I had previously been told by a CDE that my daughter should not do any physical exercise at 240 or higher. to make her drink water and rest at that point. However we have been noticing a trend at PE time that if her BS is in a little high range In the upper 100’s and she does PE her BS shoots up in the upper 200’s. This sends her to the Nurse to drink water and rest. SInce this time we have seen our Endo who informed us that sometimes Adrenaline causes your Blood sugar to raise. She also advised us not to correct with insulin and just to let it naturally come down. Does this make sense to anyone? I wonder if that is what has been causing our ping pong days. Any advice?
Yep adrenaline highs happen here as well! Not as much lately - but we have had it. WE do not correct the adrenaline highs IF i am sure it is from adrenaline. But if I question at all - I might correct but with less insulin than normal. (that was when we were still on MDI. ) now that we are pumping we have nto had this issue yet.
http://forums.childrenwithdiabetes.com/showthread.php?t=33613&h…
http://forums.childrenwithdiabetes.com/showthread.php?t=31100&h…
Here are 2 links to some other posts on another board about adrenaline highs and what these parents did to help.
Hope this helps
Vicki
Good. I feel better about it now. I will talk with the Nurse and just have her check keytones and drink water and let her go. the dr. did say that she could tell that she was way more competitive about it than some people because of her response. We will keep track of how the highs go and in what wave they go down at. Its kinda scary, but we will do it. 
Thanks for the support and info.
How long after did you / do you wait to correct if BS doesn’t go down? SHe has to do PE everyday so it if takes a long time for the Adrenaline to get out of her system and let the BS go down it seems that she will always run high. Im confused. 
I have noticed my daughter’s BS shooting up after karate and Mommy and Me gym time, too (she’s 3) lately. But no one had told me not to have her exercise over a certain point. I did read that in Pumping Insulin the other day, though, so now I’m more careful. Yesterday I kind of had to correct with insulin, though and it all worked out. The week before I was able to let it come down naturally and it was fine. It makes sense to me only because we seem to be experiencing the same thing!
before lunch. she is on lantus at night. We are going to start keeping better track. I told her that I would like for her to check before PE during PE and after PE, that would add up to her 7 x a day.
thank you! sometimes with this stuff its easy to feel alone and very very confused.
Yes, it does make sense not to correct a high from exercise due to an “adreniline high.” The high is temporary and is supposed to come down on its own. Often caused by racing or a sports meet such as a swim team event. I would try what the endo suggests; if that does not work, give your daugter a snack with insulin to cover and if that does not work I woud give insulin for the high, but give half the correction and then watch her. We have never experienced highs that I would attribute to “adreniline.” We disconnect the pump and make sure her blood sugar is 180 or 200 before Gym or swimming. She usually has active insulin in her system from lunch (before gym). She drops about 80 to 100 points still for a 45 minute gym period. But while exercising you should still have some active insulin on board in order to drop like this. Swimming, we get her blood sugar to 180, take her about two hours after eating and check every hour. An hour and a half in we get a snack, UNDER bolus for it by 60 percent and give her half of one hour’s basal if she is going to stay in for another hour and a half. After leaving the pool, usually four hours swimming, we give a snack and bolus her three-quarters for the last hour she was disconnected. Otherwise she will go high in an hour, not due to adreniline high, but due to being disconnected without her basal for such a long period of time. So it is a balance between keeping some (though a lot less than normal) insulin on board so that the excercise can keep her somewhat in range when her pump is disconnected. A lot of endos will have you reconnect after every hour and a half and give half the basal missed, then disconnect the pump again.