Recent Posts - DAFNE Online

Jun 15, 2025

derekh1965 95 posts

Topic: Site Development / Course Handbook

I now have access to the Handbook after using Markes instructions.
When removing Dafne there is no option to save data and when saving changes a warning informs you this will delete cookies and data.
i went ahead and saved the changes anyway and after logging in again i had access to the Course Handbook

Jun 9, 2025

marke 686 posts

Topic: General Discussion / Insulin storage

I keep mine in the top part of the fridge and our fridge like all fridges varies its temperature depending on how much its opened Smile

. It doesn't have to be precisely 2-8 degrees, you just don't want it to freeze, hence it should always be in hand luggage when flying. Keeping it 'chilled' just ensures it stays effective until taken out of the fridge at which point it should last for around 28 days. However like blood tests this is just an average, it cluld last longer it could last shorter. Nothing in Diabetes is precise. Very Happy

Jun 9, 2025

marke 686 posts

Topic: Site Development / Course Handbook

Hi,
Sorry no we are not allowed to provide copies of the handbook as part of our agreement with the DAFNE Programme Team, we can only provide access to a copy that cannot be downloaded or printed.

Can you check in firefox under the site data again, when you filter to dafneonline.co.uk , you should have 4 cookies and mine has 4.6Kb of storage. When I clear the data, I always save and then restart the browser to ensure it has nothing still hanging around. I then open the handbook and it works everytime.

Regards

MarkE

Jun 7, 2025

suzanneh 1 post

Topic: Site Development / Course Handbook

Hi,

I am also experiencing this problem on both Chrome and Firefox after clearing cache cookies. Is there a way of being emailed the coursebook via wetransfer or another site at all? Thank you very much.

Jun 5, 2025

Reg 15 posts

Topic: General Discussion / Insulin storage

I understand that unopened insulin should be stored at a temperature of between 2-8 degrees, however, I find that fridge temperatures tend to vary, especially depending upon where you place the insulin in the fridge

I just wondered how resilient insulin was to changes in temperatures especially when travelling abroad and what other people's experiences were with storing insulin

Thank you in anticipation

May 27, 2025

marke 686 posts

Topic: Site Development / Course Handbook

Hi,
Can you confirm the browser you are using on what device and what OS version you have. It's hard to test every combination of browser/device/OS but we can try if we know what they are. It maybe that there is another fix for your particular combination.

May 27, 2025

derekh1965 95 posts

Topic: Site Development / Course Handbook

Hi Marke
Thanks for your reply
Unfortunately that still didn't work.
here is a copy of the link I am taken to which shows a blank page,
https://www.dafneonline.co.uk/hbook_topics/viewhbMDI?region=UK20 refreshed a few times

May 27, 2025

Reg 15 posts

Topic: General Discussion / Apple software updates

Many thanks marke, it's a pity we can't make representations to Libre/Dexcom to speed up the process. I spoke to apple about this but very non committal. Everyone wants to cover their back

May 27, 2025

marke 686 posts

Topic: Site Development / Course Handbook

Hi,
Sorry for the delayed reply. Its an issue with the program we used to display the handbook which is from Adobe. You should be able to fix it on a browser by going into its settings and deleting the cached data for our site.

In Firefox go to the 3 bars in the top right and select 'settings' . Then 'Privacy & Security' , followed 'Manage Data' in the 'Cookies and Site Data section. In the search box at the top enter 'dafneonline' , the list below will change to just our site. Select the line and then click 'remove selected' then 'save data'. Now then you try to display it , it will hopefully work. If not refresh the page again.

In Edge go to the 3 dots in the top right and select 'settings' . Then 'Cookies and Site Permissions', followed by 'Manage and Cookies and Site Data' .
Next select 'See all cookies and site data' and in the search box at the top enter 'dafneonline' , the list below will change to just our site. Now click on 'Remove all shown'. In the pop-up window that appears select 'clear'. Now then you try to display it , it will hopefully work. If not refresh the page again.

Chrome will be similar to Edge.

