Reddit mentions: The best diabetes health books

Yeah, she was "in DKA." That's what we say. Tough few days I'm sure, but I hope you have been able to take a deep breath and see that as nuts as this all probably seems right now, you'll learn to live with this and it will be ok.

I was also 6 when I was diagnosed, and almost 32 years later I am doing just fine. I identify as a person with diabetes--that's part of my identity--but it is just one aspect of who I am. Everyone has their struggles, and this happens to be ours, but it certainly didn't ruin my childhood or anything. The technology is so much better now too.

One thing to keep in mind is that you and she have plenty of time to learn how to get this under control. Until you have a feel for it, her control is not going to look like the superstars with the A1c's in the 4's and 5's that you sometimes see on here, and that is totally, perfectly ok. Insulin needs may also change a lot in the first year or two as she exits the honeymoon phase. Obviously you'll want to do what the doctors say, but in the near future there is no need to beat yourself up at all over BG control that isn't quite dialed in yet. Focus on getting used to T1D and integrating the treatment into your lives. That mindset sort of continues into the long term too: there are tons of things that impact BG, and there are going to be days that look really ugly control-wise. That's totally fine. The key is to focus on average BG and time in range over weeks and months, and not to get too hung up on the individual days. This is really hard, but just try to keep celebrating the good days and approaching the bad days with a sense of curiosity about how to do things differently next time, never with any blame or guilt.

I think the single most important thing for me early on was developing a great relationship with my endocrinologist and especially my diabetes nurse educator. I stayed with them for 25 years--grade school, high school, college, graduation and my first job... if it's good, that relationship can be hugely impactful.

Inevitably you'll have some thinking to do about CGM and insulin pumps at some point. I personally love my pump and CGM and wish that I had access to them (particularly the CGM) 31+ years ago. At the same time, I think it would have been very difficult for me to have my parents remotely monitoring my BGs all the time, especially as I got older. I don't know the answer for that situation, but something to keep in the back of your mind. As far as having a thing attached to me with a tube, it's part of my life. I don't really notice it that much. It beats having to carry around an insulin pen.

This community is extremely supportive, as are r/diabetes_t1 and r/diabetes. As far as books, lots of people recommend Think Like a Pancreas, and I think Bright Spots & Landmines is a good one too. Good luck, and hopefully we'll continue to see you around as questions come up.

We're only a bit further into this game, but I'll share what we've learned.

Check at night. It is possible that you'll be able to pinpoint when she's rising, which is likely due in part to growth hormone. When our dd was still on MDI before pumping, either DH or I would test and correct around 4-5am so that she'd wake up at a decent number. Upping her basal at night wasn't an option because she'd go too low before the rise. It was a pain in the ass, but the early morning corrections worked like a charm. Starting the day at 100 rather than 200 makes for better numbers throughout the day.

When does she get her Lantus injection? It could be that she'd benefit from getting her dose split in two. That way, you'd be able to give more/less for day and night.

Are you pre-bolusing? For breakfast, especially, our dd needs her insulin at least 20 minutes before she eats.

Buy this book. There are less expensive earlier editions that are just as good but have less resent research citations and pump information.

I know that everyone's insulin needs are different, but it seems like your daughter may be using A Lot of insulin for her age/weight, especially if she is still honeymooning. What is her TDD (total daily dose)? And her weight? Have you ever checked her an hour after eating to make sure that she isn't dropping too low and then rebounding?

There are two great parent forums where lots of experienced parents will be happy to look at numbers and offer ideas. Check out:
Type 1 Parents and
Children with Diabetes

Screw her health care team. Time to find a Dr. that will be supportive of what works for you/her Both of the above linked parent groups would be good places to ask for Dr. recommendations. You might also consider using Gary Scheiner's Integrative Diabetes services, which are surprisingly affordable.

Of course. I know how confusing everything can be at the start, but with time, some patience, and the desire for some understanding, it should work out all right.

If you are deeply curious about the different types of insulin, their effective use, how to properly use them, and how to properly figure out how to find the right dose... there is a wonderful book that can be used as a resource. 'Using Insulin: Everything You Need for Success with Insulin" is a wonderful book that explains in rather good detail how all that stuff works.

