Recent Posts - DAFNE Online

Jan 19, 2015

mum2westiesGill 502 posts

Topic: General Discussion / BG diary help please (2) (mum2westiesGill diary)

Thanks for your reply NRB. Corrections are a bit awkward to do seperately because i use the Accu-chek Aviva Expert meter & they are built in with the final dose amount. I am 1u to 3mmol.

Any help in identifying trends or any other help ie with targets & ratios will be greatly appreciated.

Also any help in saying whether I should be reducing or increasing my basal

Jan 19, 2015

mattc 1 post

Topic: General Discussion / Dafne app problems

Simon
I am having the same issues. Same version and it crashs when I try to change my ratios in settings. I am not sure what you mean by "spoon your phone" to get at updates. Sorry it is probably me
regards
Matt

Jan 19, 2015

HelenP 218 posts

Topic: General Discussion / Driving and blood glucose testing

I've tried a variety of solutions including keeping one in the car on the passenger seat but nothing beats the carrying one with you wherever you go method. I test whenever I get into the car (on the meter I carry with me). It really does become a habit with enough practice.

Surprises me that you can test up to two hours before and expect a valid "over 5 to drive result".

We have a similar law here which says that if you have a medical incident you lose your licence for 6 months! One GP suggested I could lose my licence as a "hypo" is an incident...define hypo! When I told him I have 3-4 most weeks I clarified what "hypo" meant but he was unable to categorically define it. The law called "Jett's law" was campaigned for by a police officer mother whose toddler son was run down and killed by a driver having a seizure. The terminology was broadened and made generic to include fainting spells, heart incidents etc but could also include a "hypo". Belief is that it would have to go to court to test the parameters of the law. Helen

Jan 18, 2015

Garry 328 posts

Topic: General Discussion / Driving and blood glucose testing

Sorry meltow...didn't answer your question.
Her who must be obeyed reminds me!
Regards
Garry

Jan 18, 2015

Garry 328 posts

Topic: General Discussion / Driving and blood glucose testing

In current conditions watch out for low temperatures in the car. You may be inconvenienced by the fact that your meter has gone on strike as the battery is too cold.
If possible, keep it on you...in a nice warm pocket.
Regards
Garry

Jan 18, 2015

meltow 78 posts

Topic: General Discussion / Driving and blood glucose testing

Yes, thanks, I don't need any lectures from all you perfect people Rolling Eyes

Jan 18, 2015

Vickyp 137 posts

Topic: General Discussion / Driving and blood glucose testing

That part of the text is same as before revised version, I was diagnosed in 2012 and the information I was given then stated the same. I plan long journeys in advance and look at where service stations are and which I can get to in my 2hour slots. Always prefer to use a service station rather than layby so have somewhere nice to sit if need to raise sugar levels!

Like Alan said surprised you're not already doing these tests!!

Jan 18, 2015

Alan 49 284 posts

Topic: General Discussion / Driving and blood glucose testing

I'm surprised you're not already doing these tests. Perhaps you should think of it as possibly losing your licence and your job if you don't do these tests.

Jan 18, 2015

meltow 78 posts

Topic: General Discussion / Driving and blood glucose testing

The new text in DIAB1 April 2013 revised version is:

I have insulin treated diabetes and I understand the need to test my blood glucose/sugar at times relevant to driving (not more than 2 hours before the start of the 1st journey and every 2 hours while driving. The object of this is to ensure the blood glucose is always above 5mmol/l per litre while driving).

I do about 20,000 miles a year and most of this is linked to my job. Having just sent the paperwork back to DVLA to renew my licence, I was made very aware of the changes for testing your sugars whilst driving. Up until last week, I had never carried my monitoring kit with me - it lived on one of the kitchen work surfaces. However, I am now the proud owner of 2 monitoring kits, and one is now permanently in my car. All I need to remember now is to actually use it!
Any tips from anyone - how do you remember to check your sugars before setting off on a car journey?

Jan 17, 2015

Bananaman 34 posts

Topic: Questions for HCPs / Weight

If you have done 3 times that's amazing but after dafne if your eating less your weight could go down and if your control was really bad before dafne it may go up slightly but I wouldnt worry about it unless your 4'2"

Jan 17, 2015

StephenChance 2 posts

Topic: Questions for HCPs / Weight

Since Completing DAFNE I Have Not Done Much In Terms Of Gym Etc 5 a Side Football Once a Week and just doing dafne ive lost a stone and a half 12st6 to 11st1 Is This Normal??

