Adjustments for Exercise
I know this topic has been discussed to some degree earlier but I do not do any intense workouts, mainly hiking, moderate incline and gardening. I have been told to decrease my basal 2 hours before exercise to 50% if exercise occurs withing 2 hours of a meal and up to 30% decrease if exercise is outside of the 2 hour period after a meal.
But I still always go low when I try and exercise folowing this new plan, in fact within a half hour of my hike today they dropped to 50 rapidly. What do the rest of you do when you exercise? I know there is no one plan that applies to everyone but obviously I am very sensitive to the insulin from my meal bolus. What about diet? Do any of you do low or very low carb and get better results? (so you do not have to take so much insulin?) It was suggested to me that I always take a snack before hiking and snacks while I hike. I have taken that into consideration but I hate to be eating all the time, I'd like to exercise to keep my weight under control.
What about mealtime bolus adjustments? Or is adjusting the basal rate the only recommended plan?
I greatly appreciate any input.
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Replies to This Discussion
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Permalink Reply by lisa c on -
Would 15=30 g of Chp disrupt your wieigh goals> I do close to what you do for basal but also increase Cho 15=30 g beofre hiking of swimming. etc. Can also take 1/2 bolus witht he meal prior to activity.
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Permalink Reply by CDN on -
Thankyou lisa c, Those two suggestions make total sense to me. When I recently asked my Endo she said to make adjustments to the basal only but obviously that is not working. When gardening earlier this Spring I was cutting down (actually too far) on my meal bolus and taking in extra carbs and decreasing my basal by too much. My sugars were level during the 4 hours I was working (pretty aggressive digging, cutting and hauling) but 2 hours later they would spike into the high 300's. So maybe I will cut the bolus and adjust the basal as I have been instructed. If that does not work I can take in extra carbs before exercise and leave adjustments for the basal only.
I know before I was on the pump and taking Multiple injections of Lantus and Humalog insulin my Doc then told me to always decrease the bolus of Humalog for exercise. It worked too. I used to Alpine ski all day and never had a low. Now I have them a lot. but my A1C (when it was finally developed) was not as good then as it is now. And I did not have a CGM then! I am giving away my age now!!
Thank you for your help. If this works for you, I'll try it. Everybody is different..The docs are very good but do not know every individual as we know ourselves. -
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Permalink Reply by lisa c on
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Its always interesting with . Sometimes what works one day, does not work the next. So many other factors play a role....sleep quality, stress, hormones, hydration. One thing I noticed is to always keep a little insulin going on and not cut back basal too much. the body needs insulin, even if in minute amounts. Also have highs later if i suspend , ro swim and remve pump. So when i swim for an hour, I take a small bolus to make up for whar I missed even if my BG is OK. Hope this helps! jai!
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