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Sports Corner Chat from November 30, 2004

Welcome to the first of CWD's Sports Corner chats with Rich Philbin. Rick's uses his experience in sports medicine and diabetes to help kids and adults with diabetes to do their very best in athletics. Be sure to visit the Sport Corner for great articles about diabetes and sports.


Registered User Moderator   (server) Tue Nov 30 08:00:00 PM EST 2004
Our chat about diabetes and sports starts at 9pm Eastern.

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer, Strength  (66.7.133.180) Tue Nov 30 09:00:32 PM EST 2004
Is anyone here?

Registered User Carol William, 2, dx'd 3-10-04, pumping since Oct. 22nd  (69.140.243.17) Tue Nov 30 09:01:25 PM EST 2004
I'm here - was just going to listen in as William is only 2 yrs old Smile 

Registered User Carol William, 2, dx'd 3-10-04, pumping since Oct. 22nd  (69.140.243.17) Tue Nov 30 09:02:12 PM EST 2004
I think I heard you speak at the conference on pumping - that was an excellent presentation - I guess I know what I have to look forward to as William gets more active

Registered User Monica pumper  (208.191.162.211) Tue Nov 30 09:02:27 PM EST 2004
yes

Registered User Trish Mom of 7yr old, pumping  (24.48.75.147) Tue Nov 30 09:03:08 PM EST 2004
Hi. I have a 7 year old girl who loves sports and we just started pumping, so I'm looking for guidance.

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:03:20 PM EST 2004
Hi Carol. Welcome to the Sports Chat. You can ask questions about anything related to exercise even if it is for William running around the house...

Registered User Baylee   (69.148.50.230) Tue Nov 30 09:03:54 PM EST 2004
hey

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:04:01 PM EST 2004
Trish, Anything specific about a sport related to pumping?

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:04:22 PM EST 2004
Hey Baylee... Welcome

Registered User Monica   (208.191.162.211) Tue Nov 30 09:04:40 PM EST 2004
I'm 15 and am in marching band I live in texas and we have a lot of 100+ days and we march on the blacktop for 2 and 1/2 hours daily-it ruins my blood sugars in both directions

Registered User Baylee   (69.148.50.230) Tue Nov 30 09:04:43 PM EST 2004
umm ium 10 yearz old love sportz

Registered User Trish Mom of 7yr old, pumping  (24.48.75.147) Tue Nov 30 09:04:52 PM EST 2004
In the spring, we will be doing soccer, which is much more intense than dance and gymnastics. She drops quickly. Wondering about being unhooked for more than an hour and what can be done to prevent drops.

Registered User Baylee   (69.148.50.230) Tue Nov 30 09:05:06 PM EST 2004
i play basketball

Registered User Monica   (208.191.162.211) Tue Nov 30 09:05:13 PM EST 2004
we just got done with it this week Wink 

Registered User Trish Mom of 7yr old, pumping  (24.48.75.147) Tue Nov 30 09:05:52 PM EST 2004
Interesting question -- how does heat and cold affect sugars , especially with sports. We live in very cold area, but can have hot summers.

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:06:06 PM EST 2004
Trish, The general guidelines are to not keep the pump off for more than an hour but often kids can keep it off longer especially if they are still in the honeymoon phase.

Registered User reese type 1 38 years pumping 1 year  (68.72.19.128) Tue Nov 30 09:06:19 PM EST 2004
last three years of this lovely disease I drop with any type of movement. I can no longer walk 18 holes or ride my bike without constant lows, I was hoping a pump would help this but it has not and if i change my basal rate i tend to go high later

Registered User reese type 1 38 years pumping 1 year  (68.72.19.128) Tue Nov 30 09:06:29 PM EST 2004
oooooo and hi  Grin 

Registered User Leann (IN) mom of twins, 21 mts, both dx'd Feb 04  (64.136.49.229) Tue Nov 30 09:06:38 PM EST 2004
Hello, I have twins who are only on shots but are looking forward to the pump in a few years. Does Horseplay, rough-housing hurt the pump>>

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:07:11 PM EST 2004
Trish, There are some studies showing a decrease in BGs with people in hot tubs but I have heard people say just the opposite.

