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Managing exercise and insulin
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<blockquote data-quote="Snapsy" data-source="post: 1585849" data-attributes="member: 265172"><p>Oh bless you [USER=53162]@Juicyj[/USER] - keen but not doing well with it right now! I can only do 20 minutes at a time at the moment before my right leg wants to complain.....! Still, I'm FINALLY going back to running club tonight to run gently at the back. Fingers crossed.</p><p></p><p>Sorry to hear about your issues, [USER=441787]@NoKindOfSusie[/USER] - from what I gather it takes a good while to feel top-notch again after DKA, so do be kind to yourself.</p><p></p><p>Exercise makes me high in the short term, then low much later. If I run for 30 minutes rather than my (for the time being) 20 minutes running, 10 minutes limping/swearing, I do find I drop, so if I know I can keep going for half an hour I will turn my pump's basal rate down. Once I stop running, though, I find I go high, so will increase my basal rate for an hour or two afterwards. Six hours later though - BOOM - I'll drop like a stone, so to avoid this, and as I run in the mornings usually, I will halve my lunchtime insulin or turn my basal down at the 5-hour-post-exercise point.</p><p></p><p>If I weren't on a pump I would experiment with trying to find the 'right' amount of carbs - which relies on the hard hard work of trial and error. Pre-pump I used to swim having had a small bowl of porridge, timed and dosed for according to my fasting blood glucose. It took me many weeks to work it out. The maths - considering the variables - was pretty full on! I pump now, and I follow a lower carb eating style, and these days I swim before breakfast, and always have 0.5u - 0.75u insulin on board before I go to the pool, otherwise (as I have to take my pump off to swim) I would just climb and climb. As soon as I reconnect my pump I have 1.20u -1.70u insulin to cover my breakfast of two boiled eggs, which I then have when I get home. It's taken an awful lot of testing to work out what works for me, but I don't consume high carbs requiring high amounts of insulin, and if I'm running during the day or in the evening I will NOT have any bolus insulin on board, preferring instead to exercise before food. I rarely need to snack before exercising, but I always always test before and after running and swimming, and always have glucose tablets shoved down my sports bra. Preferably a full tube, so as not to rattle.... <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" /></p><p></p><p>Hang on in there - test, test, test, and I hope you'll find your confidence will grow. Hugs!</p><p></p><p>Love Snapsy xxx</p></blockquote><p></p>
[QUOTE="Snapsy, post: 1585849, member: 265172"] Oh bless you [USER=53162]@Juicyj[/USER] - keen but not doing well with it right now! I can only do 20 minutes at a time at the moment before my right leg wants to complain.....! Still, I'm FINALLY going back to running club tonight to run gently at the back. Fingers crossed. Sorry to hear about your issues, [USER=441787]@NoKindOfSusie[/USER] - from what I gather it takes a good while to feel top-notch again after DKA, so do be kind to yourself. Exercise makes me high in the short term, then low much later. If I run for 30 minutes rather than my (for the time being) 20 minutes running, 10 minutes limping/swearing, I do find I drop, so if I know I can keep going for half an hour I will turn my pump's basal rate down. Once I stop running, though, I find I go high, so will increase my basal rate for an hour or two afterwards. Six hours later though - BOOM - I'll drop like a stone, so to avoid this, and as I run in the mornings usually, I will halve my lunchtime insulin or turn my basal down at the 5-hour-post-exercise point. If I weren't on a pump I would experiment with trying to find the 'right' amount of carbs - which relies on the hard hard work of trial and error. Pre-pump I used to swim having had a small bowl of porridge, timed and dosed for according to my fasting blood glucose. It took me many weeks to work it out. The maths - considering the variables - was pretty full on! I pump now, and I follow a lower carb eating style, and these days I swim before breakfast, and always have 0.5u - 0.75u insulin on board before I go to the pool, otherwise (as I have to take my pump off to swim) I would just climb and climb. As soon as I reconnect my pump I have 1.20u -1.70u insulin to cover my breakfast of two boiled eggs, which I then have when I get home. It's taken an awful lot of testing to work out what works for me, but I don't consume high carbs requiring high amounts of insulin, and if I'm running during the day or in the evening I will NOT have any bolus insulin on board, preferring instead to exercise before food. I rarely need to snack before exercising, but I always always test before and after running and swimming, and always have glucose tablets shoved down my sports bra. Preferably a full tube, so as not to rattle.... ;) Hang on in there - test, test, test, and I hope you'll find your confidence will grow. Hugs! Love Snapsy xxx [/QUOTE]
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