May 27, 2025

marke 686 posts

Topic: General Discussion / Apple software updates

Hi,
It's not just Libre I'm afraid, Dexcom take just as long. The biggest issue is they are medial devices which have to be 'certified'. It's not like ordinary software that if it goes wrong it doesn't matter, you can make serious decisions based on its output. Therefore they have to do a lot more testing everytime the OS is updated. That said, they get the new releases in advance so you would hope they have more time to test. However I'm not sure how long the MHRA in the UK and other bodies in other countries take to approve the new versions of the apps.

May 21, 2025

Reg 15 posts

Topic: General Discussion / Apple software updates

Do folks agree that the time taken for Libre to catch up with apple software updates can lead to security compromises on your phone if you put off updating the software until Libre have posted their approval for that particular update? Also, why does it take so long for Libre to catch up with apple software updates?

May 17, 2025

Charles R 4 posts

Topic: Site Development / Course Handbook

derekh1965 said:
Thanks for you reply,

When I click on the DAFNE Course Handbook menu a page opens, and when clicking on DAFNE and 5X1 Course Handbook this opens a blank page.

I am in the UK

I'm in the UK, and when I take the route you took to open the DAFNE and 5X1 Course Handbook it opens for me. However, being a 272 page pdf document it does take a while to download, so it may be your internet connection letting you down. I hope this helps.

May 15, 2025

derekh1965 95 posts

Topic: Site Development / Course Handbook

Thanks for you reply,

When I click on the DAFNE Course Handbook menu a page opens, and when clicking on DAFNE and 5X1 Course Handbook this opens a blank page.

I am in the UK

May 15, 2025

Warwick 425 posts

Topic: Site Development / Course Handbook

As a graduate, you should be able to access the DAFNE Course Handbook under the DAFNE Tools drop down menu above.

I can access it, but I'm aware that the UK and Australian handbooks differ, so I can't say with certainty that you would be able to see the UK one. Perhaps someone else who is a UK graduate can confirm that it is still available

May 15, 2025

Warwick 425 posts

Topic: Questions for HCPs / Snack Question

At the end of the day, the DAFNE rules, aren't rules as such, but guidelines. Everyone's body responds differently, so if one of the rules isn't working for you, then do feel free to make the necessary changes to accommodate what you observe. Some people are super-sensitive to even small amounts of carbs, while others aren't. That can vary even in the same person depending on time of day, season, activity levels, sleep levels, menstrual cycle, whether the body is fighting an infection etc.

On my DAFNE course, I was told that my breakfast bolus was too low, and to increase it. That quickly proved to be wrong when I ended up having a hypo lasting over an hour with many, many carbs consumed during that period :-) At the end of the day, it is trial and error, so use the rules as a basis and deviate from them where necessary

May 8, 2025

derekh1965 95 posts

Topic: Site Development / Course Handbook

Is there no access to the course Handbook?

May 8, 2025

derekh1965 95 posts

Topic: Questions for HCPs / Snack Question

I am confused with the snack rules an the don't inject for anything under 1cp.
I had breakfast at 7am and BG was 10.8, at 9am my BG was 10.7, had a 1cp snack and my BG is now sitting at 17.2!!!

Jan 11, 2025

Bradley FK 1 post

Topic: General Discussion / Snacking at night

Hi all, I am a recent DAFNE graduate but at the moment I cannot seem to get out of the habit of snacking at night before I go to bed regardless what the blood sugar is. Is there anything anyone has done to stop this habit?

Jan 5, 2025

marke 686 posts

Topic: Carbohydrate Counting / Hypo's in the morning

Hi,
Losts of questions there Very Happy

. Will try to answer them all....

Overnight drops, this could be a couple fo things. You don't say when you last did a QA, but remember that the profile of most insulins is they last for around 5 hours. This is not an exact figure , the insulin might not last that long or might last longer. If you have given too much insulin , the remaining insulin can cause you to drop. If thats not the case and you don't do any QA from early evening around 6pm, then its more likely that your background insulin is too high. If its right you should stay around level overnight if you don't inject any QA. This also depends on how you do BI, it could be a once a day, a twice a day and again it varies from person to person. You might need to speak to your Diabetes Support Team or consultant.