It's certainly no replacement for speaking with a doctor, but who knows, you may even be recommended to pick it up to use as a tool for better understanding. :)

A First Book for Understanding Diabetes 14th Edition: A Companion Book to Understanding Diabetes https://www.amazon.com/dp/B07N8JRDG1/ref=cm_sw_r_cp_api_i_V4LXCbV1JXZ29


We got this at the hospital. It’s pink panther, yes, but it’s a very short and easy to understand primer. We go back to it often. The other books people recommend are awesome - but this book is a great quick, simple reference. It’s a good one to give to loved one/friends who don’t need a deep dive.

xDrip+ has CorrF and CarbF settings, but the problem with these are you should set different factors to different times on a day. For example I have CorrF around 1.6 mmol/l in the morning and 2.4 mmol/l in the evening.

Most of the pumps have hourly factors you can set up. My Animas Vibe works pretty well in this regard, but requires some tweaking to get right.

For Android, even though I love, use and develop xDrip+, the best CorrF and CarbF calculator is in Diabetes:M app. You can set different factors throughout the day and giving the target, carbs and current BG it tells you the amount of insulin you need to take.

You just need to do some tests to get the factors right. In John Walsh's book Pumping Insulin I've found the best instructions how to do the tests at home, what are the starting values for your weight and A1c and how to tweak the factors depending on the result. I seriously recommend reading the book, even if you are not using an insulin pump.

Sure.

If evolution is of interest to you (and if you have interest in the intersection between theology and science), Finding Darwin's God by Kenneth Miller explores both sides of the debate and debunks many common misconceptions about evolution. I first read it in a college biology topics course.

If you like the topic of 'creationist attempts to dispute or disrupt the teaching of evolution in the classroom', Summer of the Gods, about the Scopes Monkey Trial, is a great book (although not explicitly about science).

You may find The Selfish Gene by Dawkins worth a read.

Books by Mary Roach can be fun; I've read Stiff and enjoyed it, and Packing for Mars was pretty good as well.

I have heard good things about The Emperor of All Maladies, though I haven't read it myself.

Our Stolen Future, about contamination of the environment by artificially produced estrogen and estrogen analogs, is dated but interesting.

The Discovery of Insulin by Bliss is a great story about how science happens and how scientific discovery occurs, and it lays out what may be the most important discovery in medical science during the 20th century.

Were those types of books what you were looking for?

Thank you for being involved and concerned. You are not nagging. I'm a type 1 (almost 30 years now); was diagnosed in the late 80s. Looking back, my parents were strong, and super on top of my condition. Sometimes I wished they'd just leave me alone! ;-)

But they also were really good at guiding me towards managing it myself, such that, by the time I was an adult, I knew I had to keep my Endo appointments, check my sugar regularly, and just live with it appropriately. Like many other type 1s, I participated in sports (and still do!) and am considered a "model type 1" by my endo. I am so thankful for their support because at the time, I thought it was just about "me".

You are doing all of the right things. Please be sure to take care of yourself too. This will pass, and your son will learn to manage it and will lead a productive and healthy life.

​

Just a few resources I like a lot:

https://www.amazon.com/dp/B002R0JXJK/ref=dp-kindle-redirect?_encoding=UTF8&btkr=1

https://www.amazon.com/Pumping-Insulin-Everything-Need-Success/dp/1884804845

I'll take a slightly different tack to some of the comments you've had. I disagree with some of them, but you'll pick that up as you read on.

I'll make some specific suggestions. With your genetic background I think you are very wise to be concerned. That does not mean you need to become obsessive about it, but you do need to monitor a few things.

Some tips in no particular order.

• See your doctor on a regular basis; at least annually for a general check-up including the usual blood tests. Ask for at least HbA1c, an indicator of recent blood glucose levels, and fasting blood glucose to be included in those tests. Those are usually the best initial indicators of whether you are heading for problems.
  
