis of women’s hockey. J Human Movement Studies. 26:255-265, 1994.
• MacDonald, M. Postexercise late-onset hypoglycemia in insulin-dependent diabetic patients. Diab Care, 10:584-588, 1987.
• Purdon, C., Brousson, M., Nyveen, S., Miles, P., Halter, J., Vranic, M., Marliss, E. The roles of insulin and catecholamines in the glucoregulatory response during intense exercise and early recovery in insulin-dependent diabetic and control subjects. J Clin Endocrinol Metab 76:566-573, 1993.
• Tuominen, J, Karonen, S., Melamies, L., Bolli, G., Koivisto, V. Exercise-induced hypoglycemia in IDDM patients treated with short-acting insulin analogue. Diabetologia 38:106-111, 1995.
• Zinman, B., Ruderman, N., Campaigne, B., Devlin, J., Schneider, S. American Diabetes Association. Physical activity/exercise and diabetes. Diab Care, Suppl, 1: S58-S62, 2004.

Bismarck High School graduate learning to deal with diabetes diagnosis, hopes to encourage other young diabetics

January 5, 2022

 

BISMARCK, N.D. (KFYR) - A diabetes diagnosis is life changing. It may mean adjustments in diet and exercise habits, or maybe medication. But it doesn’t have to mean you can’t do the things you love.

That’s the message a Bismarck High School graduate is hoping to spread after being diagnosed six months ago.

Will Madler has turned his diagnosis into something good.

Football has always been a big part of Will Madler’s life. As an athlete at Bismarck High School, he spent hours reviewing game tape.

His football career took him to Northern State University in Aberdeen, South Dakota, where he’s still constantly looking for ways to improve.

But for the past six months, he’s also been paying close attention to a different monitor.

Last July, Madler was diagnosed with Type 1 diabetes.

“I was losing a little weight and going to the bathroom a lot,” he recalled.

A week after being diagnosed, Madler got a continuous glucose monitor and insulin pump. That helps him keep constant tabs on his blood sugar.

“It updates every five minutes,” Madler explained.

He is determined to keep those numbers where they need to be.

“I try to keep between 70 and 180,” he said while checking his monitor.

Sometimes, that calls for a quick Capri Sun if his blood sugar drops too low. While learning to monitor his blood sugar, he’s also been learning about the disease he’ll now live with for the rest of his life.

“As an athlete, you pay attention to what you’re putting into your body, but now it’s even more so,” Madler said.

And he hopes what he’s learned might help others facing the same diagnosis.

“I want to help children that develop it because I feel like something that’s life changing like that can really hurt their mental health,” he said. “I feel like as an athlete I have a platform where I can help those kids and they can see people that have diabetes being successful.”

Success for Madler that’s now measured in carbs, glucose and insulin rather than in yards passed and touchdowns scored.

Madler has three teammates at Northern who also have Type 1 diabetes. He says they’ve helped him learn to manage his diabetes and have been a great support.

Teen ambassador for diabetes walk in Fargo hoping for a big turnout – InForum

10/28/2022

 

HANNAFORD, ND – For a person with diabetes, keeping their blood sugar at a safe level can be a daunting and complicated task, but Jarin Stockeland is up to the task because of his practice.

At 16, Jarin has been dealing with type 1 or juvenile diabetes since he was 2 years old.

Type 1 diabetes is a chronic condition in which the pancreas produces little or no insulin — a hormone the body uses to allow glucose to enter cells to produce energy.

Jarin’s mother, Amber Stockeland, said it was a real challenge but her 16-year-old lives a largely normal life, playing sports and other activities with small changes.

“Jarin has diabetes, but Jarin will never have diabetes. That’s how we’ve progressed,” she said.

Now the high school junior from Hannaford has been named the 2022 Teen Ambassador for the Juvenile Diabetes Research Foundation (JDRF) One Walk in North Dakota.

The walk, which also includes food and inflatable games for children, will be held on Saturday, November 12 from 9:00 a.m. to 1:00 p.m. at the Scheels Arena at 5225 31st Ave. S. held in Fargo.

Coincidentally, it’s the same date as Jarin’s diagnosis 14 years ago.

Funds raised benefit the foundation, whose goal is to accelerate breakthroughs in the cure, prevention and treatment of type 1 diabetes (T1D) and its complications.

As a Teen Walk Ambassador, Jarin’s job is to connect and inspire fellow teens with type 1 diabetes. This is the eighth year his family has participated.

Jarin Stockeland of Hannaford, North Dakota sits on a dock and fishes. A continuous glucose meter is visible on his upper arm, measuring his blood sugar.

contributed

When Amber noticed in 2008 that her firstborn was grumpy, drank a lot of water, and was falling behind on potty training, she attributed it to changes in plans.

