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Newly Diagnosed and travelling to India
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<blockquote data-quote="Scott-C" data-source="post: 2038355" data-attributes="member: 374531"><p>Hi, [USER=500737]@selya[/USER] , you've already partly answered your own question when you said you've noticed that walking reduces your bg: if you are going to be walking a lot more than usual, reduce the amount of bolus, fast acting insulin you normally take for the meal before the walk.</p><p></p><p>Several things affect bg: amount of insulin; amount of carbs; amount of exercise; how hot it is; (there's many others, but let's leave it there for now).</p><p></p><p>Exercise, even if it's walking around a lot for shopping, drops bg because using muscles lets them use up glucose much more effectively.</p><p></p><p>Heat does that too: it expands blood vessels and lets insulin swim around and do it's job much more quickly.</p><p></p><p>The upshot of all that is that is if you were to take the same amount of insulin in hot India walking around a lot as you do in a cold UK sitting down in an office, it'll get messy - your bg would go too low.</p><p></p><p>So, I'd be thinking along the lines of tailing back the amount of basal insulin a little bit, and definitely tailing back the amount of fast acting by a fair bit. How much you tail it back is up to you and your dsn.</p><p></p><p>There's nothing wrong with running your bg a bit higher for a week or two just to keep you in the safe zone. If you do go hypo through walking about, remember that a small amount of carbs will pull you out of it ok.</p><p></p><p>T1 is all about adjusting insulin and carb amounts and taking account of things like exercise and heat. Reduce the insulin for exercise and heat and it'll generally be ok. </p><p></p><p>Don't cancel your wedding ticket! T1s don't say, "we can't do this", we say, "how can we do this safely." </p><p></p><p>In your case, I reckon you can do the wedding gig perfectly safely by reducing your insulin doses a bit to take care of the walking and heat, and making sure you've got some fast acting glucose to hand in case you get it wrong.</p><p></p><p>Enjoy the wedding!</p></blockquote><p></p>
[QUOTE="Scott-C, post: 2038355, member: 374531"] Hi, [USER=500737]@selya[/USER] , you've already partly answered your own question when you said you've noticed that walking reduces your bg: if you are going to be walking a lot more than usual, reduce the amount of bolus, fast acting insulin you normally take for the meal before the walk. Several things affect bg: amount of insulin; amount of carbs; amount of exercise; how hot it is; (there's many others, but let's leave it there for now). Exercise, even if it's walking around a lot for shopping, drops bg because using muscles lets them use up glucose much more effectively. Heat does that too: it expands blood vessels and lets insulin swim around and do it's job much more quickly. The upshot of all that is that is if you were to take the same amount of insulin in hot India walking around a lot as you do in a cold UK sitting down in an office, it'll get messy - your bg would go too low. So, I'd be thinking along the lines of tailing back the amount of basal insulin a little bit, and definitely tailing back the amount of fast acting by a fair bit. How much you tail it back is up to you and your dsn. There's nothing wrong with running your bg a bit higher for a week or two just to keep you in the safe zone. If you do go hypo through walking about, remember that a small amount of carbs will pull you out of it ok. T1 is all about adjusting insulin and carb amounts and taking account of things like exercise and heat. Reduce the insulin for exercise and heat and it'll generally be ok. Don't cancel your wedding ticket! T1s don't say, "we can't do this", we say, "how can we do this safely." In your case, I reckon you can do the wedding gig perfectly safely by reducing your insulin doses a bit to take care of the walking and heat, and making sure you've got some fast acting glucose to hand in case you get it wrong. Enjoy the wedding! [/QUOTE]
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