It certainly does bruno. I have said this before and will continue to repeat...one extra step taken can result in hypoglycemia with insulin usage and physical activity. You have to "watch" very carefully. Know your numbers. It will take experiementation which course is right for you. There is nothing hard and fast or as many say it's not always black and white.
My doctor didn't even know which insulin was causing the lows. He started off lowering my dosage of Humalog. It was only through me watching my numbers and seeing how many points I dropped that I actually got an inkling of what was going on. It finally dawned on me that it was my basal insulin because I skipped taking my Humalog after breakfast and lunch. Sometimes my breakfast didn't have enough carbs and I only determined that when I still went low while at work.
I also want to say to sssami that I surely hope your son always has someone with him during these activities and that he informs them he is an insulin-dependent diabetic. A medical I.D. bracelet would be wise, also.View Thread
First of all, he should speak with his doctor first. Everyone is different in how physical activity impacts those who are insulin-dependent diabetics.
A lot depends on how long each activity is going to last. Also, the intensity of said activity.
I am only speaking from experience here. I have a job where I do a lot of walking and lifting. Generally, moving all around a kitchen and dining room for 3 1/2 hours, sometimes four. I started out at 40U of Lantus. My doctor told me to cut down to 30 units to see if this would prevent me from going low during and right after work. I now take 26 units daily. I was going low everyday at the higher dosage.
I still would be best to get the okay from his doctor regarding cutting any dosages. Again, my experience only, my FBS in the a.m. in generally higher with the lower dosage of the basal insulin. My blood sugar comes down between 60 and 70 during my shift at work. I just have to make sure I eat a little something.
I do biking during the summer from 1 hour to 2 hours at any given time. I start out making sure my blood sugar is higher than normal, i.e., between 150 and 170. Anyone not using insulin might think this is crazy, but hypoglycemia sets in rapidly with physical activity and insulin usage. Your son may have to eat something to get his sugar up before he starts out walking and/or biking.
Can I join him in Europe? Sounds like a great time.View Thread
It is hard for most people just diagnosed with diabetes. It is a learning process in that you need to educate yourself regarding diabetes.
We all had to start somewhere. If you can and are allowed, see if you can get a referral to a dietician and a certified diabetes educator.
Your numbers are higher than they should be. Mine were worse than yours and I had no idea. My diabetes was diagnosed while I was hospitalized for something else. I had no clue because I was not symptomatic. I also had no weight to lose. Yet my numbers were averaging 350 or so daily judging from what my A1c was.
I, too, use both insulins. Doctors like to start out conservatively because every patient is an individual with different reactions to food, medications, physical activity, etc.
My diagnosis was an "uncontrolled diabetic." I was immediately started on Lantus and Humalog. My diabetic team gave me a journal to keep. In the beginning, I was testing in the a.m., before each meal and two hours after each meal along with testing before bedtime. I also had to record everything I put in my mouth and how many carbs were in everything I ate and drank. Is is time consuming but it makes you think twice about what you eat and drink.
Your doctor should know immediately what is happening. You should not go on any longer with numbers like you are seeing. He/she can help. My insulin dosages were adjusted daily. I started out on 15U of Lantus and wound up at 40U daily. My Humalog is dosed according to how many carbs I eat along with a sliding scale if my before meal BS reading is higher than it should be.
I found a job where I am extremely physically active. Because of this activity, I have been able to lower my dosage of basal insulin down to 26U.
When you use insulin, you still have to do what any other diabetic should do. Eat right, rest and stay physically active.
Please call your doctor with your BS readings as soon as possible. See if you can talk with a dietician. My body reacts something awful to carbohydrates. My dietician gave me a limit on how many carbs I should eat at each meal, 35-45. You may need to lower your comsumption of carbs to help you out. There are good carbs and bad carbs. As Dave said, read as much as you can.View Thread
Deb, personally and only personally, I, too, think that is too many carbs. Again, you have to do what is best for you.
Sorry about your insurance not helping with seeing a dietician. I did meet with one several times along with a diabetes educator who also happens to be a Type 1 diabetic. First hand experience doling out advise is a gold mine.
The thing with the continuous glucose monitoring is that it is only good for three days. Continuous implantation in the real world not much of a plus. Many insurances will not cover this either. You also need to use your glucose meter with the system. What is the point?
