My sister got a call from the hospital at which Mom has been recovering after valve replacement surgery. After a couple of days of perfect sinus rhythm, her care team suddenly wanted consent to insert a permanent "on demand" pacemaker. The issue was a single episode of about eight seconds of no heartbeat. While the idea of a pacemaker had been broached before, it was earlier in Mom's recovery. Since then, as far as we all could tell, things had quieted back down to "normal".

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I've really been struggling with the Lantus and exercise mix. When I first started out, I did okay with a few lows here and there (nothing out of the ordinary for me). But as I added in new and different work outs and upped my intensity, I'm struggling to keep my blood sugars stable before, during, and after exercise.

With the pump, it was so easy to decrease my basal so I started my workout in the 180-200 range. I struggled with maintaining a higher level during exercise, often going low...but at least I wasn't concerned with those numbers completely wrecking my averages.

Now that I'm back on Lantus, I'm re-learning everything that I did five or six years ago (since high school held my hardest workouts). But I'm failing miserably. I can't get the range right before working out, often soaring to the 260's. And during, I'm flatlining in that same range.

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