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[IPk] actrpid vs humalog

I have seen that some people use either actrapid or humalog insuilin in the 
pump. Do you get a choice I have never tried Humalog but would be swayed by 
it;s apparently quicker action, Does anyone have any preferences? Carmel

>From: Diana Maynard <email @ redacted>
>Reply-To: email @ redacted
>To: email @ redacted
>Subject: Re: [IPk] Basals and exercise
>Date: Thu, 19 Oct 2000 18:21:56 +0100
> >However, pre breakfast I exercise for 30-40 mins (bike, cross trainer,
> >stepper or the like).  At present I am trying to get my basal right for 
> >period - basically cutting it back by 0.1 and seeing what happens, 
> >my BG's are dropping so rapidly!  I would be grateful for any advice from
> >any of you on:
> >*	how long should basal reduction for exercise last? - just while I
> >exercise?  or a number of hours after?
> >*	are there any standard figures for exercise basal reductions?
> >*	will the rules I apply pre-exercise count if I exercise at other
> >times of the day?
>Hi Audrey
>The most obvious question is: how long before you exercise are you reducing
>your basal? A lot of people forget that you need to reduce it some time in
>advance (in general).  I use Humalog, and for going to the gym, I need to
>turn off my pump at least 30 mins before I exercise, often 45. For 90 mins.
>workout, I leave it turned off for the first 45 mins. (when I'm doing the
>CV stuff) and then turn it back onto full for the second 45 mins. I then
>usually have to add about 0.5 units when I've finished.
>For 2 hours' dancing, I turn it off 30 mins in advance, keep it switched
>off for the first hour, and then put it back to full.
>Some people need a lower rate for several hours afterwards. I tend to spike
>afterwards, especially if it's intense exercise.
>The amount and time you need to alter your dose by varies a lot according
>to you, the type of exercise, time of day etc. Best just to experiment
>For me, the time of day makes little difference, but whether I have insulin
>in my system (apart from the basal) does make a difference - sends me low
>very fast. But if you have a strong dawn phenomenon, or different rates for
>different times of day, that's likely to make a difference.
>Hope that helps.
>Oh, and of course, things are different if you'r eusing Humalog or 
>  >
> >Any suggestions gratefully received!
> >
> >As a matter of interest, pre-pump when I exercised in the morning by BG's
> >would often spike from say 8.0 to 20+, or if I had woken with a bloody 
> >greater than 10.0  I would always take 1u-2u of Humalog by pen to make by 
> >come down - which I now realise was basically a very crude basal!
> >
> >Audrey Sheal
> >IDDM - 20 years
> >Pumper - 2 weeks and bit!
> >
> >
> >________________________________________________________________________
> >Scottish Enterprise Network
> >http://www.scottish-enterprise.com
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