Registered User Trish Mom of 7yr old, pumping  (24.48.75.147) Tue Nov 30 09:07:59 PM EST 2004
I often wondered about that. She wants to use them, but I limit her because I assume it opens blood vessels, allowing increase of insulin.

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:08:14 PM EST 2004
Leann, The pumps are durable but they are computers so they are not immune to rough-housing. All the pump companies offer good support if you have a problem.

Registered User met mom of tommy, 3, dx Feb. 04  (69.174.160.31) Tue Nov 30 09:08:27 PM EST 2004
Hi - My question is why does Tommy's #'s drop while he is in the pool - (his favorite place to be!)

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:09:03 PM EST 2004
Trish, That is the thought that insulin is working faster due to increase dialation.

Registered User Leann (IN) mom of twins, 21 mts, both dx'd Feb 04  (64.136.49.229) Tue Nov 30 09:09:17 PM EST 2004
Thank you, the boys are only 1 almoset 2 so I'm sure we will be getting help in the future.

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:10:46 PM EST 2004
Met, Any activity can drop the BGs over time so it is good to know what activity causes BGs to drop and then accomodate for it. You can decrease insulin, increase carbs or a combination of both.

Registered User Trish Mom of 7yr old, pumping  (24.48.75.147) Tue Nov 30 09:11:21 PM EST 2004
Does that hold true with high outside temps too? How do you prevent major drops with intense sports? Load up snacks and disconnect? I can just picture her wanting to do running and anything she can get her hands on.

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:12:30 PM EST 2004
Trish, Sometimes intense sports can cause an increase in BGs due to increased hormones in our bodies.

Registered User Trish Mom of 7yr old, pumping  (24.48.75.147) Tue Nov 30 09:13:42 PM EST 2004
Really?

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:13:57 PM EST 2004
Reese, You may need to drop your insulin (with your doctors okay) more or sooner. Meaning if you are going to play golf at 9am maybe start decreaseing your basal rate at 7:30am because the insulin in your pump will peak around 90 mins later.

Registered User Trish Mom of 7yr old, pumping  (24.48.75.147) Tue Nov 30 09:14:01 PM EST 2004
Adrenaline?

Registered User met mom of tommy, 3, dx Feb. 04  (69.174.160.31) Tue Nov 30 09:14:02 PM EST 2004
Yes, it seems that swimming is the only activity that Tom does that drops his #'s drastically.
He is only 3, but very interested in running in races and running in soccer - we just are concerned what would occur if Tom had a high and proceeded to play sports? Isn't it bad to exercise without treating a high?

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:16:13 PM EST 2004
Trish, Really... The body thinks it is a "stress" which releases hormones (epinephrine, cortisol, etc) causing the liver to produce glucose which raises our BGs. It is the same whether it is a physical stress or a mental one. It also matters how much insulin is on board...

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:17:58 PM EST 2004
Met, The recommendations are not to exercise with a BG of 240-300 with ketones or 300+ with or without ketones. If you fall into one of these categories drink water and per your doctor give insulin to get into a good exercise range.

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:18:16 PM EST 2004
Trish, Yes, Adrenaline too...

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:19:08 PM EST 2004
Does anyone have an ideal number (BG) you like to be at prior to exercise?

Registered User Ellen (FL) Zack 17, dx'd 1989, pump  (64.12.116.134) Tue Nov 30 09:19:19 PM EST 2004
I recall a progressive for the time endocrinologist 12 years ago who suggested for a kid whose bg was high before a football game (without ketones) to take insulin to correct the high and eat a Snickers bar to sustain him through the game. Thoughts on that reasoning?

Registered User reese type 1 38 years pumping 1 year  (68.72.19.128) Tue Nov 30 09:19:35 PM EST 2004
160 but that will only keep me normal for about 1/2 hour

Registered User Trish Mom of 7yr old, pumping  (24.48.75.147) Tue Nov 30 09:19:43 PM EST 2004
On injections, we used to use 200-250 before gym/sports because she could drop 100 points in a half hour.

