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Type 1 Diabetes
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<blockquote data-quote="In Response" data-source="post: 2629492" data-attributes="member: 527103"><p>What time of day do you get your spike?</p><p>If it is predictable, I know some people give themselves a bolus shot to accommodate their predictable spike. Then you could lower your basal to avoid the hypos.</p><p>I used to get spikes when I went climbing. I suspect it was a combination of resistance training and a bit of adrenaline fuelled liver dump. I would account for this with a bolus dose as I started climbing.</p><p></p><p>Another though: I assume you have done a basal test and are confident that the problem is not a need to adjust your insulin to carb ratios. Bear in mind, it is not uncommon to need different ratios for different times of the day.</p></blockquote><p></p>
[QUOTE="In Response, post: 2629492, member: 527103"] What time of day do you get your spike? If it is predictable, I know some people give themselves a bolus shot to accommodate their predictable spike. Then you could lower your basal to avoid the hypos. I used to get spikes when I went climbing. I suspect it was a combination of resistance training and a bit of adrenaline fuelled liver dump. I would account for this with a bolus dose as I started climbing. Another though: I assume you have done a basal test and are confident that the problem is not a need to adjust your insulin to carb ratios. Bear in mind, it is not uncommon to need different ratios for different times of the day. [/QUOTE]
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