It's the same answer for the post meal drop, it could be either of the above. Also exercise WILL cause a drop if you still have 'extra' insulin in your system.

The answer to bruising is you can't avoid it. You are hitting small capilaries in the outer layers of your skin. Its random if you hit one or not. In terms of lipohyopertrophy, again you can't really tell, you need to see a diabetes nurse. I had it and had no idea, everything looked completely normal to me. However the DSN took one look at it and said 'oh, you have a lot of Lipo's' Sad

Regards

MarkE

Dec 21, 2024

Reg 15 posts

Topic: Carbohydrate Counting / Hypo's in the morning

Wondering why you can go to bed with a BG of 11 and still get the alarm go off early in the morning?

Also, in the morning, if levels are ok after a couple of hours from eating, you get a dramatic drop in levels necessitating taking carbs on board

Finally, how do you avoid bruising your skin when injecting? Additionally, how do you know if you have lipohyopertrophy?

Dec 1, 2024

Reg 15 posts

Topic: DAFNE Online Mobile / iPhone software updates

Many thanks Mark

Nov 30, 2024

marke 686 posts

Topic: DAFNE Online Mobile / iPhone software updates

Hi,
This is ALWAYS difficult to decide Rolling Eyes

I use a DexCom G6 and they have been getting slower and slower to approve updates. I use third party websites to decide if I should apply the update. My main source is https://www.reddit.com which has sub-reddits ( forums ) for everything and there is one for 'Freestylelibre' . There are people in this forum that say they have updated to iOS 18 and have no issues. However phones are like normal computers and there are many variations of each phone and each phone update. It's generally agreed that minor version updates are pretty much all ok i.e 17.6 to 17.7 , the risker ones are going from 17.x to 18.x as the changes in iOS are bigger and more likely to cause issues. That said iOS 18 has been around for months now and I haven't seen anyone with major issues with a CGM.

Regards

MarkE

Nov 28, 2024

Reg 15 posts

Topic: DAFNE Online Mobile / iPhone software updates

Is it ok to update software even if Abbott/Freestyle does not show on its web site that a particular update has been approved?

There was one alert some months ago from Abbott not to update a particular software update which is understood, however, if they do not put out an alert then you could be compromising your security waiting for them to update their website?

Jun 15, 2025 derekh1965 95 posts	Topic: Site Development / Course Handbook I now have access to the Handbook after using Markes instructions. When removing Dafne there is no option to save data and when saving changes a warning informs you this will delete cookies and data. i went ahead and saved the changes anyway and after logging in again i had access to the Course Handbook

Jun 9, 2025 marke 686 posts	Topic: General Discussion / Insulin storage I keep mine in the top part of the fridge and our fridge like all fridges varies its temperature depending on how much its opened . It doesn't have to be precisely 2-8 degrees, you just don't want it to freeze, hence it should always be in hand luggage when flying. Keeping it 'chilled' just ensures it stays effective until taken out of the fridge at which point it should last for around 28 days. However like blood tests this is just an average, it cluld last longer it could last shorter. Nothing in Diabetes is precise.

Jun 9, 2025 marke 686 posts	Topic: Site Development / Course Handbook Hi, Sorry no we are not allowed to provide copies of the handbook as part of our agreement with the DAFNE Programme Team, we can only provide access to a copy that cannot be downloaded or printed. Can you check in firefox under the site data again, when you filter to dafneonline.co.uk , you should have 4 cookies and mine has 4.6Kb of storage. When I clear the data, I always save and then restart the browser to ensure it has nothing still hanging around. I then open the handbook and it works everytime. Regards MarkE

Jun 7, 2025 suzanneh 1 post	Topic: Site Development / Course Handbook Hi, I am also experiencing this problem on both Chrome and Firefox after clearing cache cookies. Is there a way of being emailed the coursebook via wetransfer or another site at all? Thank you very much.

