think I am getting there

16 posts, 3 contributors

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JayBee DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
587 posts

D'oh you're right - the fact the during night BGs are at the front of the result diary confuses me! Sorry. My bad! XD

You've done well to put your BI down as a result though. As for the highs - they're a result of the boomeranging. Let's see how you get on with stopping the corrections at meals within 24 hours of any hypos. Smile

Good luck!

grandma carol DAFNE Graduate
North Cumbria Integrated Care NHS Foundation Trust
61 posts

Ok thank you Ill try that next time I have been high all day today but have done corections( big mistake then ) well hope ther is no more hypos but gess thats just wishfull thinking. What I carnt understand is that I was never like this before I did DAFNE and the carb counting just had the odd low now and agen but think I was fine and dident feel like I do now. I just feel ill and my head is all over the place carnt seem to get anything right but Ill keep at it. I just want to get back to what I was like before.

JayBee DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
587 posts

I understand... Before DAFNE, I used to have okay control I suppose, but it reached a point where what I did stopped working. My guess work understandings had changed and I felt so lost. I was pointed at DAFNE and it has helped me understand things again ten fold than I did before. Removing the guesswork has been such a god send - even if my results aren't always perfect.

It can be hard - trust me, I did the over correcting jazz due to my highs phobia for quite some time after doing my course - and eventually I found out that my BI wasn't even working 24 hours so that was causing highs in the afternoon! Argh!

On that note, I have changed my BI to Levemir recently and if I didn't have DAFNE, I don't know where I'd be. In the past week alone - I've learnt that even a common cold and stress can completely throw me out (see my posted results above - note the ketones!)

If you ever have any moments where you feel lost, be sure to keep referencing your DAFNE guidebook and (as you already are) be in contact with your team. Smile If they're on this site, it might be worth finding out their usernames and sharing your BG diary with them so they can see your results sooner than the week run with the monitor.

I know I didn't end up using that monitor but I do remember sending a set of results to my diabetes specialist so he could evaluate. This was pre-DAFNE! XD

grandma carol DAFNE Graduate
North Cumbria Integrated Care NHS Foundation Trust
61 posts

Thank you JWo it is hard when you think you are getting there and then things go wrong agen BGs have been high for 3 days now thank god no ketones like you had but think I have my BI about right as no more night hypos. BGs have been high at lunch times so think I might try and see what happens if I up my breakfast ratio as thy are up then for a week now but left it as I was getting BI right to stop hypos at night bbut think that its about time now to start on that one. I think that the DAFNE book is ok but it dosent say what to do when all your readings are up. Think I must be just daft or my mind dosent work like everbody else. Or its just because I am not well that I carnt make head or tale of the dam thing. Take Care

JayBee DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
587 posts

As long as you can see patterns, the highs will eventually be resolved - try to not be distracted by them, okay? Smile

Take my results on this date (above) for an example. I knew from seeing this regular pattern of 10 BG after letting my meal insulin finish with no corrections for the highs that it was likely that I would only need to put my during the day BI up 1 or 2 units to get everything right.

Though I was not aware that I was ill on that occasion, but if I had not been, it is very likely that putting that BI up would have been my final action to take.

As long as you're very very sure that your BI doses are reasonably correct, then look at ratio adjustment . This is what my DAFNE nurse had to say to me a few times - should be putting more demand on our BI than our meal ratios. Keep this in mind before correcting if you're not sure on your BI!

You're very lucky to not have to split dose while being on Lantus... I did have to, so I changed over to Levemir because it was intentionally made to be a split dose insulin.

grandma carol DAFNE Graduate
North Cumbria Integrated Care NHS Foundation Trust
61 posts

Well thank you for your help I think my BI is ok as I have stoped the night hypos and BGs stay about the same through night so have been on 10 BI for 4 days now and I am still in the 14.0s for lunch time BGs so this morning I have put my ratio up at breakfast from 2:1 up to 2.5:1 so I will see how it goes. I was 7.3 at 3.00 and 8.9 at 7.30 so did not do a correct at 7.30 Ill see if it has come down with doing the correction. Ill let you know how it goes thank you for sharing yours .