  
• If those tests are OK, just eat normally. However, "normally" should not include the usual excessive carbohydrate load of the SAD (Standard American Diet, marvellous acronym). You don't need to eat low-carb but lower carb than the norm would be very wise. Less starches such as breads, rice, corn, root vegetables and cereals, more proteins and good oils.
  
  
• Juices are fruits with the goodness of their fibre removed. Most fruit juices have more carbs in a glass than coca cola. Your body doesn't care if the source of carbs is fruit juice, sugar, a bagel or rice when it turns that into blood glucose. Think about that. I owned a brand new juicer when I was first diagnosed. I gave it away shortly after I started testing my blood glucose after drinking juice. That includes many vege juices.
  
  
• Until you are diagnosed (hopefully never) eat the fruit or vege, fibre and all; not juices. If you are diagnosed, apply this to see what is safe: Test, Review, Adjust
  
  
• If you want to read more, my own book is also on that link but I wrote that more for the person who has been diagnosed. The best book I know on action to take in your circumstances is Prediabetes: What You Need to Know to Keep Diabetes Away, by Gretchen Becker
  
  Cheers, Alan, T2, Australia
  
  Everything in Moderation - Except Laughter.

I have a healthy 15 month old and we are just starting to try for our second! This book was a game changer for me during pregnancy: Pregnancy with Type 1 Diabetes: Your Month-to-Month Guide to Blood Sugar Management https://www.amazon.com/dp/1544267347/ref=cm_sw_r_cp_api_i_hSMTDb3PE4Q5D

I was definitely worried about all of the possible complications being T1, but am happy to say that I was able to have a completely natural birth, which was my wish. Feel free to pm me if you’d like to chat more!

First step: If at all possible, see your doctor (your endocrinologist, if you have one). One appointment could get you a fresh set of pump settings that could make a huge difference — they can look at your trends and adjust.

You can do it on your own, too, and you'll get even better results, because it'll be based on concrete data rather than guesses based on average trends. Hit your public library and find this book if you can; it has full step-by-step guides on how to determine and tweak your basal rates and ratios.

Short version: Start by doing fasting tests to see if your basal rate is high enough. Don't eat or dose insulin for like a 6-hour chunk of the day, and test your BG every 30 minutes or so. If it rises, your basal isn't high enough at that time; if it falls, vice-versa. Do it again on another day at the same time, see if it's consistent. If it is, increase your basal rate on the pump over that time span. Do the same with the other chunks of the day.

Once you've got that sorted, and are pretty confident that your basal rates are appropriate over a full typical 24 hours, then you can start testing to see if your carb ratios and correction factor are correct. Short version for those: If you dose for food or correction and within 4 hours are back down to your target BG, then the numbers are good; tweak up or down if you don't hit the target.

Don't lose heart, there are good techniques to utilise to exercise safely and slowly build up the endurance you're used to.

Don't forget two things, you've lost muscle mass pre-diagnosis. Muscle build up slowly. T1 is also in essence an energy metabolism disorder so you also need to be a bit more focused on eating the right types of food for exercise (and generally for wellbeing).

I don't know if you're a generally active person. Hiking, running all of that. But there is an excellent resource on Facebook. A Group called Mountains for Active Diabetics. They are all predominantly a mixture of leisure hikers, runners and ultra endurance athletes all with T1 with a wealth of willing advice. Try them out for some pointers.

Also, this book might be on your level too. It helped me a lot, I just didn't align with the Carb to activity ratios I needed to almost double the requirements. http://www.amazon.com/Diabetic-Athletes-Handbook-Sheri-Colberg/dp/0736074937

I should also mention that you don't necessarily need to stick to the Insulins you're given in the long term. I for example struggle during the day and during exercise with ANY insulin in my system whatsoever. So I switched to a 12h Basal (background) insulin. That means I can take a basal at night but not have any insulin in my system during the day apart from what I take to bolus my food, it's really helped and I don't drop quite so quickly when I exercise.

Good luck :). Feel free to drop more questions. You will have them.

