First HbA1c since diagnosis results

I can pretty much only walk due to a slipped disc at L5/S1. Had to jack in my gym membership, can't row, cycle, swim..... I also have arthritis in both knees. I do try and walk at least a mile a day though. Hmmm ok so maybe I will walk around the block each morning before I eat, a compromise I guess but better than nothing. Thanks.

Ali

Ali H said:

I can pretty much only walk due to a slipped disc at L5/S1. Had to jack in my gym membership, can't row, cycle, swim..... I also have arthritis in both knees. I do try and walk at least a mile a day though. Hmmm ok so maybe I will walk around the block each morning before I eat, a compromise I guess but better than nothing. Thanks.

Ali

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Sorry to hear about the slipped disc. I just recommended cycling because of the low impact on joints etc and cause it works wonders for me but a good walk im sure will have similar effects.

Yes I wish I could cycle, I have a semi recumbent that hopefully one day my OH is going to replace the inner tube in....... then I will find out if I can ride that better than a standard bike. But I didn't have much luck with any of the styles in the gym so not sure it is going to work. Going to try the walkies bit though.

Ali

sammyc123 said:

Do you do any exercise before breakfast? Try injecting in your leg and doing a 15-20 minute cycle on the bike (at a pace where you can maintain conversation - heart rate should be between 110-120bpm)...that'll definitely kick start your insulin for you!!

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I have tried this in the past to lower my BG levels that little bit quicker before eating. The only problem is that it's very difficult to do any exercise when my BG is that high (14+) just due to shear tiresome (or as I call it, laziness)

Fortunately as I've gotten fitter this has become less of a problem. Although I wonder what effect this has on (a) length of time before insulin peaks and (b) length of time insulin works in system.

Jemzor said:

I have tried this in the past to lower my BG levels that little bit quicker before eating. The only problem is that it's very difficult to do any exercise when my BG is that high (14+) just due to shear tiresome (or as I call it, laziness)

Fortunately as I've gotten fitter this has become less of a problem. Although I wonder what effect this has on (a) length of time before insulin peaks and (b) length of time insulin works in system.

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If your levels are 14+ pre breakfast I suggest looking at your basal insulin...get that right first! I have mentioned previously that I split my basal (lantus) some at bed time and some pre breakfast...maintains a good steady level of background insulin.

Once you get your basal dialled in then I would target your bolus. To answer your questions / thoughts

A) bolus will peak much quicker (this is the desired effect as this is preventing the post meal spikes).

B) not 100% sure how to explain the answer to this one however, another person may be able to. All I know is that my bolus peaks around 1hr15-1hr45 and it's pretty much out of the system by 3 hours. I'm using apidra. I do a lot of exercise daily so that probably has a significant impact on things for me.

I'm happy with the basal dose. The problem for me has been to get the evening bolus correct. The reason for this is because I train 5 times a week. Because the training is largely anaerobic, I've experienced sugar spikes followed by hypo's later on. For most of the time, the high readings in the morning are due to those hypo's.

A lot of the time the type of training has also affected how big a bolus I should take pre meal.

What it comes down to is a lot of variables within a small window. It's taken a while to get things to where they are now, but with more trial and error, the addition of an insulin pump shortly and CGM, I'll be able to better understand what my profile is doing during the night and ideally curb the readings in the morning.