Recent Posts - DAFNE Online

Jul 10, 2015

Paul Patterson 7 posts

Topic: General Discussion / Attn Simon Fisher - RE: The DAFNE app

I guess if you could add in your planned exercise time which then would calculate the percentage does drop 10% 20% etc?

Jul 10, 2015

Simon 578 posts

Topic: General Discussion / Attn Simon Fisher - RE: The DAFNE app

Hi Paul,

Glad to hear your finding the app useful... Do you mean that the planned exercise section is missing? How do you envisage this working?

Jul 10, 2015

stephenbrowne 37 posts

Topic: General Discussion / Cyborg Times (new BG meter)

I've also occasionally found after fitting a new sensor that the readings linger in the hypoglycaemic range for several hours even though the Contour Next finger prick readings are up to 7 or 8. This appears to be particularly so if I have failed to get up early enough when a change is due and I am unable to trace several hours on the old sensor. Not sure why this should be the case and I'm unable to think of a scientific reason. Often there is no problem. I was hoping to see a webinar on the Freestyle website.

Jul 10, 2015

Frazer 16 posts

Topic: General Discussion / Cyborg Times (new BG meter)

suec - re your comments about early morning results being way out I have found the same thing. 7am this morning Libre said 2.8 Accu-check mobile said 8.1. Similar difference yesterday morning, Libre 6.9 Accu-check mobile 12.9. The Libre seems to catch up an hour later. I spoke to Abbotts and they can't really explain it but they are sending some test strips to use with the Libre to compare the sensor v's a BG test using the same machine. This is my first sensor which runs out in 2 days time so will be interesting to see if the issue continues with a different sensor.
On the swimming front I tried a few days ago with no problems. I swam for longer than 30 mins (the time limit recommended by Abbott), I dried the sensor with a towel every now and then and it worked fine. Abbott have confirmed that the sensor must be dried every 30 mins, just lifting your arm out of the water is not sufficient.

Jul 10, 2015

brianna 2 posts

Topic: General Discussion / Needle Bins

Do you know that used needles and other sharps are hazardous to people and even pets if it's not disposed

properly because they can injure people and spread infections that can caused serious conditions such as

Hepatitis and HIV. Bare in mind to be very careful in throwing sharp objects. Make sure it's safe and

always keep out from children.

Impact-Hygiene - Sharps
http://impacthygiene.com.au/sharps-disposal

Jul 10, 2015

brianna 2 posts

Topic: General Discussion / Sharps Disposal: Medical Waste and Syringe Collection

Used needles and other sharps are hazardous to people and pets if not disposed of safely because they can

injure people and spread infections that cause serious health conditions. The most common infections are

Hepatitis B (HBV), Hepatitis C (HCV) and Human Immunodeficiency Virus (HIV).

Impact Hygiene - Sharps
http://impacthygiene.com.au/sharps-disposal/

Jul 9, 2015

Peter 109 posts

Topic: General Discussion / Cyborg Times (new BG meter)

Warwick, Just had a look and Dexcom G4 CGM is available in the UK. Starter pack is advertised at Â£1325 including 4 sensors. Spare sensors come in packs of 4 for Â£250. That makes it twice the cost of the Libre even assuming that the Dexcom sensor lasts 21 days as you report.

Jul 9, 2015

ruthhiggins 3 posts

Topic: General Discussion / highs

Thanks Warick and Gary, Ive been working last few days so only replying now though I read your message a few days ago and increased my morning lantus from 10 to 12. I cant believe it worked!!! I used to take 30 units before dafne now I take 20 in total . I used to take big amounts of insulin when I saw highs and bad habits made me think that differences of 1-2 units done nothing. the 2 units extra def worked, i had not been snacking for the first 3 weeks as I was trying to know if my ratio was correct. Id love to record my diary and hoping to get the time soon !!! I am also ''taking it easy on myself'' too as when I first saw highs I thought I should just give up hope of having good bloods.