Jan 17, 2015

novorapidboi26 1,819 posts

Topic: General Discussion / BG diary help please (2) (mum2westiesGill diary)

The only time I can see where there has been no carbs and therefore the only time to speculate about the basal is on Thursday, between 2:00 am and 10:08 am, which would suggest the basal is too due to your BG going from 10.2 to 6.8.......this wouldn't be enough alone to say for sure though........ Smile

.....

Don't know what corrections you have done either, so don't know what advice to give with your ratios either........

sorry........

Jan 17, 2015

mum2westiesGill 502 posts

Topic: General Discussion / BG diary help please (2) (mum2westiesGill diary)

Any help in identifying trends or any other help ie with targets & ratios will be greatly appreciated.

Also any help in saying whether I should be reducing or increasing my basal

Jan 17, 2015

alturn 78 posts

Topic: General Discussion / Faulty Novopens

I've had no problems with Novapen 3's apart from the plunger sometimes not depressing smoothly, but that could be related to an awkward angle. I have two Novapen 4's as spares but have never used them (might be a good idea to try them before need to use them for real). However, I do leave them at home when away for a few days (but can get home again easily), but would probably take them on a longer trip or going a long distance - think these were prescribed by the DSN's on the DAFNE course.

And is it Ok to swop a part-used cartridge from one pen to another (thought I read somewhere to always use a new cartridge)? I suppose if I had to swop, then I would as don't usually have a spare cartridge at room temperature.

Jan 17, 2015

Allan P 3 posts

Topic: General Discussion / Faulty Novopens

I've never had a problem with any pen I've used. I've had a cracked cartridge like Phil Masked and I do suffer on a regular basis with forgetting to take pens out like Wigworld. Only time I have had a plunger not fully depress was with the old novapen 2 when there were not enough insulin in the cartridge. It would let you dial up the amount you required but would not depress. The new pens stop at the amount of insulin left in the cartridge which is a great help. Well... sometimes if I remember to check before leaving home. If you do forget guys and girls to take any medication then around London, there are plenty of walk in centre's to pick up a prescription, any a and e department or NHS direct and they should be able to help with finding a doctor to prescribe and a pharmacy that will be open. The other thing you could do is ask your GP for an emergency prescription to carry with you in purse or wallet to use in emergencies. As you can I've used these a lot....

Jan 17, 2015

ZhenYuan 1 post

Topic: General Discussion / Bg readings before reviews

BG READINGS

Jan 16, 2015

dunkers7 24 posts

Topic: Questions for HCPs / BI dose

Hi John,

Again not an HCP, but I do exercise anaerobically. Consider your weightlifting as anaerobic exercise.

Anaerobic exercise can increase your BG, it sounds likely that the weight session is the cause for your BG increase rather than BI. Probably worth testing your BG on a rest day morning anyway though so you can isolate what's happening with your morning BG when you don't do weights.

One thing to be aware of is that, with Anaerobic exercise, it does increase your BG initially, but your BG may begin to drop 1-2 hours later because your liver needs to replenish it's glucose supply, so do be careful not to over correct with QA insulin.

Jan 16, 2015

DianeW 115 posts

Topic: General Discussion / Accu-Chek Multiclix lancet drum supply

Well after being told by them that these would be discontinued but couldn't tell me when, I suggested that it might be a good idea to put that on their website so people were aware and I got this reply which I am posting for information. Even though it is a shortage in only some areas I can't see why they can't make the info "public", however much I appreciate their individual response to me!

"We are sorry to hear that you are having difficulties obtaining Accu-Chek Multiclix lancets on prescription.

Due to a recent unexpected rise in demand , we have had some shortages regarding the Accu-Chek Multiclix lancets in some areas. However we are working to resolve this situation and in the meantime, we would like to offer you some assistance.

We are happy to inform you that we have sent a box of Accu-Chek Multiclix lancet drums today. Please allow up to 5 working days for delivery, all items are sent by Royal Mail Post.

