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Re: [IP] exercising



 I use symlin. Take 45 units. Then eat and at the same time do an extended bolus
stretching the entire bolus out for 1/2 hr. If I'm super high before the meal I
will skip the extended bolus. If I am below 80 at the beginning of the meal I
will skip the symlin.

Buster in MD


On Jan 18, 2014, at 7:35 PM, Susan Lane <email @ redacted> wrote:

> Buster, just curious: do you wait about 15 to 20 minutes to eat after
> giving yourself insulin or do you inject and just start to eat?
> 
> 


> On Sat, Jan 18, 2014 at 12:16 PM, Buster Q <email @ redacted> wrote:
> 
>> Managing exercise is hands down for me the most challenging and
>> frustrating
>> part of managing my T-1 diabetes.
>> 
>> I need to exercise to stay sane, healthy, and also manage my fasting
>> sugars. I
>> can't keep a straight line on my Dex while sleeping if I don't work out at
>> least
>> every other day.
>> 
>> Also, I'm 49 and my father died from heart disease when he was 53. I have
>> all
>> the risk factors. So I need to exercise.
>> 
>> It works too. I took an executive-level physical that included a sonogram
>> of my
>> heart while working the treadmill during a stress test. It was amazing to
>> see
>> the valves opening and closing at a 180 pulse rate. The cardiologist said
>> I have
>> the heart of a 20 year-old. My calcium score was 0. That's ZERO. No
>> arterial
>> disease at all.
>> 
>> Yet I struggle to keep my A1-Cs in the sevens. Failing to get the exercise
>> right is a big part.
>> 
>> Currently I am having a great deal of luck by exercising 3-4 hours after
>> my
>> lunch bolus, going into the gym with 2-3 units of the bolus IOB, good sugar
>> (100-150) and dissolving 2 tablespoons of powdered dextrose (18 carbs) in
>> my
>> water bottle and drinking it as I go, while monitoring my Dexcomm.
>> 
>> I use a roller and/or lacrosse ball to do soft tissue work, then stretch,
>> then
>> lift weights, then do an intense metabolic conditioning routine (20
>> minutes of
>> serious exertion), then stretch again.
>> 
>> Does it always work out? No. If I go low I have to stop and drink some
>> more
>> dextrose.
>> 
>> Buster in MD
>> 
>> 
>> 
>> On Jan 12, 2014, at 8:19 PM, Susan Lane <email @ redacted> wrote:
>> 
>>> If I exercise right after eating, the carbs don't have time to digest
>> and I
>>> never go high enough.  If I don't eat at all, the old liver kicks in and
>>> up, up up I go.  It major depends on what I'm doing, also.  If I'm
>>> spinning, doing Zumba, biking, hiking, etc.  It's just too much some
>> times
>>> and I just figure that I'll do the best I can.  I used to turn my pump
>> down
>>> for long bike rides, but then I couldn't eat enough to keep the energy
>>> flowing without going too high.  How I wish I was a couch potato! (not
>>> really).  Just bring along foods for going low and your pump to give
>>> insulin when you're going too high.  And then you get to figure out how
>>> much insulin to give yourself when you're at 300 and still have an hour
>>> left of biking.  Can you all hear me screaming?????  Susan
>>> 
>>> 
>>> On Sun, Jan 12, 2014 at 1:38 PM, Glenn Primack
>> <email @ redacted>wrote:
>>> 
>>>> I am with you on the good luck sentiment.  It's definitely harder to
>> keep
>>>> steady blood sugars when doing a lot of exercise, at least for me.  When
>>>> doing exercise for that long, I try to suspend my pump about 2 1/2 hours
>>>> ahead of time, and then adjust my pump to 20% to 30% of my regular basal
>>>> for the duration of the exercise.  That will keep me pretty steady.
>>>> 
>>>> If it's in the morning and I need to eat, I will eat about 70 grams of
>>>> carbs RIGHT before exercise (Some people have problems with exercise
>> right
>>>> after eating, but seems to work for me) and inject around .5 or .75
>> units
>>>> of insulin for all of that food when I would normally do about 7 units
>> for
>>>> that food if I wasn't exercising.  The food digests slowly since I am
>>>> exercising and my blood sugars stay pretty stable.  I watch my Dexcom
>> and
>>>> always keep gummy bears in my pockets to take one or two of if I see my
>> BS
>>>> headed down.  Then in the last 20 minutes or so of exercise I usually
>> turn
>>>> my basal back to normal and give myself half a unit of insulin to get
>>>> insulin in my system again and then monitor my blood sugars pretty
>> closely
>>>> when I get home.  It would be hard for me without a Dexcom.
>>>> 
>>>> I did a 10 mile run this morning with that method with good results.  I
>>>> think the key for me is exercising immediately after eating and not
>> giving
>>>> time for my sugars to spike.
>>>> 
>>>> Glenn
>>>> 
>>>> 
>>>> On Sun, Jan 12, 2014 at 2:28 PM, Susan Lane <email @ redacted> wrote:
>>>> 
>>>>> Melanie, all I can say is GOOD LUCK.  I'm also an avid exerciser and a
>>>> type
>>>>> 1 with a pump and a Dexcom.  Every time I think I have things figured
>>>> out,
>>>>> kapooie, something new happens.  Example, I took a 50 mile bike ride
>>>>> yesterday.  Bought a new kind of bar to nourish me for the ride.  At
>>>> about
>>>>> 35 miles I ate 3/4 of the bar (about 20 carbs) and when I was done with
>>>> the
>>>>> ride, I was at 300.  FRUSTRATING.  So, now I figure that maybe I'll
>> take
>>>>> nibbles of the bar throughout the ride and maybe that will keep me more
>>>>> level.  Or maybe not eat that bar at all.  The guessing game continues.
>>>>> 
>>>>> Now here's the best advice I can give you.  Eat low glycemic index
>> carbs.
>>>>> Whole wheat, whole grain.  Eat food that is easy to digest during the
>>>>> tennis game, so that your blood sugar does not suddenly rise after your
>>>>> workout due to the fact that it didn't digest while you were being
>>>> active.
>>>>> Don't forget, your blood is mostly in your limbs when you're working
>> out
>>>>> and not in your digestive system, so your food takes longer to digest.
>>>>> There are drinks that are way better than Gatorade.  Gatorade has a lot
>>>> of
>>>>> dyes and such that you may not want in your body.  I just bought
>>>> something
>>>>> called Skratch that you put in your water.  I will experiment with it
>> the
>>>>> next time out.  Also, dates are a great food for when you exercise.
>> They
>>>>> are sweet, but they are lower glycemic index and you can buy date bars
>> at
>>>>> Costco that are made with whole wheat instead of while flour. If you
>> are
>>>>> eating junk food to keep your bg up, remember that they will spike you
>>>> and
>>>>> then you will drop fast.  Pair an apple with peanut butter, so that the
>>>> fat
>>>>> and protein in the pb slows down the digestion of the apple.  Stuff
>> like
>>>>> that.  Candy is not a good thing to eat unless you need a quick spike
>> up
>>>> if
>>>>> you are in danger.
>>>>> 
>>>>> I hope this helps just a little bit.  I'm still trying to figure out
>> how
>>>> to
>>>>> get through a spinning class!!  Susan
>>>> .
>>>> Follow us at https://www.twitter.com/insulinpumpers
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