Jul 9, 2015

Paul Patterson 7 posts

Topic: General Discussion / Attn Simon Fisher - RE: The DAFNE app

Hi

I am currently doing DAFNE in New Zealand and got introduced to the DAFNE app which is very cool.

Today we did a planned exercise dose adjustment and noticed that the app has area / section for planned exercise dose adjust, would you consider adding this feature?

Jul 8, 2015

Garry 328 posts

Topic: General Discussion / highs

Welcome

ruthhiggins.
Lots of stuff to learn about your body and it's insulin demands. You will need more insulin as your body weight has increased.
Take it easy on yourself and try to note all of the significant changes that you make in your diary. It will help you understand what is happening.
Regards
Garry

Jul 7, 2015

Warwick 423 posts

Topic: General Discussion / Cyborg Times (new BG meter)

I don't know whether the Dexcom G4 CGM is available in the UK. I was seduced by a special where I could get one with the parts I needed for $800 less than the advertised price and I've been wearing it for the last three weeks. The sensor is only warranted to work for a week, but at $85 Australian dollars per sensor, others that I know continue to keep the sensors going as long as they can. Mine has been in for just over three weeks and is still giving accurate readings, so I am pretty happy with it. I have heard that others can get about 4 weeks from a sensor, so I expect to need to replace mine next week.

Just to offer a possible alternative to the Abbot device given that it seems to be scarce.

Jul 7, 2015

Warwick 423 posts

Topic: General Discussion / highs

Hello Ruth. There are lots of things that can change how much insulin you need. Things like stress, illness, menstrual cycle, lack of exercise can all contribute to higher BGLs. I personally find that when I snack more, I actually need to increase my basal. It seems that my body releases more glucose into the blood stream overnight when I have been snacking the previous days. When I drop the snacking, I need to reduce my basal insulin to avoid hypos.

I'd suggest keeping an eye on this, and if need be, increasing your basal insulin slightly. If your BGLs are always higher than normal, then a basal insulin increase is indicated (remember, just 10% change and wait for three days before further increases). If it is only after meals that your BGLs are higher than normal, then you may need to increase your QA ratio before the problematic meals.

Feel free to record your diary on this website and share with this forum so we can get a bit more detail of what is happening.

Jul 6, 2015

ruthhiggins 3 posts

Topic: General Discussion / highs

I am a new graduate and only doing dafne 4 weeks. the first 3 weeks were great and I couldnt believe how great dafne was. I was coming in between 4 and 7 and the odd high was corrected easily. For the last 3 days my bloods are high 14's 10's etc and I cant explain them, there was a meal were I ate out and guessed the cp but i wouldnt have been to far out correction worked a little but now as much as it was working initially. I would have came down by 2-3 with 1unit of qa before but now it might just come down 1 . the only thing thats changed is i have been snacking more so between meals I am having cp's but am taking my 1:1 ratio for them. previously I snacked on choc and it didnt affect my next blood. I dont know whats going on. could my ratio randomly need changing when 4 days ago it worked perfectly. Im not sick but have put up a few pound which I needed. Can anyone help, feeling disappointed

Jul 5, 2015

suec 5 posts

Topic: General Discussion / Cyborg Times (new BG meter)

Just put second sensor on, with first did a lot of BG tests as well to try to see accuracy/differences. First 24 hrs read 2-3mmol lower than BG strip test in Omipod, Neo and blood test on Libre reader (all from same drop of blood). 24-48 hrs still 1-2mmol lower but after that close tally and spot on at times.
If meal insulin and carbs finished or BG not changing rapidly seem to tally, If BG changing rapidly seems to have a 10-15 min lag, from the literature this would be expected as interstitial BG lags behind BG by about 10 mins.
fantastic for exercise and micro fueling to get steady BG profile. Brilliant at work for quick reassurance test.
Have used without BG test to bolus for some meals towards end first sensor as gaining confidence, still always test 2 hrly with driving but again great for a quick check inbetween!
Down load info very useful as can see effects of different food and relationships between timing of insulin and food and type/speed of food release, hopefully can make some adjustments to breakfast to take out morning peak (plan to bolus but delay some of carbs already bolus 30-40 mins pre meal if poss and this has made a difference to post meal spikes)
First sensor stayed on full 14 days and easily removed, might try a swim with this one.
Second sensor on for 36 hrs so far seems to be a similar pattern.
Brilliant for over night profile and carb free and fasting to check background profile.
definitely worth the money if all sensors as good.
Note early hrs one way out reading 2.8 on libre, 7.1 on Omnipod blood test, had been lying on sensor side ?? may have been that sensor may have been compressed further into tissues than usual. At 8 am 4.9 on libre and 5.7 on BG Omipod so only 0.8 diff Very Happy

