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    • 14 hours, 23 minutes ago
      Greg Felton likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I fell in love with an insulin-dependent Type 2 20 years ago. There’s something terribly romantic about taking Lantus together at the end of the day.
    • 14 hours, 55 minutes ago
      ConnieT1D62 likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      One time I was explaining that a new pump would be too expensive at the time because my deductible had just started over.. and she asked if I had insurance and I said yes….. then she said “then it should be free with insurance.” 🤦‍♀️ She may know a little about the challenges of living with diabetes, but she knows nothing about how insurance works or how costly T1D supplies are.
    • 15 hours, 13 minutes ago
      Steve Rumble likes your comment at
      If you have T1D, have you ever dated or married someone who also has T1D?
      I fell in love with an insulin-dependent Type 2 20 years ago. There’s something terribly romantic about taking Lantus together at the end of the day.
    • 15 hours, 44 minutes ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      I am an RN. Been going to same doctor for about ten years. Took me six years to train him. I am very well read when it comes to my LADA. He trusts my judgement and gives me excellent parameters to make decisions. Recently had a bad case of Covid. Insulin needs changed dramatically. Getting back to normal but he made sure I had scripts to cover my ups and downs with insulin needs.
    • 15 hours, 45 minutes ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Mine acknowledges the struggles and challenges that go along with managing T1D in my daily life. She gives suggestions as to what may or may not help and has often asked me I how I handle situations so she can give suggestions to other T1D patient's.
    • 15 hours, 46 minutes ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      None of my endocrinologists or NPs have had T1D but I always discuss my challenges and they are incredibly helpful. What I always find astonishing is they are constantly amazed at how well I’m doing even when i don’t think I’m doing that well because most of their patients have nowhere near the A1c’s I’m able to achieve. And just hovers in the 6’s!
    • 16 hours, 11 minutes ago
      Jubin Veera likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      The hard spots are fairly frequent with the pump infusion sets. Especially if I go past 3 days which I try to avoid! I don’t think I ever got one from injections. I try heat and massaging to treat them and they normally go away after a day or so. Once I had a large area that I had to treat with antibiotics.
    • 16 hours, 13 minutes ago
      Magnus Hiis likes your comment at
      Have you experienced any symptoms of physical sexual dysfunction as a result of having diabetes, or having diabetes-related complications?
      I’m 79. My last orgasm was springtime about 3 or 4 years ago. When I complained of ED, my PCP Rxd 3 to 5 (60-100 mg) sildenafil tablets by mouth about one hour prior to sexual activity. This alone hasn’t worked to bring me up to former sexual capacity that I had 10 years years ago. I’m still considering consulting finding a doctor who’ll prescribe a safe but effective way of administering testosterone or an anabolic steroid in a dose low enough to avoid causing cardiovascular problems but high enough to restore normal ability that I had up to my sixties. My present doctors say it can’t be done, but there are doctors who advertise otherwise. Analogs of the hormone insulin can be delivered in small safe doses, why not testosterone?
    • 1 day, 8 hours ago
      Becky Hertz likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      We are all so very different, and trying to say that all of us with T1 understand what it's like for another who has the same hill to climb is unproductive. Having a health care provider with T1 may often be helpful just because there's apt to be more knowledge about the specifics. How we respond to the disease is such a personal matter, that I really don't think there are any guaranteed benefits beyond the grasp of the factual. Finding a doc with the same general attitude about the disease does feel good, and sometimes that's all I hope for after working hard to make peace with the disease for 70 years. Asking my doc to "get it" used to be almost my mantra, but I've come to realize that the ones who don't just see us as unruly childrenchildren
    • 1 day, 8 hours ago
      Becky Hertz likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Both my endocrinologist and my nurse practitioner are great. They compliment me on the way I take care of my life and health and make aure I get all the supplies I need managing all the paperwork Medicare and insurance requires. My nurse practitioner who works with me on managing the pump has her own opinion about the pump settings based on her technical knowledge which is different than what I do with my settings based on living with them. She has thru the years learned to respect what I do and is surprised with how my settings work. So we are now at peace. Both very supportive.
    • 1 day, 11 hours ago
      pru barry likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Yes. However, for those of you who assert, "It takes one to know one," the same might be said of age. Geriatrics is a marvelous array of marvels.
    • 1 day, 11 hours ago