Freedom and flexibility are the two big advantages. Also, you only need to stick yourself to deliver insulin every 2-3 days vs multiple times a day. Also, if you're feeling under the weather or going to go work out, you can dial your basal insulin up or down as needed.

The downside is that it requires a bit more work and vigilance on your part (DKA is a more real possibility since you have no long-acting insulin on board), and of course, you have this thing with you almost 24/7. You can safely disconnect for up to an hour or so to shower, swim, or participate other activities that require little or no clothing. :-)

I would suggest getting a book called Pumping Insulin by John Walsh and Ruth Roberts. It's an excellent primer on the ins and outs of using a pump.

Also, whether you decide to use a pump or not, get a continuous glucose monitor (if your insurance will cover it!) They are the absolute best for keeping abreast of what's going on inside you.

>There's a great book about this called "Breakthrough."

Another good book is "Banting: A Biography" by Michael Bliss (https://www.amazon.com/Banting-Biography-Michael-Bliss/dp/0802073867) and "The Discovery of Insulin: Twenty-fifth Anniversary Edition" also by Bliss (https://www.amazon.com/Discovery-Insulin-Twenty-fifth-Anniversary/dp/0226058999/ref=asap_bc?ie=UTF8)

The Thomas Fisher Rare Book Library at the University of Toronto where the discovery was made once had an exhibit of Banting's artifacts. Included were lab notes, instruments, photographs and the telegram announcing they had won the Nobel. It was very moving to see this in person.

1 - 8.6 while not great, is really not that bad. Small improvements can probably make a HUGE difference for you. Read Think like a Pancreas and then maybe Pumping Insulin. Sugar Surfing is also another good one but that method requires CGM usage.

2 - getting a CGM and seeing the impact that things have on your BG, from food, to activity, to even things like stress, can help you have better strategies to manage things.

3 - good diabetes management is primarily about taking action when necessary, and far less about being compliant and doing what your doctor told you to do. You need to learn to be the one in charge and take control and direct your own management.

Another T1 chiming in - I've had it for 23 years and am on pregnancy #2. I'm 32 years old currently, had my first at 30.

I was sooooooooo anxious at the start of my first pregnancy. It was insane. I always felt like I wasn't meeting my goals even though my endo and OB were quite happy with everything. After a few months the anxiety settled a bit and my LO was born perfectly healthy at 7lbs 4oz at 39 weeks via c-section because he was breach. He had low bloodsugar for a few days, but that's pretty common and we treated with formula feeding - no NICU or anything.

This pregnancy has been a lot less stressful - not the same kind of anxiety from the start. At 32 weeks, LO is measuring right on track and there's no concerns. My insulin resistance has been a bit higher but that's just the way it goes - at this point in the pregnancy I'm having to up my bolus rates every few days (I use a pump).

A good book that came out recently is Pregnancy with Type 1 Diabetes. I found it quite helpful this time around with explaining why you might be experiencing swings at certain times.

Feel free to check in if you have any questions/frustrations/etc. :)

Diabetes Rising

After reading this article in the doctor's office last spring, I bought the author's book. It is a very interesting look at both types of Diabetes, including a lot of history. He talks about the trends of younger and younger people (teenagers!) being diagnosed with the former "adult onset" variety, but what's really crazy is that the onset age for type 1 is decreasing as well. His basic hypothesis comes to be that type & 2 are just opposite ends of a diabetes spectrum and that they are the same disease. He also talks about things like vitamin D deficiency and other possible causes. I highly recommend it if you are interested in the subject.

It's not a video, but the Pink Panther book is a great into/crash course on T1D. It was given to us at the hospital when my son was diagnosed:
The First Book for Understanding Diabetes https://www.amazon.com/dp/0981538150/ref=cm_sw_r_cp_apa_i_mEnODbC8MYMPQ

We recently got the Dexcom G6 system (CGM). List price was in the neighborhood of $1600 for the receiver, transmitter, and one month worth of sensors. I don't know if that's actual retail price, but that's what was given as list price (ours should be covered by insurance, though they denied it and we're in the process of appealing right now).

Kudos to you for stepping up to help!