Jun 5, 2025 Reg 15 posts	Topic: General Discussion / Insulin storage I understand that unopened insulin should be stored at a temperature of between 2-8 degrees, however, I find that fridge temperatures tend to vary, especially depending upon where you place the insulin in the fridge I just wondered how resilient insulin was to changes in temperatures especially when travelling abroad and what other people's experiences were with storing insulin Thank you in anticipation

May 27, 2025 marke 686 posts	Topic: Site Development / Course Handbook Hi, Can you confirm the browser you are using on what device and what OS version you have. It's hard to test every combination of browser/device/OS but we can try if we know what they are. It maybe that there is another fix for your particular combination.

May 27, 2025 derekh1965 95 posts	Topic: Site Development / Course Handbook Hi Marke Thanks for your reply Unfortunately that still didn't work. here is a copy of the link I am taken to which shows a blank page, https://www.dafneonline.co.uk/hbook_topics/viewhbMDI?region=UK20 refreshed a few times

May 27, 2025 Reg 15 posts	Topic: General Discussion / Apple software updates Many thanks marke, it's a pity we can't make representations to Libre/Dexcom to speed up the process. I spoke to apple about this but very non committal. Everyone wants to cover their back

May 27, 2025 marke 686 posts	Topic: Site Development / Course Handbook Hi, Sorry for the delayed reply. Its an issue with the program we used to display the handbook which is from Adobe. You should be able to fix it on a browser by going into its settings and deleting the cached data for our site. In Firefox go to the 3 bars in the top right and select 'settings' . Then 'Privacy & Security' , followed 'Manage Data' in the 'Cookies and Site Data section. In the search box at the top enter 'dafneonline' , the list below will change to just our site. Select the line and then click 'remove selected' then 'save data'. Now then you try to display it , it will hopefully work. If not refresh the page again. In Edge go to the 3 dots in the top right and select 'settings' . Then 'Cookies and Site Permissions', followed by 'Manage and Cookies and Site Data' . Next select 'See all cookies and site data' and in the search box at the top enter 'dafneonline' , the list below will change to just our site. Now click on 'Remove all shown'. In the pop-up window that appears select 'clear'. Now then you try to display it , it will hopefully work. If not refresh the page again. Chrome will be similar to Edge.

May 27, 2025 marke 686 posts	Topic: General Discussion / Apple software updates Hi, It's not just Libre I'm afraid, Dexcom take just as long. The biggest issue is they are medial devices which have to be 'certified'. It's not like ordinary software that if it goes wrong it doesn't matter, you can make serious decisions based on its output. Therefore they have to do a lot more testing everytime the OS is updated. That said, they get the new releases in advance so you would hope they have more time to test. However I'm not sure how long the MHRA in the UK and other bodies in other countries take to approve the new versions of the apps.

May 21, 2025 Reg 15 posts	Topic: General Discussion / Apple software updates Do folks agree that the time taken for Libre to catch up with apple software updates can lead to security compromises on your phone if you put off updating the software until Libre have posted their approval for that particular update? Also, why does it take so long for Libre to catch up with apple software updates?

May 17, 2025 Charles R 4 posts	Topic: Site Development / Course Handbook derekh1965 said: Thanks for you reply, When I click on the DAFNE Course Handbook menu a page opens, and when clicking on DAFNE and 5X1 Course Handbook this opens a blank page. I am in the UK I'm in the UK, and when I take the route you took to open the DAFNE and 5X1 Course Handbook it opens for me. However, being a 272 page pdf document it does take a while to download, so it may be your internet connection letting you down. I hope this helps.

May 15, 2025 derekh1965 95 posts	Topic: Site Development / Course Handbook Thanks for you reply, When I click on the DAFNE Course Handbook menu a page opens, and when clicking on DAFNE and 5X1 Course Handbook this opens a blank page. I am in the UK

May 15, 2025 Warwick 425 posts	Topic: Site Development / Course Handbook As a graduate, you should be able to access the DAFNE Course Handbook under the DAFNE Tools drop down menu above. I can access it, but I'm aware that the UK and Australian handbooks differ, so I can't say with certainty that you would be able to see the UK one. Perhaps someone else who is a UK graduate can confirm that it is still available

