This is EXACTLY my problem. EXACTLY!!!
Oh, I’m so sorry, I thought your original message was from 2 days ago, so I was thinking you missed swimming!! Sorry!!!
No, I use the same settings everyday, and same for all 24 hours. Keep in mind, I’m now on Loop which gives me temp basals up to 3x my max schedule basal (0.5U) as well as reduces the basal as much as ZB when I’m predicted to go under my target (correction) range. However, even before Looping, I used the same basal, ISF, IC everyday, each hour of the 24 hours. It’s just before Looping, I manually did a lot of temp basals to compensate for the activity difference in run days!!! A lot of work, and I think this is what you are going through!!!
Yes, I know, some days running is also harder on me, too. I don’t know why, but maybe weather, recent diet change, eating/going out, insufficient rest, …?? Yes, my fallback is Advil, too, but try to limit it!!! I hope you do not need it too often!
it is a LOT of work. thank you for understanding. now i dont feel so all alone and nuts. I felt like i was going to rip my hair out!!!
PS: i stopped taking Ibuprofin 2 weeks ago. i became certain it would give me an ulcer.
Yes!! That is why I try to limit it, though when I do take it, I usually take 3 all at once, and mostly during the night so I can sleep through the pain.
I know you do not use Dexcom CGM because it doesn’t work well for you and I’m not sure which pump you use, but I have to say DIY Loop has made a world of difference to me, esp for this very issue, changing metabolism due to activity causing changes in basal needs.
I am now using the Dexcom G6 and it is much more accurate than the G5. I also started using it on the back of my upper arm, where there are fewer failures. I don’t know if you tried the G6 but if not, maybe you want to do a trial of it.
I only make this suggestion to you because it seems we are pretty similar and it may have similar good results.
[quote=“Trying, post:2009, topic:894”]
I usually take 3 all at once, and mostly during the night so I can sleep through the pain.
i take the prescription ibuprofin which is 800 mg. i take it with two Tylenol Extra Strength and it works like a charm. i havent taken it in about 2 weeks now, and i have just sucked it up with the pain. (eric’s suggestion)
i dont even know what LOOP is. i am completely ignorant but the problems i am having are exactly as you described. different activity levels, different insulin needs. this morning everything was ending up in a terrible crash, then the later afternoon came and POP, BG 191!!!
knew it was time to reset my basals to sluggish profile. gave myself an IM shot in my left calve muscle and walked about my home with a bottle of water in my hand, guzzling while exercising my calve muscle. of course it worked in about 15 minutes, bringing my BG down to 130. i know that is above my target range, but its certainly nice to feel that i have some control over the situation.
PS: but tomorrow i will be in the pool again and hopefully i will find a nice balance with my insulin/basal/bolus/ICR/SF needs.
LETTING OFF STEAM; A SUNDAY EXPERIMENT #1:
after my 2 days of BG Hell, my husband encouraged me to swim on a Sunday. i usually try and avoid the weekends b/c they are so busy and the crowds are miserable. but i took his advice; he knows me over 26 years, and knows what will set my ill at ease straight again: swimming. ALWAYS SWIMMING!
well miraculously, my BGs were stable overnight (after many manipulations of pump basals), and my morning was wonderfully uneventful. at 6am i began to prep for my swim. my numbers were nice and flat and steady.
i truly thought that the pool would be very crowded, and my fear was that i would have been on ZB for 2 hours and when i got to the pool, there wouldnt be a free lane and i wouldnt be able to swim. well the pool was empty!!! it was right there just waiting for me. and i had one of the best swims ever. all my angst melted away. all my agrivation, frustration, and anger disolved in the water, and i was ME again.
here are today’s stats:
12:30 bg 91
1pm bg 105
1:15 bg 111 (took 1 tab and jumped in) (2 hours and 15 minutes of ZB)
1:45 bg 108 (took 1/2 tab)
2:15 bg 105
2:45 bg 104 bolused 2.5 units (who the heck knows if that was enough, not enough, too much, just right???)
3:15 bg 91 bolused 1.4 units for my Boost re-fuel shakes (again, who the heck knows if this was sufficient or not. i’m just trying out new insulin dosing to try and avoid evening crashes)
tomorrow i wont be in the pool (MD appointment in the City) but i will be back in on Tuesday, Wednesday and Friday and next Sunday) I am praying that my evening goes well and that my BGs remain stable. One moment at a time. One step at a time. One day at a time.
PS: thank you all who have been so supportive of me during a time of overwhelming challenges. i am very grateful to each one of you.
Fabulous!! Great numbers, you’re back on track!!
thx for the encouragement!!! it ALWAYS helps me continue trying my best.
and tomorrow is another day.
A DAY AFTER SWIMMING EXPERIMENT #1:
well it worked!!! yahoo!!! yesterday, after getting out of the pool, i used a 97% TB which lowered my basal rates by .025 u/h. i had no spikes and no crashes at all. how wonderful is that??? a total evening and overnight and day (today) of in target flat line.
i didnt swim today, but i was doing a lot of walking around Manhattan, so i did a 95%TB for about 4 hours. that worked out perfectly as well. never went above 106 nor below 81, and i was hopp’in and bopp’in
tomorrow i will be back in the pool, so i am really looking forward to that, and i will be able to see if what i did last night and today will be as successful tomorrow. will keep everyone posted.