The Discovery of Insulin http://www.amazon.com/Discovery-Insulin-Michael-Bliss/dp/0226058980 is an amazing book which not only helps you understand the science and history behind insulin, it's a fascinating look at the history of the doctors themselves.

It may not be exactly what you're looking for, but since I've read it, I have a completely new appreciation for the disease and how lucky we are to be living in this era of medicine.

So very glad you are safe and being treated! Welcome to the club no ones wants to be in, ha!

Read, read, read lots of good books on T1 diabetes treatment. Become the leader of your diabetes team: your doc, pharmacist, diabetes educator, optometrist, etc. I can't recommend these books highly enough:

http://www.amazon.ca/Think-Like-Pancreas-Practical-Managing/dp/1569244367

http://www.amazon.ca/Using-Insulin-Everything-Need-Success/dp/1884804853/ref=sr_1_1?s=books&ie=UTF8&qid=1342040379&sr=1-1

It's the insulin. What are you on? Lantus or something? Are you on MDI? You can get your capacity for distance rides back, but you'd be much better off doing this with a pump. You simply cut your basal before the ride by as much as 60%. The longer the ride goes on, the more you have to cut the basal. It's an acquired skill. You have to work at it and test it, but if you start off the day with the same dose of insulin you did the day before when you didn't exercise, your basal is going to be too much when you exercise. Exercise forces your cells to eat glycogen stores. Once your blood sugar gets low, you might as well call it a day. You just have to get your circulating insulin levels low enough before and during the ride so this doesn't happen. Your endurance is still there, you just have to learn how to hold onto it once you've started the ride, and a little before the ride. It's harder to do this on injected insulin. Pumps are much more effective and flexible for sports like running and riding long distances. They just make it much easier to do. Read this book.
It tells you how to do it with or without a pump in great detail.

[THIS!!!!!!](http://www.amazon.com/gp/product/0736074937/ref=as_li_ss_tl?ie=UTF8&tag=onceaweekgeek-20&linkCode=as2&camp=217145&creative=399369&creativeASIN=0736074937">Diabetic Athlete's Handbook</a><img src="http://www.assoc-amazon.com/e/ir?t=onceaweekgeek-20&l=as2&o=1&a=0736074937&camp=217145&creative=399369" width="1" height="1" border="" alt="" style="border:none !important; margin:0px !important;)

Absolutely great reference for the diabetic athelete, it goes over how your body works, how others are exercising, and how they medicate. I love it, it has mostly T1 references, but there are a few for T2's like myself.

I'd recommend anything by Roy Porter. His Greatest Benefit to Mankind is a great overview. And he also edited the Cambridge History of Medicine. But as a study of a single event, I have to give a shout out to Michael Bliss's Discovery of Insulin.

Others have some put some great real world info here. I'd only add that these 2 books were quite helpful.

Think Like a Pancreas

https://www.amazon.com/Think-Like-Pancreas-Practical-Insulin-Completely/dp/0738215147/

Diabetic Athletes Handbook

https://www.amazon.com/Diabetic-Athletes-Handbook-Sheri-Colberg/dp/0736074937

Diabetes Rising

An amazing book that combines history and science, and unlike most diabetes books is pretty evenly split between T1 and T2. However, not much insofar as "inspiration" or improving lifestyles. Perhaps a few years outdated, but definitely needs to be put on the list.

The Diabetic Athlete's Handbook by Sheri Colberg has some useful information about how your blood sugars behave when exercising. I found it pretty helpful when learning how I could adjust my insulin for running.

https://www.amazon.com/Diabetic-Athletes-Handbook-Sheri-Colberg/dp/0736074937/ref=sr_1_1?ie=UTF8&qid=1474553521&sr=8-1&keywords=diabetic+athletes+handbook

WWW.Diatribe.org

Bright Spots & Landmines: The Diabetes Guide I Wish Someone Had Handed Me https://www.amazon.ca/dp/0692875174/ref=cm_sw_r_cp_api_i_wHc5CbGMF9787

R/T1diabetes

https://onedrop.today/

These places all helped me tremendously. I'm approuching my one year diaversary soon. Welcome to the club buddy. One tip is don't feel put down by seeing people on reddit post that they've been in range all day/week whatever. Just focus on you, you got this <3

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Two good books that I found very useful:

• Using Insulin - paperback only
  
• Think like a Pancreas - paperback or Kindle

This book is really good for discussion on what life was like before insulin: http://www.amazon.com/Discovery-Insulin-Twenty-fifth-Anniversary/dp/0226058999

I recommend it!

