You think I can do Wisconsin Dells on manual injection?
This is not some perverse form of human experiementation.
Things are going really great on NPH.
I have exactly one month to comit to going back on a pump. That’s not long.
6 months ago I did Wi Dells on a pump. There was a short, but upleasent hospitalization in the middle of the night. It all went t!ts up without warning.
Worst case scenerio, I just slam sugar pepsi the whole time. Right?
Shouldn’t be an issue then. You know how physical activity, heat, etc .. impacts your bg, while on NPH.
I do and I don’t.
Last time I did something like this was some years ago. Vegas. Defcon Conference. It went fine. I was walking all over the place. It was hot. Walking isn’t exactly the same as swimming, but it might work. 50/50 change.
DP is back in full force. So, this little NPH run might not last all summer. But other than the DP, I really like this setup. Maybe I can improvise something.
You might have mentioned this previously. How many times per day do you take NPH? I haven’t used it since 1984-1987. I took it twice per day mixed with Regular morning and evening. My routine was not very well dialed in and I had a lot of surprise hypos. If I had to use NPH again, I think I would experiment with 3x/day.
Good luck with the Wisconsin Dells. I last visited the area and canoed down the Wisconsin River. It was before 1984 when I was diagnosed T1D. Pretty scenery, big powerful river!
I edited your title for clarity.
Nope. Worse case on MDI you die. Worse case on pump you die. Worse case for a non-diabetic you die.
Defcon, you just die. Sorry. I’m not a cracker, I’m a hacker. Or I was. I’ve never been to Defcon and I don’t want to.
Somewhat more to the point. On MDI drop the basal, have the bolus on hand in a pen. I, personally, might attach a needle but this would certainly be against any and all medical advice. Make sure the pen is utterly and totally non-detachable. Then, as my bosses used to say, “Just do it.” Or not.
You could just say what you are doing in the “Dells”. Lots more information might come forth (not from me) if it is a waterpark.
[EDIT: I should add, in case other people than @mohe0001 don’t understand, the above is sarcastic.]
I really don’t see why not. Reduce your basal and rely on bolusing with a faster acting insulin if you need it. Plus plenty, and I mean plenty of quick sugary snacks with some longer sustaining snacks if you continue to drop, just in case. Those snacks, more than you think you will need and then double it and maybe double it again. NPH can really be a trick with weird curves. I would run a little higher than normal so you have more of a cushion in case you start dropping. Keep an eye on your CGM and have fun!!! I am a believer in doing things you want too, just finding the way to do it as safe as possible!
I just ran a test. I walked 10 - 15 miles per day in DC on MDI. No problems. Walking is NOT the same as swimming, but I’ll work my way up. Surprisingly, no drop in dosage was necessary.
Before you all got me back on a pump, you switched me to a split dose - one before bed (22u) and one upon waking (12u). I kick a little bolus upon waking to temper morning highs.
I bought a season pass to my local community pool to run better tests, but the waterslide has been down for repair. 
I have less than a month left to test. There’s not time to switch back onto a pump AND run some tests, so I’m comitted to MI now.
My bus went through the Dells on the way to DC, so I stared the enemy right in the eyes. 
Your post sent me on a quest to learn more about NPH insulin. Since I used NPH from diagnosis '84 to '87 when I went on a pump, I’m learning now how much I didn’t know about this intermediate basal insulin.
My regimen was to inject a mixture of NPH and Regular for breakfast and supper (early evening). I didn’t inject any insulin for lunch and depended on the expected NPH peak to cover my post-lunch glucose rise. Anything that delayed or interrupted this meal meant unplanned metabolic drama!
The NPH peak action was notoriously variable. It is purported to peak at 4-6 hours and its day to day variability was well known by clinicians. I worked in an industrial shop controlled by 19th century whistles to mark shift start and stop, break times, and lunch times. One day the morning dose of NPH peaked at 4 hours, the next at 6 hours. I did not appreciate this fact at the time and it made my life even more chaotic than it needed to be. I remember reading posts by another member, @drbbennett, both here and TuD, who labeled NPH as “eat now or die” insulin!
At the time I was aware that NPH was an intermediate acting basal with a 12-16 hour duration. I was not aware of its day to day peak action time variation (4-6 hours) and this made my metabolic and social life dysfunctional.
I mentioned in a previous comment that I would experiment with 3x/day NPH dosing and with further review would not do that. I think to be safe using NPH, especially with planned high intensity exercise, needs to be carefully planned. Having glucose gels with you and planned hourly finger pokes could mitigate this less than ideal insulin treatment.
You gotta see Dr Bricker discuss drug quality and let me know how you think it compares to med device quality, @Terry. I’m sure you are not on LI, so let me track down the non-Li link for ya. #pharmaceutical #healthcare #healthinsurance #employeebenefits | Eric Bricker, MD | 12 comments
The video is titled “FDA Pharma Industry Ties” on AHealthcareZ. https://www.youtube.com/watch?v=kaDiO0VjSNY
A legislative member told me one of my federal senators wrote a book on her experience with the medical industry and antitrust problems. I’ve not finished the audiobook yet. Audible | Listen to Audiobooks, Podcasts & Originals The book is a little partisan, but the ideas aren’t.
I’m ultra worried about how these ideas will get bought and sold during the upcoming elections. It takes work to make ideas bipartisan and partisans can tear that work down for self serving purposes. Ideas can lose a lot of value once they are put into the hands of political partisans. I’m particularly concerned becuase there might be a lot of partisan fighting in my state.
I really experience a lot of distress related to the lack of interest in quality within industry. That’s a real sticking point for me. I want to be free to do my job well. I don’t yet know how. Still trying to figure that out.