DIDN’T NEED THAT EXTRA GLUCOSE TABLET OOPS EXPERIMENT #1:
what a GREAT freak’in swim i had this afternoon! my prep went perfectly, for starters. a total in target flat line from ZB start to finish. at 11am my BG was 91, and at the end of my swim, my BG was 105 (and that’s 4 hours of ZB !!! )
i took 1/2 too many Gtabs after my first stretch, though. now i know for the future (like tomorrow’s swim, for example ). but other than that, i dont think i could ask much more of myself in that regard. i am so excited about this!!! and my plan for tomorrow is to swim a bit harder and faster, and i would also like to do a 1/2 hour of kick boarding. today, i was too sore from my last swim, that i couldnt push as much as i would have liked to, but C’EST LA VIE.
here are today’s stats:
11am BG 91, turn off pump
1pm BG 97, dash to pool
1:20 BG 103, took 1.5 Gtabs and jumped in
1:50 BG 91, took 1 Gtab (should have only taken a 1/2 or even nothing)
2:20 BG 90
2:50 BG 105, bolused 2.4 units replacement basal
3:20 BG 73, bolused 1.2 units for 32 gms re-fuel (taking a guess here with reduced bolus amount, b/c i am trying to avoid a crash later; and, i am on a 97% reduced TB, which worked for me both Sunday and yesterday; i may need even less, but i’ll test frequently and find out.)
will keep you posted on how this evening, overnight, and tomorrow goes. and i’ll be back in the pool tomorrow
AS PROMISED, EXPERIMENT #1:
started crashing at 4:15…appox 1 hour post last (minute) bolus. went down to 54, took 2 gtabs, and lowered my basal profile, giving me even less insulin (95%). we’ll see if that does the trick. if not, then i will lower it again even more.
Or take more glucose? The sooner you can restore your muscle glycogen, the sooner your body will stop vacuuming all available sugar out of your bloodstream.
thanks for the reminder. i recovered immediately after having some glucose tabs, followed by a hearty dinner. (ate some of my husband’s too b/c he had some dental surgery today and couldnt chew much of his own )
now just chill’in and feeling fine. last BG was 96. hopefully it will be smooth sailing from here on out.
EXHAUSTED MUSCLES SWIMMING EXPERIMENT #1:
well i had a lousy night’s sleep, and really didnt want to get up this morning, but i trudged through and had breakfast at 6am. i ate and then was about to go back to sleep but was feeling a bit woozy, so i did a finger stick; my bg had dropped to 54. i ate 2 Gtabs and went right back to bed.
my swim prep was uneventful. i started out with a high bg (120), but drank two bottles of Diet Pepsi and pre-bolused .6 units before turning off my pump; it brought everything back down into my target range (92 after 2 hours of ZB). i left for the pool.
when i got to the pool, my BGs were beginning to rise, but i took 1.5 Gtabs anyway. i think i made a smart choice. i was exhausted and slow today. maybe not enough fuel in my tank. every stroke was labored, and i really struggled to keep pace. to be more forthcoming, i struggled to stay afloat . at least i got the job done, though, and i am proud of myself for that. i am also very proud of my numbers today. probably the most daring of me ever. i will be taking tomorrow off (appointments in the CIty), but i will be back in the pool again on Friday.
here are today’s stats:
1pm bg 92 leave for pool
1:15 bg 106 took 1.5 gtabs and jumped in
1:50 bg 112
2:20 bg 85
2:50 bg 74 took 1/4 gtab bolused 2 units for missed basal (an experiment of a lowered bolus to see if it substantial to keep me from not going low or spiking later)
3:20 bg 77 bolused (only) 1.4 units for my re-fuel shakes (32gms) (usually i bolus 1.6 units)
its 4:10pm and as i am writing this, i was feeling a bit low. i did a finer stick and my BG was 62. i took 1 gtab. i was thinking of taking another, but will wait to see if i really need one. i want the Boost Shakes to get absorbed and do their thing first. who knows. with Eric gone, i am a little out of my element here, so i am trusting my gut to do the right thing. live and learn
thats all the news that’s fit to print so far. i am on a 97%TB to get me through till dinner. ( equals -.025 u/h). i am eager to see how my lessoned post swim boluses work out.
FANTASTIC numbers despite your morning blues!!
Hi DM, I am back now.
But dang, looking at your numbers the past few days, maybe I should stay gone!
Really awesome numbers you have been turning in!!
oh no!!! dont ever stay gone!!! who would continue reminding me to “trust the Force?”
and btw, i know for a fact that i am not the only one on FUD who feels this way about your continual presence and participation!!! you are like the Big Brother who went to Harvard for bio physics and your medical degree with a specialty in endocrynology
I am not any of that. I am more like the crazy uncle that you have to invite to the family gathering.