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Posted by kj on November 29, 1999 at 17:27:47:

In Reply to: strenuous sports/injuries posted by Brian on October 12, 1999 at 19:08:53:

My husband has Addison's--and works out doing Olympic weightlifting three times a week. His sister
has diabetes, and runs marathons. So from some experience (though not personal experience)
I can tell you that your friend will have to be the one to determine her limits. Yes, it would be
dangerous should she be injured and you are a long way from medical attention. However, I'm assuming
that you would both take plenty of precautions, i.e. good gear, not take risks etc. Don't push her
to do too much--long periods of strenuous activity can make an Addisonian bottom out. She may need to
rest, take it easy sometimes. You'd need to make sure you bring twice as much medication as
you think you need, plus salty foods, and lots of drinking water. Dehydration would also be unsafe.
That said, Addisonians can live as actively as anyone else--they just need to be a little more aware
of their own 'physical ceiling' and better at taking care of themselves.
Good luck to you both.

I have a friend who has addison's and type I diabetes. Some of our favorite
: things to do together are rock climbing and hiking. So far we have been
: doing short day trips. Eventually I would like to work up to longer and
: longer trips (strenuous day trips -> overnight -> multi day ) as well as
: increase difficulty of climbing. I have some questions relating to what
: limitations she will have and what additional precautions we need to take.
: Obviously, she will consult her doctor on this, but I'd also like to hear what
: people's experiences have been. Here are some of my concerns:

: 1) Hydration - I know very little about Addisons other than the basic
: pathology, but I know enough to know this is an issue. On the short trips we
: have done, this has never been an issue. But, on longer trips getting enough
: water/electrolytes is an issue for even healthy people. How much more so
: for those with Addison's? What are the risks, given that on a multi-day trip,
: one may be a days hike away from the nearest medical help, or at best,
: hours away from any possibility of air evacuation?

: 2) Injury - its my understanding that Addison's affects the
: 'fight-or-flight' mechanism of the body. As a result she carries around a
: syringe of Solucortef (some sort of adrenalin, I think). A relatively minor
: injury can be serious in remote areas, even for healthy people. How much
: more so for Addison's? If say, she broke a leg, how long would one injection
: last? Is this a 'keep them alive during the 15 minutes in the ambulance'
: treatment, or is this a reasonable treatment where evacuation could be
: several hours at best and maybe up to several days?

: 3) What are other issues/concerns?

: When responding please keep in mind I understand very little about the
: pathology of and how to live with Addison's as I do not have it myself.

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