Jul 1, 2015

Frazer 16 posts

Topic: General Discussion / Cyborg Times (new BG meter)

Mine arrived at the weekend at last!
Not sure if I did the right thing but two days ago I experimented by testing blood using my Accu-Check machine and then trying the Freestyle Libre 20 minutes later to see if they match - and they don't! They both show levels going in the same direction but there seems to be difference of about 2.0 between the two. I asked Abbott and was told a lot technical stuff that I didn't really understand but they are convinced the Libre results are accurate.
As much as I want to trust the new system I am still not sure which machine is correct - probably neither! I think the Libre is great or seeing trends throughout the day and night which I guess is the most important thing.

Jun 29, 2015

michaelj 45 posts

Topic: General Discussion / Something else to look out for

The local diabetic support group that I belong to was approached by someone from a local university doing a study as to whether this would be feasable, or if people would use it. We filled in a questionnaire but heard nothing back. This was in 2014

Jun 29, 2015

Warwick 423 posts

Topic: Site Development / Timezone setting?

Thanks Simon. Would be very much appreciated.

Jun 29, 2015

Warwick 423 posts

Topic: General Discussion / SPLITTING LANTUS DOSE

I split my Lantus when I found that my BGs were rising post dinner, but increasing QA always gave hypos. It worked well for me.

I've since switched to Levemir which worked better for about 15 months with my active lifestyle, but for the last couple of months every injection of Levemir leads to painful lumps which last about a week (even brand new injection sites), so I appear to have developed an allergy to Levemir or the preservative that it uses, and I expect to go back on Lantus in August when I next see my endo.

Jun 27, 2015

Jackie Burke 1 post

Topic: General Discussion / SPLITTING LANTUS DOSE

Hi I am a new Dafne graduate since May and use Lantus as my BI. Was taking 20 units in morning but started splitting 10 am and 10 before bed. This resulted in am low BG so reduced gradually. Have now settled down at 8units am and 6 units before bed and this has resulted in good am BG's and fewer hypos during day so am very pleased that I tried it, though accept it might not be right for someone else.

Jun 26, 2015

SimonC 78 posts

Topic: General Discussion / Something else to look out for

I like the way, that the patch itself decides when to release the insulin, no need for a monitor - and if the report is to be fully believed, this could be tailored to suit.

I suspect that if it does make it to trials and then to supply, it won't be as good as it sounds now - some of the functionality will be dropped for cost reasons, but, you never know, could lead to a whole new way of treating - chemicals reacting in a predictable way to levels of another chemical - thats how the body does it.

Jun 25, 2015

Susanf 29 posts

Topic: General Discussion / Something else to look out for

Yes heard that over the weekend - would make it far less invasive Very Happy

Jun 24, 2015

SimonC 78 posts

Topic: General Discussion / Something else to look out for

Hi all

Spotted this on a science site - clearly a long way to go, but it is moving in the right direction.

http://www.iflscience.com/health-and-medicine/new-smart-insulin-patch-could-be-game-changer

Jun 24, 2015

David Hales 12 posts

Topic: General Discussion / DAFNE to PUMP conversion

That's great. You are a star - very clear and helpful. Thanks very much. javascript:emoticon(' Very Happy

')

Jun 23, 2015

Susanf 29 posts

Topic: General Discussion / Freestyle Libre

Tks Marke for the reply. I wonder what made them think that not having to pick your fingers daily would catch on Very Happy

Jul 10, 2015 Paul Patterson 7 posts	Topic: General Discussion / Attn Simon Fisher - RE: The DAFNE app I guess if you could add in your planned exercise time which then would calculate the percentage does drop 10% 20% etc?

