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Oct 15, 2013
Rafa
99 posts
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Topic: General Discussion / Exercise & BG levels
Thanks very much. |
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Oct 15, 2013
Rafa
99 posts
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Topic: General Discussion / Exercise & BG levels
Thanks a million for all the information, much appreciated. Nervous but looking forward to it. Can i ask would you stop and test the BG much during a marathon? |
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Oct 15, 2013
Rafa
99 posts
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Topic: General Discussion / Exercise & BG levels
Thanks a lot. |
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Oct 15, 2013
Veronica
2 posts
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Topic: Questions for HCPs / Traveling to China I went to China about 7 years ago - brilliant!!! With regards to your Lantus, it depends what time you are travelling. I would be inclined to just miss one basal dose as you will be going forward 8 hours (preferrably a morning dose) With regards to your bolus, I found that the meals were mostly made up of fresh vegetables and meat/fish and most of the carbs just come from rice so I just worked out my bolus dose based on how much rice I ate plus 1CP. Most of the meals we had didn't have a pudding, but fresh water melon was included at the end of the meal (0 carbs) Other than that, just check your BG regularly and make adjustments if you need to. In the 2 weeks I was over there I didn't have any high BGs and only 2 hypos - one on the first day when I had too much insulin because I was expecting Chinese food to be like the Chinese food we get over here, and one when I walked part of the Great Wall! On the return journey, take an extra dose of Lantus (again preferrably a morning dose) halfway between your last Lantus dose in China and your first dose in the UK. You are only going for 10 days, so a few highs or lows won't have much effect on your overall control, just keep your emergency hypo treatment handy at all times, and make sure people around you know what to do to help you.Good luck, hope you have a great time! Veronica. |
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Oct 14, 2013
youone
102 posts
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Topic: General Discussion / Exercise & BG levels Thanks Warwick I'm sure your links and experience will help Rafa, I myself will try some of your suggestions to reach my next goal.......
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Oct 14, 2013
Warwick
423 posts
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Topic: General Discussion / Exercise & BG levels Excellent Rafa. How exciting.I've run four marathons - the first one pre-diabetes and the last three post diabetes. You will work out most or all of what you need to know in the training that you do for it. Build up the training slowly to avoid injuries - one long run a week supported by a couple of shorter runs per week is good. For the actual day, I run with one of these: http://www.ebay.com.au/itm/Drink-Bottle-Holder-Belt-Hydration-Waist-Pack-Nathan-Elite-2V-Plus-Fuel-Belt-New-/330897401499 One 750 ml bottle is ordinary strength sports drink, and the other contains 3 x strength sports drink. I drink the ordinary-strength bottle of sports drink over the first quarter of the event, then stop at a drink station, transfer 1/3 of the concentrated sports drink to the empty bottle, and top it up with water from the drink station. That gets me to half way, then I transfer half of the remaining concentrated bottle to my empty bottle, top both up with water, and I'm good for the rest of the race. The hydration belt is also good for carrying things like jelly beans, blood glucose meter, hand sanitiser, keys etc. It's best not to rely on the provided sports drinks at the water stations as they tend to be watered down a lot. Alternatively, you might be able to hand your bottles in to the event prior to running and have them available at the drink stations, but if you do that, then make sure your bottles are very noticeable, e.g. spray paint them pink so that you can work out which is yours from everyone else's. In training, on your long runs, work out how much carb you need to take while running, and also how much you need to drop your basal by prior to the run. On race day, you will be really prepared for anything that can happen, because it will almost certainly have already happened to you in training. Testing for hypos is also really important in the 24-48 hours after the event (and training long runs). It is much more likely that you will have them during that period. I wrote up about my first marathon post diabetes here: http://needcarbs.wordpress.com/2011/09/23/marathon-number-2/ (note that at the time I was on 2 x basal insulin injections per day with no QA injections). Marathons 3 and 4, I wrote about here when I was on basal and QA injections: http://needcarbs.wordpress.com/2013/03/05/finishing-unfinished-business/ That last link also contains a link to Heidi Jane James' website which I'd recommend for info from another type 1 marathoner and ironman. |
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Oct 14, 2013
sarahg
29 posts
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Topic: Questions for HCPs / Traveling to China Hi sorry to be a pain, does any one have advice for,traveling to china, I will be going for work next month, for 10 days, will be staying in Hong Kong for some of this time .i have requested letter for the doctors, and planned to take a prescription , and bits, but just wanted to have a bit of advice on the time and reducing insulin. As the handbook says to reduce, as traveling west to east but not sure,on how much to,reduce the basal .i take lantus twice a day.8 units in the morning and 30 units in late even .thanks for your help |
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Oct 14, 2013
youone
102 posts
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Topic: General Discussion / Exercise & BG levels Only run 10km (6miles) hope to increase that to 9milesGood luck and all the best with the London marathon
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Oct 14, 2013
novorapidboi26
1,819 posts
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Topic: General Discussion / Exercise & BG levels No marathon or any running experience, but good luck and well done........
