Ratios tryed them all

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Paul G Wales DAFNE Graduate
Betsi Cadwaladr University Health Board
8 posts

Hi ive been trying unsuccessfully to find a ratio that will work for me I started at 1:1and moved up gradaully to 3:1 and im sure it will end up at 3.5 : 1 ,has anyone got any advice, on this a most of the dafne advice i got doesent really help with this ! i have just been prescribed Metformin but wanted to get my ratio sorted before i went ahead with it ! should i start it now and deal with it all in one go ? im just aware of the change one thing at a time thanks paul

Paul G Wales DAFNE Graduate
Betsi Cadwaladr University Health Board
8 posts


05/02 Time 23:03 [23:03] first time on 2.5 teatime
CP 10
BG 14.9
QA 22+4
BI 40
Ratio (QA:CP) 2.5
Type DINNR
Sat
06/02 Time 11:42 18:22 23:19 [11:42] first time on 2.5 -AM
CP 5.5 9 -
BG 8.6 13.7 15.7
QA 14+1 22+2 -
BI - 40 -
Ratio (QA:CP) 2.5 2.5 -
Type BFAST DINNR BED
Sun
07/02 Time 10:30 18:41 23:05 [10:30] firstime on x3
CP 5 5 -
BG 13.1 12.0 14.8
QA 15+2 15+2 -
BI 0 40 -
Ratio (QA:CP) 3 3 -
Type BFAST DINNR OTHER
Mon
08/02 Time 10:30 19:05 23:13 [23:13] had enough of this LOL
CP 5 4 -
BG 10.0 11.0 16.1
QA 15+1 12+2 8
BI 0 40 -
Ratio (QA:CP) 3 3 -
Type BFAST DINNR BED
Tue
09/02 Time 01:03 09:37 12:42 13:33 18:44 23:59 [09:37] yippee but still not a pattern
[18:44] split lanctus to see if any different
CP - 5 0 4 4 -
BG 14.6 5.4 14.6 12.9 12.6 15.4
QA - 15 0 12+2 10+2 6
BI - - 0 0 20 -
Ratio (QA:CP) - 3 - 3 3 -
Type OTHER BFAST OTHER LUNCH DINNR OTHER
Wed
10/02 Time 10:05 12:20 17:22 19:19 23:59 [23:59] maybe i need an insulin Tanker??
CP 5 4 0 7 -
BG 9.7 14.6 12.6 14.0 12.0
QA 15+1 12+3 - 24+2 -
BI 20 0 - 20 -
Ratio (QA:CP) 3 3 3 3.5 -
Type BFAST DINNR OTHER DINNR BED

John Roscoe DAFNE Graduate
County Durham and Darlington NHS Foundation Trust
14 posts

Hi Paul,
It is difficult to actually work out what's going on looking at the figures because the CP values BG, and times don't seem to relate maybe it is just the way I am reading them. However have you thought about increasing your BI?
Cheers
John

Paul G Wales DAFNE Graduate
Betsi Cadwaladr University Health Board
8 posts

thanks John ive shared my diary with you , thanks for your reply ,before i went on the Dafne i had my own Dafne ideas that id been living on i thought i was on 3 0r 3.5 ration and my background was 52 units lanctus my hba1c was 8 .5 but that was after great summer working away in Ibiza , so im guessing it would have been lower , HCP at Dafne asked me to cut my BI and started me at 1:1 and worked up but nothing touched the BG
im now trying 3.5 :1 ive split my back ground now as well , i realised after dafne i am insulin resistant for sure LOL . ill stick with it anfd keep trying , thansk again P

Karl DAFNE Graduate
Hull University Teaching Hospitals NHS Trust
83 posts

Can you share with me also

John Roscoe DAFNE Graduate
County Durham and Darlington NHS Foundation Trust
14 posts

Paul, Thanks for sharing your diary I do think the key to your high blood sugars is related to your BI. I suggest that you continnue with splitting your BI but try to keep the injections 12 hours apart (I think that is what the general recommendation is) however the main thing is that I think you need to increase the dose possibly to 25 each time. If you do make the change make sure you test a bit more frequently just incase it does send you hypo. If you are not confident at making the increase in one step then approach it gradually. Good luck.
Cheers
John

Paul G Wales DAFNE Graduate
Betsi Cadwaladr University Health Board
8 posts

hi john i think ou are right ! i was on 52 BI and a 3:5 ratio before dafne (of my own concoction) so i will laugh if i end up back there < my bloods were better this morning so today will be a good test of the BI and my Ratio thanks for the advice... Paul

Paul Orton DAFNE Graduate
Essex Partnership University NHS FT (St Margaret’s Hospital)
2 posts

Paul- I see that your BG is above 11 for all but one reading. There is a discussion elsewhere in this forum about insulin requirements with high BGs. I know myself that it requires an enormous amount of insulin to bring my blood sugar down to normal levels, but this was something that I wasn't taught about in the Dafne course.

Tanglyjan 3 posts

Hi paul. I have just completed Dafne and we were told we should not be needing more than 3 units per CP as a ratio i.e. 3:1. They told us that if this was the case then it was the Background Insulin that was not right. However, you seem to be needing massive amounts of insulin for someone with Type 1 and it looks to me like you have insulin resistance. How old were you when you were diagnosed?? Are you a classic Type 1 i.e dramatic onset of symptoms or do you think you are really Type 2 perhaps? Just a thought. take care.

marke Site Administrator
South East Kent PCT
675 posts

Hi, generally I guess 3:1 is true but everyone is different and there are exceptions to every rule. It 'could' be insulin resistance but that doesn't necessarily mean Type 2, there are a number of diabetes variations such as MODY that are also possible. That said its really an issue to discuss with a diabetes support team. If you google you will find a million 'lay' experts that appear to know everything there is to know about diabetes and will give you endless medical advice, however none of them are medically trained.
This is NOT a criticism of Tanglyjan just a general observation, its good that people ARE making suggestions to help each other. Just bear in mind that advice you recieve is generally from other diabetics that are often as unsure as everyone else about Diabetes. That is especially true for any advice I give, I'm a computer geek not a doctor ;-)