Jul 10, 2015 Simon 578 posts	Topic: General Discussion / Attn Simon Fisher - RE: The DAFNE app Hi Paul, Glad to hear your finding the app useful... Do you mean that the planned exercise section is missing? How do you envisage this working?

Jul 10, 2015 stephenbrowne 37 posts	Topic: General Discussion / Cyborg Times (new BG meter) I've also occasionally found after fitting a new sensor that the readings linger in the hypoglycaemic range for several hours even though the Contour Next finger prick readings are up to 7 or 8. This appears to be particularly so if I have failed to get up early enough when a change is due and I am unable to trace several hours on the old sensor. Not sure why this should be the case and I'm unable to think of a scientific reason. Often there is no problem. I was hoping to see a webinar on the Freestyle website.

Jul 10, 2015 Frazer 16 posts	Topic: General Discussion / Cyborg Times (new BG meter) suec - re your comments about early morning results being way out I have found the same thing. 7am this morning Libre said 2.8 Accu-check mobile said 8.1. Similar difference yesterday morning, Libre 6.9 Accu-check mobile 12.9. The Libre seems to catch up an hour later. I spoke to Abbotts and they can't really explain it but they are sending some test strips to use with the Libre to compare the sensor v's a BG test using the same machine. This is my first sensor which runs out in 2 days time so will be interesting to see if the issue continues with a different sensor. On the swimming front I tried a few days ago with no problems. I swam for longer than 30 mins (the time limit recommended by Abbott), I dried the sensor with a towel every now and then and it worked fine. Abbott have confirmed that the sensor must be dried every 30 mins, just lifting your arm out of the water is not sufficient.

Jul 10, 2015 brianna 2 posts	Topic: General Discussion / Needle Bins Do you know that used needles and other sharps are hazardous to people and even pets if it's not disposed properly because they can injure people and spread infections that can caused serious conditions such as Hepatitis and HIV. Bare in mind to be very careful in throwing sharp objects. Make sure it's safe and always keep out from children. Impact-Hygiene - Sharps http://impacthygiene.com.au/sharps-disposal

Jul 10, 2015 brianna 2 posts	Topic: General Discussion / Sharps Disposal: Medical Waste and Syringe Collection Used needles and other sharps are hazardous to people and pets if not disposed of safely because they can injure people and spread infections that cause serious health conditions. The most common infections are Hepatitis B (HBV), Hepatitis C (HCV) and Human Immunodeficiency Virus (HIV). Impact Hygiene - Sharps http://impacthygiene.com.au/sharps-disposal/

Jul 9, 2015 Peter 109 posts	Topic: General Discussion / Cyborg Times (new BG meter) Warwick, Just had a look and Dexcom G4 CGM is available in the UK. Starter pack is advertised at Â£1325 including 4 sensors. Spare sensors come in packs of 4 for Â£250. That makes it twice the cost of the Libre even assuming that the Dexcom sensor lasts 21 days as you report.

Jul 9, 2015 ruthhiggins 3 posts	Topic: General Discussion / highs Thanks Warick and Gary, Ive been working last few days so only replying now though I read your message a few days ago and increased my morning lantus from 10 to 12. I cant believe it worked!!! I used to take 30 units before dafne now I take 20 in total . I used to take big amounts of insulin when I saw highs and bad habits made me think that differences of 1-2 units done nothing. the 2 units extra def worked, i had not been snacking for the first 3 weeks as I was trying to know if my ratio was correct. Id love to record my diary and hoping to get the time soon !!! I am also ''taking it easy on myself'' too as when I first saw highs I thought I should just give up hope of having good bloods.

