Recent Posts - DAFNE Online

Jun 23, 2015

marke 681 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 681 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

Jun 22, 2015

David Hales 12 posts

Topic: General Discussion / DAFNE to PUMP conversion

I'm more confused than ever now

To clarify for a person of small brain (me)...
if a hypo is within three hours after a meal, it is the bolus that needs adjusting and if a hypo is over three hours after a meal then look at the basal.
What if the blood sugar is HIGH before a meal? Which needs adjustment then? I suppose - like most things with the balance conundrum - "it depends".
All the people that help are much appreciated - it helps me to think about things and learn from other people's experience.

Jun 22, 2015

Simon 578 posts

Topic: Site Development / Timezone setting?

Hi Dan,

Thanks for that - when we first developed the site we hadn't opened it up to our Australian cousins - I'll look at making the timezone detection more friendly for you guys Smile

Simon

Jun 22, 2015

Kahanamoku 8 posts

Topic: General Discussion / SPLITTING LANTUS DOSE

Lantus is a 24 Hour Basal Insulin.... splitting it will probably most likely result in a stacking situation. The only real reason you would split dose is if you are aware (like I was) that the lantus was only lasting 18 hours... In which case, you might be better off switching insulins instead

Jun 22, 2015

Kahanamoku 8 posts

Topic: General Discussion / Low Carb

Check out http://type1diabeater.com/
Young lass recently diagnosed who is Blogging about her experiences on Low Carb, and yes, she's sporty too!

My 1 week effort, I found that LCHF should really stand for Low Carb, Half Fat... because you really tend to overconsume on the fats (due to their increased ratio of net-weight:calorie). I put on 2 Kg!

Also, theres a hell of a hurdle to get over with the adjustment period making your body feel tired!

Jun 22, 2015

Kahanamoku 8 posts

Topic: General Discussion / DAFNE to PUMP conversion

ooooh,, you meant "close to mealtime" as in closely "after" Confused

I read that as Close to your NEXT meal.

Jun 22, 2015

Kahanamoku 8 posts

Topic: General Discussion / DAFNE to PUMP conversion

Hightower said:
The general rule is that if the hypo is close to your mealtime (within 3 hrs) its usually your bolus that needs to be adjusted. If its after this time it your basal.

I think you have your Basal and Bolus confused... Bolus is the Meal Dose along with any associated +/- corrections (subject to your pumps Insulin Duration - typically 3-4 hours)... Basal being the always delivered rate. Basal is what you adjust if you are having drop offs in BSL outside of your active insulin durations.

Jun 22, 2015

Kahanamoku 8 posts

Topic: General Discussion / Sick day rule help?

Ketones can be there when you are within range, heck, ketones can be there even if you are staying in perfect range for weeks (I did this by going carb free for a week)... ketones are a biproduct of using either stored or consumed fat as your primary source of energy (calories/kilojoule) rather than carbohydrate. if you are consuming enough carbohydrate to cover your energy requirements, it may take a few hours or a day or so before all ketones disappear.

Jun 22, 2015

Dan Melbourne 7 posts

Topic: Carbohydrate Counting / Counting a TGI Fridays Choc Malt Turtle

I really don't know how to count a TGI Fridays Chocolate Malted Turtle, one of my favourite desserts when I go out for a burger and a movie with a friend...

Here's what they look like:
https://c1.staticflickr.com/9/8094/8455102101_3444352214_b.jpg

It has:
- chocolate malt cake
- caramel sauce
- 1 malteser
- chopped pecans

Looks to me like 80-100g of ice cream, and it comes with one malteser, but I have no idea about the volume of the chocolate cake or caramel sauce in it.

TGI Fridays Australia doesn't have nutritional info available unfortunately. They did send me the nutritional values of the constituent ingredients...

Caramel sauce... 61.3g carb per 100g
Ice cream... 25.5g carb per 100g

They said the choc-malt cake in it is a proprietary product but I imagine it's not that different to other chocolate cake, which has 35g - 50g carb per 100g typically.

I was wondering if I did a 'best guess' calculation, and took the equivalent amount of QA insulin, and then waited three hours and corrected with extra QA, could I assume that the combined QA from the original dose and correction is how much I'd need to take at the time of eating next time?

Jun 22, 2015

Dan Melbourne 7 posts

Topic: DAFNE Online Mobile / .25 ratio on iPhone?

