Post Readings - DAFNE Online

October 31, 2012 16:21

GarethAckrill DAFNE Graduate
Hertfordshire Community NHS Trust 1 post

What should your BI be between meals?
I run high between meals but at some point before the next meal its within target but on the highside.
What is causing it to be so high?
How high would you expect it to be between meals and for how long?

I just worry that my average levels are high because they are always high between meals and on on target at meal times giving me a high Hb1c

October 31, 2012 16:57

paulj DAFNE Graduate
Northumbria Healthcare Trust 36 posts

i was and am of the impression that as long as your blood glucose readings are within target at meal times then thats what matters.when i was recently on my DAFNE course a couple of weeks ago when i asked about taking readings between meals the nurse said why would i want to under normal circumstances? i used to (prior to dafne) take a reading 2 hours after a meal but apparently, unless i was pregnant, then there was no need to do this.the only timew i take readings now is when i am going to have a meal/snack to see if i need to make some corrections to my intended insulin dose.please if this is wrong can someone advise me as well as i am only a newbee to all this
cheers
paulj Very Happy

November 01, 2012 09:14

novorapidboi26 DAFNE Graduate
NHS Lanarkshire 1,819 posts

They are high between meals as your food is digesting and releasing glucose into the blood stream, this will always happen, the trick is trying to keep the 'spike' as its called as low as you can.

This is done by trying to match up the theoretical digestion activity curve with the theoretical insulin activity curve. I don't know if theoretical is the right word but you know what I mean....

If you find your getting up to 13+ mmol/l 1.5-2 hours post meal then you should think about increasing the time between your injection and actually eating the meal. I use novo rapid as my QA and that takes 5-10 minutes to start working' however I need t least 15 minutes for it to be on par with my 'average' digestion date. Obviously everyone is different and every meal is different to, so its trail and error for each individual, as it is with all thing diabetes......;)

So to conclude its don to the timing of your per meal injection.........you should see the spikes drop

November 01, 2012 13:41

mac57 DAFNE Graduate
South of Tees Hospitals NHS Foundation Trust 2 posts

I was one of the first to try the dafne system and it has been great for me and gives me a lot more freedom and choice but you do have to put a bit more effort into regular blood testing etc.I have been diabetic since i was 13 years old,and so far i havent had any of the bad things that i know can happen. Very Happy mac57

October 31, 2012 16:21 GarethAckrill DAFNE Graduate Hertfordshire Community NHS Trust 1 post	What should your BI be between meals? I run high between meals but at some point before the next meal its within target but on the highside. What is causing it to be so high? How high would you expect it to be between meals and for how long? I just worry that my average levels are high because they are always high between meals and on on target at meal times giving me a high Hb1c
October 31, 2012 16:57 paulj DAFNE Graduate Northumbria Healthcare Trust 36 posts	i was and am of the impression that as long as your blood glucose readings are within target at meal times then thats what matters.when i was recently on my DAFNE course a couple of weeks ago when i asked about taking readings between meals the nurse said why would i want to under normal circumstances? i used to (prior to dafne) take a reading 2 hours after a meal but apparently, unless i was pregnant, then there was no need to do this.the only timew i take readings now is when i am going to have a meal/snack to see if i need to make some corrections to my intended insulin dose.please if this is wrong can someone advise me as well as i am only a newbee to all this cheers paulj
November 01, 2012 09:14 novorapidboi26 DAFNE Graduate NHS Lanarkshire 1,819 posts	They are high between meals as your food is digesting and releasing glucose into the blood stream, this will always happen, the trick is trying to keep the 'spike' as its called as low as you can. This is done by trying to match up the theoretical digestion activity curve with the theoretical insulin activity curve. I don't know if theoretical is the right word but you know what I mean.... If you find your getting up to 13+ mmol/l 1.5-2 hours post meal then you should think about increasing the time between your injection and actually eating the meal. I use novo rapid as my QA and that takes 5-10 minutes to start working' however I need t least 15 minutes for it to be on par with my 'average' digestion date. Obviously everyone is different and every meal is different to, so its trail and error for each individual, as it is with all thing diabetes......;) So to conclude its don to the timing of your per meal injection.........you should see the spikes drop
November 01, 2012 13:41 mac57 DAFNE Graduate South of Tees Hospitals NHS Foundation Trust 2 posts	I was one of the first to try the dafne system and it has been great for me and gives me a lot more freedom and choice but you do have to put a bit more effort into regular blood testing etc.I have been diabetic since i was 13 years old,and so far i havent had any of the bad things that i know can happen. mac57