Jul 9, 2015 Paul Patterson 7 posts	Topic: General Discussion / Attn Simon Fisher - RE: The DAFNE app Hi I am currently doing DAFNE in New Zealand and got introduced to the DAFNE app which is very cool. Today we did a planned exercise dose adjustment and noticed that the app has area / section for planned exercise dose adjust, would you consider adding this feature?

Jul 8, 2015 Garry 328 posts	Topic: General Discussion / highs Welcome ruthhiggins. Lots of stuff to learn about your body and it's insulin demands. You will need more insulin as your body weight has increased. Take it easy on yourself and try to note all of the significant changes that you make in your diary. It will help you understand what is happening. Regards Garry

Jul 7, 2015 Warwick 423 posts	Topic: General Discussion / Cyborg Times (new BG meter) I don't know whether the Dexcom G4 CGM is available in the UK. I was seduced by a special where I could get one with the parts I needed for $800 less than the advertised price and I've been wearing it for the last three weeks. The sensor is only warranted to work for a week, but at $85 Australian dollars per sensor, others that I know continue to keep the sensors going as long as they can. Mine has been in for just over three weeks and is still giving accurate readings, so I am pretty happy with it. I have heard that others can get about 4 weeks from a sensor, so I expect to need to replace mine next week. Just to offer a possible alternative to the Abbot device given that it seems to be scarce.

Jul 7, 2015 Warwick 423 posts	Topic: General Discussion / highs Hello Ruth. There are lots of things that can change how much insulin you need. Things like stress, illness, menstrual cycle, lack of exercise can all contribute to higher BGLs. I personally find that when I snack more, I actually need to increase my basal. It seems that my body releases more glucose into the blood stream overnight when I have been snacking the previous days. When I drop the snacking, I need to reduce my basal insulin to avoid hypos. I'd suggest keeping an eye on this, and if need be, increasing your basal insulin slightly. If your BGLs are always higher than normal, then a basal insulin increase is indicated (remember, just 10% change and wait for three days before further increases). If it is only after meals that your BGLs are higher than normal, then you may need to increase your QA ratio before the problematic meals. Feel free to record your diary on this website and share with this forum so we can get a bit more detail of what is happening.

Jul 6, 2015 ruthhiggins 3 posts	Topic: General Discussion / highs I am a new graduate and only doing dafne 4 weeks. the first 3 weeks were great and I couldnt believe how great dafne was. I was coming in between 4 and 7 and the odd high was corrected easily. For the last 3 days my bloods are high 14's 10's etc and I cant explain them, there was a meal were I ate out and guessed the cp but i wouldnt have been to far out correction worked a little but now as much as it was working initially. I would have came down by 2-3 with 1unit of qa before but now it might just come down 1 . the only thing thats changed is i have been snacking more so between meals I am having cp's but am taking my 1:1 ratio for them. previously I snacked on choc and it didnt affect my next blood. I dont know whats going on. could my ratio randomly need changing when 4 days ago it worked perfectly. Im not sick but have put up a few pound which I needed. Can anyone help, feeling disappointed

Jul 5, 2015 suec 5 posts	Topic: General Discussion / Cyborg Times (new BG meter) Just put second sensor on, with first did a lot of BG tests as well to try to see accuracy/differences. First 24 hrs read 2-3mmol lower than BG strip test in Omipod, Neo and blood test on Libre reader (all from same drop of blood). 24-48 hrs still 1-2mmol lower but after that close tally and spot on at times. If meal insulin and carbs finished or BG not changing rapidly seem to tally, If BG changing rapidly seems to have a 10-15 min lag, from the literature this would be expected as interstitial BG lags behind BG by about 10 mins. fantastic for exercise and micro fueling to get steady BG profile. Brilliant at work for quick reassurance test. Have used without BG test to bolus for some meals towards end first sensor as gaining confidence, still always test 2 hrly with driving but again great for a quick check inbetween! Down load info very useful as can see effects of different food and relationships between timing of insulin and food and type/speed of food release, hopefully can make some adjustments to breakfast to take out morning peak (plan to bolus but delay some of carbs already bolus 30-40 mins pre meal if poss and this has made a difference to post meal spikes) First sensor stayed on full 14 days and easily removed, might try a swim with this one. Second sensor on for 36 hrs so far seems to be a similar pattern. Brilliant for over night profile and carb free and fasting to check background profile. definitely worth the money if all sensors as good. Note early hrs one way out reading 2.8 on libre, 7.1 on Omnipod blood test, had been lying on sensor side ?? may have been that sensor may have been compressed further into tissues than usual. At 8 am 4.9 on libre and 5.7 on BG Omipod so only 0.8 diff

