Any comments would b helpful

July 27, 2012 21:27

Mike87 DAFNE Graduate
Somerset NHS Foundation Trust 10 posts

[Shared diary only visible when logged in]

Any comments would be useful, just recently done dafne last week so just wondering if im on the right track. Ran the last 10 years of blood sugars running above 15 as an average!! Cheers again

July 28, 2012 03:31

Ahmentep DAFNE Graduate
NHS Lanarkshire 99 posts

Hi Mike,

It seems to me that things are improving. I've spent the last 34 years with an average of around 10. Often swinging between one point something and well over thirty. DAFNE has helped me enormously but it has not brought me on to an even keel, or given me any more predictability.

The thing about your diary which surprises me, and which I would have thought were not helping you, is the variation in the times and quantities of your carbohydrate intake and the variation in the times you inject your BI.

However, as I said, you seem to be on the right track. I have to keep changing my ratios every couple of months, sometimes more often. My carb intake is almost identical for every meal, taken at almost the same time every day. My energy output is almost constant, just enough to maintain life, no climbing mountains, or even running for buses! :-) Even so, my BG swings about all over the place and the effect of a given quantity of insulin, all other factors being the same, is entirely unpredictable. So you're doing well sunshine!

Roger

July 30, 2012 02:58

Adrienne DAFNE Graduate
Waitemata DHB, Auckland 14 posts

Hi Mike
A couple of thoughts...firstly which insulins are you taking? If your QA is novorapid then when you took your correction at 8:30 on 27/7 it will still most likely be working until 12:30, so your lunch reading wasn't accurate (cos your BG would still be going down hence the hypo).
As Ahmentep mentioned, might be a good idea to try and take your BI at the same time each day to avoid that complicating matters. Your recent increase in BI dose looks like it's covering you most nights so that's good.
25/7 is surprising... only 4CPs and a high bedtime reading. Don't forget to check ketones with the high readings!
I would suggest that you only make corrections with meals and only rely on readings more than 4 hours after your last QA. Try to eliminate the hypos and that might also eliminate some of the rebound highs. Then it will be easier to see what other changes you may need.
Best wishes :-) Keep us updated

July 27, 2012 21:27 Mike87 DAFNE Graduate Somerset NHS Foundation Trust 10 posts	[Shared diary only visible when logged in] Any comments would be useful, just recently done dafne last week so just wondering if im on the right track. Ran the last 10 years of blood sugars running above 15 as an average!! Cheers again
July 28, 2012 03:31 Ahmentep DAFNE Graduate NHS Lanarkshire 99 posts	Hi Mike, It seems to me that things are improving. I've spent the last 34 years with an average of around 10. Often swinging between one point something and well over thirty. DAFNE has helped me enormously but it has not brought me on to an even keel, or given me any more predictability. The thing about your diary which surprises me, and which I would have thought were not helping you, is the variation in the times and quantities of your carbohydrate intake and the variation in the times you inject your BI. However, as I said, you seem to be on the right track. I have to keep changing my ratios every couple of months, sometimes more often. My carb intake is almost identical for every meal, taken at almost the same time every day. My energy output is almost constant, just enough to maintain life, no climbing mountains, or even running for buses! :-) Even so, my BG swings about all over the place and the effect of a given quantity of insulin, all other factors being the same, is entirely unpredictable. So you're doing well sunshine! Roger
July 30, 2012 02:58 Adrienne DAFNE Graduate Waitemata DHB, Auckland 14 posts	Hi Mike A couple of thoughts...firstly which insulins are you taking? If your QA is novorapid then when you took your correction at 8:30 on 27/7 it will still most likely be working until 12:30, so your lunch reading wasn't accurate (cos your BG would still be going down hence the hypo). As Ahmentep mentioned, might be a good idea to try and take your BI at the same time each day to avoid that complicating matters. Your recent increase in BI dose looks like it's covering you most nights so that's good. 25/7 is surprising... only 4CPs and a high bedtime reading. Don't forget to check ketones with the high readings! I would suggest that you only make corrections with meals and only rely on readings more than 4 hours after your last QA. Try to eliminate the hypos and that might also eliminate some of the rebound highs. Then it will be easier to see what other changes you may need. Best wishes :-) Keep us updated