Then a woman at the daycare mentioned that her son had type 1 diabetes and thought Jarin was showing similar symptoms.

Amber checked to see if her son’s breath had a fruity smell, a sign of diabetic ketoacidosis, and when it seemed normal, she figured he couldn’t have diabetes.

But he continued to seem unwell, so she called Jarin’s doctor, who advised her to get a blood glucose meter to calm her down.

The monitor said “high,” so she took her child to a health facility in nearby Cooperstown and while waiting for the doctor, she noticed his skin was almost gray.

A check of his weight revealed the toddler had lost 7 pounds since his last visit.

The biggest shock was yet to come.

After not eating all day, Jarin’s blood sugar measured more than 870 milligrams per deciliter, Amber said.

Anything over 600 mg/dL can lead to life-threatening dehydration and a diabetic coma.

According to the US Centers for Disease Control, a fasting blood glucose level of 99 mg/dL or less is normal.

“Very scary … We had no idea what we were getting into,” Amber said.

Jarin got his first dose of insulin there and was taken to Sanford in Fargo where he was hospitalized and stabilized.

His doctor, dr. Brenda Thurlow assured the family that anything Jarin could do before diabetes, he would do afterward.

Jarin’s only real memory of that time, he said, was of eating Mickey Mouse-shaped pancakes in his hospital bed.

“It wasn’t long before he resurfaced and was the two-year-old he was before the diagnosis,” Amber said.

Initially, his blood sugar had to be checked six to twelve times a day.

“I can’t even count how many punches and bumps he’s had to go through,” Amber said.

She would check it every morning at 2:30 a.m., a regimen her son would eventually sleep through.

Jarin got his first insulin pump at the age of 4 and when he turned 12 he got a new pump and his first continuous glucose monitor (CGM).

A CGM works with a tiny sensor inserted under the skin that tests blood sugar every few minutes and relays the information to a monitor.

In addition to Jarin receiving the notifications, the information is also sent to Amber’s cell phone.

Jarin Stockeland and his mother Amber are seen after a soccer game.

contributed

When Jarin plays soccer, he doesn’t wear his insulin pump, but gives it to one of his coaches, and as long as he’s around he can still check blood glucose levels.

If his numbers are wrong, he can make the necessary corrections.

“It just made it 20 times easier,” he said.

Danelle Johnson, who organizes the JDRF One Walk, and daughter Danika, who was diagnosed with T1D at age 13, have sent event invitations to all North Dakota lawmakers and the state’s congressional delegation.

Johnson was part of efforts in two previous terms to address high insulin prices.

The most recent 2021 bill was defeated after lawmakers ruled that the costs insurance companies would have to pay to make insulin more affordable outweighed the benefits.

“I wish desperately I didn’t have to do it,” Johnson said of advocacy work. “I wish I hadn’t seen what was happening to so many families around us.”

Amber and Jarin said they hope people will come to the walk to learn more about type 1 diabetes and donate to the cause.

“You don’t have to know someone with diabetes to come and show your support… the more people there the better,” he said.

Diabuddy program helping kids navigate school with Type 1 diabetes

Nov 13, 2020

It’s Diabetes Awareness Month, and according to the American Diabetes Association, nearly 187,000 children have Type 1 diabetes in the U.S.

KX learned how some students at Lewis and Clark Elementary are turning their diagnoses into friendships.

The diabuddy program is giving kids an opportunity to navigate through their daily lives at school with someone who is experiencing the same thing they are.

Like first graders Evelynn Tomlinson and Harper White Buffalo, who have not only helped each other but also have built a friendship.

“There would be a beeping noise going on,” said White Buffalo.
“Where would that beeping noise come from?”
“Her phone,” answered White Buffalo and Tomlinson.

“If it’s high she has to drink water, but if it’s low she has to go to the nurse’s station,” explained Tomlinson.

The kids are paired up with someone in their class that is also diagnosed with Type 1 diabetes.

Third graders Makenzie Eisenmann and Hunter Gertz say going through the journey together feels good because not everyone gets it.

“One thing they don’t know is what we feel when we’re low and high. Like our body goes through more stuff than their body ever go,” explained Gertz.

“It feels better that I’m not the only diabetic in the class so it doesn’t feel awkward,” said Eisenmann.

Family liaison Tricia Johnson serves as a mentor to the kids, as she knows first hand what it’s like to live with Type 1 diabetes.

“To me, I look at it as an inclusion thing. When I was a kid I wish I would’ve had a diabuddy in my classroom because I think some of the biggest struggles were no one understood it. And they said it, people ask a million questions. And you’re constantly answering them, which is totally fine,” shared Johnson.

Johnson says the diabuddy program not only gives relief to those kids going through Type 1 diabetes but also to the parents worried about them.

Three of the 4 kids were all diagnosed within the last six months with the autoimmune disorder.