      mojoseje likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      I said yes but that refers to my nurse practitioner who sees me every other visit, if not more often. The doctor may know how hard I try but perhaps takes my efforts for granted.
    • 1 day, 13 hours ago
      Anneyun likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      How can someone without the disease really understand what it is to live with it? I have never had a doctor with T1D in 60 years.
    • 1 day, 14 hours ago
      Bruce Schnitzler likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Yes. However, for those of you who assert, "It takes one to know one," the same might be said of age. Geriatrics is a marvelous array of marvels.
    • 1 day, 14 hours ago
      Kristine Warmecke likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My endo is young, very empathetic, thorough, always asks for my input, and does research. I am blessed too. have him, and the one before for over 25 yrs.
    • 1 day, 14 hours ago
      Kristine Warmecke likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      Yes. However, for those of you who assert, "It takes one to know one," the same might be said of age. Geriatrics is a marvelous array of marvels.
    • 1 day, 14 hours ago
      lis be likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      None of my endocrinologists or NPs have had T1D but I always discuss my challenges and they are incredibly helpful. What I always find astonishing is they are constantly amazed at how well I’m doing even when i don’t think I’m doing that well because most of their patients have nowhere near the A1c’s I’m able to achieve. And just hovers in the 6’s!
    • 1 day, 15 hours ago
      Daniel Bestvater likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 1 day, 15 hours ago
      TEH likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 1 day, 15 hours ago
      Lawrence S. likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      I have no clue what my T1D health care provider understands about my daily challenges and I don’t know about his daily challenges either. Not sure why I should care as long as I have access to information how to best take care of myself.
    • 1 day, 16 hours ago
      Jeff Marvel likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 1 day, 16 hours ago
      Richard Wiener likes your comment at
      Do you feel that your T1D healthcare provider understands the daily challenges and work that goes into living with T1D?
      My provider does not have T1. Only someone with it can truly understand the various daily challenges and worth it takes to manage this.
    • 2 days, 7 hours ago
      sweetcharlie likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      Hi Connie, I still have my glass syringe and show it off occasionally. We boiled the needle and syringe every morning and sharpened the needle with a file. I was diagnosed at age 6 in 1963. Life is so different now! Then, my diet was extremely limited as was my exercise. Now, I am very active and eat pretty much as I please. I maintain an A1C in the low 6s (6.2 was my last).
    • 2 days, 7 hours ago
      sweetcharlie likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      Connie and Beth, I was diagnosed in Nov 1962, age 10. During the early years I developed lumps and indentations on my upper thighs from my injections. In fact, I was able t o spot other t1 kids in my junior high school based upon the lumps in their upper arms.. (I eventually met up with them and learned that I was correct.) By the time I reached my twenties, these indentations had more or less disappeared, but I still have remnants of the lumps. I wish I could say that the layers of tissue now deposited on my legs disguises them, but they don't. I think the changes in insulin have been responsible for this improvement: the isolation and purification of animal insulins were refined, and then the various human clones were game changers in many ways.
    • 2 days, 7 hours ago
      sweetcharlie likes your comment at
      Have you developed lipohypertrophy due to repeated injections/infusions of insulin? Lipohypertrophy is a term to describe hardened lumps of body fat just under the skin that resulted from repeated insulin injections/infusion sites. If so, share how you’ve handled lipohypertrophy in the comments!
      Yes in my upper arms when I was a petite and skinny child in the 1960s with T1D. In those days we used glass syringes with stainless steel 1/2 inch long heavy gauge needles. My mother would jab me in the upper arms, it hurt like the dickens, and I developed several hard nodules. I was diagnosed at age 8 in December 1962 and after the initial two months of her jabbing me in the upper arms, I took over giving my own "shots" and started self injecting via site rotation in my thighs for several years. Eventually the lipohypertrophy in my upper arms resolved and I never injected there again until many years later as an adult on MDI using disposable syringes with very short and fine gauge needle tips. Periodically I would give my tired pin cushion thighs a rest and take a break for a few months or a couple of years and rotate injections in my abdomen or upper arms. Have been using a pump for over 20 years now and rarely use MDI unless I am taking a pump break for a short period of time. Happily, I no longer have lumpy sites.
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    What is your ideal blood glucose level before doing 30 minutes of moderate-intensity aerobic exercise (e.g. going for a brisk walk, mowing the lawn, light bike riding)?

