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Permalink Reply by Edgar on August 9, 2011 at 6:52am

I shot myself 16 units of Lantus in the morning and 8 at nights. I train 5 days at weeks and is almost impossible to me adjust the night dose in order to avoid the hypos in the middle of the night. The only way that I found to solve this problem is to increase my BG before going to bed, with a glass of orange juice, no matter if my BG is 170 or 220. When I exercise my BG drop at midnight 100 - 200 points. At night my body is like a machine sucking of glucose hehe.
When I do not train, my glucose only drops 30 - 50 points.

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Permalink Reply by Scubasu on August 10, 2011 at 9:05am

My son definitely drops at night so he always pushes it up at bedtime after a day with excercise....a glucose sucking machine...yep, that sounds like him, too!

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Permalink Reply by Scubasu on August 10, 2011 at 9:02am

That does sound scary. Being able to turn off the basal is a big advantage to the pump. A friend shared with me that she had a similar incident with her daughter...they kept giving her carbs and testing...went on for hours.

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Permalink Reply by Tom on August 8, 2011 at 7:01pm

I'm on Lantus and never adjust it for exercise. I only adjust my fast acting insulin. I either take less insulin or eat more before exercise (Depending on the type of exercise...aerobic lowers my sugar and anaerobic raises it.) I only adjust my lantus depending on how high or low my sugars over a week or so period.

You son might be getting hypo hours exercise, because after exercise your body is very sensitive to insulin (and other hormones and nutrients) because your cells are craving to be restore. If he doesn't already, he should try taking less insulin after exercise.

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Permalink Reply by Brian (bsc) on August 9, 2011 at 5:11am

Some people (and children in particular) experience post exercise hypos. These cannot be explained simply from increased insulin sensitivity. Some people believe that it is related to your body trying to restore glycogen stores. I have these sorts of hypos about two hours after exercise, but have been able to reduce/eliminate them by eating a good meal (with bolus) within 2 hours. But these hypos can occur up to 48 hours after exercise and they can occur at night. Our fellow member Cheryl posted an interesting presentation on this topic some time ago.

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Permalink Reply by Scubasu on August 10, 2011 at 9:10am

Thanks for the link. There is a lot of information and I am going to have my son look through the powerpoint, too.

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Permalink Reply by Scubasu on August 10, 2011 at 9:09am

He did make adjustments on day two on his food boluses and was happy with the results while he was at football practice. The first day he had to sit out for 25 minutes, the second day he didn't have to sit out at all. He still continued to drop the rest of the day and into the night. He was giving himself about a 50% bolus on his food.

The good news is that the coaches tell me the level of activity at the practices is going to be very consistent, so once he gets it all figured out, he should be set.

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Permalink Reply by jazziejamjar on April 10, 2012 at 7:02am

I ball girl at tennis tournaments - not so fun when Tsonga is serving at your leg - and for the week I put my Lantus down one or two at most and usually only inject my Novorapid for main meals and not snacks. This however is for a week of non-stop concentration and movement in the full sun (don't know if this affects anyone else but put me in the sun and my insulin seems to work ten times more efficiently!). Hope this is some help!

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