MY TRENDS - DAFNE Online

November 25, 2013 12:10

mum2westiesGill 502 posts

[Shared diary only visible when logged in]

Hi,
Can anyone see/identify any trends for my last week?

November 26, 2013 15:37

novorapidboi26 DAFNE Graduate
NHS Lanarkshire 1,819 posts

you should think about correcting in the morning.....

you seem to be above target between 18:00 - 21:00, which I assume is dinner time, so might be worth evaluating your lunchtime ratio....

November 27, 2013 16:59

mum2westiesGill 502 posts

novorapidboi26 said:
you should think about correcting in the morning.....

you seem to be above target between 18:00 - 21:00, which I assume is dinner time, so might be worth evaluating your lunchtime ratio....

Hi NRB,
Thank you for the help with spotting trends for me.

When you say about correcting in the morning would this be re the fasting test which would then mean having 1 or 2u of insulin but with no food as I don't usually have breakfast until about 11:00am ish and sometimes as you can see from days: 20/11, 21/11, 22/11 & 23/11 I don't have breakfast.

Yes 18:00 - 21:00 is dinner time & like you say it may be worth evaluating my lunchtime ratio say from 1:1 to 1.5:1. The thing is at the moment I'm in the very slow process of reducing my BI/Lantus ie once a week or so then waiting to see the effect. Can mealtime ratios be changed whilst I am also making changes to BI?

November 28, 2013 09:02

novorapidboi26 DAFNE Graduate
NHS Lanarkshire 1,819 posts

I think from the results above its clear you hold steady enough from when you wake till breakfast at eleven, sometimes its up and sometimes down, but its only ever + or - 2 mmol/l, so I would say that you don't need to correct if you feel that having insulin on board already by the time you have breakfast will confuse things. I personally would correct if I was above 11 for example. So trying to wake on good numbers is obviously good, we all want that though...... Smile

Regarding your ratio adjustment, DAFNE teaches us not to change more than one thing at a time, I have broke that rule on occasion, but it does make sense and is the best practice.

What have you observed with your overnight background testing? Do you think you still need to reduce your dose? Do any of the above results show an overnight period where you have had no carbs or QA working?

November 25, 2013 12:10 mum2westiesGill 502 posts	[Shared diary only visible when logged in] Hi, Can anyone see/identify any trends for my last week?
November 26, 2013 15:37 novorapidboi26 DAFNE Graduate NHS Lanarkshire 1,819 posts	you should think about correcting in the morning..... you seem to be above target between 18:00 - 21:00, which I assume is dinner time, so might be worth evaluating your lunchtime ratio....
November 27, 2013 16:59 mum2westiesGill 502 posts	novorapidboi26 said: you should think about correcting in the morning..... you seem to be above target between 18:00 - 21:00, which I assume is dinner time, so might be worth evaluating your lunchtime ratio.... Hi NRB, Thank you for the help with spotting trends for me. When you say about correcting in the morning would this be re the fasting test which would then mean having 1 or 2u of insulin but with no food as I don't usually have breakfast until about 11:00am ish and sometimes as you can see from days: 20/11, 21/11, 22/11 & 23/11 I don't have breakfast. Yes 18:00 - 21:00 is dinner time & like you say it may be worth evaluating my lunchtime ratio say from 1:1 to 1.5:1. The thing is at the moment I'm in the very slow process of reducing my BI/Lantus ie once a week or so then waiting to see the effect. Can mealtime ratios be changed whilst I am also making changes to BI?
November 28, 2013 09:02 novorapidboi26 DAFNE Graduate NHS Lanarkshire 1,819 posts	I think from the results above its clear you hold steady enough from when you wake till breakfast at eleven, sometimes its up and sometimes down, but its only ever + or - 2 mmol/l, so I would say that you don't need to correct if you feel that having insulin on board already by the time you have breakfast will confuse things. I personally would correct if I was above 11 for example. So trying to wake on good numbers is obviously good, we all want that though...... Regarding your ratio adjustment, DAFNE teaches us not to change more than one thing at a time, I have broke that rule on occasion, but it does make sense and is the best practice. What have you observed with your overnight background testing? Do you think you still need to reduce your dose? Do any of the above results show an overnight period where you have had no carbs or QA working?