Thursday
Feb112010
Pleasantly Surprised
Thursday, February 11, 2010 at 9:20AM
With all that I have had going on this past week, I was sure I hadn't lost any weight. I thought for sure I had gained. Between my best friend's birthday party and the AMAZING cake to eating out a few times for various reasons, and not being able to get to the gym every night like I had been, and I had gone over my WeightWatchers points more than once, I just knew I HAD to have gained. I was pleasantly suprised this morning when I "weighed in" that I have lost 1 more pound. YEY! I'm SO happy!
I also heard back from my endo's office Tuesday. I have been waiting a week to find out what he wants me to do with my basal rates to prevent my lows. I know I can adjust them on my own, but I was to the point of "I just don't know anymore. He's the doc, I'll let him figure it out". Mind you, he's a wonderful endo, but apparently he's been swamped with patients. (I normally hear back the same afternoon I fax my numbers in.) I do have his cell phone number, but that is to be used for emergencies only. (Although I was tempted to call Friday when the whole low in the gym thing happened, and Monday morning's "LOW" on the PDM.) We adjusted my basals down from 1.8 to 1.2u at night (WOW!) and down 0.2 every hour after that. It seems to have helped a lot! I didn't drop low yesterday at all! So overall, that's a reduction of 7.6u of basal insulin. AWESOME!
The only thing I question is they told me for workouts to drop my basal rate by 50% at the start of the workout and carry it on 3 hours after. Excuse me, but I'm feeling a little dumb here. What if my sugar is already a normally great number, like 80-ish or 100-ish.... and I start working out... wouldn't I drop low from the basal rate reduction not having time to kick in? Just curious here.. I'm really confused and not understanding that one. Suggestions are much appreciated!
I also heard back from my endo's office Tuesday. I have been waiting a week to find out what he wants me to do with my basal rates to prevent my lows. I know I can adjust them on my own, but I was to the point of "I just don't know anymore. He's the doc, I'll let him figure it out". Mind you, he's a wonderful endo, but apparently he's been swamped with patients. (I normally hear back the same afternoon I fax my numbers in.) I do have his cell phone number, but that is to be used for emergencies only. (Although I was tempted to call Friday when the whole low in the gym thing happened, and Monday morning's "LOW" on the PDM.) We adjusted my basals down from 1.8 to 1.2u at night (WOW!) and down 0.2 every hour after that. It seems to have helped a lot! I didn't drop low yesterday at all! So overall, that's a reduction of 7.6u of basal insulin. AWESOME!
The only thing I question is they told me for workouts to drop my basal rate by 50% at the start of the workout and carry it on 3 hours after. Excuse me, but I'm feeling a little dumb here. What if my sugar is already a normally great number, like 80-ish or 100-ish.... and I start working out... wouldn't I drop low from the basal rate reduction not having time to kick in? Just curious here.. I'm really confused and not understanding that one. Suggestions are much appreciated!
in Diabetes
Diabetes
Reader Comments (6)
congrats on the weight loss!
Isn't it amazing how activity affects your insulin requirements!
For me, it depends on what my body is doing whether or not I need to decrease my bolus before, during, or after my exercise. All you can do is try and see what happens... Maybe with the decreased basal already, you won't need to decrease before hand. Or you might need to. Just keep checking!
agh... that should be basal, not bolus! sorry!
Hm. I tend to agree that a basal change should be before you start activity, not when you start it. When Caleb swims, I have to give him carbs if I haven't already addressed the basal issue. But everyone is different. I suppose it's worth a shot! It's exciting to hear about all your other success!
I say try it, then change it. My Dr's directions only help if they actually work.
I almost ALWAYS flat out disconnect during cardio work outs, but seeing as how you're using omnipod I guess that's not an option for you.
Yes, if you are at 80-100 at the beginning of a workout, chances are you will dip low during the workout. If I'm that low I will try to eat something and drop my basal before I start working out.
Nice work on the pound lost. I was frustrated after the SB because I had put on like 5 pounds in 2 days. After some discussion with my trainer and a whole lot of water, I am back to my pre SB weight. That's the effect that salt and water weight can have.
Keep up the great work!
Good job on the weight loss! When I am below 100 I always eat something that's about 15-17 grams of carbs. I usually have to lower my basal by 10-20% depending on the type of exercise. Keep up the good work:)