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Question: From England: A friend who has type 1 diabetes and is on a regimen of lispro at meals with Insulatard ([ED: NPH] at bedtime wants to swim the English Channel (22 miles) which will take him approximately 20 hours, and the temperatures are cold. Previous stamina swims have resulted in hypoglycaemia (1.9 mmol/L [34 mg/dl]) following a 14 hour swim with hypothermia and a ketotic smelling breath. He has attempted to manage his blood sugars with reduced Lispro and frequent drinks of Gatorade, but I feel this will be dangerous on a cross channel swim. Will he need smaller doses of Lispro throughout the swim? What about the variable of low water temperatures and what carb content should he be aiming for both pre swim and during? Answer: This is obviously dangerous for the participant. A regimen should be refined in training prior to a 20-hour swim. The modifications are only guesses at what might work rather than something that has been worked out and shown to be successful. I would not recommend this swim occur until future training reveals an acceptable regimen. JTL DTQ-20020630151957 Original posting 5 Jul 2002 Posted to Exercise and Sports

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: martes abril 06, 2010 15:09:35
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