Re: [IPk] exam stress
- To: email @ redacted
- Subject: Re: [IPk] exam stress
- From: Diana Maynard <email @ redacted>
- Date: Tue, 26 Apr 2011 17:19:37 +0100
- Reply-To: email @ redacted
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Remember that you probably want to start increasing your basal rates
before you even wake up as it takes time to kick in......especially
since you said already your BG rose between getting up and having
breakfast. On the other hand you may want to revert your basal to normal
an hour or so before the end of the exam.
The good thing about using your basal to solve this problem is that it's
not too drastic - if you find youself going low in or before the exam,
you can easily turn the temp basal off or reduce it....better than
having a massive bolus in your system and going low....
On 26/04/2011 17:07, Sandra Atkinson wrote:
> Thanks for the info :-)
> My cannula was changed yesterday and I checked for air bubbles and
> everything. The only thing I can put it down to is the adrenaline
> rush. I was expecting to run a little higher than normal hence the
> extra insulin with breakfast and a temp basal. Luckily my personal
> tutor is actually a dietician who works with pregnant diabetics and
> has good understanding of pump therapy so if I have written utter
> nonsense she will arrange a resit for me. Think I'm going to have to
> play around with basal rates and hopefully find something that works
> for me. Wonderful how diabetes can kick you when you need it least
> isn't it!
> Back when I took my a levels 10 years ago, long before I had a pump I
> was given extra time as the raise in my glucose would make me close to
> passing out. I remember having readings as high as 30mmol! Wish I had
> remembered that before this morning!
> Thanks for your messages everyone
> On 26/04/2011, Diana Maynard<email @ redacted> wrote:
>> Hi Sandra
>> Two things:
>> (1) If it only happened once, it might not have been stress at all, just
>> something unrelated, e.g. air in your tubing, or a random unexplained high.
>> (2) on the other hand, you may find that your BG shoots up even when you
>> don't feel stressed. I get this in softball matches often - even when I
>> don't feel at all stressed in a game, my BG can shoot up when in
>> practice (ie not in a match) it tends to drop like a stone with exactly
>> the same amount of exercise! I think this is more positive adrenalin
>> than stress, as stressful events in general don't actually affect my BG.
>> So even if you feel calm, knowing deep down that the exam is important
>> may be sending the adrenalin soaring....
>> I have to say I've never done anything special for exams, through
>> school, university and beyond. I've just tested immediately before the
>> exam and made sure (as always) that I have a pack of glucose tabs in my
>> pocket and my meter handy. That's all you need really (though as someone
>> says, you may want to warn the invigilator in case they frown upon you
>> stabbing yourself or eating sweets mid-exam. I can't see why you would
>> need extra time though, unless you're actually hypo - it only takes
>> about 10 seconds to do a blood test. Glad they are supportive though!
>> On 26/04/2011 16:41, Sandra Atkinson wrote:
>>> Hi guys
>>> I woke up with a reading of 8.4 had 10.5 before breakfast. Took an
>>> extra 3 units with my breakfast bolus and put my pump onto +10% an
>>> hour before the exam began. Just before I started it, my reading was
>>> 19.1, I didn't feel stressed, I was very well prepared and despite
>>> taking 2 more units, after an hour had passed it had gone up to
>>> 19.9!!! Obviously I need a higher temporary basal rate, but I'm
>>> worried about going hypo. I'm thinking of a 40% increase an hour
>>> before might work. Guessing I can only try!
>>> My university have been very supportive, they've provided me with a
>>> private room and let me have all my kit for testing and all manner of
>>> snacks and lucozade and stop the clock when I have to test. Couldn't
>>> ask for more from them!
>>> Waiting on advice from my dsn as well but I appreciate any input from you
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