Recent Posts - DAFNE Online

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 11 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 646 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 646 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 11 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 574 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 123 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 12 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 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 11 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 646 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 646 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 11 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 574 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 123 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 12 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?)