Below are some general recommendations for T1D insulin pump users how to think about timing insulin and food. *Please consult with your Dr. Before making any permanent changes to your health regimen.
TIME 3+ HOURS OUT FROM YOUR ACTIVITY
FUELING 3+HOURS OUT FROM WORKOUT
BOLUS AT 100%
LEAVE BASAL RATE ON AT SUGGESTED NORMAL RATE.
DETERMINE FUEL STRATEGY DURING WORKOUT AS DESCRIBED IN "O HOURS" OUT STRATEGY BELOW.
TIME -2 HOURS OUT
FUELING 2HRS PRIOR TO WORKOUT
BOLUS AT 100% 2HRS PRIOR
LEAVE BASAL RATE ON UNTIL START OF EXERCISE, THEN TURN BASAL OFF AT START OF EXERCISE.
CONSUME 30G OF CARB AT START OF ACTIVITY (NO BOLUS TO COVER FOR THIS)
BOLUS SCHEDULE WHEN BASAL IS OFF……..
CONSUME 30G OF CARB AT 45MIN AND ADDITIONALLY 30G EVERY 30-45MIN WITHOUT A BOLUS TO COVER)
AFTER 2HRS OF ACTIVITY - DURING THE THIRD HOUR BOLUS AS FOLLOWS…..
3RD HOUR AT 30% FOR "X" CARBS
4TH HOUR AT 20 % FOR "X" CARBS
5TH HOUR AT 10% FOR "X" CARBS
6TH HOUR + AT 10% FOR "X" CARBS
ABOVE ASSUMES CONTINUOUS ENDURANCE SUSTAINED ACTIVITY.
TIME -1.5 HOURS OUT
FUELING 1.5HRS PRIOR TO WORKOUT (ALLOWS FOR FUELING OF 150CALS PRIOR, ~300CALS AT START,
BOLUS 100% FOR 'X' CARBS, (NO MORE THAN 150 CALS OF CARB (~<1.5U)
CONSUME "X" CALS AT 1.5HRS PRIOR.
LEAVE BASAL PROGRAM ON UNTIL STARTING WORKOUT THEN TURN BASAL OFF
CONSUME ["X" x 2] CAL AT START OF WORKOUT. (BASICALLY DOUBLE WHAT YOU ATE 1.5HRS AGO.)
HIGH BG CORRECTIONS (BOLUS AT 40% OF SUGGESTED CORRECTION PRIOR TO START OF EXERCISE)
1HR INTO WORKOUT - CONSUME ONE GEL.
EVERY 30MIN OF ADDITIONAL ACTIVITY CONSUME ["X CARBS" x 1/3 OF STARTING CARBS] ( ex: 100CAL OF CARB FROM 300CALS AT START).
NEED MORE CALORIES AT 1.5HORUS PRIOR TO WORKOUT? CONSUME PROTEIN OR GOOD FATS.
TIME 0.0 HOURS OUT
FUELING AT START OF WORKOUT (5-10MIN PRIOR)
BOLUS AT 50% OF "X" CARBS 5-10MIN PRIOR TO EXERCISE. (MAX CARB TO INTAKE AT START = < 300CALS CARB.
TURN PUMP OFF.
AFTER 1ST HOUR CONSUME 1 GEL EVERY 30MIN.
HIGH BG CORRECTIONS (BOLUS AT 40% OF SUGGESTED CORRECTION PRIOR TO START OF EXERCISE)
BOLUS SCHEDULE WHEN BASAL IS OFF……..
1ST HOUR AT 50% FOR "X" CARBS
2ND HOUR AT 40% FOR "X" CARBS
3RD HOUR AT 30% FOR "X" CARBS
4TH HOUR AT 20 % FOR "X" CARBS
5TH HOUR AT 10% FOR "X" CARBS
6TH HOUR + AT 10% FOR "X” CARBS
NOTE - these recommendations are for training only and not racing scenarios!
For more help with…...
-Event specific insulin guidance.
-Cliff’s Activity support system (Insulin adjustment Coaching)
-Nutrition and or weight loss planning
-Mentorship Coaching
Please email; Cliff@GlucoseAdvisors.com