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May 10, 2015
Gus
10 posts
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Is it worth adding a warning on GI indices, that is to point out that the main use would be to judge whether to split or delay taking QA insulin based on the proportion of low GI foods in the meal? |
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May 10, 2015
David Hales
12 posts
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Topic: Carbohydrate Counting / Baking Jacket potato INCREASES carbs I have checked my facts and the book and it is a conundrum...Using the CP Values from the DAFNE Carbohydrate Portion List book Weight of raw potato is X grammes. Carbohydrates = X/100 x 1.5 CP Weight of same potato baked in oven to produce Jacket potato is X-150 g Carbohydrates – (X-150)/220 x 7CP ____________________________________________________________ Applying my weights as an example, if the raw potato weighs 370g Carbs raw = 370/100 x 1.5 = 5.5CP Weight of same potato after baking is 220g So carbs for baked (jacket) potato is 220/220 x 7 = 7CP i.e. The potato after being baked contains 1.5 MORE CPs than when raw. WHERE HAVE THESE EXTRA CARBS COME FROM? Strange David Hales |
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May 10, 2015
David Hales
12 posts
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Topic: General Discussion / DAFNE to PUMP conversion Thank you for the reply novorapidboi26My basal rates are also pretty small from 1 unit per hour in the morning to 0.1 unit per hour mid-afternoon. Therefore I guess any small difference in insulin or carbs has a significant effect on my control. Therefore, I am fairly OK eating in as the carbs are on the packet or I can weigh, but eating out always trips me up by me not knowing the exact ingredients or weight.
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May 9, 2015
Ellen
10 posts
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Topic: Carbohydrate Counting / Sweet and salted popcorn HelloI had some sweet and salted popcorn last blood glucose levels before were 8, I tested at 1am 4 hours after taking my novorapid and my sugars were 13.6 and then this morning they were 16.6. Does anyone else find a raise after eating this popcorn? Would a split dose maybe stop the rise after? Thanks |
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May 8, 2015
AMcD
38 posts
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Topic: General Discussion / Morning BG help! Agreed. In order to cjeck ypur BI dose I suugest that you take a meal in the early evening using your qa insulin. Dont snack in between. The QA insulin should be out of your system in 5 hours post injection. If you check your BG then and record the result the retest your BG again in the morning your BG should be about the same by morning or within 1.5 mmol per L. This is the recommended way to check if your background insulin is correct. If you can test at 3 am all the better. your BG should hold constant through the night. |
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May 8, 2015
Warwick
423 posts
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Topic: General Discussion / Morning BG help! Hello Chris,I suggest setting your alarm for 3 am and doing a test then. It could be dawn phenomenon. The 3 an test would help confirm whether it is or not. |
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May 7, 2015
Joan29
3 posts
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Topic: Site Development / injection site hi,would it be possible to add more injection sites e.g. right hip, left hip, upper stomach left & right, lower stomach left & right. |
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May 7, 2015
Chris Salter
8 posts
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Topic: General Discussion / Morning BG help! Hi all, generally happy with my results except for my before breakfast BG. I have tried increasing my night time BI to try and bring my morning results down but have not had any luck. I'm hoping that an outsiders perspective may help, as I have no idea what to do next.... Any suggestions would be greatly appreciated! |
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May 7, 2015
Warwick
423 posts
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Topic: General Discussion / insulin Hi Ellen,There are lots of reasons why your insulin needs can change: 1) Change of season - usually less required in summer than winter, but not always. 2) Exercise activity. I find when I am on holiday and out of my exercise routine that my BI doses almost need to double to have the same effect. 3) Pre-menstrual hormones can cause a blunting of your insulin sensitivity. 4) If the area you are injecting isn't changed on a regular basis, then that part of your body can become much less sensitive to insulin. One of my friends has changed where her pump attaches from her abdomen to her arm, and found that she needs to reduce her doses as her abdomen has been receiving insulin for so long that it is no longer sensitive. Her arm though has no such issue. 5) The insulin may have spoiled and you may find that a fresh pen fixes things. 6) You may need a different basal insulin. I'm on Levemir and have been for over a year, but over the last couple of weeks I am getting painful lumps wherever I inject it. I now inject half of the usual amount into two separate sites which seems to be relieving the issue. Splitting your dose into two (injected at the same time, but in different areas) can increase the absorption. 7) For myself, I find that when I have more carbs than usual, I need more BI to process that overnight. If I cut down on carbs, then I find I need to drop my basal too to avoid hypos. There are other possibilities too. All the best with it. Warwick. |
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May 7, 2015
Warwick
423 posts
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Topic: Questions for HCPs / carb free meal Also, the body can convert protein into carbs, so if it a high protein meal but low carb, then BGs can rise. If I have nothing but a protein bar with 3g of carb, but 45 g of protein, then I need to inject as much insulin as I would if it was 40 g of carb. If I don't, my BGs rise spectacularly. |
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May 6, 2015
Stew B
125 posts