Registered User Ellen (FL) Zack 17, dx'd 1989, pump  (64.12.116.134) Tue Nov 30 09:20:18 PM EST 2004
My son likes to have his bg around 140-160 before going for an hour of karate.

Registered User Monica   (208.191.162.211) Tue Nov 30 09:20:44 PM EST 2004
during my freshman year in high school I would get low a couple hours before my marching band practice, so I would start rebounding and my BG's would get higher during the practice. I would feel sick like my skin was baking and after dinner EVERY night my legs would cramp for 20 mins a night. I never considered the high a cause of it till this year because my lunch was later at 11:45 instead of 10:30 in the morning and these cramps never came back again untill I was high once during practice this year

Registered User met mom of tommy, 3, dx Feb. 04  (69.174.160.31) Tue Nov 30 09:21:11 PM EST 2004
Tommy is best at 175 before swimming

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:21:16 PM EST 2004
Trish, I am okay with that. There is one study going on right now that are exercising people (not kids) moderately with BGs above 300 with ketones. I hear BGs are coming down into normal range. I am not sure when this will be out...

Registered User Ellen (FL) Zack 17, dx'd 1989, pump  (64.12.116.134) Tue Nov 30 09:22:26 PM EST 2004
btw, my son suspends his pump prior to karate and takes only 1/2 or 3/4 of the insulin for the carbs he consumes before class. It's hard to get the formula right

Registered User met mom of tommy, 3, dx Feb. 04  (69.174.160.31) Tue Nov 30 09:22:57 PM EST 2004
monica - my son gets leg pains too - what does that mean when you say : my skin was baking?"
we notice the leg pain after a rebound of low to high in a short amt. of time -

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:23:00 PM EST 2004
Monica, Extreme high BGs can cause cramping. Ideally you would treat your highs, drink water, and light stretching to relieve the cramping. Also, you may want to ice 20-30 mins as well...

Registered User Trish Mom of 7yr old, pumping  (24.48.75.147) Tue Nov 30 09:23:35 PM EST 2004
On pump, we are doing temp basal for two hours AFTER exercise because that is when she is dropping. Perhaps I'll take Ellen's cue and suspend a bit earlier?

Registered User reese type 1 38 years pumping 1 year  (68.72.19.128) Tue Nov 30 09:25:10 PM EST 2004
i might have missed it but Rick are you diabetic??

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:25:39 PM EST 2004
Ellen, It is suggested to start with 50% reduction and check BGs a lot to see how it is working and adjust from there. The big thing is there are so many factors, just when you think you have it something else comes up (an injury or sickness) that can cause problems. If you get it right 2 out of 3 times you are doing great...

Registered User Monica   (208.191.162.211) Tue Nov 30 09:26:30 PM EST 2004
During band we have a lot of 100+ degree days and we used to have really short water breaks like 5 1-2 minute ones in a 2 1/2 hour period-not to mention that it was on blacktop so it make the heat index a lot higher and a lot harder to replenish for water

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:27:13 PM EST 2004
Reese, I am sorry... Yes I am Type 1 for 8yrs and have worn a pump for 7. I play competitive basketball 2-3 times a week and weigh train 3 times per week. I am also 42 but think I am 19 Wink 

Registered User Trish Mom of 7yr old, pumping  (24.48.75.147) Tue Nov 30 09:28:10 PM EST 2004
Join that club...

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:29:01 PM EST 2004
Monica, You are right. It is hard to keep hydrated in those situations. If you can do it, try this. 1hr prior drink 16oz, 30min prior drink 80z, every 15-20 mins during drink 4-6 oz...

Registered User reese type 1 38 years pumping 1 year  (68.72.19.128) Tue Nov 30 09:29:22 PM EST 2004
ahhh ty rick i am 46 and i do weight machines and treadmill daily, but the lows frustrate me

Registered User Ellen (FL) Zack 17, dx'd 1989, pump  (64.12.116.134) Tue Nov 30 09:30:26 PM EST 2004
Do you think protein bars like Odowallah bars are helpful to sustain energy through exercise

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:30:32 PM EST 2004
Reese, You are in my league... Do you get your lows during or after exercise?