We apologise for any inconvenience caused and anticipate that this should last you until the shortage in your area is resolved, however, if you do need further assistance in the future, please do not hesitate to call us again"

Jan 15, 2015

Linda flash 13 posts

Topic: General Discussion / Faulty Novopens

HelenP said:
Had a similar issue once and was able to get a syringe from a pharmacy and then dismantle the pen and use the insulin by syringe. From memory it was OK.
Helen

Good idea!
My flex pen failed on me so I changed to the Novo 4 cartridges and had no problem since Smile

Jan 15, 2015

Linda flash 13 posts

Topic: General Discussion / Faulty Novopens

HelenP said:
Had a similar issue once and was able to get a syringe from a pharmacy and then dismantle the pen and use the insulin by syringe. From memory it was OK.
Helen

Good idea!
My flex pen failed on me so I changed to the Novo 4 cartridges and had no problem since Smile

Jan 15, 2015

Linda flash 13 posts

Topic: General Discussion / Driving Licence Renewal

Karl said:
I have recently received a reminder that my 3 year medical driving licence will shortly be expiring. No problem there, fill the forms in and post it back, but on the form it states that by law I have to complete the enclosed Photo Renewal form (D797) - it wasn't enclosed.
Google returned nothing, so I emailed DVLA to get a reply stating

I would advise that you will not be required to submit the form D797 with your application.

I can confirm that there was an error when issuing your renewal reminder.

Just a warning if anybody else gets one.

Thanks for the heads up Smile

Jan 15, 2015

Linda flash 13 posts

Topic: General Discussion / Accu-Chek Multiclix lancet drum supply

Ive not had a problem getting mine,
Been using them since August 2014 and live in Grimsby x

Jan 15, 2015

Peter 109 posts

Topic: General Discussion / Human Interest stories around DAFNE

The DAFNE Executive are also looking for "Human Interest" stories around DAFNE e.g. how the course has helped you to cope with living with diabetes or achieve specific goals.

If you have an interesting story we'd be delighted to hear from you. Please send any contribution you have to me at [email protected]. The intention is to use these stories to help publicise DAFNE, and so they may be shared with external organisations. Please take this into account when writing and do not include any personal information in the text. Ideally the story should be submitted as a file (preferably in .doc format). The text may be of any length and it would be appreciated if contact details (name & e-mail address) are provided along with the story. This will allow any requests for additional or background information to be handled. Note that any request for contact with the author would be handled by a representative of the DAFNE Graduate Group or the DAFNE Executive. Your contact details will not be shared with any other organisations.

Many thanks for your input and I look forward to hearing what DAFNE graduates have achieved after attending the course.

Jan 19, 2015 mum2westiesGill 502 posts	Topic: General Discussion / BG diary help please (2) (mum2westiesGill diary) Thanks for your reply NRB. Corrections are a bit awkward to do seperately because i use the Accu-chek Aviva Expert meter & they are built in with the final dose amount. I am 1u to 3mmol. Any help in identifying trends or any other help ie with targets & ratios will be greatly appreciated. Also any help in saying whether I should be reducing or increasing my basal

Jan 19, 2015 mattc 1 post	Topic: General Discussion / Dafne app problems Simon I am having the same issues. Same version and it crashs when I try to change my ratios in settings. I am not sure what you mean by "spoon your phone" to get at updates. Sorry it is probably me regards Matt

Jan 19, 2015 HelenP 218 posts	Topic: General Discussion / Driving and blood glucose testing I've tried a variety of solutions including keeping one in the car on the passenger seat but nothing beats the carrying one with you wherever you go method. I test whenever I get into the car (on the meter I carry with me). It really does become a habit with enough practice. Surprises me that you can test up to two hours before and expect a valid "over 5 to drive result". We have a similar law here which says that if you have a medical incident you lose your licence for 6 months! One GP suggested I could lose my licence as a "hypo" is an incident...define hypo! When I told him I have 3-4 most weeks I clarified what "hypo" meant but he was unable to categorically define it. The law called "Jett's law" was campaigned for by a police officer mother whose toddler son was run down and killed by a driver having a seizure. The terminology was broadened and made generic to include fainting spells, heart incidents etc but could also include a "hypo". Belief is that it would have to go to court to test the parameters of the law. Helen

Jan 18, 2015 Garry 328 posts	Topic: General Discussion / Driving and blood glucose testing Sorry meltow...didn't answer your question. Her who must be obeyed reminds me! Regards Garry

Jan 18, 2015 Garry 328 posts	Topic: General Discussion / Driving and blood glucose testing In current conditions watch out for low temperatures in the car. You may be inconvenienced by the fact that your meter has gone on strike as the battery is too cold. If possible, keep it on you...in a nice warm pocket. Regards Garry

Jan 18, 2015 meltow 78 posts	Topic: General Discussion / Driving and blood glucose testing Yes, thanks, I don't need any lectures from all you perfect people

Jan 18, 2015 Vickyp 137 posts	Topic: General Discussion / Driving and blood glucose testing That part of the text is same as before revised version, I was diagnosed in 2012 and the information I was given then stated the same. I plan long journeys in advance and look at where service stations are and which I can get to in my 2hour slots. Always prefer to use a service station rather than layby so have somewhere nice to sit if need to raise sugar levels! Like Alan said surprised you're not already doing these tests!!

