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Jun 22, 2015
David Hales 12 posts

Topic: General Discussion / DAFNE to PUMP conversion

I'm more confused than ever now Confused
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 18, 2015
AMcD 38 posts

Topic: General Discussion / think I cracked dawn phenomenon

I know that during my DAFNE programme some people on MDI s had their BI split into 2 rather than giving it in all one dose. Just wonder if this approach has been tried as some of the BI marketed to last 24 hrs has been found not to be the case.... of course if your BI is taken in the evening or night this would not be the cause.... its hard to try and assist without knowing all of the facts and everyone reacts differently to meds.can you provide any more info?? Andy
 
Jun 18, 2015
marke 686 posts

Topic: General Discussion / think I cracked dawn phenomenon

Hi, I wish I was part of the 'pump sales team' Very Happy ( although the comment has probably been taken out of context), I have similar issues, my consultant has said he wants me to go on a pump but there is no money to do it so I have to wait.
Sorry but I also disagree that its another health issue, if it is then I have the same thing ! I am also struggling to find a solution and for reasons I cannot explain eating in the evening DOES affect my BG the next morning. Of course a Freestyle libre would help provide more consistent evidence. I had a trial one for 28 days and it showed the classic Dawn Phenomenon, but not every night which is why I'm not 100% convinced a pump will fix it but it certainly won't make it worse. I'm not sure I can handle the smoothie with raw veg in it though Sad the fruit and nut I would love though.
 
Jun 18, 2015
marke 686 posts

Topic: General Discussion / GLUCOMEN BLOOD GLUCOSE METER

Hi, If you want to email me using the contact us at the bottom of the page or use the message inbox in the right-hand menu and let me know where in SE Kent you are. I live in SE Kent, I am also involved in Diabetes UK and attended the PCT ( as then was) and CCG ( as they are now) sessions on selecting meters. It was made crystal clear in these meetings that Type 1's could continue to use their current meters and would NOT be forced to change. This is not general policy in the area and my GP gave me an option to change but did not try to force me in any way. I have contacts in the structures of the local CCG's were I am, I would be happy to help in anyway I can to stop this happening, its NOT acceptable that anyone should be forced to change their meter, its short sighted and stupid and really annoys me Twisted Evil

 
Jun 18, 2015
Susanf 29 posts

Topic: General Discussion / Pregnancy

Hi KarinaC,

Firstly congrats Very Happy My HbA1c was around 9.2 when I got pregnant with my daughter. With the help of my diabetes team that was down to 5.2 within a month or so. You might need to reduce it slower than this. In Ireland we attend the consultant every 2 weeks and they did a fructosamine test. Like you I was very apprehensive as my HbA1c was certainly not ideal when I got pregnant. The management of my diabetes wasnt easy but SOOOO worth all the effort. I had a beautiful baby girl who is now 7.

Hope this helps


Susan

 
Jun 18, 2015
KarinaC 1 post

Topic: General Discussion / Pregnancy

Im a type 1 diabetic (diagnosed in 1995) i did the dafne course in march an its been working great. My hbaic has come down from 10.9 to 9.2 in the past few months which is really great for me personally. Ive also got retinopathy so i need to reduce my hba1c very slowly. I have just found out im pregnant. We were planning for this and attending the pre preg clinic but obviously i wanted to be down alot further than this before it happened.although im extremely excited im also quite scared an nervous. Any advice would be appreciated Smile
 
Jun 18, 2015
Susanf 29 posts

Topic: General Discussion / think I cracked dawn phenomenon

JayBee - I am not part of a Pump Sales Team - I am a pump user and have found it very effective in the management of some of the quirks of diabetes. Have you spoken to your diabetes team about it?
 
Jun 18, 2015
Susanf 29 posts

Topic: General Discussion / Glucophage

Hi Garry/HelenP,

Many thanks for your reply - apologies for the confusion with regard to the drug. I started on one 500mg per day for a week now up to 2 x 500mg per day for 3 weeks or until all symptoms disappear. I then have to go to 1000mg twice a day. They seem to be making a difference as my overall insulin requirements have dropped by about 30%. My QA:CP ratio has gone from 1 unit of insulin per 3g of carbs to 1 unit of insulin for 7.5g of carbs. Will be interesting to see how I go when I increase to the 1000mg twice a day. My diabetes nurse said not to move onto this until I am completely symptom free on the current dose.

Thanks again for your replies.

K Rgds,


Susan
 
Jun 18, 2015
suec 5 posts

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

I am eagerly awaiting first delivery, put first order in last week, seemed to be about 4 months from going on waiting list.