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Topic: General Discussion / DAFNE to PUMP conversion Hi David, I gave a pump back after five months. Although I found it straightforward to manage, and it had some advantages, I found some of the practicalities tedious and emotionally I didn't like being reminded 24/7 that I have diabetes.My diabetes centre were brilliant - I was well supported when I was on the pump, and there was no sense of failure when we agreed that I would come off it. I've returned to DAFNE and things are fine now! Stew |
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May 6, 2015
Stew B
125 posts
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Topic: Questions for HCPs / carb free meal Could be an indication that your background insulin needs adjusting - may not be taking enough to maintain your levels, hence the rise. However, it would be best to do an overnight check or two before changing. |
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May 6, 2015
Joan29
3 posts
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Topic: Questions for HCPs / carb free meal Hi everyone,i am under the understanding that when having a carb free meal I don't need to inject. So why does my BG rise? any ideas? |
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May 6, 2015
novorapidboi26
1,819 posts
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Topic: General Discussion / insulin My approach to insulin doses are you need what you need to keep BG levels steady.............the matching up of doses to body mass is nothing more than a guide........ as long as your getting what you need that's the main thing..... ideally you want to get the background as tightly tuned as you can which will mean you can drop down your meal time ratios as well........ |
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May 6, 2015
novorapidboi26
1,819 posts
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Topic: General Discussion / DAFNE to PUMP conversion I would say the principles are exactly the same apart from the basal adjustment........counting carbs stays the same, the approach to adjusting your meal time bolus is the same............ basal adjustment is same on some levels but being able to adjust by the hour/half hour makes it a little more challenging if you want to fine tune it....... how are your basal rates, any issues? |
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May 6, 2015
novorapidboi26
1,819 posts
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Topic: General Discussion / CGMS I wear a pump and this process and insertion is similar and it shouldn't hurt...........If it gets unbearable then you should get it taken out....... it will need to go back in of course, so speak out if it hurts again........ 
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May 5, 2015
sawestall27
2 posts
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Topic: Carbohydrate Counting / Jelly Babies I use 3 jelly babies for 1 cp. Great for when I'm running too. |
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May 5, 2015
Gerryvbc
3 posts
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Topic: Questions for HCPs / Morning Bloods climb steadily Hi KeithJust to assure you that you are not the only one with this issue. I have heard something like it called 'Dawn Phenomenon'. Some medics do however deny it exists. My sugars have always followed the pattern you describe. I keep my levels very tight and to maintain them I start the day with my usual 14 units of Levemir (background) and 4 units of Humalog - assuming I will eat no carbs for breakfast. If I do eat carbs for breakfast, which is rare, then I take additional Humalog (1.5 :1) to compensate. My last HbA1c was 51 so I must doing something right. I hope you find the answer. Gerry |
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May 5, 2015
snow123
13 posts
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Topic: General Discussion / Carb petition It would be so much easier when eating out .it would encourage me to go there rather than some where that didn't. |
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May 5, 2015
snow123
13 posts
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Topic: General Discussion / Carb petition It would be so much easier when eating out .it would encourage me to go there rather than some where that didn't. |
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May 4, 2015
Vickyp
137 posts
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Topic: General Discussion / Carb petition Wetherspoons also do a leaflet in their pubs with the info on. I found frankie and bennys to be the worst for info, i complained and was told it was something they were working on for their website but have yet to see this info. |
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May 4, 2015
Neville COL
23 posts
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Topic: General Discussion / Carb petition I ve got carbs for Wetherspoons menu ( on its web site) Zavvi did do dietary analysis properly, but last time I looked they had revised it and lost the carbs but I m hopeful that they will be back....the info is out there with alittle bit of patience....
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May 4, 2015
Vickyp
137 posts
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Topic: General Discussion / Pumps The minimed works in similar way to omnipod with the bolus wizard and temp basal options. Think all pumps would do something similar. The Medtronic is what my consultant recommended as you can also get a cgm that works with it, but I chose the omnipod as it suited me better. Everyone I've spoken to on a pump (both patch and tubed) says they feel much better after going on a pump and more in control than on MDI.Which pump to go for would be a personal choice and whether your area offer it. |
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May 4, 2015
Vickyp
137 posts
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Topic: General Discussion / Carb petition It's also on the boxes of McDonald's food. In Burger King you need to ask for the folder with the info in it that they keep behind the counter -I wrote to Burger King to ask about it! Also think KFC have it on the paper tray liner....I haven't had fast food for almost a year so this is all based on early 2014!
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