Yeah, I agree... one could do much worse than start with Bernstein and adjust from there.

This is why I've given his book as a gift repeatedly to others even though I don't agree with it 100%. It *explains* the principles really well.

I haven't been able to do much since the surgery. Even though it's been a year, some of the meds they had me on made me very ill and weak and I'm just now recovering from that. Because I'm recovering, I test my bg and bp both before and after.

So... for my very lame level of exercise, I don't have to do much wrt to bg. Strength-training, treadmill work and a one-hour yoga class lower me a little bit, but not enough to worry about.

However, my Aquacize class lowers me 60 mg/dL! First time I took it, I went hypo and had to sit and eat Sweetarts and test for an hour afterwards before I could drive home.

There's two ways I handle that. One is... to cut back on my bolus the previous meal and let myself run high. If I get to the class an hour or two after a meal and my bg is around 170 or so when I begin, I won't go hypo after the class, but will wind up nicely in range.

If I'm going to the class spur-of-the-moment and haven't let myself go high first, then I take enough Sweetarts beforehand to get me to about that level before I begin.

I have no idea why that class affects me so much more than any other type of exercise.

On the treadmill, I have a different problem, my bp drops really low afterwards. Feels sort of like a mild hypo, dizzy and such. In fact, first time it happened, I assumed it was low bg. Hopefully, quitting the beta-blocker will allow this to improve for me.

Working against water burns a lot of calories. It has the same effect on me. I went free diving yesterday for an hour and corrected with 40 g of carbs in the form of a big Powerade. I also went hypo during the night since I forgot to adjust my basal.

My sister and I have to take a beta-blocker and it has helped our heart condition remarkably. The biggest concern I have with it is that I can't feel hypos and think it is due to the Coreg. When I was on glipizide + Lantus I got several hypos as low as 49-50 mg/dl and had no feelings of discomfort. The last time it happened (before I trashed the glip) I do remember feeling very hungry, but still none of the other "typical" symptoms that diabetics describe.

Off the glipizide for a bit over three months now, the lowest I have tested was a 61 once, almost never under about 67 though.

/smile

I have the same issue, Korban, but do feel them when low enough - usually low 40s and below. I do note fuzzy thinking and dropping things when in the 50s. Vigilant testing is the answer.

Interesting, isn't it. Wonder why there have been no studies on the variable results from variable exercises. And actually the first such study could simply be showing the different result (variable - haha) people have. That would warn us al that YMMV, and do our own checking on what happens.

I have a chart named "Carbohydrate Replacement per 60 Minutes of Physical Activity." It lists various activities and body weights.

For "swimming slow" at 150 lb the rate is 35-45 g. of carb replacement needed for a type 1. It's been pretty helpful.

I was also on Carvedilol as I had insisted on it as it's the beta-blocker recommended by the AACE since it reduces IR, whereas the others can exacerbate or even cause diabetes.

I could still feel hypos and really low bp when on it myself. I'd get shaky and dizzy.

I don't *know* I had problems with the Carvedilol. I had a wide range of symptoms making my life intolerable and preventing me from getting *on* with the rehab from my surgery. Some were common symptoms of statins and others were common symptoms of beta-blockers. I got fed up and quit the statin and began tapering off the carvedilol at the same time and everything improved tremendously.

I really want to focus on exercise for the next six months and see what that buys me. If it's not enough, I'll allow my cardiologist to talk me into trying more drugs.

But for now, I want to stick with just the insulins, ACE inhibitor and daily aspirin. And my supplements - a daily multi, a B-complex, ascorbate, milk thistle and specifically for my heart health - vitamins D3/K2, a large dose of niacin, CoEnzymeQ10 and calcium.

My sister and I are fortunate in that we can tolerate it at rather high doses - 50 mg/day. She was in the original Phase 3 Clinical study with it which started about 15 or 16 years ago. It has been magical for people with cardiomyopathy. Prognosis before beta blocker was 70% dead within 5 years. Her ejection fraction today is almost normal which is a miracle... primarily due to the carvedilol. Nobody knows how long it will keep working yet but it has worked for at least 15 years now.

I also take an ace (ramipril) which, I again am fortunate that I don't have side effects with. Statins, I won't take, period.

I was glad to hear from Susan that she can tell hypos in the 40's but not 50 - I hope that is the case with me too because the glipizide instances really scared me.

Let's all do lunch,
/smile

Maybe that's why I didn't have hypoglycemic unawareness as I was only ever on 25 mg maximum myself.