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novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

I am recommending the BI adjustment, this is because BI should be used for long slow periods of change and the QA for short fast changes..........but both can be used in combination, but I would imagine only athletes and the like would need to think about it that deep...... Smile

When I went to DAFNE, nearly all were on it, I was on it, but its just not flexible enough for the majority if not all people in my opinion, there could be debate from the Lantus camp obviously, but I just cant see why people would favour, to me its just people are too familiar with it and fear change.....

most folk would agree that that the insulin pump is the best form of treatment, provided you can use it properly, and the pump has many BI dose, one for every hour if needed, the ultimate flexibility, that's my angle on it anyway......so having a split BI dose is the very least folk should be doing,................ Very Happy

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

So Vic, did you actually use the pump for a year then?

I was using the flexibility of the pump to describe why a split dose of BI is better for most folk, as our livers dont secrete a constant level of glucose all day, it changes, and most noticeably between day and night......

the pump definitely isn't for everyone though, i agree, at least in terms of getting used to it being there etc...... Smile

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

Ah, a CGM (Continuous Glucose Monitor) I believe that was, some of the pumps available now can pair up with these CGMs to work side by side without virtually any input from the user.............really expensive though to run all the time, that's why they get used just to see whats happening to blood sugar over night etc, lets them fine tune the basal requirement.....

Enjoy your break from the web...... Smile

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

have you confirmed that does change with carb free testing..........?

how much above target are you?

novorapidboi26 DAFNE Graduate
NHS Lanarkshire
1,819 posts

would be wise to do so, as that's the only way of seeing what your knew Lantus dose is doing.......

Phil Maskell DAFNE Graduate
Nottingham University Hospitals NHS Trust
194 posts

Hi,

I would say 4.1 to 5.3 that your BI seems ok

Phil

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

Golly vic, is it possible that 1QA drops you by 6BG? That's even more than me with a 4BG drop! Surprised

I think I've become poorly in the last 4-5 days so I'll wait for that to clear up first before posting BG diary results again.
Hope everyone's been safe and well!

Edit: Just to update a bit... I'm now on 0.5:1 for breakfast/lunch and 1:1 for dinner. 12/16 Levemir split BI. :3 Hopefully when the illness stuff has passed, I'll get some good numbers!

AshleyB DAFNE Graduate
King's College Hospital NHS Foundation Trust
10 posts

You could have a dawn phenominum where your liver kicks out glucose at 3am. Try a carb free dinner and do a 3am blood check.
You may benift from changing to levimir rather than the Lantus as that may be only lasting about 18-20hrs hence the increase before bed thats if your taking the correct QA with dinner.

Just had the dafne couse this week, its still fresh in the head.

AshleyB

AshleyB DAFNE Graduate
King's College Hospital NHS Foundation Trust
10 posts

Thanks Vic, let me know how you get on. I'm still getting high towards night. Waiting to get moved over to levimir. I think Dafne should be available to all type 1's without a stupid waiting list. I can't grumble as I only waited a year. There were people on my course who have been waiting 9 years.

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

Let's throw this out there.

I'm considering 13BI in the morning with these numbers... should I, in your opinions? I'm torn, and starting to struggle with my patience a bit. ;P

Also planning to attempt a 3am check again tonight. Oh what fun.