Recent Posts - DAFNE Online

Jan 5, 2015

Garry 328 posts

Hi John. Happy New Year.
Perhaps your exercise is strenuous enough to increase your insulin resistance, contributing to the rise. We of course release Epinephrine, or adrenaline for 'Fight-or-Flight' and this makes us insulin resistant.
You may wish to consider splitting the BI between morning and night too.
Regards
Garry

Jan 5, 2015

Garry 328 posts

Topic: Questions for HCPs / BI dose

Hi John. I am not a HCP and am a Graduate like yourself.
Perhaps your exercise is strenuous enough to increase your insulin resistance, contributing to the rise. We of course release Epinephrine, or adrenaline for 'Fight-or-Flight' and this makes us insulin resistant.
You may wish to consider splitting the BI between morning and night too.
Regards
Garry

Jan 5, 2015

John Marrable 11 posts

Topic: Questions for HCPs / BI dose

Hi All (and happy new year!)

I have taken this week off work to experiment with my BI dose, exercise regime and then QA ratio's and would welcome any help/insight you could offer.

In terms of my current state I am taking 20u of BI (lantus) before bed. What I am noticing is that when I test in the morning my blood glucose level has dropped over 2-3 mmol/l. To me this suggests that the BI dose of 20u is too high.

However, the problem I have is that my blood glucose level rises between waking up (7am) and lunch time (12-1pm) even without any carbohydrate portions. Therefore my concern is that dropping the BI below 20u will cause my blood glucose levels to rise even higher before lunch. What I should mention (which may be a factor) is that I exercise 20-30 mins (weight lifting) each morning between 7-7:30am. I am not taking any carbohydrate portions or QA insulin between waking up and lunch (I am only exercising).

Any help would be greatly appreciated

Jan 5, 2015

John Marrable 11 posts

Topic: General Discussion / BI

Hi All (and happy new year!)

I have taken this week off work to experiment with my BI dose, exercise regime and then QA ratio's and would welcome any help/insight you could offer.

In terms of my current state I am taking 20u of BI (lantus) before bed. What I am noticing is that when I test in the morning my blood glucose level has dropped over 2-3 mmol/l. To me this suggests that the BI dose of 20u is too high.

However, the problem I have is that my blood glucose level rises between waking up (7am) and lunch time (12-1pm) even without any carbohydrate portions. Therefore my concern is that dropping the BI below 20u will cause my blood glucose levels to rise even higher before lunch. What I should mention (which may be a factor) is that I exercise 20-30 mins (weight lifting) each morning between 7-7:30am. I am not taking any carbohydrate portions or QA insulin between waking up and lunch (I am only exercising).

Any help would be greatly appreciated Smile

Jan 2, 2015

Rafa 99 posts

Topic: General Discussion / Happy New Year

Yes Happy New Year to all!

Jan 1, 2015

Simon 578 posts

Topic: General Discussion / Happy New Year

Hi Garry,

Thanks, a very Happy New Year to you and the rest of our DAFNE Online community.

All the best!

Dec 31, 2014

Garry 328 posts

Topic: General Discussion / Happy New Year

I wish us all a healthy New Year.
Best Wishes of the Season.

Regards
Garry Laughing

Dec 30, 2014

Simon 578 posts

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

BeccyB said:
I don't suppose anyone has gone through airport security with a Libre yet??

I was having a general conversation about airports with someone and suddenly wondered what they would make of the sensor?!

If nobody else reports before August I shall find out myself :-)

I visited New York in November and coming through security in Manchester I had my libre sensor on, I didn't even beep as I went through the scanner. My sensor had run out by the time I was coming back the other wat so can't comment on US Airport security, but I was fine in the UK.

Dec 30, 2014

Phil Maskell 194 posts

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

I expect with a GP letter airports should be fine, I'm not a pumper, but I assume they let pumps through Very Happy

Dec 30, 2014

BeccyB 50 posts

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

I don't suppose anyone has gone through airport security with a Libre yet??

I was having a general conversation about airports with someone and suddenly wondered what they would make of the sensor?!