I've found a workaround... although the app has a validation rule that fails, and instructs you to use 0.5 increments, if you just cancel the validation dialogue box, you can still switch to other areas of the app and the .75 ratio is applied. It's not ideal but it works...

Jun 20, 2015

Stew B 125 posts

Topic: General Discussion / GLUCOMEN BLOOD GLUCOSE METER

Had similar experience with my CCG (North Norfolk). I picked up a repeat prescription one day and found a new meter in the package! Apparently the CCG was switching everyone to the new meter and its strips.. I contacted my local surgery and explained that I had a meter that I trust, and didn't wish to switch. To be fair, there was no argument, they simply put strips for my old meter back on my prescription.

Stew

Jun 20, 2015

Pat N 13 posts

Topic: General Discussion / GLUCOMEN BLOOD GLUCOSE METER

Hello Marke,
Thank you for your reply. All now sorted.
I rang my Diabetes Specialist Nurse who advised that it was recommendation for type 2's only and i did not need to change. I contacted my GP practice and.It appears it was a bulk letter send to all Diabetics within my practice, not taken into account if that person was type 1,2 or if the meter was also used for Keytones etc. I can now keep my meter. (not sure how many others just changed though?) Laughing

Jun 20, 2015

Amanda Wilby 2 posts

Topic: General Discussion / Pregnancy

Hello I've been type one for 35 years and had been type 1for 13 years when I fell pregnant with my first daughter. I was told them that any babies in had may be big but both my daughters were under 8lbs. I had near perfect pregnancies and deliveries and I'm not just saying that to reassure you. I heard many scary stories about diabetes and pregnancy but I remained positive tried very hard to keep stable blood sugar but didn't always succeed
My daughters are now 22 and 19. The eldest is in her 4th year university training to be a veterinary surgeon and my youngest a hairdresser just about to join a cruise ship to work around the world. They are both fit healthy and intelligent competent individuals. One warning - if you breast feed have snacks - it uses so much energy and I often found myself hypo until I became used to it. You will be absolutely fine. Congratulations. How very exciting x

Jun 20, 2015

Dan Melbourne 7 posts

Topic: Site Development / Timezone setting?

Or... an even better suggestion... client-side time-zone detection via Javascript. http://thisbythem.com/blog/clientside-timezone-detection/

Jun 20, 2015

Dan Melbourne 7 posts

Topic: Site Development / Timezone setting?

When entering dates online I notice that the default time is a very different timezone to mine. (I presume a UK timezone??) It'd be great to be able to set my local timezone in my account profile so that the default time and date is 'now' for me.

Jun 20, 2015

Dan Melbourne 7 posts

Topic: DAFNE Online Mobile / .25 ratio on iPhone?

I've just started using the DAFNE Mobile app on my iPhone 6 -- fantastic app! However, I've run into a problem: when I did my DAFNE course the nurse educator found that the correct QA:CP ratio for me was 0.75:1. With 0.5 my BGs were too high and with 1 they were too low. This is fine when working it out manually (with final calculation rounded to nearest 1.0, given I use a 1.0 unit pen) but I can't set this up in the app because it will only accept 0.5 increments. I understand that 0.5 increments is the lowest DAFNE 'officially' goes, but in my case, 0.75 is what I need to take to keep sugars stable. My 12/12 BI dose is right -- my sugars remain stable overnight between BB and BF reading.

Jun 18, 2015

ketostix pla... 25 posts

Topic: General Discussion / think I cracked dawn phenomenon

Just in reply to all the posts. I have tried missing meal and monitoring and endless amounts of 3am tests and early morning tests and tests just spike erratically post between 5am - 7.30am with no particular pattern. I am also on split background with dose adjustments and tweaks made over the years (dafne now going on 5 years) to try to reduce phenomenon impact with no joy. I have been diabetic for 38 years now and I am of the believe we are all individual and what works for one may not work for all. This approach may not be suitable for all but for me it does, and for last two weeks morning test has been on target 7-8 with only twice being 10 (I could have only dreamed of tests like that at the beginning of the year). As far as pump approach, I was offered to go on waiting list due to phenomena, but I did decline as for me personally I don't like idea of being attached and injections are a way of life now, and also guy at work got pump and not been good advert for me as he always fiddling with it, and don't like look of tube hanging out as I am very clumsy. I am really upbeat at moment and can't wait for my next hb1ac test at checkup!

