Best diabetes health books according to redditors
We found 105 Reddit comments discussing the best diabetes health books. We ranked the 29 resulting products by number of redditors who mentioned them. Here are the top 20.
We found 105 Reddit comments discussing the best diabetes health books. We ranked the 29 resulting products by number of redditors who mentioned them. Here are the top 20.
You're not experiencing burnout, you're just new to pumping. Have you done any basal rate testing and established your insulin to carb ratio? If you haven't done so already, grab yourself a copy of "Pumping Insulin" by John Walsh. It will give you the knowledge you need to be successful.
Diabetic Athlete's Handbook
>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.
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.
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=
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.
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
It’s free.
You can post ad many as you want.
Here’s a link to a sample journal (not mine): https://www.amazon.com/Food-Journal-Blood-Sugar-Log/dp/1515024342/ref=mp_s_a_1_1?keywords=diabetic+journal&amp;qid=1566074696&amp;s=gateway&amp;sr=8-1
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.
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.
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!
Sorry, this got really long...
I always carry food with me for lows no matter how long or short the run is. I've recently switched from energy bars to protein bars as the protein bars don't spike my blood sugars quite as much and seem to provide more of a slow burn. I typically only need one around mile 3 or 4 and maybe 9 or 10. It really depends on the day and the run.
I try to remember to do my blood sugar 30 minutes to an hour before a run and give insulin if it is too high. I will typically give some if it is 170+ but you don't want to give too much or you won't have enough energy to keep you going during longer runs.
On some half marathons I will wear a belt pack to carry my blood sugar meter with me and check it around mile 6. I carry a syringe with about 10 units of Humalog in it in a Frio cooling wallet to deal with high blood sugars. The Frio wallets rely on evaporative cooling so the fanny pack has to have mesh in order for them to breathe properly. I found this out the hard way the second time I did it because I grabbed my non-mesh pack and basically put my insulin in an oven. Fortunately, I didn't need it on that run but I was disappointed to have wasted insulin. If your partner has a CGM then he'll be way ahead of me as I don't have any idea what my blood sugar is doing on most runs other than what my body is telling me or what my meter tells me when I stop to do it (which affects your race time).
He needs to stay hydrated. It is my understanding, and my experience, that diabetics need more water because our kidneys are often working harder to pull excess sugar out of us. That's why it is important to not run with a blood sugar that is too high as he'll be forcing his kidneys to work even harder to filter blood that is pumping faster and your liver is saying "Here have some more glucose" because it has no clue that you already have plenty. Always bring a water bottle whether its 3 miles or 13. Just don't over do it or he'll have to pee every 5 minutes. Been there done that. My wife wanted to murder me for killing our time on that race. I think my blood sugar might have been too high at the start of the race but it was a weird one. Story time: we did the Darkside Challenge run at Disneyworld and they start filling the corrals at 2 or 3 in the morning so they can start the race at 530 or 6. Not only was I away from my normal breakfast food but I ate at an insanely odd hour and then had to stand around doing nothing for a couple more hours before running 13 miles. Its crazy being a diabetic and trying to plan and adjust for that madness and what it does to your blood sugars. Next time, I'm bringing my normal breakfast food with me to the corrals in a plastic bag I can throw away.
Every diabetic's body is different so he'll have to learn some stuff by trial and error just like with so many other "features" of the disease. Just try to do what any other runner would do with the added condition that he needs to pay attention to where his blood sugars are.
I would also advise him to never run alone or at least to never run in a place where he could have problems and no one is there to help. Running alone in a public park with people or around the local neighborhood might be OK but I would never run a remote trail by myself. The chance that my blood sugar could randomly go sideways and result in my laying unconscious somewhere by myself is not worth taking.
Good luck!
EDIT: Also, your partner might find The Diabetic Athletes Handbook by Sheri Colberg useful. I only made it part way through the book myself but one day I will finish it! https://www.amazon.com/Diabetic-Athletes-Handbook-Sheri-Colberg/dp/0736074937/ref=sr_1_1?ie=UTF8&amp;qid=1487618073&amp;sr=8-1&amp;keywords=diabetic+athletes+handbook
>I am overweight. I am 6'1" and weigh about 300 pounds.
Begin there. Make the decision to attain and maintain a healthy weight. Considering your familial history I suggest you choose one of the low-carb diets as your method. I made my own low-everything weight loss plan. It worked very well but if I was writing that again I would be cutting carbs a bit more and cutting fats and protein a lot less.
>Could someone point me towards some further reading, research, information etc on the best things I can do to avoid getting it myself?
