Week Three of the CHO counting Course
? I know it was ages ago, but we were away last weekend and busy since we got back. (I'll get round to week four asap.)
Yet another interesting week.
We again started by reviewing our BG results which allowed us to see the sorts of trends we should be looking for and how to interpret/deal with them more scientifically then perhaps we used to.
🙂
A doctor then talked to us about exercise and how to cope with the complications of eating/insulin when we exercised or were just more active than usual. He suggested that we might need to cut our food insulin (short acting) by 50 -75% (a lot more than I had been trying) pre exercise and explained that after exercise you need to eat something to replenish stores of glucose which would have been released from our liver while we were active. It was also suggested that we might need to take a little insulin so that our bodies could actually use the CHO we were eating (before and after exercise ? this could explain why sometimes when exercising BG levels are very high when you finish if you have too little insulin in your system to actually use the stores from you liver which then hang about in your blood). If you finish exercise and don?t eat enough, you can end up hypo because the first place the CHO goes is into your liver and that could mean that you don?t have enough in your blood ? hence you get low. One other suggestion was that for the last 30 second, you should ?go flat out? -which sounded relaxing to me
😉 until it was explained that you should work as hard as you can for the last 30 seconds as there is some evidence that this could reduce hypos later ? having been away, I haven?t tried it at the gym yet, but will get there soon.
We also went over ?sick day rules? ? I don?t ever remember being told them before-but basically they are:
Keep taking you basal insulin
If you can't eat, sip sugary drinks (lucozade, soft drinks milky drinks etc.)
Test every 2 hours for ketones if you BG remains above 14mmol/l(if you get them and they don?t start to go down fairly quickly, go to hospital)
Test you BG every 2 hours, double you correction dose and take it every 2 hours
Drink plenty
Again, if you get the chance to go on one of these courses ? take it ? not only will you get to learn how to carbohydrate count, but you will be reminded of things you probably knew at one time but may have forgotten

and for those of us who have been diabetic for a while, be told about new developments/ideas etc. I have found that there are a number of things that people assume you know things which you may never have been told in the first place!