Jun 23, 2015 marke 681 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 681 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

Jun 22, 2015 David Hales 12 posts	Topic: General Discussion / DAFNE to PUMP conversion I'm more confused than ever now To clarify for a person of small brain (me)... if a hypo is within three hours after a meal, it is the bolus that needs adjusting and if a hypo is over three hours after a meal then look at the basal. What if the blood sugar is HIGH before a meal? Which needs adjustment then? I suppose - like most things with the balance conundrum - "it depends". All the people that help are much appreciated - it helps me to think about things and learn from other people's experience.

Jun 22, 2015 Simon 578 posts	Topic: Site Development / Timezone setting? Hi Dan, Thanks for that - when we first developed the site we hadn't opened it up to our Australian cousins - I'll look at making the timezone detection more friendly for you guys Simon

Jun 22, 2015 Kahanamoku 8 posts	Topic: General Discussion / SPLITTING LANTUS DOSE Lantus is a 24 Hour Basal Insulin.... splitting it will probably most likely result in a stacking situation. The only real reason you would split dose is if you are aware (like I was) that the lantus was only lasting 18 hours... In which case, you might be better off switching insulins instead

Jun 22, 2015 Kahanamoku 8 posts	Topic: General Discussion / Low Carb Check out http://type1diabeater.com/ Young lass recently diagnosed who is Blogging about her experiences on Low Carb, and yes, she's sporty too! My 1 week effort, I found that LCHF should really stand for Low Carb, Half Fat... because you really tend to overconsume on the fats (due to their increased ratio of net-weight:calorie). I put on 2 Kg! Also, theres a hell of a hurdle to get over with the adjustment period making your body feel tired!

Jun 22, 2015 Kahanamoku 8 posts	Topic: General Discussion / DAFNE to PUMP conversion ooooh,, you meant "close to mealtime" as in closely "after" I read that as Close to your NEXT meal.

Jun 22, 2015 Kahanamoku 8 posts	Topic: General Discussion / DAFNE to PUMP conversion Hightower said: The general rule is that if the hypo is close to your mealtime (within 3 hrs) its usually your bolus that needs to be adjusted. If its after this time it your basal. I think you have your Basal and Bolus confused... Bolus is the Meal Dose along with any associated +/- corrections (subject to your pumps Insulin Duration - typically 3-4 hours)... Basal being the always delivered rate. Basal is what you adjust if you are having drop offs in BSL outside of your active insulin durations.

Jun 22, 2015 Kahanamoku 8 posts	Topic: General Discussion / Sick day rule help? Ketones can be there when you are within range, heck, ketones can be there even if you are staying in perfect range for weeks (I did this by going carb free for a week)... ketones are a biproduct of using either stored or consumed fat as your primary source of energy (calories/kilojoule) rather than carbohydrate. if you are consuming enough carbohydrate to cover your energy requirements, it may take a few hours or a day or so before all ketones disappear.

Jun 22, 2015 Dan Melbourne 7 posts	Topic: Carbohydrate Counting / Counting a TGI Fridays Choc Malt Turtle I really don't know how to count a TGI Fridays Chocolate Malted Turtle, one of my favourite desserts when I go out for a burger and a movie with a friend... Here's what they look like: https://c1.staticflickr.com/9/8094/8455102101_3444352214_b.jpg It has: - chocolate malt cake - caramel sauce - 1 malteser - chopped pecans Looks to me like 80-100g of ice cream, and it comes with one malteser, but I have no idea about the volume of the chocolate cake or caramel sauce in it. TGI Fridays Australia doesn't have nutritional info available unfortunately. They did send me the nutritional values of the constituent ingredients... Caramel sauce... 61.3g carb per 100g Ice cream... 25.5g carb per 100g They said the choc-malt cake in it is a proprietary product but I imagine it's not that different to other chocolate cake, which has 35g - 50g carb per 100g typically. I was wondering if I did a 'best guess' calculation, and took the equivalent amount of QA insulin, and then waited three hours and corrected with extra QA, could I assume that the combined QA from the original dose and correction is how much I'd need to take at the time of eating next time?