Jan 18, 2015 Alan 49 284 posts	Topic: General Discussion / Driving and blood glucose testing I'm surprised you're not already doing these tests. Perhaps you should think of it as possibly losing your licence and your job if you don't do these tests.

Jan 18, 2015 meltow 78 posts	Topic: General Discussion / Driving and blood glucose testing The new text in DIAB1 April 2013 revised version is: I have insulin treated diabetes and I understand the need to test my blood glucose/sugar at times relevant to driving (not more than 2 hours before the start of the 1st journey and every 2 hours while driving. The object of this is to ensure the blood glucose is always above 5mmol/l per litre while driving). I do about 20,000 miles a year and most of this is linked to my job. Having just sent the paperwork back to DVLA to renew my licence, I was made very aware of the changes for testing your sugars whilst driving. Up until last week, I had never carried my monitoring kit with me - it lived on one of the kitchen work surfaces. However, I am now the proud owner of 2 monitoring kits, and one is now permanently in my car. All I need to remember now is to actually use it! Any tips from anyone - how do you remember to check your sugars before setting off on a car journey?

Jan 17, 2015 Bananaman 34 posts	Topic: Questions for HCPs / Weight If you have done 3 times that's amazing but after dafne if your eating less your weight could go down and if your control was really bad before dafne it may go up slightly but I wouldnt worry about it unless your 4'2"

Jan 17, 2015 StephenChance 2 posts	Topic: Questions for HCPs / Weight Since Completing DAFNE I Have Not Done Much In Terms Of Gym Etc 5 a Side Football Once a Week and just doing dafne ive lost a stone and a half 12st6 to 11st1 Is This Normal??

Jan 17, 2015 novorapidboi26 1,819 posts	Topic: General Discussion / BG diary help please (2) (mum2westiesGill diary) The only time I can see where there has been no carbs and therefore the only time to speculate about the basal is on Thursday, between 2:00 am and 10:08 am, which would suggest the basal is too due to your BG going from 10.2 to 6.8.......this wouldn't be enough alone to say for sure though............. Don't know what corrections you have done either, so don't know what advice to give with your ratios either........ sorry........

Jan 17, 2015 mum2westiesGill 502 posts	Topic: General Discussion / BG diary help please (2) (mum2westiesGill diary) Any help in identifying trends or any other help ie with targets & ratios will be greatly appreciated. Also any help in saying whether I should be reducing or increasing my basal

Jan 17, 2015 alturn 78 posts	Topic: General Discussion / Faulty Novopens I've had no problems with Novapen 3's apart from the plunger sometimes not depressing smoothly, but that could be related to an awkward angle. I have two Novapen 4's as spares but have never used them (might be a good idea to try them before need to use them for real). However, I do leave them at home when away for a few days (but can get home again easily), but would probably take them on a longer trip or going a long distance - think these were prescribed by the DSN's on the DAFNE course. And is it Ok to swop a part-used cartridge from one pen to another (thought I read somewhere to always use a new cartridge)? I suppose if I had to swop, then I would as don't usually have a spare cartridge at room temperature.

Jan 17, 2015 Allan P 3 posts	Topic: General Discussion / Faulty Novopens I've never had a problem with any pen I've used. I've had a cracked cartridge like Phil Masked and I do suffer on a regular basis with forgetting to take pens out like Wigworld. Only time I have had a plunger not fully depress was with the old novapen 2 when there were not enough insulin in the cartridge. It would let you dial up the amount you required but would not depress. The new pens stop at the amount of insulin left in the cartridge which is a great help. Well... sometimes if I remember to check before leaving home. If you do forget guys and girls to take any medication then around London, there are plenty of walk in centre's to pick up a prescription, any a and e department or NHS direct and they should be able to help with finding a doctor to prescribe and a pharmacy that will be open. The other thing you could do is ask your GP for an emergency prescription to carry with you in purse or wallet to use in emergencies. As you can I've used these a lot....