Registered User met mom of tommy, 3, dx Feb. 04  (69.174.160.31) Tue Nov 30 09:30:39 PM EST 2004
how importnat is hydration to keeping the leg pain at bay - and if Tom won't drink water - what is best - sugar free kool aid?
rick - you were diagnosed with type one when you were 34?

Registered User Monica   (208.191.162.211) Tue Nov 30 09:31:54 PM EST 2004
I do think that they were way to short I didn't even have enough time to test my blood on a five second meter and get a drink in the time allowed w/o being late to get back on the field despite me moving fast-the directors have people who faint every year

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:32:00 PM EST 2004
Ellen, I am not a big fan of protein bars. I think we get plenty of protein (probably too much) through our normal diets. I think for the exercise most of do we need carbs to get the energy to exercise.

Registered User Ellen (FL) Zack 17, dx'd 1989, pump  (64.12.116.134) Tue Nov 30 09:32:14 PM EST 2004
Zack brings Powerade to karate...(I detest that stuff)

Registered User Monica   (208.191.162.211) Tue Nov 30 09:33:25 PM EST 2004
I think its rediculous I had a really bad hypo this year and after that day we started getting twice as many water breaks at least twice as long with time to sit down

Registered User reese type 1 38 years pumping 1 year  (68.72.19.128) Tue Nov 30 09:33:25 PM EST 2004
during exercise
i am fine afterwards

Registered User reese type 1 38 years pumping 1 year  (68.72.19.128) Tue Nov 30 09:33:50 PM EST 2004
sometimes i am afraid to move for fear of a drop in bgs, i am not a happy camper

Registered User reese type 1 38 years pumping 1 year  (68.72.19.128) Tue Nov 30 09:34:05 PM EST 2004
plus i have hypoglycemic unawareness

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:34:19 PM EST 2004
Met, Yes, I was diagosed at 34. Leg pain or cramps can be caused by dehyration but it can be caused by high BGs as well as lack of electrolytes (potassium, calcium, etc) That is why Gatorade and Powerade is pushed a lot for exercise more than 60 mins.

Registered User Trish Mom of 7yr old, pumping  (24.48.75.147) Tue Nov 30 09:34:36 PM EST 2004
It should be ok for you to ask for special privileges, Monica, don't you think? My daughter gets them and nobody thinks twice about it.

Registered User met mom of tommy, 3, dx Feb. 04  (69.174.160.31) Tue Nov 30 09:35:47 PM EST 2004
thanks for your time tonight - need to go.
Night all!

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:36:33 PM EST 2004
Reese, If you are getting lows during exercise try this. Test your BG an hour prior and 30 mins prior. If you compare the numbers say 150 and 70 you need to eat to bring it above at least 100 more likely 150 to 175.

Registered User Monica   (208.191.162.211) Tue Nov 30 09:36:54 PM EST 2004
I do have priveledges to leave at whatever time to deal with the problems associated with it-but I really hate doing it b/c I don't like people knowing about my diabetes-I like to feel as normal as possible(but I am responsible)

Registered User reese type 1 38 years pumping 1 year  (68.72.19.128) Tue Nov 30 09:37:40 PM EST 2004
i guess i know all of that rick, i was hoping with pump i would not always have to eat and exercise

Registered User Ellen (FL) Zack 17, dx'd 1989, pump  (64.12.116.134) Tue Nov 30 09:38:05 PM EST 2004
Female basketball star - best in state - MI
http://www.battlecreekenquirer.com/apps/pbcs.dll/article?AID=/20041130/SPORTS/411300318/1006

Registered User Tina Type 1, Mum of 3 - 2 with D  (210.54.118.210) Tue Nov 30 09:38:30 PM EST 2004
hello

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:38:42 PM EST 2004
Monica, As long as your coach knows and you have a plan for lows or highs you should be fine. If you are having problems test a lot and have your diabetes team look for trends. Then you can make adjustments based on trends not one or two bad BGs...

Registered User Monica   (208.191.162.211) Tue Nov 30 09:38:45 PM EST 2004
When somebody faints on the field it happens EVERY year and has always been a problem

Registered User Danielle   (24.66.94.140) Tue Nov 30 09:39:11 PM EST 2004
hey.