Jun 22, 2015 Dan Melbourne 7 posts	Topic: DAFNE Online Mobile / .25 ratio on iPhone? I've found a workaround... although the app has a validation rule that fails, and instructs you to use 0.5 increments, if you just cancel the validation dialogue box, you can still switch to other areas of the app and the .75 ratio is applied. It's not ideal but it works...

Jun 20, 2015 Stew B 125 posts	Topic: General Discussion / GLUCOMEN BLOOD GLUCOSE METER Had similar experience with my CCG (North Norfolk). I picked up a repeat prescription one day and found a new meter in the package! Apparently the CCG was switching everyone to the new meter and its strips.. I contacted my local surgery and explained that I had a meter that I trust, and didn't wish to switch. To be fair, there was no argument, they simply put strips for my old meter back on my prescription. Stew

Jun 20, 2015 Pat N 13 posts	Topic: General Discussion / GLUCOMEN BLOOD GLUCOSE METER Hello Marke, Thank you for your reply. All now sorted. I rang my Diabetes Specialist Nurse who advised that it was recommendation for type 2's only and i did not need to change. I contacted my GP practice and.It appears it was a bulk letter send to all Diabetics within my practice, not taken into account if that person was type 1,2 or if the meter was also used for Keytones etc. I can now keep my meter. (not sure how many others just changed though?)

Jun 20, 2015 Amanda Wilby 2 posts	Topic: General Discussion / Pregnancy Hello I've been type one for 35 years and had been type 1for 13 years when I fell pregnant with my first daughter. I was told them that any babies in had may be big but both my daughters were under 8lbs. I had near perfect pregnancies and deliveries and I'm not just saying that to reassure you. I heard many scary stories about diabetes and pregnancy but I remained positive tried very hard to keep stable blood sugar but didn't always succeed My daughters are now 22 and 19. The eldest is in her 4th year university training to be a veterinary surgeon and my youngest a hairdresser just about to join a cruise ship to work around the world. They are both fit healthy and intelligent competent individuals. One warning - if you breast feed have snacks - it uses so much energy and I often found myself hypo until I became used to it. You will be absolutely fine. Congratulations. How very exciting x

Jun 20, 2015 Dan Melbourne 7 posts	Topic: Site Development / Timezone setting? Or... an even better suggestion... client-side time-zone detection via Javascript. http://thisbythem.com/blog/clientside-timezone-detection/

Jun 20, 2015 Dan Melbourne 7 posts	Topic: Site Development / Timezone setting? When entering dates online I notice that the default time is a very different timezone to mine. (I presume a UK timezone??) It'd be great to be able to set my local timezone in my account profile so that the default time and date is 'now' for me.

Jun 20, 2015 Dan Melbourne 7 posts	Topic: DAFNE Online Mobile / .25 ratio on iPhone? I've just started using the DAFNE Mobile app on my iPhone 6 -- fantastic app! However, I've run into a problem: when I did my DAFNE course the nurse educator found that the correct QA:CP ratio for me was 0.75:1. With 0.5 my BGs were too high and with 1 they were too low. This is fine when working it out manually (with final calculation rounded to nearest 1.0, given I use a 1.0 unit pen) but I can't set this up in the app because it will only accept 0.5 increments. I understand that 0.5 increments is the lowest DAFNE 'officially' goes, but in my case, 0.75 is what I need to take to keep sugars stable. My 12/12 BI dose is right -- my sugars remain stable overnight between BB and BF reading.

Jun 18, 2015 ketostix pla... 25 posts	Topic: General Discussion / think I cracked dawn phenomenon Just in reply to all the posts. I have tried missing meal and monitoring and endless amounts of 3am tests and early morning tests and tests just spike erratically post between 5am - 7.30am with no particular pattern. I am also on split background with dose adjustments and tweaks made over the years (dafne now going on 5 years) to try to reduce phenomenon impact with no joy. I have been diabetic for 38 years now and I am of the believe we are all individual and what works for one may not work for all. This approach may not be suitable for all but for me it does, and for last two weeks morning test has been on target 7-8 with only twice being 10 (I could have only dreamed of tests like that at the beginning of the year). As far as pump approach, I was offered to go on waiting list due to phenomena, but I did decline as for me personally I don't like idea of being attached and injections are a way of life now, and also guy at work got pump and not been good advert for me as he always fiddling with it, and don't like look of tube hanging out as I am very clumsy. I am really upbeat at moment and can't wait for my next hb1ac test at checkup!