Recent Posts - DAFNE Online

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 425 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 425 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 425 posts

Topic: Site Development / Timezone setting?

Thanks Simon. Would be very much appreciated.

Jun 29, 2015

Warwick 425 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

Jun 23, 2015

marke 686 posts

Topic: General Discussion / Freestyle Libre

I don't think they are available in Ireland, yet... they had stopped the roll out to different countries due to the heavy demand in countries that they had been launched in. Hopefully they will be sorting this out soon. Amazingly they didn't realise there would be such a huge demand for them. They are talking to the NHS about them being available on prescription but it will be a long slow process.....

Jun 23, 2015

marke 686 posts

Topic: General Discussion / SPLITTING LANTUS DOSE

Have to agree with the other posts, if you want to split your background insulin then you should be switching to Levemir which is often used in split doses, Lantus is known to last longer which is why not many people split it. If you are needing to split it then its probably more than just exercise that is causing the issue.

Jun 23, 2015

David01 10 posts

Topic: General Discussion / SPLITTING LANTUS DOSE

Hi Chez

Good news that you're making progress. Most importantly - you're feeling better than you did before. That's always good to hear. If it goes wrong again while you're splitting it keep in mind about considering a different type of insulin.

Good Luck

Dave

Jun 23, 2015

Susanf 29 posts

Topic: General Discussion / Freestyle Libre

Does anyone know if these are available in Ireland yet Very Happy

Jun 23, 2015

Susanf 29 posts

Topic: General Discussion / DAFNE to PUMP conversion

Hi David,

If you have a hypo within 3 hours of your meal/bolus then its the bolus that needs to be reduced. If you have a high blood sugar before a meal it can be that you didnt take enough bolus at your last meal or your basal is not sufficient. What you would need to do to rule out your basal is do the fasts.

If you want to test your morning basal you Test your blood sugar on waking and continue to fast from the night before until lunchtime. When you take your BS at lunchtime it should be within 1.7mmol of your breakfast BS reading. If it is higher or lower you need to adjust your Basal accordingly.

If you want to test your lunchtime to teatime basal you have your breakfast, take your normal bolus and then test again at lunchtime but fast until tea time. Again it should be within 1.7mmol of your lunch BS reading. If it is higher or lower you need to adjust your Basal accordingly.

And so on then for your evening Basal. Once you have ruled your basal out then you can start adjusting your bolus ratios.

Hope this makes more sense Very Happy

Jun 23, 2015

Susanf 29 posts

Topic: General Discussion / DAFNE to PUMP conversion

Kahanamoku said:
ooooh,, you meant "close to mealtime" as in closely "after"
I read that as Close to your NEXT meal.

Yes - within 3 hours of your recent meal

Jun 23, 2015

Dan Melbourne 7 posts

Topic: Site Development / Timezone setting?

That'd be wonderful, thanks!! The site and mobile app are just awesome.. such a great service to DAFNE graduates!

Jun 22, 2015

CHEZPEZ 2 posts

Topic: General Discussion / SPLITTING LANTUS DOSE

Thanks for your replys, I've been slowly spiltting my Lantus and its been so much better! I have split it before under instruction of Diabetes specialist nurse about 4 yrs ago, I stopped coz I split it before bed and breakfast and found if I was out, it was difficult to inject at nightime so ended up putting full dose in morning, but it just didnt work for me, I couldnt get my ratio's right... anyway so far so good with the split, feel much better!
Many thanks again
Chez

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 425 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 425 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 425 posts	Topic: Site Development / Timezone setting? Thanks Simon. Would be very much appreciated.

Jun 29, 2015 Warwick 425 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

Jun 23, 2015 marke 686 posts	Topic: General Discussion / Freestyle Libre I don't think they are available in Ireland, yet... they had stopped the roll out to different countries due to the heavy demand in countries that they had been launched in. Hopefully they will be sorting this out soon. Amazingly they didn't realise there would be such a huge demand for them. They are talking to the NHS about them being available on prescription but it will be a long slow process.....

Jun 23, 2015 marke 686 posts	Topic: General Discussion / SPLITTING LANTUS DOSE Have to agree with the other posts, if you want to split your background insulin then you should be switching to Levemir which is often used in split doses, Lantus is known to last longer which is why not many people split it. If you are needing to split it then its probably more than just exercise that is causing the issue.

Jun 23, 2015 David01 10 posts	Topic: General Discussion / SPLITTING LANTUS DOSE Hi Chez Good news that you're making progress. Most importantly - you're feeling better than you did before. That's always good to hear. If it goes wrong again while you're splitting it keep in mind about considering a different type of insulin. Good Luck Dave

Jun 23, 2015 Susanf 29 posts	Topic: General Discussion / Freestyle Libre Does anyone know if these are available in Ireland yet

Jun 23, 2015 Susanf 29 posts	Topic: General Discussion / DAFNE to PUMP conversion Hi David, If you have a hypo within 3 hours of your meal/bolus then its the bolus that needs to be reduced. If you have a high blood sugar before a meal it can be that you didnt take enough bolus at your last meal or your basal is not sufficient. What you would need to do to rule out your basal is do the fasts. If you want to test your morning basal you Test your blood sugar on waking and continue to fast from the night before until lunchtime. When you take your BS at lunchtime it should be within 1.7mmol of your breakfast BS reading. If it is higher or lower you need to adjust your Basal accordingly. If you want to test your lunchtime to teatime basal you have your breakfast, take your normal bolus and then test again at lunchtime but fast until tea time. Again it should be within 1.7mmol of your lunch BS reading. If it is higher or lower you need to adjust your Basal accordingly. And so on then for your evening Basal. Once you have ruled your basal out then you can start adjusting your bolus ratios. Hope this makes more sense

Jun 23, 2015 Susanf 29 posts	Topic: General Discussion / DAFNE to PUMP conversion Kahanamoku said: ooooh,, you meant "close to mealtime" as in closely "after" I read that as Close to your NEXT meal. Yes - within 3 hours of your recent meal

Jun 23, 2015 Dan Melbourne 7 posts	Topic: Site Development / Timezone setting? That'd be wonderful, thanks!! The site and mobile app are just awesome.. such a great service to DAFNE graduates!

Jun 22, 2015 CHEZPEZ 2 posts	Topic: General Discussion / SPLITTING LANTUS DOSE Thanks for your replys, I've been slowly spiltting my Lantus and its been so much better! I have split it before under instruction of Diabetes specialist nurse about 4 yrs ago, I stopped coz I split it before bed and breakfast and found if I was out, it was difficult to inject at nightime so ended up putting full dose in morning, but it just didnt work for me, I couldnt get my ratio's right... anyway so far so good with the split, feel much better! Many thanks again Chez