I have been having issues with a fast-dropping BS when being active around 1-2 hrs after eating, and unfortunately it seems to be getting more severe.
Usually I have my ratios worked out pretty well, I measure post-prandially around 1.5 hrs after food, and most often than not I am landing comfortably at around 125-145 mg/dl, which is cool.
Mind you, this is within my typical workday routine, where I am usually not overly physically active while still having bolus on board. (I do adjust my life to that and whenever I can, avoid situations where I have to move around lots with IOB.
But I have just come from a holiday in Belgium, so I would inject for food and than soon would start moving around again, exploring the city by foot or walking on the beach.
I did factor in my activity and reduced my Bolus by one unit or two, ending up injecting an average of 2-4 units for lunch or breakfast.
I would measure around 1.5 hrs after that, just before going out, and was naturally higher than usual (around 145-170). As soon as I started walking, only 15mins in or so, I would feel sort of funny (but not clearly having low symptoms unfortunately – at what number do you guys start feeling those btw??), I measured, and was often down by like 70/80 points, so around 60-80mg/dl.
Knowing that my Apidra still has another hour or so to go, I would eat 1 or 2 glucose tabs, keep walking, measure again, would still be lowish, had to eat glucose again...SO ANNOYING!!
I just really would like to know what the solution is in a situation like this. Had I reduced the bolus even further, I would have been much higher than I like to see at the 1.5 hour mark, but probably still fall to low as soon as I started walking around. And I m not marathon running here, I am STROLLING, SIGHTSEEING.
Should I allow myself to be higher, would that make more sense, and in fact not do much harm since I know I would shortly be walking it off? Do you guys do that? Or just accept the lows and treat them as they come?
The other problem is, I am very scared and very inexperienced regarding lows. My DX was only 2 yrs ago and the lowest I have ever seen on my metre was a 53. And I didnt feel that coming really either. I dont sweat or shake or feel weak when I am say 68. Is that normal? I know what hypoglycemic feels like before my D days because I had an issue with it when I was a teenager, and my insulin-lows now dont feel anything like that. So Maybe I am hypo-unaware, but is that even possible without having had many lows at all so far?
I know this is a whole lotta questions at once, sorry! I guess my main concern is, how do I deal with moderate activity and bolus, and why do I drop soooo quicky, and am I endangering myself with the method I ve been using?
It is also just annoying to feel tense whenever I m on holiday and just bolused. Not really enjoyable, cant concentrate on sights if I am BS checking every 10 mins.
Any advice welcome, thank you guys.
Ps: Bruges is worth a visit if in Europe, as far as I can tell at least ;)