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KATHRYN1985 SparkPoints: (0)
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5/15/12 10:36 A

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I agree w/Valerie on the importance of the Pumping Insulin book. It's very informative and especially great for people just getting started with a pump. Either way it's an important read. I've noticed that I don't have to do much (or any) temp basal rates when I'm working out since I've started to eat low carb. It has helped my blood sugars stay stable so much and it gets rid of the spiking and the "blood sugar roller coaster" that I was on before.

It depends on the type of exercise I do - if I do Insanity, for example, my blood sugar will drop toward the end so I'll need a temp basal rate. If I do strength training, though, I do not need a temp basal rate and instead need to give a small bolus after or toward the end of the workout to get my bg back to normal.

It requires a lot of testing and and experimenting. Good luck!

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VALERIE1619's Photo VALERIE1619 Posts: 1,090
5/10/12 1:42 P

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I've just had two operations to my cervical spine a couple weeks' ago, so no exercise for me right now.

But when I do my 2.5 mile morning hike around the lake, I do a temporary basal of -70% for about a half-hour, starting 15 minutes before exercising. That gives me less insulin (30% of my typical basal) for a half hour and then returns to my regular basal at about the same time my body discovers it's being deprived of insulin. So, before my blood sugar starts climbing, the exercise counters it. I usually wind up at target or very close to target when I get back to my car, where I test and correct if necessary.

Everyone's different when it comes to exercise though, so it does require lots of fidgeting and experimenting. Also depends on what my pre-exercise blood sugar is. I do my 10-gram carb breakfast before walking but don't want to have to eat to exercise, so I keep the carbs low. I make sure to carry glucose and my kit and test every 20 minutes while exercising.

Valerie



Valerie

Sh*t is hard. Do it anyway.



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CHELERY's Photo CHELERY Posts: 32
5/10/12 12:18 A

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When exercising do you use a certain percentage basal? For how long? Just curious. I turn mine down for exercise nay where from 25% to 50% depending on all the other factors - what glucose I'm starting out at and how long and how hard the exercise.

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VALERIE1619's Photo VALERIE1619 Posts: 1,090
5/6/12 11:33 P

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I'm always stunned when people trust themselves to machines and/or doctors without the proper education to back up what they're doing! Please understand that I'm not knocking you, but that your doctor or CDE should've taught you how to test your basals, which are the foundation of wearing a pump!

To test your basals, contact your provider's office and ask how they prefer you do it. Or do a few Google searches.

The way I do it is the start my testing window four hours after my last bolus of insulin or consumption of food. The idea is to see what your blood sugar does over a four-hour period without influence of food or insulin. Once I've reached the four hours' past food or insulin, I'll fast for another four hours, testing my blood every hour. The goal is that your blood sugar doesn't vary by more than about 10% during that period, which indicates that your basals are correct.

Since our blood sugar and/or our basals can vary by time of day, it's important to test different four-hour windows. Also remember that exercise can influence your blood sugar so take that into consideration too.

An important resource is John Walsh's Pumping Insulin, which every pumper should own, in my opinion. More info on basal testing there.

Valerie


Valerie

Sh*t is hard. Do it anyway.



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SHORTYGETFIT's Photo SHORTYGETFIT Posts: 477
5/6/12 8:04 P

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I change mine on my own and call my Dr. to make sure my change is okay. Also, during exercise I have been taught to do a temp basal.

" Sometimes God places people in your life who help and encourage you even when they don't know it"


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CHELERY's Photo CHELERY Posts: 32
5/6/12 2:47 P

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Yes, I'm on a pump, and using a sensor - which makes it all a little easier. I'm not sure what you mean by the fasting basal testing....Maybe I should review my Pump School notes...Thanks for the idea. I'm getting lows frequently in the afternoon, about 3 to 4 hours after lunch, and at night once to twice a week. I just turned all the basals down by .05. I'll see how that works.

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TRIMAT40 SparkPoints: (0)
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5/5/12 3:05 P

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I have a pump and I do it on my own, but just small amount at a time and check often after that.

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VALERIE1619's Photo VALERIE1619 Posts: 1,090
5/5/12 3:02 P

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I do my own adjusting.

As I've lost weight, I've needed to reduce my basals.

Have you identified a particular time when you're low? I'm assuming you're pumping? Have you done some fasting basal testing?

Valerie


Valerie

Sh*t is hard. Do it anyway.



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CHELERY's Photo CHELERY Posts: 32
5/5/12 2:57 P

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I'm starting to have frequent lows. How do you decide when to decrease your basal and by how much? Do you only do it with your doc's guidance?

Edited by: CHELERY at: 5/5/2012 (14:58)
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