Targets range - DAFNE Online

June 25, 2012 15:02

Annette Bell DAFNE Graduate
Sheffield Teaching Hospitals 72 posts

Hi!
I was printing off my graphs for my diabetic clinic check today and realised that the BG targets on them don't actually reflect the targets I have entered on my iPod app. My upper target is 8 at all times of the day and my lower is 4 (apart from driving) as this seems to suit me best for correctional purposes. The target bands on the graph, however, vary through the day and tend to be lower than 8. This makes my results look a lot worse than they are, when my HbA1c is 6.2. Is there a way of personalising the target bands in the graphs?

June 25, 2012 16:30

Alan 49 DAFNE Graduate
Maidstone & Tunbridge Wells NHS Trust 284 posts

Hello Annette
I think the graphs use the DAFNE Online targets which are autoomatically set to the DAFNE recommended targets. You can amend these targets by going to the BG Diary and then scrolling down and clicking on Edit Diary Settings (or something similar to this). You can then amend whatever Target you like.

June 28, 2012 11:27

Simon Site Administrator
Sheffield Teaching Hospitals 578 posts

Yep, Alan is right... The targets set in the app and site are separate... In the future I will try and sync target settings in the app up to the site as well.

July 09, 2012 14:23

Annette Bell DAFNE Graduate
Sheffield Teaching Hospitals 72 posts

Thanks both - targets online duly amended! My graphs look much better now Wink

July 09, 2012 14:31

Phil Maskell DAFNE Graduate
Nottingham University Hospitals NHS Trust 194 posts

Annette Bell said:
Thanks both - targets online duly amended! My graphs look much better now

You're not cheating and setting 2 to 15 as target are you? Wink

That's my trick

Phil

July 13, 2012 10:48

Carolin
Sheffield Teaching Hospitals 83 posts

Hi All,

Just a reminder that we recommend the lower end of targets at any time of the day is 4.5mmol/l (not 4); this is important in maintaining good hypo awareness.

Current guidelines:
BG below 3.5mmol/l (hypo) you should TREAT with 1.5 - 2 CPs rapid-acting carbs
BG 3.5 - 4.5mmol/l (below target) you should EAT 1 CP (or if a mealtime, reduce QA dose by 1u) to get back into safe target range

Carolin

July 14, 2012 15:34

Annette Bell DAFNE Graduate
Sheffield Teaching Hospitals 72 posts

Thanks Carolin. I thought I remembered being told "4 is the floor". i.e. 4 should be the lower limit before any corrective action was taken. I will change my target ranges accordingly. I still don't understand the effect of exercise on my BG. I usually do some aerobic type exercise first thing in the morning, but don't have any breakfast, therefore, don't have any QA insulin. My BG has usually risen considerably by lunchtime even if my "breakfast" BG is relatively low. Confused

July 16, 2012 13:21

Phil Maskell DAFNE Graduate
Nottingham University Hospitals NHS Trust 194 posts

Annette,

It's counter intuitive to what I got told and probably most diabetics in the past, but you need some insulin (horrid balancing act though as too much and hypo) in the system before exercise, if there isn't any the body can't get the energy it needs from the sugar in the blood and the liver panics and kicks some more sugar out (helpful).

Not sure if this helps explain the high? Might need a couple of units of QA before exercise, have some sugar handy too though, balancing act Exclamation

Phil

June 25, 2012 15:02 Annette Bell DAFNE Graduate Sheffield Teaching Hospitals 72 posts	Hi! I was printing off my graphs for my diabetic clinic check today and realised that the BG targets on them don't actually reflect the targets I have entered on my iPod app. My upper target is 8 at all times of the day and my lower is 4 (apart from driving) as this seems to suit me best for correctional purposes. The target bands on the graph, however, vary through the day and tend to be lower than 8. This makes my results look a lot worse than they are, when my HbA1c is 6.2. Is there a way of personalising the target bands in the graphs?
June 25, 2012 16:30 Alan 49 DAFNE Graduate Maidstone & Tunbridge Wells NHS Trust 284 posts	Hello Annette I think the graphs use the DAFNE Online targets which are autoomatically set to the DAFNE recommended targets. You can amend these targets by going to the BG Diary and then scrolling down and clicking on Edit Diary Settings (or something similar to this). You can then amend whatever Target you like.
June 28, 2012 11:27 Simon Site Administrator Sheffield Teaching Hospitals 578 posts	Yep, Alan is right... The targets set in the app and site are separate... In the future I will try and sync target settings in the app up to the site as well.
July 09, 2012 14:23 Annette Bell DAFNE Graduate Sheffield Teaching Hospitals 72 posts	Thanks both - targets online duly amended! My graphs look much better now
July 09, 2012 14:31 Phil Maskell DAFNE Graduate Nottingham University Hospitals NHS Trust 194 posts	Annette Bell said: Thanks both - targets online duly amended! My graphs look much better now You're not cheating and setting 2 to 15 as target are you? That's my trick Phil
July 13, 2012 10:48 Carolin Sheffield Teaching Hospitals 83 posts	Hi All, Just a reminder that we recommend the lower end of targets at any time of the day is 4.5mmol/l (not 4); this is important in maintaining good hypo awareness. Current guidelines: BG below 3.5mmol/l (hypo) you should TREAT with 1.5 - 2 CPs rapid-acting carbs BG 3.5 - 4.5mmol/l (below target) you should EAT 1 CP (or if a mealtime, reduce QA dose by 1u) to get back into safe target range Carolin
July 14, 2012 15:34 Annette Bell DAFNE Graduate Sheffield Teaching Hospitals 72 posts	Thanks Carolin. I thought I remembered being told "4 is the floor". i.e. 4 should be the lower limit before any corrective action was taken. I will change my target ranges accordingly. I still don't understand the effect of exercise on my BG. I usually do some aerobic type exercise first thing in the morning, but don't have any breakfast, therefore, don't have any QA insulin. My BG has usually risen considerably by lunchtime even if my "breakfast" BG is relatively low.
July 16, 2012 13:21 Phil Maskell DAFNE Graduate Nottingham University Hospitals NHS Trust 194 posts	Annette, It's counter intuitive to what I got told and probably most diabetics in the past, but you need some insulin (horrid balancing act though as too much and hypo) in the system before exercise, if there isn't any the body can't get the energy it needs from the sugar in the blood and the liver panics and kicks some more sugar out (helpful). Not sure if this helps explain the high? Might need a couple of units of QA before exercise, have some sugar handy too though, balancing act Phil