The one books that a lot of people feel is a must read is "Using Insulin" or "Pumping Insulin" by John Walsh. It covers in detail how to test basal rates, carb factors, insulin sensitivity and a bunch of other things. I have a copy of Pumping Insulin and I wish I had it sooner, it's excellent as a reference on the shelf.

There is some truth to it. Read the bookBreakthrough for a more accurate account of exactly what happened. It was pretty dramatic even in reality.

Everyone else here is totally right... We're going to start trying to conceive next year. I've found this book to be a great resource!

That can happen, especially if you are doing sprints or weight lifting. This book goes into the physiology of exercise for diabetics pretty well: http://www.amazon.com/gp/aw/d/0736074937/ref=redir_mdp_mobile

You can learn much much more in this detailed, but somewhat dry book:

https://www.amazon.com/Discovery-Insulin-Twenty-fifth-Anniversary/dp/0226058999

I thought it was interesting how little research was being done at the time due to previous premature claims of a cure. Very few scientists wanted to work on learning more about diabetes because the level of disdain for all the prior failed cures was carrying over into new research.

I was also somewhat disgusted by the credit-grabbing that went on after it was clear they really had something. Thankfully, the various egos involved didn't prevent progress on getting insulin ready for humans.

Finally-- a fun fact from this book: a "unit" of insulin today is directly related to the amount of insulin needed to make a fasting rabbit pass out. That was the method used in the early days to figure out how concentrated each batch of insulin was. Dosages would vary depending on how the rabbit tests worked out.

Loved this book:
https://www.amazon.com/Breakthrough-Elizabeth-Discovery-Insulin-Medical/dp/0312611749/ref=sr_1_1?ie=UTF8&qid=1495482361&sr=8-1&keywords=elizabeth+hughes+insulin

http://www.amazon.com/Pumping-Insulin-Everything-Need-Success/dp/1884804845

Seriously the best book ever

If anyone is interested in learning more, try The Discovery of Insulin by Michael Bliss (amazon link). The before/after pictures of diabetic children are horrifying and compelling. It also makes you think hard about what it means to test on animals.

Diabetes definitely blows. Keep an eye on your foot. You're probably an early enough diabetic that it won't be a serious problem, but those sorts of things can take forever to heal on us if you don't take care of them from the start.

As for knowing so much, I feel like maybe I should actually do a post on this at some point. When I was first dx'd, I actually was discharged from the hospital without anyone teaching me to use insulin. I think there was a miscommunication between the day nurses and the night ones, and someone thought that I had already been diabetic for a while. They kept me a total of 5 or 6 hours while they got my bg back in range and then sent me home to call my endo.

I actually already had an appointment set up for one the next day (I was worried that all my weight loss might be some sort of thyroid issue). I went in cried like a complete wuss while he showed me how to give myself my first shot (I was scared as shit about needles). He sent me on my way with a meter, some samples of insulin, and little instruction on how to use either. 10 u of levemir at night, 2 u humalog before lunch and 4 u humalog before dinner.

My first 3 months, I followed those instructions and my bgs were all over the place. I'd call his office and be instructed to take 2 u of levemir in the morning as well. Pretty useless shit. My A1c barely dropped at all those first 3 months.

That's when I decided to stop following the instructions of anyone who didn't have to live with this on a daily basis. I got my first diabetes related book, Think Like a Pancreas, which I used to figure out my I:C ratio and correction factors. I started testing around 10 times a day to figure out what my previously dictated 4-times-a-day routine was missing. I also started tweaking my own basal amounts, splitting my levemir in two and shifting units around to develop the rates I wanted for different times of day (which was only possible because Levemir, unlike Lantus, is not 24 hours of steady absorption.)

