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Diabetes Management
Fitness, Exercise and Sport
Type 1s - Does anyone increase bolus for exercise?
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<blockquote data-quote="oldgreymare" data-source="post: 580704" data-attributes="member: 20373"><p>I am fairly unfit and definitely not an athlete, but I try to take 2 HIT style sessions a week with an experienced personal trainer (has other Type 1 clients). Short sessions 30 min of weights/resistance circuits plus about 15 min warmup/cool down strecthing. Purpose is to build muscle and hopefully strengthen bone (I have borderline osteoporosis). </p><p></p><p>These are morning sessions before breakfast and I will cancel if fasting BG is below 5.0. But without fail my BG rises post HIT exercise - definitely suffering adrenaline induced glucose dumps. Yesterday was a slightly extreme example - pre-exercise 7.9, post exercise and still pre-breakfast up to 18.3! Highest I've seen in a long time. Breakfast is typically 15-20g carbs. Even with correction doses I was still high at 13.3 four hours later. Back to normal levels by the evening. </p><p></p><p>When I motivate myself to consistently add in more aerobic exercise - walking, jogging, etc then my insulin sensitivity goes up and I can reduce my basal (Levemir 2x/day). I am not willing to give up high intensity training, so interested if anyone has a strategy to increase short acting to allow for the exercise induced glucose dump? I have good hypo awareness and do test regularly post exercise to look out for any rapid switch to a hypo state. </p><p></p><p>Looking for ideas! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite8" alt=":D" title="Big Grin :D" loading="lazy" data-shortname=":D" /></p></blockquote><p></p>
[QUOTE="oldgreymare, post: 580704, member: 20373"] I am fairly unfit and definitely not an athlete, but I try to take 2 HIT style sessions a week with an experienced personal trainer (has other Type 1 clients). Short sessions 30 min of weights/resistance circuits plus about 15 min warmup/cool down strecthing. Purpose is to build muscle and hopefully strengthen bone (I have borderline osteoporosis). These are morning sessions before breakfast and I will cancel if fasting BG is below 5.0. But without fail my BG rises post HIT exercise - definitely suffering adrenaline induced glucose dumps. Yesterday was a slightly extreme example - pre-exercise 7.9, post exercise and still pre-breakfast up to 18.3! Highest I've seen in a long time. Breakfast is typically 15-20g carbs. Even with correction doses I was still high at 13.3 four hours later. Back to normal levels by the evening. When I motivate myself to consistently add in more aerobic exercise - walking, jogging, etc then my insulin sensitivity goes up and I can reduce my basal (Levemir 2x/day). I am not willing to give up high intensity training, so interested if anyone has a strategy to increase short acting to allow for the exercise induced glucose dump? I have good hypo awareness and do test regularly post exercise to look out for any rapid switch to a hypo state. Looking for ideas! :D [/QUOTE]
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