    Home > LC Polls > What is your ideal blood glucose level before doing 30 minutes of moderate-intensity aerobic exercise (e.g. going for a brisk walk, mowing the lawn, light bike riding)?
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    Sarah Howard

    Sarah Howard (nee Tackett) has dedicated her career to supporting the T1D community ever since she was diagnosed with T1D while in college in May 2013. Since then, she has worked for various diabetes organizations, focusing on research, advocacy, and community-building efforts for people with T1D and their loved ones. Sarah is currently the Senior Marketing Manager at T1D Exchange. Sarah and her husband live in NYC with their cat Gracie. In her spare time, she enjoys doing comedy, taking dance classes, visiting art museums, and exploring different neighborhoods in NYC.

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    21 Comments

    1. Joan McGinnis

      I am new to control IQ do not positive what my ideal blood sugar should be yet but 150 wd definitely be safe so far and maybe lower

      2 years ago Log in to Reply
    2. Lawrence Stearns

      This is a real issue for me. My blood sugar drops like a rock when I exercise. Generally, I try to get up to 200 or more before I go out and run or ride my bike. I also deal with gastroparesis, which makes it almost impossible to get my blood sugars to rise. It could take anywhere from 1 hour to 5 or 6 hours to get my blood sugar to rise. So, it is important for me to get my blood sugars very high before I workout. Very, very frustrating! I do vigorous exercise every other day, or more often.

      1
      2 years ago Log in to Reply
    3. Daniel Bestvater

      Depends what type of exercise; running 180-200, walking 140-160

      2 years ago Log in to Reply
    4. Clearblueskynm

      For me it’s not the blood glucose number as much as it is insulin on board. If I have even 1/2 unit still active then I will drop like a rock. If I have reduced my basal rate by at least 3/4 approximately 1 hour before exercise, and I have no active insulin on board I don’t drop. Similarly, if I’m high and dose and see no response, light walking, stretching etc will drop me nicely, unless there is a problem with the pump site or the insulin.

      3
      2 years ago Log in to Reply
    5. Greg Felton

      It’s not that simple. It depends on insulin on board (IOB), the trend arrow, and whether I have cut back on my basal rate ahead of time.

      5
      2 years ago Log in to Reply
    6. Sherolyn Newell

      I agree with the people who say it’s more a matter of IOB than glucose levels. I can do any of those things with no IOB (other than basal) with very little drop in BG. With IOB, I would be getting low alarms pretty quickly.

      2
      2 years ago Log in to Reply
    7. Patricia Dalrymple

      I picked a number but I really don’t think about that and plan it out. I do say to my husband who is not a planner: are we going for that walk NOW or in an hour and will bolus accordingly. My worst lows are when I change reservoirs for the first 6 hours or so or a new bottle in insulin. I always turn my basal down. And vacuuming. That gets me more than just walking or riding my bike. I always go low vacuuming. I guess I get my whole body into it 😄

      2 years ago Log in to Reply
    8. KCR

      Even with little or no IOB exercise tends to drop my BG faster than I’d like unless I reduce my basal an hour in advance. I am not as fit as I’d like to be (or use to be) and need to regain strength and stamina so I am trying to figure out how to resume exercise safely–I hate those overnight lows!

      2
      2 years ago Log in to Reply
    9. Jana Wardian

      I really try to make sure I have minimal IOB as well.

      3
      2 years ago Log in to Reply
    10. George O Hamilton

      I used the 120-139 bracket for my vote, but as many are commenting, I am more concerned with the trend line on my BG and the amount of insulin I have on board. The interaction of these will cause my BG to drop fast if I do not have carbs to burn. My walking routine is about one mile at a time. That is enough to lower BG by at least 30 points depending on these other factors.

