My daughter (17) has Type 1, uses Dexcom G4 and Tandem T:slim Pump.
If she has any IOB and moves her little finger for a few minutes, her blood sugar plummets. This is an exaggeration, of course, but it’s how we talk about how sensitive she is to exercise! Some examples:
- Walking across a parking lot to a store after a recent meal and bolus has sent her dropping very quickly.
- It’s very rare for us to go on a family walk or something and not have to stop to deal with a “FALLING” alert at some point, even after reducing basal and bolus.
- She works at a fast food restaurant and being on her feet at the cash register sends her low (this is after reducing her meal bolus – she has to take tabs during her shift
- Going to the pool…nah, forget it!
This doesn’t seem typical - I don’t get the impression that very light exercise causes problems like this. Or is this more typical than I realize?
One hypothesis is that she is typically far too sedate, so that when she does move, to her body it’s like real exercise! Does that seem reasonable? Does she just need to be more active generally?
Anyway, would appreciate any thoughts anyone has on this.