My doc suggested doing some exercise to strengthen cardio system and
for overall health. The only time I can safely exercise is in the
evening, after dinner. I simply give myself less insulin (Novolog) and
do 30 minutes (2 miles) brisk walk on the ski-machine.
I have hard time matching my exercise to the carb cycle. Basically,
after dinner I give myself smaller dose of insulin and rest about an
hour. Then do some cardio. I check BG right after cardio session to
be safe and am usually in the 75-85 range. Any more cardio and I would
probably get hypo.
Then when I check myself before bed (another hour later) my BG could be
above 140. Basically, the carbs are not done digesting by the time I
finish cardio and keep rising BG's. My dilemma is: if I exercise any
longer I would get hypo; if I give myself higher dose of insulin I
would probably get hypo as well; if I exercise later (trying to match
the end of exercise to 2 hours post-dinner) it would be right before
bedtime and falling asleep would be hard.
Does anyone have a similar situation? Any suggestions how to structure
exercise program? I appreciate your help.
Ma¢k - 22 Mar 2006 02:59 GMT
>My doc suggested doing some exercise to strengthen cardio system and
>for overall health. The only time I can safely exercise is in the
[quoted text clipped - 17 lines]
>Does anyone have a similar situation? Any suggestions how to structure
>exercise program? I appreciate your help.
ask your doctor about taking a small correction dose of insulin when
you get that rise in BG or eat something that dose not take that long
to digest and convert to glucose.
what are you actually eating?

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Chief - 22 Mar 2006 17:30 GMT
"T1Steve" <smanilov@gmail.com> wrote in news:1142970276.617580.92250
@z34g2000cwc.googlegroups.com:
> My doc suggested doing some exercise to strengthen cardio system and
> for overall health. The only time I can safely exercise is in the
[quoted text clipped - 17 lines]
> Does anyone have a similar situation? Any suggestions how to structure
> exercise program? I appreciate your help.
Eat some before/after you take the shot. I've found peanuts help me
regulate the highs and lows.
Alan S - 22 Mar 2006 23:22 GMT
>"T1Steve" <smanilov@gmail.com> wrote in news:1142970276.617580.92250
>@z34g2000cwc.googlegroups.com:
[quoted text clipped - 23 lines]
>Eat some before/after you take the shot. I've found peanuts help me
>regulate the highs and lows.
Weren't you trying to cut back on those? Or have I
mis-remembered and it was someone else overdosing on
peanuts?
Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg

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Everything in Moderation - Except Laughter.
Chief - 23 Mar 2006 05:03 GMT
>>"T1Steve" <smanilov@gmail.com> wrote in news:1142970276.617580.92250
>>@z34g2000cwc.googlegroups.com:
[quoted text clipped - 30 lines]
> Cheers, Alan, T2, Australia.
> d&e, metformin 2x500mg
Alan as near as I can tell the peanut may very well be the food of gods
and the lost fountain of youth.
I am prepared to find the answer to this question even though it appears
I will have to give up my waist, ever seeing my toes again, and the
ability of putting on my own socks.
oldal4865 - 22 Mar 2006 19:03 GMT
T1Steve wrote in message
<1142970276.617580.92250@z34g2000cwc.googlegroups.com>...
>. . . .. My dilemma is: if I exercise any
>longer I would get hypo; if I give myself higher dose of insulin I
>would probably get hypo as well; . . .>
>Does anyone have a similar situation? Any suggestions how to structure
>exercise program? I appreciate your help.
You can always shoot twice. I do 1-hour aerobics routines, 3 times a
week and 30 minute routines twice a week. Since I often do the grocery
shopping after exercise class, I bring my meter, candy and insulin and
take appropriate action.
Regards
Old Al
DairyGodmother@gmail.com - 22 Mar 2006 21:53 GMT
Hi Steve, I am not diabetic but have been reading up on the
medications for work. Maybe you should ask your doctor about the
timing. My understanding is that Novolog is among the most rapid of
the rapid acting insulins... the doc I was taking notes from said its
designed to "get in and get out" so maybe the timing is too rapid for
you... maybe you need better basal (?) control or perhaps another
brand... maybe one of the "mix" types. Or maybe it just means starting
a little sooner after eating... like 30 minutes instead of one hour. I
hope you don't mind me chiming in as I am clearly new... all changes in
medication should clearly go through your doc but timing is something
worth asking about. best of luck to you!
oldal4865 - 23 Mar 2006 14:45 GMT
DairyGodmother@gmail.com wrote in message
<1143060828.628825.231950@i39g2000cwa.googlegroups.com>...
>Hi Steve, I am not diabetic . . . .(snip). . .
. maybe you need better basal (?) control or perhaps another
>brand... maybe one of the "mix" types. . . ."
When our (very good) endo gives one of his training lectures, he stops
at the "mixed insulins" screen, slowly makes eye contact with the whole
audience, and repeats: "The T1 cannot use the mixed insulins"
The mixed insulins are really convenient (not powerful, not adaptable,
not flexible, just convenient) but only suitable as a supplement to folks
who are still making insulin, i.e. the T2.
Regards
Old Al
T1Steve - 30 Mar 2006 20:23 GMT
Well, I am not going to change my insulins. They work fine and my
control is more or less decent for now (HbA1C 6.4). If ain't broke,
don't fix it. :)
See Novolog is fast acting and for the most part it's activity curve
matches metabolic curve of most foods. There exceptions, like fatty
foods that metabolize slower. Anyway, my problem is that peak in BG
level happens about 2 hours after consumption of food. Novolog's peak
activity matches that - also 2 hours after shot. So, when I exercise
before 2 hours are up the food is not done metabolizing and after I am
done working out BG's rise. Right after the workout my BG's were low
enough that any more exercise would cause a hypo, so I cannot workout
more. Pushing exercise to the 2-hour mark doesn't work b/c of my
schedule - I want to go to bed at reasonable time.
I just wanted to hear from people who experienced similar effect and
what they did about it. If nobody did see it, maybe I am just unique
in this.
Kurt - 31 Mar 2006 00:48 GMT
> My doc suggested doing some exercise to strengthen cardio system and
> for overall health. The only time I can safely exercise is in the
[quoted text clipped - 17 lines]
> Does anyone have a similar situation? Any suggestions how to structure
> exercise program? I appreciate your help.
Ah, diabetes, always the delicate balance...and sometimes not so
delicate. Can't really offer you specific suggestions because I don't
know how you react to certain foods and your specific insulin needs.
But I will tell you that exercise is very important in my health
program. I work with a trainer a few days a week and exercise,
somewhat strenuously just about every day, targeting different parts of
the body. I have learned which foods I can and cannot eat, and the
timing of those. However, like most things with diabetes, there are
some days that defy all of what I've come to know and I may go high or
low from time to time. Best advice is to test a lot when you exercise
- before, during and after. Once you've found a balance that works for
you try to eat those same foods, take the same dosages, and do the same
kinds of exercise for about the same length of time. Routine is
everything. Write down all your findings and make sure you take them
with you to your doctor or endo on the next visit. No doubt he or she
will be as impressed that you did that as with the fact that you are
being proactive with your exercise. Best of luck!
Best,
Kurt