If nobody else reports before August I shall find out myself :-)

Dec 29, 2014

hld1904 5 posts

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

Peter said:
Mark, I remain convinced that you are testing equipment which will be standard in a few years time. It's as big a change as the move from urine testing to blood glucose monitoring and as such it will take time for the cost to reduce, for the technology to improve and for the likes of the DVLA to "accept" the readings. On the latter point, when I get one (no if in this sentence) then I will not be testing with a monitor before driving and will be happy to argue the case with the DVLA. In my opinion its clear that knowledge of the rate and direction of change in BG gives far more useful information than a slightly more accurate single reading with no information about direction of change.

Anyway, please continue with the updates, even though they're making me jealous javascript:emoticon('')

In terms of questions, do Abbott give any advice on injecting in the same arm as the sensor is attached?

Hi Peter, at my DAFNE refresher we were told that it is now recommended to NOT inject in the arm. They are saying to use stomach, thighs and bum. Might be worth checking with your DAFNE rep.

Dec 29, 2014

gawleys 1 post

Topic: General Discussion / Help with Blood Sugars

I don't know if this will help. I think it is a very individual thing. I have had Type 1 now for nearly 21 years and have always had reasonable control with Hba1C readings in the right range. I never counted carbs in vegetables.

Following an illness this year I now have to take steroids. As we all know this plays havoc with BG control. I have just managed to regain some control but I now have to count my vegetables, root vegs, squashes, peas, even tomatoes.

I think we all have to act on our individual experiences. If you show a trend following certain foods then I think action should be taken.

Derek, I expect you have weighing scales, I would establish the carb content of your vegetables and would start by increasing insulin for half that amount, and then carry on increasing until desired BG is achieved. Good Luck

Dec 27, 2014

JayBee 587 posts

Topic: General Discussion / Help with Blood Sugars

What happens with your BGs when you have a less veg heavy breakfast for comparison?

I agree with stephen that the release is too slow to bother counting, though I think it may matter with a large amount. I'm not sure what the amount is exactly though, sorry. Sad

Most of the time I do not worry about veg, especially if having with other carbohydrates as well. I exercise eating with carbs for protein after reading Ginger Vieira's "Your Diabetes Science Experiment" . I will rarely eat meat foods on their own now because I don't know how much insulin I'll need to take (because it apparently converts into carbs), but if I stick to low amounts of veg, I don't worry.

Body's are complicated things and it's definitely within the realms of possibility that our body's will all have different needs. Hope y'all can find yours sooner rather than later.

Dec 27, 2014

JayBee 587 posts

Topic: General Discussion / BG Control

Welcome mins.

Have you done the DAFNE course?

How often do you go as high as 20BG after lunch? 20BG is very high at the 3 hour insulin working mark (you've not stated what insulins you take so I'm going to assume your QA is one that can work 2-5 hours).

If you are still very high despite a correction mid-QA working time, you may have to up your lunchtime ratio to 1.5QA:1CP and see what that does for a couple of days. However, another thing to factor in is your carbohydrate counting - how sure were you of your total? Was it guesswork?

How confident are you in your BI? Does it hold you steady?

Sorry about all the questions. Hope you're doing okay.

Dec 27, 2014

stephenbrowne 37 posts

Topic: General Discussion / Help with Blood Sugars

Hi derekh1967,
I may be wrong about this but my impression is that if the CHO count from the vegetables is reasonably low one can ignore it. I think that 85 g CHO may be a fairly hefty amount and it is possible that you may need to count the vegetables in your CHO if more than say 30G but perhaps at 30-50% of their true value. I.e 85g as if they were 30-40 G. I have had type 1 diabetes for 47 years and have been carbohydrate counting all that time but my experience has been that I do have to count some items which in theory one should be able to ignore but it depends on the amount. Thus if I have one or two vegetarian(soya) sausages I can disregard it but if I were to have 3 or 4 at one meal I may need to allow a little insulin bolus increment to cover it. I do realise that everyone is different and what works for me may not work for you. I think DAFNE rules are very helpful in general but may need a bit of tweaking for individual cases ( I do hope this is not regrded as heretical ! ).
Interesting to see what others think.
All the best
sb

