Excercise or Depleted Insulin

I had a carb free dinner on the 6th [Turkey Breast & Vegetables]........

Then commenced light/moderate activity over a period of 2 hours at 19:30pm....

When I returned home and tested I was 14.7...

Could this be my Levemir dose running out?
A result of the activity and no insulin?

Only one days results I know, but what would be your initial thoughts.....?

I take my evening dose of Levemir later about 21:30 - 22:00 to combat DP...........should I consider taking it with dinner on nights of activity.......

My Blood Sugar always goes up when I go swimming before breakfast - last week, for instance, my BS was 5.6 before swimming (half an hour's worth) and it was 8.9 afterwards. This is not a one-off, it's consistently like this. I queried this with my HCP and he said that it was probably caused by the act of going to the swimming baths and meeting other people - which then causes the release of adrenaline, which in turn leads to the release of glucagon from the liver - hence the increase in BGs.

If you went to a gym for your exercise, perhaps it was the same for you.

Alan has cleared this kind of thing up for me in the past.
I have gone out whilst high and exercised, trying to knock it back and expecting to find my BG well down.
But found it going up..... BG BE 13.2 AE 13.4 and was puzzled by my personal experience.
The logic seems sound.
Garry

Hi Novorapidboi, I play a bit of 5aside(Im know beckham lol) and gym(or arnie lol), and have found blood test increases if no QA remaining in system. What I have been doing and seems to work is have 2cp before excercising and 1 unit of QA, which was difficult to get head round injection before excercising and it seems to work. But I have to watch results for remainder of day as blood tests do tend to drop while body recovering.

not sure if I'm reading it right but it looks like you had a BG of 4.2 and did your 2 hours exercicise on that - is that right? Maybe you went hypo and your glycogen stores kicked in so it read as 14.7? So 14.7 is a post hypo rebound?

Thank you all for your suggestions, they are all valid........

It could be a hormonal response to the activity, or the fact I had no QA insulin on board, however my muscles would then use energy from their stores, does this process need insulin? I would assume not.....

Its also possible I went low first, but I should of felt it, no? There was no QA in my system at dinner time, so dont know if I could of went low first......

So many possibilities............


Will put the following day up shortly..........

As you can see my problem with rising blood sugar has been taken over by lows throughout yesterday and this morning............

Is this because of my muscles replenishing, or is it down to a high ratio in the evening?

The possibility my Levemir is running out by the time 21:00 comes is also possible...........[been working up until now]......

If today is the same, I think I will try taking my Levemir with dinner, then run that for a few days.............

However all this bother may be down to the effects of Monday nights activity, and could wear off at the end of today, returning everything to normal.......

Any discussions/comments welcome............

the lows are definately caused by the exercise. generally the effects of exercise will be felt for 24 hours afterwards. Maybe more, maybe less as we are all different. It is basically the fact that your muscles etc are still using more energy ( from blood sugar) than normal. I always had to lower my QA the morning after an evening at the gym, and sometimes my BI depended on the level of exercise. Sadly I saved money by not going to the gym and now just cycle as its generally cheaper ;-)
I think its also true that most exercise results in adrenaline being released which is a hormone that primes the body for action. Any 'action' generally requires more 'energy' than resting so more sugar in the blood to provide the energy. Sadly being diabetic means you don't get the corresponding insulin boost to process this blood sugar. However injecting extra insulin is also potentially dangerous, so probably best to do exercise when there is some QA in the blood but not injected specially rather as a tail off from a previous meal. Of course the difficulty is the only way to work out the best solution for each individual is by trial and error. Still nobody said being Diabetic would be easy even with DAFNE
I would also be careful about moving your Levemir to that much earlier. Generally having Levemir before bed and when you get up is it gives you a greater overlap in the morning when generally your insulin requirements tend to be higher. This is due to dawn phenomenon type effects if not the full blown thing. Instead you would be more likely to get an overlap in the evening. This might have the effect you require, but could also leave you higher in the morning. All could's of course because we are react differently.