Work temperature and basal

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  • 1 Post By John.in.France
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Work temperature and basal


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Old 01-03-2012, 10:44   #1
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Default Work temperature and basal

There's a massive difference between the temperature at work (Mon-Fri 9am-5pm) and that at home.

At work it's 23-26c / 73-79f
At home it's 17-21c / 62-70f

Can anyone provide advice on how they think this would affect the amount of basal (Lantus) that should be taken.

Presumably there's a case for taking less for work days.

One problem is that someone messing with the controls can mean you can do get reasonable temperature occasional in the office.
It's air conditioning and nothing to do with the weather, so it's hard to predict what they will do...

I'm currently on 1 injection before bed taken around 12-1am.

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Old 01-03-2012, 12:06   #2
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There's a massive difference between the temperature at work (Mon-Fri 9am-5pm) and that at home.

At work it's 23-26c / 73-79f
At home it's 17-21c / 62-70f

Can anyone provide advice on how they think this would affect the amount of basal (Lantus) that should be taken.

Presumably there's a case for taking less for work days.

One problem is that someone messing with the controls can mean you can do get reasonable temperature occasional in the office.
It's air conditioning and nothing to do with the weather, so it's hard to predict what they will do...

I'm currently on 1 injection before bed taken around 12-1am.
I noticed that the temperature seemed to have an impact on my blood glucose level, so much so that I have been logging the maximum and minimum figures for over a year now (both the inside temperatures and the external ones).

I'm virtually sure that there must be a link - the lower the temperature the lower the blood glucose - but I can't see any pattern even with a year's data. I think that there are too many other factors clouding the issue.

So I'm sorry to say that I think that adjusting your insulin will come down to that old favourite - trial and error.

John

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Old 01-09-2012, 12:13   #3
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It seems accepted out there that high temperatures increase the rate of insulin absorption for rapid insulins.
This means my novorapid will act quicker, but by how much and at what temperature and what they consider the normal temperature who knows.

I'm wondering if temperature has a similar effect on the rate of Lantus etc and whether it can lead to Lantus being used quicker and running out before 24 hours?
Does a rise in temperature mean increased blood flow in the body for cooling?
Does this have any effect on the way lantus etc work?

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Old 01-09-2012, 13:41   #4
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It seems accepted out there that high temperatures increase the rate of insulin absorption for rapid insulins.
This means my novorapid will act quicker, but by how much and at what temperature and what they consider the normal temperature who knows.

I'm wondering if temperature has a similar effect on the rate of Lantus etc and whether it can lead to Lantus being used quicker and running out before 24 hours?
Does a rise in temperature mean increased blood flow in the body for cooling?
Does this have any effect on the way lantus etc work?
Excellent questions - when you discover the answers, please tell me!

Sorry, it's not a joke, but there are too many variables to give a straight answer. Last year when we discussed the "winter phenomenon" on the forum we had a whole range of responses to chose from:
  • Some reported that "it doesn't exist"
  • Others that "it makes my blood glucose rise"
  • And yet others "it makes my blood glucose fall"
In quite a few cases we had folk who had times when more than one of the responses fitted their case.

That's one of the many issues with diabetes. We all respond differently to the same stimuli and (in my view) the range of variation in the nature of our condition is not fully understood by the medical profession.


John

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Old 01-10-2012, 02:51   #5
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I work in a controlled environment (73+/-6F and 35 +/-15%RH) and I keep the temp in my home at about 70F. I take Lantus twice a day, once when I first get up and again right before bed. My morning fasting readings for the last month average 85. My lunch/exercise readings are around 80 and bedtime readings tend to be higher based on dinner but stay in the 100-120 zone.

I think if you are worried about temp influences the easiest answer would be to split your dosage into two injections to minimize any possible influence.

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