      2
      2 years ago Log in to Reply
    11. Ceolmhor

      The answers here are very interesting to me. I’ve always focused on sensor glucose, trend (arrows or just observation of the profile), and carbs in processing (I tend to take extra carbs, 8g every 15 minutes, before significant exercise, twice for a 30-minute workout, three times for a 60-minute workout). I also sometimes use a temp target (i.e., a period of reduced basals). But I’ve never tried to get my IOB to zero because I was taught that that’s needed to allow absorption of the glucose the muscles need during exercise. I guess you guys have given me a new question to research. 🙂

      1
      2 years ago Log in to Reply
    12. Andrew Stewart

      As mentioned already there are several factors: IOB, food on board, do I put my tandem tslim X2 with Control-IQ in exercise mode, what’s my intensity and duration. The problem with my newish (since 5/2021) tslim is that when I go surfing, not only am I in the dark regarding my BG (CGM) values but I’m also disconnected (no basal which could be good or bad) so I tend to fuel up prior to elevate my BG and sometimes I’m in range after two plus hours in the water but not always. I do have the Baqsimi nasal glucagon spray and apple juice should I need them but they are back on shore.

      I am looking forward to the Dexcom G7 which I think will pair with smart watches directly (without a phone in range) allowing me to at least stay informed on my BGs while surfing.

      2
      2 years ago Log in to Reply
    13. Becky Hertz

      135-170

      2 years ago Log in to Reply
    14. AnitaS

      I don’t really know if I have an ideal number, but since my sugar usually drops quite a bit, I like it to be around 140 or possibly higher for some wiggle room although I have started exercising at 120 and it didn’t drop below 110. Exercise is tricky.

      2 years ago Log in to Reply
    15. Ahh Life

      The ideal bell shaped curve. What bothers me are the folks at <80 and the folks at less than 99. Just exactly, HOW do you do it? Please clarify. ¯\_( ͡❛ ‿‿ ͡❛)_/¯

      2 years ago Log in to Reply
    16. Lance Prince

      In my experience, this was the largest impact of going on a keto diet 8 years ago. Exercise no longer causes hypoglycemia episodes! I still see highs with higher intensity work outs (which i admit very rarely doing).

      2 years ago Log in to Reply
    17. Karen Brady

      This is really tough for me as we’re trying to get pregnant, so I want my a1c as low as possible.
      The highest your bgl is “supposed to” go is 140, but I don’t feel comfortable starting exercise if I’m below 120.
      Anyone else experience this problem?

      2 years ago Log in to Reply
    18. Wanacure

      Before I had a CGM nighttime hypoglycemia was always a risk despite lowering both long acting and short acting insulins AND eating extra carbs before and after doing 40’ aerobic 3x/week.

      With a CGM my goal is to see how close I’m keeping bg within 70 – 130, the “normal range” at all times when I start going back to the gym. A fanny pack with sugar cubes and nutrition bars or granola is an absolute necessity for me. Even swimming pools let you put your backpack or a small fanny pack on the deck.

      There’s a diabetic exercise book that shows how many calories you’re burning per minute for various exercises that I found quite helpful.

      2 years ago Log in to Reply
    19. Cheryl Seibert

      I chose 120-139. 140-159 is higher than I like to be, but that would be acceptable to before exercise. My choice would also be dependent on how much insulin I have on board prior to exercise

      2 years ago Log in to Reply
    20. Steve Gold

      I have no idea, however I look at my CGM and if I’ve eaten recently, and it’s 200 mg/dl and declining I will be very cautious/

      2 years ago Log in to Reply
    21. Molly Jones

      I chose under 80 and have no idea why. Maybe I misread the question of after instead of before. Or possibly ideal being in an alternate reality where I do not deal with glucose fluctuations.
      My ideal BG would be above 140 or higher and my insulin would be stopped during the exercise.

      2 years ago Log in to Reply

    What is your ideal blood glucose level before doing 30 minutes of moderate-intensity aerobic exercise (e.g. going for a brisk walk, mowing the lawn, light bike riding)? Cancel reply

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