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Paul G Wales
DAFNE Graduate
Betsi Cadwaladr University Health Board 8 posts |
Hi ive been trying unsuccessfully to find a ratio that will work for me I started at 1:1and moved up gradaully to 3:1 and im sure it will end up at 3.5 : 1 ,has anyone got any advice, on this a most of the dafne advice i got doesent really help with this ! i have just been prescribed Metformin but wanted to get my ratio sorted before i went ahead with it ! should i start it now and deal with it all in one go ? im just aware of the change one thing at a time thanks paul |
Paul G Wales
DAFNE Graduate
Betsi Cadwaladr University Health Board 8 posts |
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John Roscoe
DAFNE Graduate
County Durham and Darlington NHS Foundation Trust 14 posts |
Hi Paul, |
Paul G Wales
DAFNE Graduate
Betsi Cadwaladr University Health Board 8 posts |
thanks John ive shared my diary with you , thanks for your reply ,before i went on the Dafne i had my own Dafne ideas that id been living on i thought i was on 3 0r 3.5 ration and my background was 52 units lanctus my hba1c was 8 .5 but that was after great summer working away in Ibiza , so im guessing it would have been lower , HCP at Dafne asked me to cut my BI and started me at 1:1 and worked up but nothing touched the BG |
Karl
DAFNE Graduate
Hull University Teaching Hospitals NHS Trust 83 posts |
Can you share with me also |
John Roscoe
DAFNE Graduate
County Durham and Darlington NHS Foundation Trust 14 posts |
Paul, Thanks for sharing your diary I do think the key to your high blood sugars is related to your BI. I suggest that you continnue with splitting your BI but try to keep the injections 12 hours apart (I think that is what the general recommendation is) however the main thing is that I think you need to increase the dose possibly to 25 each time. If you do make the change make sure you test a bit more frequently just incase it does send you hypo. If you are not confident at making the increase in one step then approach it gradually. Good luck. |
Paul G Wales
DAFNE Graduate
Betsi Cadwaladr University Health Board 8 posts |
hi john i think ou are right ! i was on 52 BI and a 3:5 ratio before dafne (of my own concoction) so i will laugh if i end up back there < my bloods were better this morning so today will be a good test of the BI and my Ratio thanks for the advice... Paul |
Paul Orton
DAFNE Graduate
Essex Partnership University NHS FT (St Margaret’s Hospital) 2 posts |
Paul- I see that your BG is above 11 for all but one reading. There is a discussion elsewhere in this forum about insulin requirements with high BGs. I know myself that it requires an enormous amount of insulin to bring my blood sugar down to normal levels, but this was something that I wasn't taught about in the Dafne course. |
Tanglyjan 3 posts |
Hi paul. I have just completed Dafne and we were told we should not be needing more than 3 units per CP as a ratio i.e. 3:1. They told us that if this was the case then it was the Background Insulin that was not right. However, you seem to be needing massive amounts of insulin for someone with Type 1 and it looks to me like you have insulin resistance. How old were you when you were diagnosed?? Are you a classic Type 1 i.e dramatic onset of symptoms or do you think you are really Type 2 perhaps? Just a thought. take care. |
marke
Site Administrator
South East Kent PCT 681 posts |
Hi, generally I guess 3:1 is true but everyone is different and there are exceptions to every rule. It 'could' be insulin resistance but that doesn't necessarily mean Type 2, there are a number of diabetes variations such as MODY that are also possible. That said its really an issue to discuss with a diabetes support team. If you google you will find a million 'lay' experts that appear to know everything there is to know about diabetes and will give you endless medical advice, however none of them are medically trained. |