[Previous Months][Date Index][Thread Index][Join - Register][Login]
[Message Prev][Message Next][Thread Prev][Thread Next]
Re: [IPk] Re: Gymnastics & blood sugar
In message <email @ redacted>,
Jackie Jacombs <email @ redacted> writes
>Maybe half her normal insulin, a small evening meal and the
>choc bar or biscuit or maybe juice, then a bigger supper on return and the
>rest of what would be her normal dose of insulin?? Anyone think that would
I think you would find this easier to think through if you used
carbohydrate assessment and insulin units.
Forget 'her normal dose' - and 'a small meal'. Deal with real figures!
I think you could start with a light meal (because I wouldn't want to do
gym on top of a large spag. bol!), and injecting maybe 75% or 80% of the
insulin which your carb-to-insulin ratio suggests is needed. Then, that
first time, I'd just watch what happened, and take a correction bolus or
boluses as needed. I'd check my bgs before, during and after exercise,
and take glucose tabs if need be (definitely not chocolate!).
If I was hungry afterwards, I'd eat, and take whatever insulin was
needed to cover it (using 100%, or maybe only 90% of what was needed) -
and yes, I know how impossible this all is going to be when we are
talking about the kinds of doses a child needs, and having to do it with
a pen or syringe!).
I'd keep the food exactly the same through the experiments, so that I
was dealing with the same thing each time.
Through experimenting, reducing the % for the evening meal if I was
hypo, raising if it I was high during or straight after gym, I'd get
that set. Then I'd start tackling the post-meal high preemptively
rather than retrospectively: spotting where and how it peaks, and from
that working out how much insulin should be injected when - hoping that
it's not half-way through the gym session!
Anyway, that's how I tackle this kind of experimentation: hold down all
the variables in a vice, and fix one thing at a time!
(dm 30+, 508 1+)
email @ redacted
"It might look a bit messy now, but just you come back in 500 years time"
for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml