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15,721 posts found
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May 12, 2015
mcw
1 post
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Topic: Questions for HCPs / Bread Try Burgen bread, contains some soya and linseed, only 25g/100g of Coh. |
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May 11, 2015
Chris Salter
8 posts
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Topic: General Discussion / Morning BG help! Thanks guys, I should have thought of this.... Will try this tonight! |
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May 10, 2015
Gus
10 posts
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Topic: Questions for HCPs / Bread From a CP perspective, I've found that there is not much between them. |
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May 10, 2015
Gus
10 posts
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...or carb free meals till you get home? Just a thought. |
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May 10, 2015
Gus
10 posts
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Should have added that I use both apps, but the carbs & call version doesn't store my meals... |
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May 10, 2015
Gus
10 posts
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Topic: Carbohydrate Counting / Good carb counting resource? I use Myfitnesspal mainly because I can add data for the 'ethnic' foods I tend to eat more of and use it to calculate CPs for the actual weights.I get unpredictable results from carbs & call for these foods. Key thing to bear in mind though for MFP is to be sure to use records that have detailed nutritional items (proteins, vitamins, fats, etc) as these are likely to come from more reliable sources. Secondly, if you can't find nutritional data you can look this up and store with the My Foods function. I use nutrition reference tables published by the USDA, mainly because the UK/Eu versions are less easy to interpret but the numbers look almost identical to those on the packaging for non-ethnic foods. |
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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
11 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
11 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
430 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
430 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
430 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
123 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
123 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
1,816 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
1,816 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
1,816 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
1 post
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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 |