8 posts, 4 contributors
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tcmonkey80
DAFNE Graduate
Essex Partnership University NHS FT (St Margaret’s Hospital) 41 posts |
Hi everyone, |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
You should check that the previous meals dose is correct on the days your not attending the class, if its not then this may be the problem........ |
tcmonkey80
DAFNE Graduate
Essex Partnership University NHS FT (St Margaret’s Hospital) 41 posts |
hey guys, thanks for the advise |
PNThompson
DAFNE Graduate
North East London NHS Foundation Trust (Havering and Redbridge) 57 posts |
The reading could also be a false high and you are experiencing a Hypo. |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
Its a tricky one this exercise business.......... |
Chris loughrey
DAFNE Graduate
University College Hospital, Galway 21 posts |
Test directly before, during (to ascertain if a hypo is happening) and after for 2-3 classes. Also check your BI level as well. If that is ok, its possible that a small exercise bolus may be needed (0.5-1 unit). |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
When you say check your BI to see if its OK, what do you mean................ My understanding, depending on duration and intensity of the activity, your BI may have to be adjusted before the activity and possibly after...........is this what you mean by right, as in, properly adjusted for the envisaged activity... |
Chris loughrey
DAFNE Graduate
University College Hospital, Galway 21 posts |
Check BI, as in carb free meal. Its probably fine, just being thorough and making sure that the rise isn't caused by a lack of background insulin. Is the class at a time where you may be reaching the tail end of your lantus/levemir? And you're correct, BI may need adjustment but I've usually found that adjusting QA is a better method in terms of pre/post exercise levels. Given that you are doing the class before dinner, I'm assuming that it will have been some time since your previous meal and so there will be relatively little QA in your system. The steep rise indicates it may be quite an intense class for you and is causing a lot of cortisol to be released into your system. If the BI is good, then we're back looking at a small exercise bolus. Simple case of eliminating possible causes. Above all though dont shy away from exercise because of the work it requires. The benefits massively outweigh the effort you have to put in. ![]() |