Sunday 22 November 2009 | Personalise | Help

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jonathan mimnagh

Posted: 05/11/04 09:48:37 37


Message:	Some things to consider here. Lantus is a very long profile insulin, so an adjustment the night before may not actually have the desired effect. The biggest difference between the actrapid & Novorapid is the onset & duration of action, novorapid starts to work almost immediately, then peaks & is gone after 2 hours. If you are going to start exercise within 2 hours of a dose of Novorapid, it may well be worth reducing the dose by anything up to 50%. This really relies on some experimentation, although a 30% reduction is a good place to start. The only way to trial & error this is to test before during & after a ride to assess blood sugar levels. Exercise longer than 2 hours after novorapid is unlikely to be effected by any changes in Novorapid doses that you make. The blood sugar targets that you were acheiving on A&I were very good, but if you consider that Novorapid does not have the same duration of action then the extra carbs you consume may not balance with the insulin in your system & the exercise. Unfortuantely there is a degree of trial & error that needs to take place, everyone with diabetes reacts differently to different situations. The other site you may want to look at is [URL=http://www.devondiabetes.org.uk/handbook/exercise.htm]Devon Diabetes[/URL] for another slant on the subject.
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