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Originally Posted by Alaska  Last time I did though my BS went from 131 to 287 after 4 hours....So you can see my dilema |
Excellent. Tantric pumping
The first point to tell you is that very few people on here are going to want to help you out with this as they'll all be envious of your 4 hour sessions
. Personally, I could do it 18 times in 4 hours with beer and pizza in the long gaps. For all I know, that's what you're doing which may be causing the high, but in case it is 4 hours of the good stuff and does not involve painting glucose syrup on your various bits and pieces then I have a couple of thoughts / suggestions:
Just wondering what your basal rate is at the time of day it happens? Stay with me whilst I explain. With us, we have two young children and the grandparents live a long way off. For that reason, we haven't had a morning session in years. Why is this significant? Well, my morning basal rate is very high and if I have to disconnect for any reason in the mornings then the effects are far more significant than during the evening. So morning sex would probably just about kill me (and the age I'm feeling lately it probably would anyhow). Do you typically have your 4 hours at a time of day when you have a high basal rate? If you have the opportunity to try it, why not have a go at a point of the day when your basal rate is a bit lower?
As stated, I can't do this; it's evenings or nothing, and only then after the little darlings are asleep with a locked door and a pillow to bite on (if needed) so they don't wake up. So the above is something I haven't tried as I didn't even know what a pump was in the days before kids. So we now come to the method I DO use. The clue was in my old sig file which had a line that went
'But I disconnect for up to an hour
For wonderful fun (and sometimes a shower)'
For evenings, my basal rate is relatively gentle. Even so, I look at what my current hourly basal rate is before I remove the pump and give that amount in a bolus. So I have an hour's basal on-board up front. I tell the pump to alarm me with its buzzer after an hour and it sits on the bedside table. My wife is now trained in an almost Pavlovian manner that she's got to be done by the time the buzzer goes off which means we can usually get in a half-decent session, watch some TV and get make sure the kids have a packed lunch for the next day all in one evening
I have gone up to 2 hours basal up front with this method, but only for aniversarys and on that occasion I had to take the next day off work as I looked like I'd had collagen injections in my lips.
For you crazy 4-hour kids, I guess you could put in 2 hours of basal up front to at least minimise the high you are getting. If you set the alarm for half-time, you can reconnect for 30 seconds for another quick bolus of your basal insulin (in a scuba diving stylee) to see you over the next two hours.
Obviously, I do not squirt in insulin 'up front' if I'm already low-ish, but then I make sure I'm a little above ideal when we start anyway to give myself a bit of a buffer zone. There is nothing more likely to kill of desire than a case of MHH (or Mid-Hump Hypoglycaemia if you prefer). It's no fun.
Good luck with this, and do let us know how you get on. It's not embaressing at all, it's just another little adjustment you need to make so you can live life the way you want to and make diabetes fit in rather than it taking charge. If, for you, that means 4 hours of good loving to make the on-line community jealous then fair play to you
Gary
