Hi Joe, That is a good question. I do not know how it can be done. I think for me is that I would have to do more grazing throught the day to load up on some carbs. The trouble with pizza is that it keeps the BS up for hours and hours. You can walk it down after about 5 hrs, but who wants the BS up in the 160 range for 5 or more hours?. I think it will just have to be eating some carbs during the run will have to do. Maybe it is different depending on what meds you are on. If one was real serious about this and your T2, there maybe some insulins you could use the day before to allow you to carb up, and not effect you the next day. But then you need the doctors ok to do it. Joe

I still maintain that because our carb processing is screwed up we cannot "load up." I have had good success by grazing, not just the day or so before a big run, but each and every day (keeping the numbers in a normal range, of course) so that my muscles and liver are always adequately fueled. That, combined with adding some carbs every 20 minutes or so during my long runs, have helped me feel strong throughout my runs. From a previous post a couple of weeks back I had said (modified slightly)----"By carb loading in the traditional sense are we actually using the extra carbs or is it possible that we are simply spilling that excess sugar into our urine and not converting it to muscle fuel like a non-diabetic would? I prefer the practice of grazing knowing my muscles are receiving the benefit of converting the carbs to the fuel they need. I would be willing to drive my numbers up once in a while (maybe) if I were assured there would be a benefit in doing so."