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Re: [IPk] dancing part2



Hi Diana ,
We have some supportive elasticated cases available that hold the pump
securely whilst dancing or exercising . Let me know if this would help .
As yet there are no clear exercise guidelines for use with lispro but given
the rapid action and clearance of lispro I think that you will need to use a
temporary basal rate during active dance to allow for the glucose to reach
your muscles .
A suggestion would be to reduce your basal rate by approx. 50% during
exercise and of course to monitor closely .

Diabetologists do seem to agree that the best time to take exercise is
approx. 3 hours after a bolus of lispro as the action of the bolus will be
mostly completed and there is less risk of hypo at this time .

Disconnecting is great for shorter periods of exercise [ usual
recommendation is a max. of 1-1.5 hrs ] You may find that you need a small
bolus with your snack prior to exercise and then disconnecting .
Check B/G  after exercise and then  give a corrective bolus as needed on
reconnecting if you use this option .

Exercise needs are very personal and will take a while to establish .
Good dancing

Morag
-----Original Message-----
From: Diana Maynard <email @ redacted>
To: email @ redacted <email @ redacted>
Date: 23 April 1999 14:11
Subject: Re: [IPk] dancing part2


>Hi John,
>yes I could just reduce the basal rate, but it makes dancing easier if
>I can take the pump off altogether. If not, then I wil leave it on and
>do that. Certainly when I am dancing for more than a couple of hours I
>will have to do that anyway.
>I figured that the amount of energy I use while dancing would offset
>the need for any insulin during that time (only about 1.5 units in
>total).
>I'm going to be experimenting over te next few weeks to see if I can
>find somehtign that works. Of course my basal rates are still not
>entirely ocrrect so this doesn't help!
>thanks for the advice.
>Di
>
>>
>> Di
>>
>> you need a certain amount of circulating insulin to be able to convert
the
>> glucose into energy.  I wonder if the reason your Bg goes high after
>> eneretic work outs is because you do not have enough insulin.  On the
H-Tron
>> you can reduce the basal rate for  to 4 hours by 50% ;can you do that
with
>> the pump you have? if so this might be a better option than taking the
pump
>> off altogether
>>
>> Best wishes
>>
>> John
>> -----Original Message-----
>> From: Diana Maynard <email @ redacted>
>> To: IP- UK <email @ redacted>
>> Date: 21 April 1999 10:14
>> Subject: [IPk] dancing part2
>>
>>
>> >OK, last night I went dancing for 2 hours again (this time pretty
>> >energetically - an hour and a half of continuous jive plys another
>> >half an hour of active stuff).
>> >
>> >BG at 6.45pm was 7.
>> >Had 15g of carbs (with a little fat and protein) and then disconnected
>> >from 7-9.
>> >
>> >I would have expected to be quite low if not hypo at some point, but
>> >my Bg at 9.30 (directly afterwards) was 16.
>> >
>> >Obviously I'll have to try this a few more times before I jump to any
>> >conclusions, but I'm trying to think of possible reasons / solutions.
>> >
>> >Dancing normally does not cause a rebound high like going to the gym
does
>> (prolonged exercise never does with me).
>> >
>> >I am reluctant to start a very active session with a BG of 7 and no
>> >carbs, since I suspect I'll go hypo very quickly.
>> >
>> >Ditto for taking a bolus before I disconnect.
>> >
>> >Maybe I should have suspended the pump say an hour before I started
>> >the class and then not eaten any carbs / taken a bolus with some
>> >carbs? I think someone mentioned this before, about disconnecting
>> >early.
>> >
>> >Would that seem a sensible thing to do?
>> >And then take say a bolus of 1 unit as soon as I reconnect (which I
>> >did anyway).
>> >
>> >problem is I never know how active the class is going to be until it
>> starts.
>> >
>> >yes, i know i need to get my basals sorted out too but given the last
>> >few days I think that the daytime one is reasonably
>> >accurate.
>> >
>> >Obviously I'm not expecting things to be perfect yet  but of course it
>> >has been known for me to do stupid things / forget the obvious things!
>> >
>> >Di
>> >
>> >
>> >
>> >
>> >
>> >
>> >
>> >----------------------------------------------------------
>> >Insulin Pumpers website http://www.insulin-pumpers.org/
>> >for mail subscription assistance, contact: HELP@insulin-pumpers.org
>> >
>>
>> ----------------------------------------------------------
>> Insulin Pumpers website http://www.insulin-pumpers.org/
>> for mail subscription assistance, contact: HELP@insulin-pumpers.org
>>
>
>----------------------------------------------------------
>Insulin Pumpers website http://www.insulin-pumpers.org/
>for mail subscription assistance, contact: HELP@insulin-pumpers.org
>



----------------------------------------------------------
Insulin Pumpers website http://www.insulin-pumpers.org/
for mail subscription assistance, contact: HELP@insulin-pumpers.org