Anyone off some advice pls?

January 20, 2012 23:12

Billie DAFNE Graduate
South West Essex PCT 5 posts

[Shared diary only visible when logged in]

Hi I'm Billie,
I graduated DAFNE last week. I really came away from the course with much more knowledge and understanding. But now as you can see I am continually getting high readings. I know kneed to adjust my ratio's but have got myself confused as I'm not very good with numbers. I have been t1 4 yrs this August and have never had good control and always had high readings. I'm 28 a mum of 2 and find it hard to gain weight due to constant high results.
Anyone who can point me in the write direct would be greatly appreciated Embarassed

January 21, 2012 02:59

Ahmentep DAFNE Graduate
NHS Lanarkshire 99 posts

Hi Billie,

I am not a graduate yet (doing the course next week) but I have been type 1 since 1978, and I've been working to DAFNE principles for nearly two years now. It seems to me that your morning BI may need adjustment, but you should take advice from your HCP on that. Frankly I don't find your glucose levels that bad, despite my best efforts I am usually at the same levels as you are, and often twice as high! I'm hoping that a pump may solve that.
I find your 115 cp's on the 18th difficult to believe, that is 1.15Kg of carbohydrate! It must have been some sandwhich. I think you may have made an error there somewhere.
Anyway, as you know from the course, the BI must be correct first. You may need to have one or two carb-free meals, with regular blood tests to see if the BI you're taking is keeping your blood glucose steady. If not you may need to adjust the quantity and/or time taken. Only when that is sorted can you think of adjusting the ratios and/or times of your QA. But please talk to your HCP, and don't worry! For a newbie you're doing ok! Smile

January 21, 2012 03:54

NinjaGirl DAFNE Graduate
Knox Community Health Service, Victoria 1 post

Hi Billie, I would suggest the weight gain may be because your BI is not right and therefore you are constantly correcting with QA. I would think that looking at your day time readings you may need to adjust your morning BI by 2 units, but to test the theory before you do. Take your standard BI one morning and have Carb free until dinner, compare the BB and the Before Dinner readings, you should have a similar reading for both. If this is not the case and you should have sufficient evidence to increase your morning BI - if you are on Levemir or Lantas, if you are using somethig other ... check the peak and pattern of your background first... If you have a high reading for lunch even if have no CPs you can do a conservative correction or leave if you are not confident to correct. I hope this helps. I have just graduated from DAFNE Course but been using the prinicples for about 6 mths.... wish you the best and reading in target! Smile

January 21, 2012 13:20

Billie DAFNE Graduate
South West Essex PCT 5 posts

Thank you so much for advice. I know my results are not as high as have been in the past which is good. I think your right I def messed up somewhere with 115 cp's lol. My BG was lowered the day I grauduated as I kept having hypos at night, so this is why I had thought change ratio's. But thanks for the pointers and going to do carb free tomorrow hopefully that will help. Will let you all know how it goes. Many thanks Billie

January 22, 2012 20:12

novorapidboi26 DAFNE Graduate
NHS Lanarkshire 1,819 posts

I would probably agree that your background still needs tweaked..................

I dont know anyone that came away from the course with their BI dose right, it just takes more than 5 days to get right..................

So get on to the BI dose checking, overnight, carb free meals etc............

Onced you have some more results, come back and you can discuss them some more........... Smile

January 20, 2012 23:12 Billie DAFNE Graduate South West Essex PCT 5 posts	[Shared diary only visible when logged in] Hi I'm Billie, I graduated DAFNE last week. I really came away from the course with much more knowledge and understanding. But now as you can see I am continually getting high readings. I know kneed to adjust my ratio's but have got myself confused as I'm not very good with numbers. I have been t1 4 yrs this August and have never had good control and always had high readings. I'm 28 a mum of 2 and find it hard to gain weight due to constant high results. Anyone who can point me in the write direct would be greatly appreciated
January 21, 2012 02:59 Ahmentep DAFNE Graduate NHS Lanarkshire 99 posts	Hi Billie, I am not a graduate yet (doing the course next week) but I have been type 1 since 1978, and I've been working to DAFNE principles for nearly two years now. It seems to me that your morning BI may need adjustment, but you should take advice from your HCP on that. Frankly I don't find your glucose levels that bad, despite my best efforts I am usually at the same levels as you are, and often twice as high! I'm hoping that a pump may solve that. I find your 115 cp's on the 18th difficult to believe, that is 1.15Kg of carbohydrate! It must have been some sandwhich. I think you may have made an error there somewhere. Anyway, as you know from the course, the BI must be correct first. You may need to have one or two carb-free meals, with regular blood tests to see if the BI you're taking is keeping your blood glucose steady. If not you may need to adjust the quantity and/or time taken. Only when that is sorted can you think of adjusting the ratios and/or times of your QA. But please talk to your HCP, and don't worry! For a newbie you're doing ok!
January 21, 2012 03:54 NinjaGirl DAFNE Graduate Knox Community Health Service, Victoria 1 post	Hi Billie, I would suggest the weight gain may be because your BI is not right and therefore you are constantly correcting with QA. I would think that looking at your day time readings you may need to adjust your morning BI by 2 units, but to test the theory before you do. Take your standard BI one morning and have Carb free until dinner, compare the BB and the Before Dinner readings, you should have a similar reading for both. If this is not the case and you should have sufficient evidence to increase your morning BI - if you are on Levemir or Lantas, if you are using somethig other ... check the peak and pattern of your background first... If you have a high reading for lunch even if have no CPs you can do a conservative correction or leave if you are not confident to correct. I hope this helps. I have just graduated from DAFNE Course but been using the prinicples for about 6 mths.... wish you the best and reading in target!
January 21, 2012 13:20 Billie DAFNE Graduate South West Essex PCT 5 posts	Thank you so much for advice. I know my results are not as high as have been in the past which is good. I think your right I def messed up somewhere with 115 cp's lol. My BG was lowered the day I grauduated as I kept having hypos at night, so this is why I had thought change ratio's. But thanks for the pointers and going to do carb free tomorrow hopefully that will help. Will let you all know how it goes. Many thanks Billie
January 22, 2012 20:12 novorapidboi26 DAFNE Graduate NHS Lanarkshire 1,819 posts	I would probably agree that your background still needs tweaked.................. I dont know anyone that came away from the course with their BI dose right, it just takes more than 5 days to get right.................. So get on to the BI dose checking, overnight, carb free meals etc............ Onced you have some more results, come back and you can discuss them some more...........