For instance if a friend calls you to meet somewhere for lunch or the movies and your sugar is 300 would you still go? If you get invited to a party or an event and your sugar is 300 would you still go? If your boyfriend or girlfriend is in the mood for some whoopie and your BS is 300 are you ready for action? Just wondering.
karen, is the pump helping you. I hope it is! :)
The pump makes my life easier than shots to deliver insulin, but............I still struggle with exercise and lows, but I have work arounds for the dawn phenomenon. I cannot after 8 years of pumping figure out how to avoid my 4pm lows without just having a snack. I do test 10-12 times a day and I cannot exercise after any type of bolusing/eating. I still at times am afraid to move around, stairs at work etc for fear of lows. I also struggle big time with hypoglycemic unawareness. When I moved to MDI (shots/pump) in my diabetic life is when I started to struggle with more lows. Sometimes I think the constant fast acting insulin is not always the best. It is what it is. just easier. With tighter control of any kind of insulin delivery comes bigger obstacles.
I have similar issues Karen. I just started pumping and it does help in being able to adjust basals for certain time zones so to speak. I have a similar problem with lows at 3:30pm so I guess we're on the same diabetes page with that. I've also struggled with lows from any kind of activity as well. Went on a site visit to look at downtown hotels for a conference setting that involved much walking and it was a complete disaster even with reduced basals.
I recently talked to my endo about lows with exercising. He told me that research has shown that the best time for insulin users to exercise is before breakfast (and before any type of correction bolus) because it's been longer since you've bolused. Of course, I already get up at 5am for work so I don't think that's going to work for me. Endo said the second best time to exercise is before dinner so that's my plan now.
I exercise before dinner and have to eat carbs before I start even though my basal has been at .025 for many hours.
I avoid exercising on a bolus, and that is a frustration for me at times. (ya know out with family/nieces,eat, niece boluses for me and then they want to take a walk along the river, panic city).
I miss my lack of freedom for exercise, and I miss my awareness of lows.
I really appreciate everyone's interesting and thoughtful recent posts. I think we really do need to make room for people who feel like D gets them down, maybe gets the best of them sometimes or maybe often. I personally have really appreciated the encouragement I have received here when my motivation needed CPR. And Mr. AcidRock, keep encouraging people to test. My silent mantra, every day, is "test, test, test." It's the key to the best control we can achieve. And let's face it, diabetes sucks, and I think it is important not to sugarcoat that fact. But I also truly believe we can live well in spite of it all.
1++++++ Way to go Melitta!!!
I agree w/ Melitta about testing. I can't help but think that doctors, CDE and insurance companies conspiring to interfere with the number of tests is nothing less than an evil conspiracy that needs to be stopped [in the US, I realize that those of you in other countries face evil conspiracies of your own...].
Considering that meters have been around for a while it is a puzzle to me why insurance companies and the medical profession have failed to realize their potential for better(and ultimately cheaper) care, as well as better lives for all diabetics.
Although I'm not much on conspiracy's perhaps an evil conspiracy is the best explanation. I picture a bunch of bean counters in green eye shades sitting on huge stacks of $'s.
I agree BadMoon, the conspiracy in my mind is all about the almighty buck and cutting costs today to generate corporate profits in the short-term. This is the world we live in.
Everything we do in the US is short term and while this does have some positive aspects it also has a tremendous downside.
I agree that we can live well, but...............I agree we should not sugarcoast, especially when I see posts of parents who are so stressed over the fact that things are not working out well for their kids with diabetes with anything they try.
Everyday is different and it is not an exact science, and I think it is important for parents and kids to know that it is a struggle and that it may always be a struggle.