May 15, 2025 Warwick 425 posts	Topic: Questions for HCPs / Snack Question At the end of the day, the DAFNE rules, aren't rules as such, but guidelines. Everyone's body responds differently, so if one of the rules isn't working for you, then do feel free to make the necessary changes to accommodate what you observe. Some people are super-sensitive to even small amounts of carbs, while others aren't. That can vary even in the same person depending on time of day, season, activity levels, sleep levels, menstrual cycle, whether the body is fighting an infection etc. On my DAFNE course, I was told that my breakfast bolus was too low, and to increase it. That quickly proved to be wrong when I ended up having a hypo lasting over an hour with many, many carbs consumed during that period :-) At the end of the day, it is trial and error, so use the rules as a basis and deviate from them where necessary

May 8, 2025 derekh1965 95 posts	Topic: Site Development / Course Handbook Is there no access to the course Handbook?

May 8, 2025 derekh1965 95 posts	Topic: Questions for HCPs / Snack Question I am confused with the snack rules an the don't inject for anything under 1cp. I had breakfast at 7am and BG was 10.8, at 9am my BG was 10.7, had a 1cp snack and my BG is now sitting at 17.2!!!

Jan 11, 2025 Bradley FK 1 post	Topic: General Discussion / Snacking at night Hi all, I am a recent DAFNE graduate but at the moment I cannot seem to get out of the habit of snacking at night before I go to bed regardless what the blood sugar is. Is there anything anyone has done to stop this habit?

Jan 5, 2025 marke 686 posts	Topic: Carbohydrate Counting / Hypo's in the morning Hi, Losts of questions there . Will try to answer them all.... Overnight drops, this could be a couple fo things. You don't say when you last did a QA, but remember that the profile of most insulins is they last for around 5 hours. This is not an exact figure , the insulin might not last that long or might last longer. If you have given too much insulin , the remaining insulin can cause you to drop. If thats not the case and you don't do any QA from early evening around 6pm, then its more likely that your background insulin is too high. If its right you should stay around level overnight if you don't inject any QA. This also depends on how you do BI, it could be a once a day, a twice a day and again it varies from person to person. You might need to speak to your Diabetes Support Team or consultant. It's the same answer for the post meal drop, it could be either of the above. Also exercise WILL cause a drop if you still have 'extra' insulin in your system. The answer to bruising is you can't avoid it. You are hitting small capilaries in the outer layers of your skin. Its random if you hit one or not. In terms of lipohyopertrophy, again you can't really tell, you need to see a diabetes nurse. I had it and had no idea, everything looked completely normal to me. However the DSN took one look at it and said 'oh, you have a lot of Lipo's' Regards MarkE

Dec 21, 2024 Reg 15 posts	Topic: Carbohydrate Counting / Hypo's in the morning Wondering why you can go to bed with a BG of 11 and still get the alarm go off early in the morning? Also, in the morning, if levels are ok after a couple of hours from eating, you get a dramatic drop in levels necessitating taking carbs on board Finally, how do you avoid bruising your skin when injecting? Additionally, how do you know if you have lipohyopertrophy?

Dec 1, 2024 Reg 15 posts	Topic: DAFNE Online Mobile / iPhone software updates Many thanks Mark

Nov 30, 2024 marke 686 posts	Topic: DAFNE Online Mobile / iPhone software updates Hi, This is ALWAYS difficult to decide I use a DexCom G6 and they have been getting slower and slower to approve updates. I use third party websites to decide if I should apply the update. My main source is https://www.reddit.com which has sub-reddits ( forums ) for everything and there is one for 'Freestylelibre' . There are people in this forum that say they have updated to iOS 18 and have no issues. However phones are like normal computers and there are many variations of each phone and each phone update. It's generally agreed that minor version updates are pretty much all ok i.e 17.6 to 17.7 , the risker ones are going from 17.x to 18.x as the changes in iOS are bigger and more likely to cause issues. That said iOS 18 has been around for months now and I haven't seen anyone with major issues with a CGM. Regards MarkE

Nov 28, 2024 Reg 15 posts	Topic: DAFNE Online Mobile / iPhone software updates Is it ok to update software even if Abbott/Freestyle does not show on its web site that a particular update has been approved? There was one alert some months ago from Abbott not to update a particular software update which is understood, however, if they do not put out an alert then you could be compromising your security waiting for them to update their website?