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Things That Make You Go Hmmmm!

So, I've been wondering.... Do showers or baths have an effect on your (or your child's) blood sugar? I have noticed that Ally seems to have a spike in blood sugar after taking a hot shower or bath.  It is not an immediate spike, but she will end up high a couple of hours later.  I noticed this almost as soon as she started pumping.  Since she disconnects her pump while she showers, I thought that possibly its because she is missing the basal dose of insulin (the insulin that controls blood glucose levels between meals and overnight).  Then I started limiting her shower time to no more than 10 minutes.  10-15 minutes disconnected from the pump would not normally make her have a blood sugar spike.  Didn't matter.  Hmmm... I have started noting in her log book when she showers and here is a brief example of what I'm seeing.  For these examples, I looked at 4 days in a row, same time of day. Day 1    BG before shower  80....3 hours later 207Day 2    BG  (no shower) 146....3 hours later 160Day 3    BG before shower 128...3 hours later 242Day 4    BG  (no shower) 107...3 hours later 98 As you can see, on the days that she did not shower at this time of day, her BG was relatively close 3 hours later.  On the shower days, she spiked significantly.  Hmmm...  (As I'm typing this, I am thinking that I need to go back and look at her CGM graphs from those days to see when the spike is occuring.  Is it just one hour later or two+ hours after the shower?  That might give me some more insight.) We all know that blood sugar levels are influenced by so many factors.  I have also considered this. I mean, in the mornings we are dealing with the dawn phenomenon.  (Our body secretes hormones in the pre-dawn hours which cause our bodies to be more insulin resistant.  Your pancreas would naturally release a little more insulin if it were a properly functioning pancreas.  We have to adjust Ally's basal rate to deliver a little more insulin during these hours.)  It has taken some hard work (and often continues to be a challenge) to manage Ally's morning blood sugars while avoiding a drastic spike in blood sugar after eating breakfast.  Hmmm... The liver stores sugar in the body.  Stress can cause the liver to release sugar into the bloodstream which would raise blood sugar levels.  Is the hot shower water a "stress" on Ally's body?  Hmmm...   My COMPLETELY un-medically-educated brain has a theory.  It (my brain) sees this possible scenario:  Ally wakes up in the morning, takes a shower, boluses for breakfast carbs & eats...HUGE SPIKE!  Is the shower causing her body to be resistant to the insulin which she is getting for her breakfast carbs, thus causing her to have these spikes later when the food is breaking down into sugar? MedicineNet.com defines Insulin resistance (IR) as a condition in which the cells of the body become resistant to the effects of insulin, that is, the normal response to a given amount of insulin is reduced. As a result, higher levels of insulin are needed in order for insulin to have its effects. I did run this theory by the "professionals" at our endo visit today.  Funny thing...they think my brain is fried!  Just kidding.  They said that they would almost expect the opposite; that a hot shower or bath increases blood flow, getting that insulin really flowing, thus lowering blood sugar.  Hmmm... What are your experiences with Type 1 Diabetes, insulin and hot showers?  (Let's keep it related to blood sugar numbers, ok!)

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