Dec 24, 2014

derekh1965 95 posts

Topic: General Discussion / Help with Blood Sugars

sorry, meant to say for my breakfast I had 100g of carbs of which 85g was from vegetables

Dec 24, 2014

derekh1965 95 posts

Topic: General Discussion / Help with Blood Sugars

Hi All,
Happy Christmas to you all.
I have a question and some advice about injecting for vegetables.
I follow the dafne rules of not injecting for vegetables but my BS always goes high.
Today breakfast at 8:45 my BS was 8.7 and I just checked at 13:10 and my BS was at 13.5. 4.5hrs later, using the 3-5hr duration I would think the insulin would have ran out.

Dec 23, 2014

hypo 18 posts

Topic: Questions for HCPs / Bread

I've always been told that wholemeal is best.

Dec 23, 2014

Bananaman 34 posts

Topic: Questions for HCPs / Bread

What bread is best for diabetics before bed is it wholemeal or brown.

Dec 23, 2014

Mins 4 posts

Topic: General Discussion / BG Control

Mins said:
Hi
I am finding it difficult lately in controlling my blood glucose and intake of insulin combined.

My BG readings are very irregular eg. 7am readings from low as 3.4 and sometimes 12.4

I take BI - (am) 8units - (pm) 7units
QA - variance

even during the day I get various readings from 1.9 - 10.3?

Dec 23, 2014

Mins 4 posts

Topic: General Discussion / BG Control

Hi
I am finding it difficult lately in controlling my blood glucose and intake of insulin combined.

My BG readings are very irregular eg. 7am readings from low as 3.4 and sometimes 12.4

I take BI - (am) 8units - (pm) 7units
QA - variance

even during the day I get various readings from 1.9 - 10.3?

Dec 16, 2014

Simon 578 posts

Topic: General Discussion / Dafne app problems

Hi Sarah,

We've released a few updates on the App Store since 2.0.3. If you open the App Store spoon your phone and choose updates you should see one available for DAFNE Online.

Thanks,
Simon

Jan 5, 2015 Garry 328 posts	Topic: General Discussion / BI Hi John. Happy New Year. Perhaps your exercise is strenuous enough to increase your insulin resistance, contributing to the rise. We of course release Epinephrine, or adrenaline for 'Fight-or-Flight' and this makes us insulin resistant. You may wish to consider splitting the BI between morning and night too. Regards Garry

Jan 5, 2015 Garry 328 posts	Topic: Questions for HCPs / BI dose Hi John. I am not a HCP and am a Graduate like yourself. Perhaps your exercise is strenuous enough to increase your insulin resistance, contributing to the rise. We of course release Epinephrine, or adrenaline for 'Fight-or-Flight' and this makes us insulin resistant. You may wish to consider splitting the BI between morning and night too. Regards Garry

Jan 5, 2015 John Marrable 11 posts	Topic: Questions for HCPs / BI dose Hi All (and happy new year!) I have taken this week off work to experiment with my BI dose, exercise regime and then QA ratio's and would welcome any help/insight you could offer. In terms of my current state I am taking 20u of BI (lantus) before bed. What I am noticing is that when I test in the morning my blood glucose level has dropped over 2-3 mmol/l. To me this suggests that the BI dose of 20u is too high. However, the problem I have is that my blood glucose level rises between waking up (7am) and lunch time (12-1pm) even without any carbohydrate portions. Therefore my concern is that dropping the BI below 20u will cause my blood glucose levels to rise even higher before lunch. What I should mention (which may be a factor) is that I exercise 20-30 mins (weight lifting) each morning between 7-7:30am. I am not taking any carbohydrate portions or QA insulin between waking up and lunch (I am only exercising). Any help would be greatly appreciated