Registered User Monica   (208.191.162.211) Tue Nov 30 09:39:24 PM EST 2004
for the band organization so obviously they had not been managing those breaks well anyways

Registered User Tina Type 1, Mum of 3 - 2 with D  (210.54.118.210) Tue Nov 30 09:40:10 PM EST 2004
Rick, do you deal with many littlies with D in your training?

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:40:14 PM EST 2004
reese, you don't have to... A temporary basal of say 50% reduction 90 mins prior for a few hours is a good starting point. Make sure your diabetes team knows what you are doing and are okay with it.

Registered User Monica   (208.191.162.211) Tue Nov 30 09:40:39 PM EST 2004
because i spend so much time there one of the directors can tell if I am low 75% of the time by just looking at me which I find suprising

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:41:09 PM EST 2004
Tina, I am not sure what you mean by littlies?

Registered User Tina Type 1, Mum of 3 - 2 with D  (210.54.118.210) Tue Nov 30 09:41:22 PM EST 2004
Monica, that is not surprising. My staff can pick my numbers by looking at me too. I consider that to be a good thing! Rolling Eyes 

Registered User Tina Type 1, Mum of 3 - 2 with D  (210.54.118.210) Tue Nov 30 09:41:33 PM EST 2004
sorry, little kids?

Registered User Monica   (208.191.162.211) Tue Nov 30 09:42:24 PM EST 2004
I strongly agree

Registered User Ellen (FL) Zack 17, dx'd 1989, pump  (64.12.116.134) Tue Nov 30 09:42:37 PM EST 2004
Rick, when my son was little, I didn't know how to deal with sports and 2 shots of insulin per day so we avoided it. Thank you for increasing everyone's knowledge...so they can fully participate in sports

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:42:44 PM EST 2004
Monica, Why don't you buy a water pouch to cary under your band uniform? That way you have water with you at all times and you can take a drink without anyone really seeing you...

Registered User reese type 1 38 years pumping 1 year  (68.72.19.128) Tue Nov 30 09:42:49 PM EST 2004
rick i don't really run anything by my diabetic team i am a bit of a rebel, i think diabetes is a bit of a loner disease and trial and error

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:44:01 PM EST 2004
Ellen, On two shots a day it is much harder to deal with sports. 3-4 shots is easier and a pump is even easier than shots in my opinion.

Registered User Ellen (FL) Zack 17, dx'd 1989, pump  (64.12.116.134) Tue Nov 30 09:44:22 PM EST 2004
The times have changed :-).

Registered User Monica   (208.191.162.211) Tue Nov 30 09:45:22 PM EST 2004
thats a good Idea some people carry them around-they are visible b/c all I wear usually is a tanktop and shorts but thats ok

Registered User Danielle   (24.66.94.140) Tue Nov 30 09:45:23 PM EST 2004
hum. .. hello

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:45:32 PM EST 2004
reese, you probably know more about your diabetes than anybody else but once you stop listening to others, especially your diabetes team, you probably are not doing your best...

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:45:56 PM EST 2004
Hey, Danielle. Welcome to the Sports Chat...

Registered User Danielle   (24.66.94.140) Tue Nov 30 09:46:13 PM EST 2004
 Grin 

Registered User reese type 1 38 years pumping 1 year  (68.72.19.128) Tue Nov 30 09:46:42 PM EST 2004
true rick, but i just want a quick fix i guess

Registered User Danielle   (24.66.94.140) Tue Nov 30 09:47:18 PM EST 2004
thats what everyone wants, a quik fix.

Registered User Danielle   (24.66.94.140) Tue Nov 30 09:47:31 PM EST 2004
especially me

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:48:21 PM EST 2004
reese, Sorry, there are no quick fixes with diabetes. I wish there were...

Registered User reese type 1 38 years pumping 1 year  (68.72.19.128) Tue Nov 30 09:49:12 PM EST 2004
rick do you log your bgs, boluses, carbs etc??