My dietician gave me a carb count of 35-45 grams per meal. I am also sensitive to insulin. Again, Deb, do what's best for you. If you want to eat less carbs, see if helps. If you start going low too often, this is not a good thing. Lows affect the body's organs just like the highs. Lows are extremely hard on your heart.
Experiment doing baby steps at a time. I've had to do that for years. Any problems, do not hesitate to call your doctor. Each one of us is so different in how we react to carbs, in how we react to insulin. There is no black and white here. I've dropped 50-70 points while being physically active. I couldn't tell you if it was one extra step I took that day. I will actually eat bread or dessert to get through my shift at work on some days. When I use less basal insulin, my FBS is higher than I would like.
The pump was also suggested to me. I went as far as to call the manufacturer and check to see if my insurance would cover it. It was all a go, but I still hesitate. Haven't faced my fears yet.
You have a great exercise regimen. Good for you. Keep up the good work. We have to work at keeping ourselves healthy.View Thread
Deb, the only way to keep from gaining weight is to stay as active as you can, preferably doing both aerobic and anaerobic exercise 7 days a week. Hate to say this, but activity really keeps things in check. Helps the blood glucose immensely.
Big, big drawback in my own personal experience is I still have not yet figured out how to keep from going low with physical activity. I've tried many things, including letting my blood glucose go up higher than I would like. I've dropped as low as 26 and no one could figure out how I was still standing. It doesn't hit me until I completely stop what I am doing.
It takes a lot of experimentation. Jay Cutler of the Chicago Bears is a Type 1 diabetic. You can see him testing on the field at times. Maybe he could give us some advice. LOL.
I have been able to use less insulin since I've been working. It is a physically active job. I could use a lot of toning up muscle wise, but my work is helping keep my numbers within the normal range.
The thing with insulin is that it does help keep your numbers within range and not from rising so high. But any excess glucose in your bloodstream will get stored as fat. We can't give up all carbs because then our bodies will start using fat and muscle as fuel instead of those carbs. It's a conundrum.
Even though you are using insulin, try and keep the carb count down. Exercise as often as you can. Don't eat carbs by themselves, unless you go low. Complex carbs are the best for you. See if you can speak with a dietician in relation to your diabetes. They can help and give you advice about weight gain while using insulin. There are very few insulin users who have not complained about weight gain. Also, there are many who are young who skip using their insulin so they don't gain weight. They call that diabulimia.
There are some people who say if you split your three meals a day into six, this can help with losing weight. You have to see what works for you.View Thread
You really do need to see a doctor ASAP. There are many causes for water retention, none of which are too pretty. Mrs. Cora mentioned a few. Chronic liver disease and arial fibrillation come to mind. I have experienced water retention myself and was prescribed Lasix and compression stockings.
Agree 100% with Mrs. Cora. If you look up metformin, it's actions are basically helping your body utilize the glucose in your bloodstream, specifically your skeletal muscles. Taking your metformin if your BS goes over 140 will not lower it.
When your glucose goes up, the only thing that will bring it down immediately would be insulin, a rapid-acting insulin that acts to prevent your glucose from rising when you eat carbs.
The wisest thing would be to take your metformin at the same time every single day. Set an alarm on your watch or your phone if you have an alarm on either.
The same goes for most medications. I take my BP pills at the same time every day. I also use a basal insulin (which has 24-hr. action) and take it at the same time every day.View Thread
Deb, very happy for you. Glad you found an endo who is concerned enough to have gone through further testing for you. Congrats.
I hear you about feeling much, much better. My first A1c was awful at 13.2. Fatigued all the time no matter how much sleep I got. Cold and fatigued. My BS's were running in the mid-300's daily (figured that out from my A1c.) Probably lower on some days and higher on others.
I never did get tested regarding Type 1. My doctor believes I may have been diabetic for a long time before diagnosis because I do have numbness in my feet.
I also take two insulins to manage my diabetes. I've have never felt better. Amazing what goes on inside your body and you never know it. I did not have the classic symptoms of diabetes that many experience. A wonderful team of doctors took a closer look at my early morning labs while I was hospitalized (nothing to do with diabetes.) My fasting a.m. sugars were between 250 and 300. Can't imagine what they were after eating anything with carbs. That's when I started insulin. Bummed at first realizing I had to be so very careful with what I ate and then take 4-5 injections daily. These injections are what gave me my life back along with a strict carb watch and physical activity.
Again, happy you were able to find a wonderful balance for your diabetes. Makes all the difference in the world.View Thread