Hope your session went well. I was actually about to post on here because I have a question. I'm starting on 10 units of Lantus which I will be taking (do you say taking or using or giving myself?) at 10pm. If my bedtime BG is <8 mol I've to eat a slow acting carb snack (I can't imagine that ever happening as we eat quite late (8-9pm). It then says that if I'm planning a physical activity after 4pm to reduce the Lantus by 30-40%. When I had my appointment and the consultant explained that it sounded as if I would do that if I HAD done physical activity after 4pm but on reading this is looks like if I'm planning it so presumably that means for the next day, and I never really know what I'm going to be doing the next day. The Nurse & Doctor at my surgery also seemed to think it should be relating to what I might be doing the next day - HELP!And I’m in! 12pm. Not my usual person but I’m just glad I can see someone. Much relief, but I’ll have to drive myself as Zara is here, it’s not our Monday but I asked other grandparents if they’d swap and do our Friday this week. Typical. It’s only 10 minutes away so I think I’ll manage. I’ll let you know craic later.
@MikeyBikey congratulations on your HS. I’ve plenty of cobwebs for Boris.
@zippyjojo good luck. How many units have they advised?
My understanding of the situation is that if you exercise that day, particularly after 4pm, then reduce your evening dose that night because your muscles will suck the glucose out of your blood whilst you sleep to replenish their stores. You can easily top up with carbs whilst you are exercising if you have too much basal on board, but if you are asleep when you drop low, that means waking up to eat JBs in the middle of the night which isn't ideal. Exercise will affect your levels for up to 48 hours afterwards, so if you exercise consecutive days you may need to reduce the basal dose a bit more the second night, but really it is all trial and improvement and finding out how your particular body responds. It is always best to err on the side of caution.Hope your session went well. I was actually about to post on here because I have a question. I'm starting on 10 units of Lantus which I will be taking (do you say taking or using or giving myself?) at 10pm. If my bedtime BG is <8 mol I've to eat a slow acting carb snack (I can't imagine that ever happening as we eat quite late (8-9pm). It then says that if I'm planning a physical activity after 4pm to reduce the Lantus by 30-40%. When I had my appointment and the consultant explained that it sounded as if I would do that if I HAD done physical activity after 4pm but on reading this is looks like if I'm planning it so presumably that means for the next day, and I never really know what I'm going to be doing the next day. The Nurse & Doctor at my surgery also seemed to think it should be relating to what I might be doing the next day - HELP!
Thanks so much Barbara. And when you say hypo treatment, do you literally mean jelly babies? I've got some glucogel which came via my prescription (I bet it's foul is it?).My understanding of the situation is that if you exercise that day, particularly after 4pm, then reduce your evening dose that night because your muscles will suck the glucose out of your blood whilst you sleep to replenish their stores. You can easily top up with carbs whilst you are exercising if you have too much basal on board, but if you are asleep when you drop low, that means waking up to eat JBs in the middle of the night which isn't ideal. Exercise will affect your levels for up to 48 hours afterwards, so if you exercise consecutive days you may need to reduce the basal dose a bit more the second night, but really it is all trial and improvement and finding out how your particular body responds. It is always best to err on the side of caution.
Keep hypo treatments and testing kit by the bed as well as other places easily to hand in the house. I keep some in the bathroom because a hot shower or bath after exercise can drop your levels quite fast and you really don't want to be wandering around dripping water everywhere and feeling wobbly whilst you find some hypo treatment and definitely not negotiating the stairs when hypo. Also important to have something in all your coat pockets and bags, particularly your walking or gardening gear.
I mostly use jelly babies because I like the fact that they are about 5g carbs each so I can vary how many I take according to what my levels are doing. I have Glucogel on my repeat prescription but have never ordered it so can't tell you what it tastes like. I do have some Lift glucose tablets which come in a tube and I have also used Dextrose tablets, but I just have a really good working relationship with my little jelly hypo heros and I know how many I need in any given situation.... very rarely the full 3 that would be the recommended 15g carbs, usually just 1 or 2, but you should start with 15g until you learn what works best for you. Oddly, I am never tempted to eat my little hypo heros when I don't need them, whereas I have tried other sweets and I can't be disciplined with them. I imagine that is the benefit if glucogel that you are not likely to use it other than in an emergency, especially if it tastes naff!Thanks so much Barbara. And when you say hypo treatment, do you literally mean jelly babies? I've got some glucogel which came via my prescription (I bet it's foul is it?).