Jan 5, 2015 John Marrable 11 posts	Topic: General Discussion / BI Hi All (and happy new year!) I have taken this week off work to experiment with my BI dose, exercise regime and then QA ratio's and would welcome any help/insight you could offer. In terms of my current state I am taking 20u of BI (lantus) before bed. What I am noticing is that when I test in the morning my blood glucose level has dropped over 2-3 mmol/l. To me this suggests that the BI dose of 20u is too high. However, the problem I have is that my blood glucose level rises between waking up (7am) and lunch time (12-1pm) even without any carbohydrate portions. Therefore my concern is that dropping the BI below 20u will cause my blood glucose levels to rise even higher before lunch. What I should mention (which may be a factor) is that I exercise 20-30 mins (weight lifting) each morning between 7-7:30am. I am not taking any carbohydrate portions or QA insulin between waking up and lunch (I am only exercising). Any help would be greatly appreciated

Jan 2, 2015 Rafa 99 posts	Topic: General Discussion / Happy New Year Yes Happy New Year to all!

Jan 1, 2015 Simon 578 posts	Topic: General Discussion / Happy New Year Hi Garry, Thanks, a very Happy New Year to you and the rest of our DAFNE Online community. All the best!

Dec 31, 2014 Garry 328 posts	Topic: General Discussion / Happy New Year I wish us all a healthy New Year. Best Wishes of the Season. Regards Garry

Dec 30, 2014 Simon 578 posts	Topic: General Discussion / Cyborg Times (new BG meter) BeccyB said: I don't suppose anyone has gone through airport security with a Libre yet?? I was having a general conversation about airports with someone and suddenly wondered what they would make of the sensor?! If nobody else reports before August I shall find out myself :-) I visited New York in November and coming through security in Manchester I had my libre sensor on, I didn't even beep as I went through the scanner. My sensor had run out by the time I was coming back the other wat so can't comment on US Airport security, but I was fine in the UK.

Dec 30, 2014 Phil Maskell 194 posts	Topic: General Discussion / Cyborg Times (new BG meter) I expect with a GP letter airports should be fine, I'm not a pumper, but I assume they let pumps through

Dec 30, 2014 BeccyB 50 posts	Topic: General Discussion / Cyborg Times (new BG meter) I don't suppose anyone has gone through airport security with a Libre yet?? I was having a general conversation about airports with someone and suddenly wondered what they would make of the sensor?! If nobody else reports before August I shall find out myself :-)

Dec 29, 2014 hld1904 5 posts	Topic: General Discussion / Cyborg Times (new BG meter) Peter said: Mark, I remain convinced that you are testing equipment which will be standard in a few years time. It's as big a change as the move from urine testing to blood glucose monitoring and as such it will take time for the cost to reduce, for the technology to improve and for the likes of the DVLA to "accept" the readings. On the latter point, when I get one (no if in this sentence) then I will not be testing with a monitor before driving and will be happy to argue the case with the DVLA. In my opinion its clear that knowledge of the rate and direction of change in BG gives far more useful information than a slightly more accurate single reading with no information about direction of change. Anyway, please continue with the updates, even though they're making me jealous javascript:emoticon('') In terms of questions, do Abbott give any advice on injecting in the same arm as the sensor is attached? Hi Peter, at my DAFNE refresher we were told that it is now recommended to NOT inject in the arm. They are saying to use stomach, thighs and bum. Might be worth checking with your DAFNE rep.

Dec 29, 2014 gawleys 1 post	Topic: General Discussion / Help with Blood Sugars I don't know if this will help. I think it is a very individual thing. I have had Type 1 now for nearly 21 years and have always had reasonable control with Hba1C readings in the right range. I never counted carbs in vegetables. Following an illness this year I now have to take steroids. As we all know this plays havoc with BG control. I have just managed to regain some control but I now have to count my vegetables, root vegs, squashes, peas, even tomatoes. I think we all have to act on our individual experiences. If you show a trend following certain foods then I think action should be taken. Derek, I expect you have weighing scales, I would establish the carb content of your vegetables and would start by increasing insulin for half that amount, and then carry on increasing until desired BG is achieved. Good Luck

Dec 27, 2014 JayBee 587 posts	Topic: General Discussion / Help with Blood Sugars What happens with your BGs when you have a less veg heavy breakfast for comparison? I agree with stephen that the release is too slow to bother counting, though I think it may matter with a large amount. I'm not sure what the amount is exactly though, sorry. Most of the time I do not worry about veg, especially if having with other carbohydrates as well. I exercise eating with carbs for protein after reading Ginger Vieira's "Your Diabetes Science Experiment" . I will rarely eat meat foods on their own now because I don't know how much insulin I'll need to take (because it apparently converts into carbs), but if I stick to low amounts of veg, I don't worry. Body's are complicated things and it's definitely within the realms of possibility that our body's will all have different needs. Hope y'all can find yours sooner rather than later.