Gretchen Becker's The First Year Type 2 Diabetes: An Essential Guide for the Newly Diagnosed was one of the first books I bought after my own diagnosis. Later we met and became friends. I haven't read this book of hers but based on that other book I have no doubt her advice would be good: Prediabetes: What You Need to Know to Keep Diabetes Away
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.
That is a ton of work, the only thing i can offer is this:
https://www.amazon.co.uk/Mit-Diabetes-Leben-Dummies-uuml/dp/352770891X/ref=sr_1_1?ie=UTF8&amp;qid=1469115524&amp;sr=8-1&amp;keywords=352770891X
Link
I feel like such a shill now
I think they meant "delay." In the book Breakthrough, it's discussed how some parents opted for the starvation diet because they wanted to try and keep their kids alive long enough for a real cure.
Loved this book:
https://www.amazon.com/Breakthrough-Elizabeth-Discovery-Insulin-Medical/dp/0312611749/ref=sr_1_1?ie=UTF8&amp;qid=1495482361&amp;sr=8-1&amp;keywords=elizabeth+hughes+insulin
>we’re not going to have any more of our Saturday morning donut store trips, we’ll have to carry the blood testing device when we travel and figure out where we can keep his insulin on long trips, he’s going to have to take shots everyday for the rest of his life.
GET A PUMP. Get an insulin pump for your boy as soon a possible. It's so much more convenient than taking shots, and it really does enable better control.
Secondly, hers the links to the best 2 books I've ever read about managing diabetes. John Walsh is a genius, and he has diabetes and wears a pump himself, so all the information is very practical. You should be able to find both the books for less than $5-10 used. The books come with very good "formula" for setting and adjusting your insulin rates. Diabetes management is all about setting these rates and then tracking what you eat.
http://www.amazon.com/Using-Insulin-Everything-Need-Success/dp/1884804853
http://www.amazon.com/Pumping-Insulin-Everything-Need-Success/dp/1884804845
Lastly, he can still have his saturday morning donut. Type 1 diabetes simple means one doesn't make insulin. Therefore, we take the proper amount of insulin for the food we eat. If he doses correctly, there's no reason he can't have a donut with breakfast once a week. Obviously talk to your endo or educator first.. but theres no way occasionals sweet is out of the question for a type 1.
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.
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!
I didn't until my last pregnancy (I gave birth 15 months ago). Now I do tend to have that, but I never did before.
There's a decent book called Pregnancy with Type 1 Diabetes
It talks about how there's an initial spike in blood glucose just after implantation and then slowly your needs start to drop for a while.
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. :)
Shazam. My nutritionist recommended this.
http://www.amazon.com/gp/product/B002R0JXJK/ref=kinw_myk_ro_title
Using Insulin by John Walsh has a great section on carb counting and a good carb factor list.
Pumping Insulin also by Walsh.
Think Like a Pancreas by Gary Scheiner will help you wrap your head around how insulin works and what you need to do as your own external pancreas.
Scheiner also wrote: The Ultimate Guide to Accurate Carb Counting.
And, he has very affordable online "classes" in T1 management. The link includes a free video on how to dose for pizza :-)
In the meantime, this is a fantastic list of carb factors and an explanation on how to use them.
Get thee a food scale. Nothing fancy required.
edited: formatting
Two good books that I found very useful:
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:
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 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!
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
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?
Some copy pasta from the same thread over in /r/Diabetes from me:
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.
Shout out to Michael Bliss's The Discovery of Insulin. It's a fantastic piece of history.
I believe it's by Thea Cooper.
I just received the book "Small Nerves, Big Problems," but haven't dived into it yet. I'll look into it tomorrow (it's not very big) and get back to you.
Small Nerves, Big Problems: A Comprehensive Patient Guide to Small Fiber Neuropathy.
There's a lot of excitement among neurology researchers about this.
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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&amp;ie=UTF8&amp;qid=1342040379&amp;sr=1-1
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.
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
> https://www.amazon.com/Food-Journal-Blood-Sugar-Log/dp/1515024342/ref=mp_s_a_1_1?keywords=diabetic+journal&amp;qid=1566074696&amp;s=gateway&amp;sr=8-1
Works now..thanks
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.
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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:
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.
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&amp;btkr=1&amp;ref_=dp-kindle-redirect
http://www.diabetesforecast.org/2012/jul/endurance-sports-and-diabetes-management.html?referrer=https://www.google.com/
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.
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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 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
This Book Spanish version
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.
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).
http://www.amazon.com/Pumping-Insulin-Everything-Need-Success/dp/1884804845
Seriously the best book ever