Amity Island
Well-Known Member
- Relationship to Diabetes
- Type 1
Evening Everyone,
Can anybody give me a definitive answer to my question, i've tried the "experts" the local NHS diabetes specialists but they don't understand my question, let alone answer it.
Here we go.
1. TRESIBA lasts for 48hrs, it's not adjustable on a daily basis, takes three days to establish.
2. I want to do some moderate exercise for about an hour.
3. DAFNE workbook pg 82 states. For people who take BI once a day, you may need to focus on reducing QA and or eating more cp's rather than reducing basal insulin.
4. This is where it doesn't make sense, after exercise I am sure all you know, it increases quite dramatically your sensitivity to insulin, which will lower your requirements for insulin. Which means, it will cause a fall in your background blood glucose (for me up to 3 days). Normally you take less back ground insulin the morning you exercise and probably up to a few days after, but with tresiba it doesn't work that quick, by the time you've reduced it, it would be too lower a dose on the days following when you don't exercise.
How do you get around this problem when you can't adjust your basal from day to day? Not exercise???? Spend the next 3 days eating to keep your blood sugars up??? My previous lantus non-exercise of basal would be 21units on on exercise days and 12u on exercise days.
Is TRESIBA for people that never exercise?
Thanks in advance for all your help, comments and thoughts.
Can anybody give me a definitive answer to my question, i've tried the "experts" the local NHS diabetes specialists but they don't understand my question, let alone answer it.
Here we go.
1. TRESIBA lasts for 48hrs, it's not adjustable on a daily basis, takes three days to establish.
2. I want to do some moderate exercise for about an hour.
3. DAFNE workbook pg 82 states. For people who take BI once a day, you may need to focus on reducing QA and or eating more cp's rather than reducing basal insulin.
4. This is where it doesn't make sense, after exercise I am sure all you know, it increases quite dramatically your sensitivity to insulin, which will lower your requirements for insulin. Which means, it will cause a fall in your background blood glucose (for me up to 3 days). Normally you take less back ground insulin the morning you exercise and probably up to a few days after, but with tresiba it doesn't work that quick, by the time you've reduced it, it would be too lower a dose on the days following when you don't exercise.
How do you get around this problem when you can't adjust your basal from day to day? Not exercise???? Spend the next 3 days eating to keep your blood sugars up??? My previous lantus non-exercise of basal would be 21units on on exercise days and 12u on exercise days.
Is TRESIBA for people that never exercise?
Thanks in advance for all your help, comments and thoughts.
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