Jul 1, 2015 Frazer 16 posts	Topic: General Discussion / Cyborg Times (new BG meter) Mine arrived at the weekend at last! Not sure if I did the right thing but two days ago I experimented by testing blood using my Accu-Check machine and then trying the Freestyle Libre 20 minutes later to see if they match - and they don't! They both show levels going in the same direction but there seems to be difference of about 2.0 between the two. I asked Abbott and was told a lot technical stuff that I didn't really understand but they are convinced the Libre results are accurate. As much as I want to trust the new system I am still not sure which machine is correct - probably neither! I think the Libre is great or seeing trends throughout the day and night which I guess is the most important thing.

Jun 29, 2015 michaelj 45 posts	Topic: General Discussion / Something else to look out for The local diabetic support group that I belong to was approached by someone from a local university doing a study as to whether this would be feasable, or if people would use it. We filled in a questionnaire but heard nothing back. This was in 2014

Jun 29, 2015 Warwick 423 posts	Topic: Site Development / Timezone setting? Thanks Simon. Would be very much appreciated.

Jun 29, 2015 Warwick 423 posts	Topic: General Discussion / SPLITTING LANTUS DOSE I split my Lantus when I found that my BGs were rising post dinner, but increasing QA always gave hypos. It worked well for me. I've since switched to Levemir which worked better for about 15 months with my active lifestyle, but for the last couple of months every injection of Levemir leads to painful lumps which last about a week (even brand new injection sites), so I appear to have developed an allergy to Levemir or the preservative that it uses, and I expect to go back on Lantus in August when I next see my endo.

Jun 27, 2015 Jackie Burke 1 post	Topic: General Discussion / SPLITTING LANTUS DOSE Hi I am a new Dafne graduate since May and use Lantus as my BI. Was taking 20 units in morning but started splitting 10 am and 10 before bed. This resulted in am low BG so reduced gradually. Have now settled down at 8units am and 6 units before bed and this has resulted in good am BG's and fewer hypos during day so am very pleased that I tried it, though accept it might not be right for someone else.

Jun 26, 2015 SimonC 78 posts	Topic: General Discussion / Something else to look out for I like the way, that the patch itself decides when to release the insulin, no need for a monitor - and if the report is to be fully believed, this could be tailored to suit. I suspect that if it does make it to trials and then to supply, it won't be as good as it sounds now - some of the functionality will be dropped for cost reasons, but, you never know, could lead to a whole new way of treating - chemicals reacting in a predictable way to levels of another chemical - thats how the body does it.

Jun 25, 2015 Susanf 29 posts	Topic: General Discussion / Something else to look out for Yes heard that over the weekend - would make it far less invasive

Jun 24, 2015 SimonC 78 posts	Topic: General Discussion / Something else to look out for Hi all Spotted this on a science site - clearly a long way to go, but it is moving in the right direction. http://www.iflscience.com/health-and-medicine/new-smart-insulin-patch-could-be-game-changer

Jun 24, 2015 David Hales 12 posts	Topic: General Discussion / DAFNE to PUMP conversion That's great. You are a star - very clear and helpful. Thanks very much. javascript:emoticon('')

Jun 23, 2015 Susanf 29 posts	Topic: General Discussion / Freestyle Libre Tks Marke for the reply. I wonder what made them think that not having to pick your fingers daily would catch on