Jan 17, 2015 ZhenYuan 1 post	Topic: General Discussion / Bg readings before reviews BG READINGS

Jan 16, 2015 dunkers7 24 posts	Topic: Questions for HCPs / BI dose Hi John, Again not an HCP, but I do exercise anaerobically. Consider your weightlifting as anaerobic exercise. Anaerobic exercise can increase your BG, it sounds likely that the weight session is the cause for your BG increase rather than BI. Probably worth testing your BG on a rest day morning anyway though so you can isolate what's happening with your morning BG when you don't do weights. One thing to be aware of is that, with Anaerobic exercise, it does increase your BG initially, but your BG may begin to drop 1-2 hours later because your liver needs to replenish it's glucose supply, so do be careful not to over correct with QA insulin.

Jan 16, 2015 DianeW 115 posts	Topic: General Discussion / Accu-Chek Multiclix lancet drum supply Well after being told by them that these would be discontinued but couldn't tell me when, I suggested that it might be a good idea to put that on their website so people were aware and I got this reply which I am posting for information. Even though it is a shortage in only some areas I can't see why they can't make the info "public", however much I appreciate their individual response to me! "We are sorry to hear that you are having difficulties obtaining Accu-Chek Multiclix lancets on prescription. Due to a recent unexpected rise in demand , we have had some shortages regarding the Accu-Chek Multiclix lancets in some areas. However we are working to resolve this situation and in the meantime, we would like to offer you some assistance. We are happy to inform you that we have sent a box of Accu-Chek Multiclix lancet drums today. Please allow up to 5 working days for delivery, all items are sent by Royal Mail Post. We apologise for any inconvenience caused and anticipate that this should last you until the shortage in your area is resolved, however, if you do need further assistance in the future, please do not hesitate to call us again"

Jan 15, 2015 Linda flash 13 posts	Topic: General Discussion / Faulty Novopens HelenP said: Had a similar issue once and was able to get a syringe from a pharmacy and then dismantle the pen and use the insulin by syringe. From memory it was OK. Helen Good idea! My flex pen failed on me so I changed to the Novo 4 cartridges and had no problem since

Jan 15, 2015 Linda flash 13 posts	Topic: General Discussion / Faulty Novopens HelenP said: Had a similar issue once and was able to get a syringe from a pharmacy and then dismantle the pen and use the insulin by syringe. From memory it was OK. Helen Good idea! My flex pen failed on me so I changed to the Novo 4 cartridges and had no problem since

Jan 15, 2015 Linda flash 13 posts	Topic: General Discussion / Driving Licence Renewal Karl said: I have recently received a reminder that my 3 year medical driving licence will shortly be expiring. No problem there, fill the forms in and post it back, but on the form it states that by law I have to complete the enclosed Photo Renewal form (D797) - it wasn't enclosed. Google returned nothing, so I emailed DVLA to get a reply stating I would advise that you will not be required to submit the form D797 with your application. I can confirm that there was an error when issuing your renewal reminder. Just a warning if anybody else gets one. Thanks for the heads up

Jan 15, 2015 Linda flash 13 posts	Topic: General Discussion / Accu-Chek Multiclix lancet drum supply Ive not had a problem getting mine, Been using them since August 2014 and live in Grimsby x

Jan 15, 2015 Peter 109 posts	Topic: General Discussion / Human Interest stories around DAFNE The DAFNE Executive are also looking for "Human Interest" stories around DAFNE e.g. how the course has helped you to cope with living with diabetes or achieve specific goals. If you have an interesting story we'd be delighted to hear from you. Please send any contribution you have to me at [email protected]. The intention is to use these stories to help publicise DAFNE, and so they may be shared with external organisations. Please take this into account when writing and do not include any personal information in the text. Ideally the story should be submitted as a file (preferably in .doc format). The text may be of any length and it would be appreciated if contact details (name & e-mail address) are provided along with the story. This will allow any requests for additional or background information to be handled. Note that any request for contact with the author would be handled by a representative of the DAFNE Graduate Group or the DAFNE Executive. Your contact details will not be shared with any other organisations. Many thanks for your input and I look forward to hearing what DAFNE graduates have achieved after attending the course.