Dec 27, 2014 JayBee 587 posts	Topic: General Discussion / BG Control Welcome mins. Have you done the DAFNE course? How often do you go as high as 20BG after lunch? 20BG is very high at the 3 hour insulin working mark (you've not stated what insulins you take so I'm going to assume your QA is one that can work 2-5 hours). If you are still very high despite a correction mid-QA working time, you may have to up your lunchtime ratio to 1.5QA:1CP and see what that does for a couple of days. However, another thing to factor in is your carbohydrate counting - how sure were you of your total? Was it guesswork? How confident are you in your BI? Does it hold you steady? Sorry about all the questions. Hope you're doing okay.

Dec 27, 2014 stephenbrowne 37 posts	Topic: General Discussion / Help with Blood Sugars Hi derekh1967, I may be wrong about this but my impression is that if the CHO count from the vegetables is reasonably low one can ignore it. I think that 85 g CHO may be a fairly hefty amount and it is possible that you may need to count the vegetables in your CHO if more than say 30G but perhaps at 30-50% of their true value. I.e 85g as if they were 30-40 G. I have had type 1 diabetes for 47 years and have been carbohydrate counting all that time but my experience has been that I do have to count some items which in theory one should be able to ignore but it depends on the amount. Thus if I have one or two vegetarian(soya) sausages I can disregard it but if I were to have 3 or 4 at one meal I may need to allow a little insulin bolus increment to cover it. I do realise that everyone is different and what works for me may not work for you. I think DAFNE rules are very helpful in general but may need a bit of tweaking for individual cases ( I do hope this is not regrded as heretical ! ). Interesting to see what others think. All the best sb

Dec 24, 2014 derekh1965 95 posts	Topic: General Discussion / Help with Blood Sugars sorry, meant to say for my breakfast I had 100g of carbs of which 85g was from vegetables

Dec 24, 2014 derekh1965 95 posts	Topic: General Discussion / Help with Blood Sugars Hi All, Happy Christmas to you all. I have a question and some advice about injecting for vegetables. I follow the dafne rules of not injecting for vegetables but my BS always goes high. Today breakfast at 8:45 my BS was 8.7 and I just checked at 13:10 and my BS was at 13.5. 4.5hrs later, using the 3-5hr duration I would think the insulin would have ran out.

Dec 23, 2014 hypo 18 posts	Topic: Questions for HCPs / Bread I've always been told that wholemeal is best.

Dec 23, 2014 Bananaman 34 posts	Topic: Questions for HCPs / Bread What bread is best for diabetics before bed is it wholemeal or brown.

Dec 23, 2014 Mins 4 posts	Topic: General Discussion / BG Control Mins said: Hi I am finding it difficult lately in controlling my blood glucose and intake of insulin combined. My BG readings are very irregular eg. 7am readings from low as 3.4 and sometimes 12.4 I take BI - (am) 8units - (pm) 7units QA - variance even during the day I get various readings from 1.9 - 10.3?

Dec 23, 2014 Mins 4 posts	Topic: General Discussion / BG Control Hi I am finding it difficult lately in controlling my blood glucose and intake of insulin combined. My BG readings are very irregular eg. 7am readings from low as 3.4 and sometimes 12.4 I take BI - (am) 8units - (pm) 7units QA - variance even during the day I get various readings from 1.9 - 10.3?

Dec 16, 2014 Simon 578 posts	Topic: General Discussion / Dafne app problems Hi Sarah, We've released a few updates on the App Store since 2.0.3. If you open the App Store spoon your phone and choose updates you should see one available for DAFNE Online. Thanks, Simon