I brought my A1c down from around 13 to under 8 in the next 3 months, and I got hooked on figuring out why I still had variations that my earlier math couldn't explain. I stopped buying books for patients, and started consuming books and journals meant for nurses and physicians. My bookshelf now includes:

• Practical Insulin: A Handbook for Prescribing Providers
  
• Joslin's Diabetes Deskbook: A Guide for Primary Care Providers
  
• Educating Your Patient with Diabetes
  
• Joslin's Insulin Deskbook: Designing and Initiating Insulin Treatment Programs
  
• Medical Management of Type 1 Diabetes
  
• Nurses' Guide to Teaching Diabetes Self-Management
  
• Intensive Diabetes Management
  
• and, more for fun, Diabetic Athlete's Handbook
  
  I use the stuff that works, ignore the stuff that becomes outdated, and have about a thousand of those little, color-coded document flags marking different pages for the times when I need to look something up.
  
  I've since switched endos to one who is fantastic and who supports me in the changes that I want to make.

This book has a lot of great info! It even has detailed examples for specific types of exercise!
Diabetic Athlete's Handbook https://www.amazon.com/dp/B002R0JXJK/ref=cm_sw_r_cp_apa_OeTNBbQ8EDG1Q

An overly simplified summary is sustained exercise (like running) lowers, high intensity might raise it... If you're going too low, things to try are less bolus at the meal before, uncovered carbs during, and reducing basal rate during (and I think starting a few hours before).

have you tried talking to a dietitian about how to manage levels for something like this?

http://www.mensfitness.com/nutrition/diabetic-athlete

https://www.amazon.com/Diabetic-Athletes-Handbook-Sheri-Colberg-ebook/dp/B002R0JXJK?ie=UTF8&btkr=1&ref_=dp-kindle-redirect

http://www.diabetesforecast.org/2012/jul/endurance-sports-and-diabetes-management.html?referrer=https://www.google.com/

AmazonSmile Link

Use this AmazonSmile link to donate a part of your purchase to charity.

Shazam. My nutritionist recommended this.

http://www.amazon.com/gp/product/B002R0JXJK/ref=kinw_myk_ro_title

150 post meal is high. With your fasting/before-meal numbers decent, you may be in the beginning stages of diabetes, often called prediabetes.

Check out this book by Gretchen Becker:
https://www.amazon.com/Prediabetes-What-Diabetes-Marlowe-Library/dp/1569244642/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr=

I believe it's by Thea Cooper.

In case you haven't already ordered it, there's a new edition of the book here

Not sure how much has changed between editions.

I lower my basal rate by 30-50% up to an hour before starting a bike ride, and drink gatorade instead of straight water. I often start a little high or eat a small snack before I go. This book might give you dieas. As someone else said- trial and error to figure out what will work for you as everyone is different. Also, I find when I exercise regularly, I have to reduce my basal rates overall by 20% as I am much more insulin sensitive than when I am more sedentary.
https://www.amazon.com/Diabetic-Athletes-Handbook-Sheri-Colberg/dp/0736074937

I can tell you the answers for me, but you'll have to test and figure out the limits for yourself. Generally, my pattern is as follows:

• low-intensity cardio: no noticeable short-term effect
  
  
• intense cardio (biking at 15mph): my BG will drop by 30-40 mg/dL after 45 minutes and continue to drop if I continue to exercise without treating. Persistent low where I need a lot (for me) of carbs to get back to and maintain at "normal" (70-100).
  
  
• low-intensity resistance: no noticeable short-term effects
  
  
• high-intensity resistance: my BG will rise by 30-50 mg/dL in first hour; stay stable (high) through activity; drop into a persistent low (-40-80 mg/dL) two hours after cessation.
  
  
• and no, I can't offset one with the other, though I've tried.
  
  Don't know about peer-reviewed studies, but Sheri Colberg's book is the go-to resource for diabetic athletes. Many people feel it is dated and insufficient, but many people like it as well.