ElyDave said:
very quick, rushed question, I'm not being rude, just short of time.
Who told you to reduce your basal after exercising? I 'm on a higher basal dose than you with 8 at noight and 6 in the morning and I have NEVER yet changed the evening dose even on days of signifcant exercise. I have dropped it from 6 to 3 in the morning when I know I'm going to be doing extended endurance exercise - 2 hours plus of running, cycling etc. At the same time I will drop my Novorapid dose immediately before the exercise to one unit.
Generally, to avoid post exercise hypos, if I'm exercising before a meal I will lower the post exercise meal dose by a factor of 30-50%. I very rarely exercise immediately after a meal, and find that if I run 3hr + after lunch I won't need to change the lunchtime dose.
And like you I can find even walking has an effect, so walking from the Carmelite Hotel to Talisman House has resulted in me testing at <4.0 on arrival because I didn't frop my breakfast dose.
Carmelite to talisman is a deceptively long walk, most of it is a gentle incline too. Nice choice of hotel though
So take an average day when I'm going to have a run, I eat lunch at 11.30. Usually 1 unit Novorapid with that assuming its from the canteen. Leave work at 4, drive home etc test before run and usually have a Jaffa cake (9g carb) because I know ill drop while running. Ill start my run around 5pm (over 5 hours since lunch bolus) and do 4k usually, about 30-40 minutes (need to improve that!). Test again at home etc. basal at 6pm, reduce by a third, so only 1 unit. Dinner is normally pasta based, 30g portion for me. I reduce the Novorapid here too, take usually 0.5 or 1 unit instead of 1.5 dependant on the meal content. The next morning breakfast at 7am at normal ratios.
Initially I didn't reduce basal, just skipped bolus with dinner. It technically worked, in that I would wake up at a good level but I would obviously have a huge spike before hand. The next day I would have random hypos and generally be a bit of a shambles. I phoned the DSN and she suggested this way around instead. So far so good anyway! Such small doses though.
The other place I know suggests reducing basal is the book "think like a pancreas"