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Managing exercise and insulin
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<blockquote data-quote="katmcd" data-source="post: 1589692" data-attributes="member: 380020"><p>Roddy Riddle was there. His before dinner presentation was phenomenal and is a wonderful example of what you can achieve if you put your mind to it but also that saying no is the best thing for you sometimes. Although now he has applied to go on Bear Grylls Island show.</p><p></p><p>There was so much good information, some might find it obvious but I thought it was really valuable. Twitter has some slides on from various people taking pictures which probably explain things better.</p><p></p><p>There was a way of managing BGs during exercise with carb quantities depending on CGM/Libre arrow direction.</p><p></p><p>That raising a BG before exercise (even to 30!!) wouldn't necessarily prevent you going hypo after 1 hour exercise due to the amount of glucose actually in the blood actually being quite small.</p><p></p><p>Drip feeding carbs during exercise is better than having it all at the start.</p><p></p><p>Resistance then aerobic exercise dropped BG less than the other way around so if you start high do aerobic then resistance. If normal or low then do the resistance then aerobic.</p><p></p><p>I'm on MDI but pump advice was that, in adults, suspend 60 min before exercise and overnight reduce the basal rate. </p><p></p><p>Don't have the pump off for more than an hour. If this happens a lot (say because of swimming) may have to consider a small amount of basal injection to cover you because euglycaemic DKA (ketoacidosis in presence of 'normal' BGs) is a thing. </p><p></p><p>Sometimes just going back to basics is the best thing. Forget the adjustments and tweaks. Just exercise, test and see how your body reacts. Then you have a fresh starting point to make a change from. Dr Gallan says we are our own diabetes detectives. I agree.</p><p></p><p>And most importantly, don't best yourself up if it doesn't go to plan. Figure out what went wrong and think of ways not to let it happen again. Baby steps is key. [ATTACH=full]24215[/ATTACH][ATTACH=full]24216[/ATTACH][ATTACH=full]24217[/ATTACH]</p></blockquote><p></p>
[QUOTE="katmcd, post: 1589692, member: 380020"] Roddy Riddle was there. His before dinner presentation was phenomenal and is a wonderful example of what you can achieve if you put your mind to it but also that saying no is the best thing for you sometimes. Although now he has applied to go on Bear Grylls Island show. There was so much good information, some might find it obvious but I thought it was really valuable. Twitter has some slides on from various people taking pictures which probably explain things better. There was a way of managing BGs during exercise with carb quantities depending on CGM/Libre arrow direction. That raising a BG before exercise (even to 30!!) wouldn't necessarily prevent you going hypo after 1 hour exercise due to the amount of glucose actually in the blood actually being quite small. Drip feeding carbs during exercise is better than having it all at the start. Resistance then aerobic exercise dropped BG less than the other way around so if you start high do aerobic then resistance. If normal or low then do the resistance then aerobic. I'm on MDI but pump advice was that, in adults, suspend 60 min before exercise and overnight reduce the basal rate. Don't have the pump off for more than an hour. If this happens a lot (say because of swimming) may have to consider a small amount of basal injection to cover you because euglycaemic DKA (ketoacidosis in presence of 'normal' BGs) is a thing. Sometimes just going back to basics is the best thing. Forget the adjustments and tweaks. Just exercise, test and see how your body reacts. Then you have a fresh starting point to make a change from. Dr Gallan says we are our own diabetes detectives. I agree. And most importantly, don't best yourself up if it doesn't go to plan. Figure out what went wrong and think of ways not to let it happen again. Baby steps is key. [ATTACH=full]24215[/ATTACH][ATTACH=full]24216[/ATTACH][ATTACH=full]24217[/ATTACH] [/QUOTE]
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