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:49:40 PM EST 2004
We still have 10 mins. Is everyone talked out> Confused 

Registered User reese type 1 38 years pumping 1 year  (68.72.19.128) Tue Nov 30 09:49:47 PM EST 2004
i just want a bit more freedom from lows, which i have a lot of

Registered User Tina Type 1, Mum of 3 - 2 with D  (210.54.118.210) Tue Nov 30 09:50:01 PM EST 2004
I have a question regarding swimming and kids... can anyone help? My daughter had her first school visit today and while she loved it, she freaked out when the other kids croweded her to look at her pump. One of the questions her teacher asked was with regard to swimming. My son always goes high in the water (excitement?) and then drops low afterwards for extended periods of time. Anyone got any ideas to assist here. My daughters teacher is VERY approachable, and willing to learn, quite wonderful really, but I don't expect her to be playing with basals, etc on swim days....

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:50:58 PM EST 2004
reese, yes I do. I am not obsessive but I consider myself beautifly focused LOL 

Registered User reese type 1 38 years pumping 1 year  (68.72.19.128) Tue Nov 30 09:51:34 PM EST 2004
laughing rick, like that one

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:53:24 PM EST 2004
Tina, If you do not want to use less insulin afterwards (temp basal) consider snacking with some carbs and protein or even a good source of fat (peanut butter). Studies show a drop in BGs can be 12-24hrs post exercise..

Registered User Danielle   (24.66.94.140) Tue Nov 30 09:53:41 PM EST 2004
I want to know, Is the pump lots of $$$$? ? ? I'm 17, and I play lost of sports, n it's jsut so muhc of a hassle to birng needles and alchohol pads and all that othe good junk that you need.I'm soo intereed in the pump , and i'v asked for it for chrsitmas. . so i'm not sure . . just want some info on it  Razz 

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:55:12 PM EST 2004
reese, on a hard exercise day I will reduce my basal rate 20-30% for 4-6hrs post exercise. If I forget to do that I will tend to get a lot of lows post exercise. Usually about 4-6 hrs afterwards...

Registered User Tina Type 1, Mum of 3 - 2 with D  (210.54.118.210) Tue Nov 30 09:55:52 PM EST 2004
I don't want to be having to run temp basals for her as that is putting a lot of responsibility on her teacher on swim days. I guess the carbs is going to be the best way.

Registered User Trish Mom of 7yr old, pumping  (24.48.75.147) Tue Nov 30 09:56:39 PM EST 2004
No school nurse, Tina?

Registered User Monica   (208.191.162.211) Tue Nov 30 09:57:23 PM EST 2004
Are there any general rules that teachers/caretakers should know for management of diabetes during sports?

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 09:58:28 PM EST 2004
Danielle, The pump cost 5-6 thousand dollars but don't let that scare you. Most insurance companies cover it. Some 100% while others maybe 80%. The thing it will give you what shots cannot is the flexiblity to eat when you want, exercise when you want and make adjustments on the fly. Once you put a shot in you cannot take it out. If you want to talk more you can email me... rick.philbin@animascorp.com. I also work work for Animas, an insulin pump company.

Registered User Tina Type 1, Mum of 3 - 2 with D  (210.54.118.210) Tue Nov 30 09:58:39 PM EST 2004
no, they don't have a school nurse at their school. Their office staff are very good, but I'm not sure I want them to be playing with basals! Eek 

Registered User Danielle   (24.66.94.140) Tue Nov 30 10:00:03 PM EST 2004
very cool. . . just wondering thats' an american company?  Confused 

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 10:00:38 PM EST 2004
Monica, Yes, in my opinion a coach should know how to use a glucagon kit (for type 1 athletes) as well as recognize symptoms of low BGs... That is the bear minimum. As you know the more a coach or teacher can be educated about diabetes the better off a child is at school or on the field.

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 10:01:26 PM EST 2004
Danielle, Yes Animas is in the Philadelphia area but we have territory managers all over the United States.

Registered User Darlene Jeremy & Joshua..Pumping  (142.163.5.108) Tue Nov 30 10:02:10 PM EST 2004
Hello

Registered User Monica   (208.191.162.211) Tue Nov 30 10:02:30 PM EST 2004
I'm type 1 but why do you think a glucagon kit is so necessary

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 10:02:59 PM EST 2004
Tina, I agree. I would not want coaches or even school nursed fooling with basal rates. That is up to the parents/health care team and the child if she or he is old enough.