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Oct 14, 2013
Rafa
99 posts
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Topic: General Discussion / Exercise & BG levels I signed up to run the London Marathon for type one diabetes research last week. Really looking forward to running for the charity. Nervous as well! Any diabetics on here run a marathon any advice/tips please? Only ever ran two half marathons before. |
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Oct 11, 2013
izzi1234
5 posts
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Topic: General Discussion / Needles I have never used 12 mm. speak to your doctors or diabetic nurse sure there will be an alternative |
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Oct 11, 2013
hannahdefries
12 posts
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Topic: General Discussion / Exercise & BG levels Ahhhh! not sure how i will manage this especially when i run at 6:20am and my alarm normally goes off at 6:10am! This will be okay when i exercise after work but for now I may just have to carry on with what I am doing. My levels today have all been perfect *touch wood*, but tomorrow could be another story! Thankyou! |
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Oct 11, 2013
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / Insulin on board algorithms in pumps The pump company for sure............its likely we as pump users know more than the HCP's...It happened again for me this afternoon, correction was less than the IOB........only by a few decimals right enough.... |
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Oct 11, 2013
davidcragg
17 posts
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Topic: Carbohydrate Counting / carbs and cal iphone app marke,Apologies I didn't realise that existed! I could have saved myself a bit of work! lol By all means nab anything from my list. David |
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Oct 11, 2013
Jimandbillow
8 posts
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Topic: Questions for HCPs / Insulin on board algorithms in pumps Hi novorapidboi26,Thank you for the reply and good reply on perhaps the logic behind the algorithm. It would be good to get a reply or comment from someone who is an HCP dealing in pumps or from a pump company wouldn't it? Thanks |
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Oct 11, 2013
Rafa
99 posts
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Thanks David. |
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Oct 11, 2013
davidcragg
17 posts
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Topic: Carbohydrate Counting / carbs and cal iphone app Yes they've been having a few glitches with the 3.1 release too. The latest update from Carbs and Cals is as follows:"Hi everyone - sincere apologies for all the iPhone App issues recently! We think we've fixed it now, so please switch your device completely off, then on, and start the Carbs & Cals App (with internet access). It will take a few minutes to sync (which should only happen once) and then you should be back up and running. If some of the foods are greyed out and you are asked you to do an In-App purchase, please be aware that the price of the In-App purchase is FREE, so you will be able to unlock all the foods for no additional charge." Hope that helps, David |
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Oct 11, 2013
Rafa
99 posts
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I am on the iphone and each time i try to go into the app it comes up with the following message, We've added new food items to the Carbs & Cals app! Please be patient while your database is being updated. This may take several minutes. Then when i do get in it tells me that it wasn't synched properly. |
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Oct 11, 2013
Louise1988
69 posts
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Topic: General Discussion / 3am tests Sounds like a starting place, thank you so so much for your help!
