I think the lady parts thing is a real giggle maker!! There's been no change in diet, I was never a carb fan before T1 and I eat probably even less than before because of cutting out fruit big style. All conditions are the same that's what's leading me to question bolus and I suppose basal too. @jlarssonMost people put on weight after diagnosis to more or less gain back what they lost I think, I certainly did. I can't speak for anyone else when it comes to gaining more than was lost though as I have always had freakishly high metabolism. Is the difference in your metabolism due to diet or some other condition, or for all I know some lady parts thing that I would know nothing about?
That’s what I was trying to say. Obviously the dose I was recommended to take was wrong, as I had to eat large amounts of carbohydrate to avoid hypos. No drop in weight or activity in that time, although I am slowly losing weight now that I’ve cut my carbohydrate intake and matched my dose to my new requirements.
I should have known better, I’m a trained scientist. But I trusted them with my health. I’ve taken charge a bit more, the confidence of getting older!Crazy how many health professionals do this to people like they did to you. People trust them with their lives and for their guidance. So many deal with unsatisfying lives because what happens is they can never get there diabetes under control and think this is the way it will always be based on what their health care team tell them.
My dad’s best friend was our family GP when I was growing up. So I had an implicit trust in the medical profession that’s taken me a long time to get over. And now I realise they’re just as human as the rest of us, with their own beliefs, foibles and failures. Still, I got there in the end.I may be in the minority but I tend to almost always question advice given to me, I want reasons for why the advice is better. Not "because that's what's the industry says" but the actual logic behind the advice. This tendency annoys a lot of people, but sod them.
Yeah, and this applies to everything and not just the medical profession, people will have different approaches to just about everything. I know f all about silversmithing but I expect there are people who prefer one tool over another, one temperature over another and so on, all with their own reasoning that may be better in their own preferred context but may be wrong in another. Replace that with diet versus medication and you have the diabetes debate, replace it with offence versus defence and you have the sports debate, replace that will trickle down versus spread the wealth structure of your choice and you have the economy debate, and so on.My dad’s best friend was our family GP when I was growing up. So I had an implicit trust in the medical profession that’s taken me a long time to get over. And now I realise they’re just as human as the rest of us, with their own beliefs, foibles and failures. Still, I got there in the end.
Shouldn’t it be slightly higher than target to count for any exercise that might be done? You don’t want to be at 5mmol from basal alone without exercise.@SueJB Your basal should keep your body at your target blood glucose for a 24 hour period without having eaten any food
Shouldn’t it be slightly higher than target to count for any exercise that might be done? You don’t want to be at 5mmol from basal alone without exercise.
The target isn't a universal number. Everyone has there own personal target blood sugar which they would like to maintain for example mine is between 6 mmo/L to 6.5 mmol/L whereas someone else might be on the higher or lower side.
Your fasting basal is 6/6.5...what happens if you do some exercise without eating?
That target would be the same for me. I personally have my cgm targets over night different but really before and after exercise, why would we want it to be any different?
If my fasting bg was 6.5 and I ran about for a bit I’d have a hypo.
It’s all about the bass(al)But it depends oon a lot of factors with lots of people... is that run about for a bit everyday, just weekends etc? Even runabouts can be catered for, but, if it isnt a normal day to day activity then basal testing wouldnt be a necessity. Basal testing is important as well to say whether you would need a snack before activitys or during or after or if on a pump, if a reducdd basal is needed and at what time.
It is still around basal testing, and whether exercise can be managed with or without foods or reducing basal rates etc..
Your fasting basal is 6/6.5...what happens if you do some exercise without eating?
@mountaintom
I always exercise in the morning while i'm fasting to prevent my post meal high blood sugar from being insulin resistant. If it was evening time weights or exercise I would reduce the amount of insulin given for the carbs I eat.
Also if you wake up with 6.5 mmol/L and didn't eat and went about your day and go hypo, your basal dosage is incorrect.
So are you saying that exercise does not affect the effectiveness of basal insulin? i.e. I could tune my basal so that upon waking, and not eating, I am within my target range? And doing exercise while fasting will not lower my BG?
@mountaintom
Exercise increases insulin sensitivity, so you have two options, change your basal insulin dosage or change your fast acting insulin dosage to change your blood glucose. I do not touch basal insulin in this scenario unless my body starts to drop in blood glucose, in which case I stop basal insulin.
The variable though, is everyone's body is different so what I do may not work for you; you have to test out what works for you.
Are you on a pump or on long acting and fast acting?
There is no reason why the target has to be the same 24/7.Your fasting basal is 6/6.5...what happens if you do some exercise without eating?
There is no reason why the target has to be the same 24/7.
For me, I would have a different target if I was to do some exercise.
Some people may want a higher target when they go to bed compared to when they are awake.
This thread is about Bolus not Basal.I’m afraid a lot of what I do is unplanned so I can’t live like that. If I changed my basal one night to account for something I planned on doing the next day then I’d probably end up not doing it.
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