HOW MUCH REPLACEMENT INSULIN DO I NEED?? EXPERIMENT #1:
A great swim today, except the pool was unusually cold, and it is so fridged outside, it didnt help things. But I had a great swim.
Last night was the first night of Chanukkah, and I went hole hog on the meal. I had to put myself on a 120% TB for 10 hours post meal just to keep my sugars in TR. (it worked like a charm, btwā¦woke up at 96.)
So for my swim, my body was very well fueled.( I also had a large bowl of oats for breakfast this morning) I was rearing to go!
I started out my swim at 98 BG, right beforehand I took 8 gms glucose and jumped in. When I was finished with my swim my BG was 78. I bolused .5U for 1.25 hours of Zero Basal (I thought that would b just enough), and when I got home I bolused 3.2 U for my refuel shakes.
However, like last times swim, I went low (44) 3 hours after my first bolus. I had some apple juice ASAP and all is well now, but I really need to figure out just how much insulin I need to cover without over or under bolusing post swim. Today, for example, I was on a ZERO basal for 15 minutes before leaving the house. Then I walked to the pool, then I changed into my suit, then I left the locker room and went down 2 flights of stairs, then I jumped in and began swimming. I swam for a little longer than 30 minutes, then I did a finger stick when I got out of the pool, then I dashed upstairs and hooked back up to my pump just long enough to bolus .5U , then I unhooked again and took a 10 minute shower. Then after drying off, I reattached to my pump, got dressed and walked home.
at that hour, my basal rate is .55U/h. Having been off insulin for 1.25 hours, it seemed reasonable to bolus just .5U. Clearly, I am missing a piece of the puzzle here. Wednesday Iām gonna try less insulin (but gosh I hate going high. Iām so OCD Mathmatical about these things; I like to get it just perfect) (anywhere from 80 to 105 will do just fineā¦I dont allow myself much wiggle room, I know.) So maybe Wednesday I will give myself 1/2 that bolus. (Yes, I know, I said that last week, but in the moment, under the haze of swimmerās āHighā I dont think so clearly. Im just surprised I actually am back swimming. )
anyway, all is well. Getting ready to eat dinner. My body is still in a lot of pain, but quite relaxed. An odd sensation. Yesterday I had a back and leg and foot massage for 45 minutes. I think that the massages I have been getting work better than all the darn drugs I am still taking. (quite pricey though) (it certainly would make more sense for Medicare to pay for the massages, acupuncture,etc instead of the pain pillsā¦which must cost them a small fortune anyway.) (and you dont have to tip the pharmacist)
not stats needed for today. I think Iāll leave it at that. I look forward to my swim on Wednesday. Wishing everyone Happy and Healthy and Joyous Holidays.
DM