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Oct 11, 2013
novorapidboi26
1,819 posts
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Topic: General Discussion / 3am tests That would be a good place to start, you would need to just test it out and see.........theoretically you should be able to go steady overnight, and by steady that means, up and down within 1-2mmol/l, that margin of tolerance is acceptable.once you have got the your bg holding within the 1-2mmol then you can be confident that dose is right, then you can go on to test the morning BI dose, by carb free tests throughout the day..........its usually OK to do 3 days testing but stagger the times you go carb free, so Monday breakfast carb free, Tuesday lunch carb free, Wednesday dinner carb free, this will tell you what your morning BI is doing at those 3 critical times of the day. You may find that the breakfast, lunch and dinner periods all require different levels of BI, but unfortunately without a pump you can never accommodate that, but when injecting insulin there is rarely ever real need to get the BI that accurate, and surplus or deficit BI needs can be caught with your QA insulin....... Book and appointment and see what your DSN says, they will be more equipped than me to advise you.......
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Oct 11, 2013
Louise1988
69 posts
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Topic: General Discussion / 3am tests That makes complete sense. When I've done 3am tests in the past, I have seemed to go higher, and then dropped again by morning. So in theory, if I were to do 4u at night, and then 3u in the morning, this could ensure I don't drop as much during the night, and then maintain the next day's bg levels? Have I got that right?If so, I think I'll make an appointment to see my DSN |
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Oct 11, 2013
novorapidboi26
1,819 posts
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Topic: General Discussion / 3am tests One dose over 24 hours has to deal with varying BI needs over that time, basically and commonly most people need different doses for the AM and PM portions of the day.In fact the amount of BI you need changes by the hour, the only way to achieve accurate dosing for BI is on the pump. By splitting your dose you will be giving one dose before bed to hold you steady till morning, and then another dose at breakfast/waking to hold you steady till the bedtime. This means that if you go low overnight due to too much basal, you can reduce your dose without that reduction affecting your daytime blood sugar. Currently this is how you are doing it.........for example the 7 your own currently could be fine to hold you steady till morning, but you may need more or less than that 7 to hold you steady during the day........ Another benefit is its much more flexible for things like exercise and alcohol....... If you were going hill walking for example all day, you could actually reduce your morning dose to compensate for the reduction in BG you will experience due to the extra physical exertion... If drinking of a night, due to the lowering effects alcohol has on BG, you could reduce your bedtime dose in order to prevent a hypo, and even reduce the next mornings dose if the alcohol is still inn your system....... Its the only way to go really, in my opinion, but not everyone can see the benefits in their particular circumstances.....
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Oct 11, 2013
Louise1988
69 posts
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Topic: General Discussion / 3am tests I haven't considered splitting. I don't know much about what the benefit of that would be
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Oct 11, 2013
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / Insulin on board algorithms in pumps I am on android so haven't looked, I used to use apps now but my pump takes care of everything to my satisfaction now..........I just tested my BG there and it was 5.4 and I planned to have 22g of carbs just over half way through my insulin action, I have 1.5 units remaining. BG: 5.4 Carbs: 22 Food Bolus: 2.7 {8:1 ratio} Correction: -0.1 IOB: 1.5 So the pump suggested 2.6 , which is food bolus - minus the correction, so yeah, I can confirm that happens, but why? If the correction was more than the IOB, then there has been a miscalculation and there is not enough insulin to get you back on target. So the pump would offer the correction and also consider what is still on board. The reason it doesn't remove IOB from a correction less than the IOB is likely because the pump is assuming the IOB is still present to process the remaining carbs on board. So for my scenario above, the pump made the assumption that the 1.5 IOB was still there working on the breakfast carbs, and so all of that 1.5 is still required. Theoretically this 1.5 would still be required even if I had ran to work and was low when I tested. And so it uses the negative correction instead to drop down the final bolus. Reading this back sounds quite confusing...........lol.... I think extra activity uses glucose stores from your muscles directly, and so the carbs you had eaten previously are still there, the drop in BG is down to the muscles absorbing back from the blood stream. I think that is the logic behind the algorithm..... |