Registered User Monica   (208.191.162.211) Tue Nov 30 10:03:25 PM EST 2004
the response time for me is probably 2 minutes and I have nver used glucagon in 13 years

Registered User Danielle   (24.66.94.140) Tue Nov 30 10:03:56 PM EST 2004
I'm from Canada hahahaha

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 10:05:12 PM EST 2004
Monica, Because if you are passed out from a servere low this injection will force your liver to produce more glucose quickly. This is for an emergency. Every Type 1 should have one.

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 10:05:48 PM EST 2004
Danielle, There is a distributor in Canada that can get you one... Razz 

Registered User Monica   (208.191.162.211) Tue Nov 30 10:06:10 PM EST 2004
thats true  Smile 

Registered User Danielle   (24.66.94.140) Tue Nov 30 10:06:40 PM EST 2004
Yeah, soudns awsome can i also jsut go to my DER?(clinic)

Registered User Darlene Jeremy & Joshua..Pumping  (142.163.5.108) Tue Nov 30 10:06:49 PM EST 2004
Danielle Where in canada?

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 10:07:08 PM EST 2004
Monica, I have never used in one in 8yrs but I do not want to be in a situation where one is not available

Registered User Danielle   (24.66.94.140) Tue Nov 30 10:07:32 PM EST 2004
Winnipeg Manitoba

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 10:08:41 PM EST 2004
Auto Control Medical Phone: (800) 461 0991 Patty Clune, Bus Dev Mgr x 241
6695 Millcreek Drive, Unit 5 Phone: (905) 814 6350 (US) pclune@autocontrol.com
Mississauga ON L5N 5R8 Fax: (800) 699 5936 Tammy Coish, ?tcoish@autocontrol.com
Sales Support x 210
CANADA Fax: ( 905) 814 6355 Grant Reynolds, CEO x 203
UPS Cell Patty: (416) 526 9541

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 10:09:36 PM EST 2004
Well, it is about that time... I want to thank everyone for coming on. It was fun. Look for the next chat after the holidays...

Registered User Danielle   (24.66.94.140) Tue Nov 30 10:10:13 PM EST 2004
:)

Registered User Trish Mom of 7yr old, pumping  (24.48.75.147) Tue Nov 30 10:10:21 PM EST 2004
Thanks you for your time and expertise. Smile 

Registered User Monica   (208.191.162.211) Tue Nov 30 10:10:37 PM EST 2004
bye everyone and goodnight

Registered User Danielle   (24.66.94.140) Tue Nov 30 10:10:42 PM EST 2004
good old Winnipeg.:)

Registered User Danielle   (24.66.94.140) Tue Nov 30 10:10:56 PM EST 2004
:) thank you!

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 10:10:57 PM EST 2004
Danielle, I am just a wealth of information, right LOL 

Registered User Rick Philbin, M.Ed., A.T.C. Athletic Trainer  (66.7.133.180) Tue Nov 30 10:11:23 PM EST 2004
Thanks eveyone. Good night Cool 

Registered User Danielle   (24.66.94.140) Tue Nov 30 10:11:27 PM EST 2004
haha :) thank you :P lol

Registered User Pam Mom of Doug 7, dx'd 9/02, pumping  (24.150.201.99) Tue Nov 30 10:26:54 PM EST 2004
Hello anyone here still? Smile 

Registered User Moderator   (server) Tue Nov 30 11:25:00 PM EST 2004
This room will close in five minutes. Please move to a new room.

Registered User Gina Mom of Justin, 4 years old, Pumping Cozmo  (152.163.100.6) Tue Nov 30 11:26:10 PM EST 2004
hello

Registered User leanne   (195.92.168.171) Tue Nov 30 11:27:24 PM EST 2004
ello ppl

Registered User leanne   (195.92.168.171) Tue Nov 30 11:28:30 PM EST 2004
iz there anyone there?



                 
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