Recent Posts - DAFNE Online

Jan 12, 2015

snow123 13 posts

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

I had the same a while ago but accu chek sent me a smaller pack to be going on with.

Jan 12, 2015

Vickyp 135 posts

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

I had this a while ago now and went to a different pharmacy, in nearby town, as it had a different supplier and no issues....this was probably about 9months ago haven't had any issues since

Jan 12, 2015

stephenbrowne 37 posts

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

Hi HelenP, I have been very reluctant to undertake international travel with my insulin pump and backup Humapen and Novopen as well as Feestyle libre. I would not want to become embroiled in altercations at airports. You describe the sort of problem that I am anxious to avoid. Glad you were able to stand your ground successfully. Well done !

Jan 12, 2015

DianeW 115 posts

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

Anyone experience a problem in getting the lancet drums for this finger pricking device? I ordered some on 23rd December and was told today by the pharmacist that she had problems in getting supplies, so that's 3 weeks now. She said to phone Accu-Chek to get "emergency" supplies.

Jan 12, 2015

Phil Maskell 194 posts

Topic: General Discussion / Anaerobic exercise and rising sugar levels

Hi,

From what I've found, most exercise (something that gets heart rate going, not just walking) will dump glycogen/glucose for the first hour (or longer if your bigger or more musclar) until muscles/liver have none left, then if you do prolonged exercise your BG will drop as this glucose is used. Non diabetic cyclist train to do this, known as a glycogen ride, they train with little or no sugar on board, a) to burn fat, b) to be better in races when they have extra sugar on board. As diabetics we can't easily do this, but good to know about this sugar dump.

It was strange when I first started exercising a lot, at school I always assumed exercise lowered BG, turns out I wasn't pushing myself enough, coz if you do it goes up! This makes it awkward to control, you need some QA onboard for the first hours dump, but not too much coz prolonged activity, it will drop after. From that point for me I am constantly eating during cycling, not sure you'll have this issue with weight-lifting, but what will happen if take QA for this dump is after the session your muscles will relax and try to replenish the glycogen./glucose which will come from the blood, so hours after a good workout you could go hypo.

I know this is a bit of a ramble, hope it makes sense and helps.

Phil

EDIT: Just realised I waffled on, but didn't really answer your question, yes BG will go up anyway if you push hard enough, so carbs on board will probably make it worse.

Jan 11, 2015

meltow 78 posts

Topic: General Discussion / Driving Licence Renewal

Yes, another 3 years has gone by, and the renewal of my licence is now due, and the envelope from DVLA arrived on Saturday. Only 3 forms to complete this time, but once again, a jumbled mess of papers within the envelope. No photo to provide this time, phew! I'm never happy sending off my current licence....... Confused

Jan 11, 2015

John Marrable 11 posts

Topic: General Discussion / Anaerobic exercise and rising sugar levels

As I understand it when you perform anaerobic exercise (such as weightlifting) the liver and muscles will produce stored glycogen which converts into glucose for energy causing the blood sugar levels to rise. Would eating carbohydrates prior to this type of exercise stop the liver and muscles producing glycogen (as the glucose can be taken from the carbohydrates) or would the liver and muscles produce glycogen anyway?

Kind regards

John

Jan 10, 2015

HelenP 218 posts

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

I had trouble with my pump at Singapore...the officious attendant, after I had told her I had an insulin pump and presented the accompanying kit and paperwork, wanted to put it through the scanner (not the walk through). She also wanted me to take the pump off so she could take it somewhere else for examination. I objected and she then wanted me to dismantle the pump to ensure there were no drugs in either the battery compartment or the cartridge compartment. I tried to explain the ramifications...and the time that it would take to do this etc. Finally a man, about 30 came and just waved me through! We were on transfer and if they had held me up much longer, me and about 20 others (complaining passengers because of the delay) would have missed our flight back to Australia.

I have done a fair bit of international travel and that is about all the trouble i have ever had...that and a reminder to not activate my Frio pouch until through the first check at the airport. More than 100mL of "liquid"!

Helen

Jan 10, 2015

Faulty Headl... 18 posts

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

Just wondering about meters, pumps and so on. You know the way now you have to have your phone charged so you can show it working or they take it off you? is it the same for our diabetic devices?

Jan 9, 2015

John Marrable 11 posts

Topic: General Discussion / BI

Firstly, thank you all for responding, the insight is really useful. Following consecutive nights of hypos I have now reduced by BI from 24u to 18u. I am injecting 2u of QA prior to exercise and this has helped to offset what I guess is the natural release of glucose from the body (provoked by the weightlifting). As you guys say - trial and error is the best bet using the dafne principles for guidance.

Suec - many thanks for the recommendation. I have just bought the book on Amazon. Only Â£6!

Kind regards

John

Jan 9, 2015

suec 5 posts

Topic: General Discussion / BI

Hi John, individual experimentation and frequent testing is the key there is a very good book ''Your Diabetes Science Experiment'' by Ginger Vieira which gives advice on this and lots of useful background information on exercise and managing diet and insulin.

Jan 7, 2015

BeccyB 50 posts

Topic: General Discussion / BI

I knew there was a reason why I avoid strenuous exercise Laughing

Jan 6, 2015

Phil Maskell 194 posts

Topic: General Discussion / BI

I agree with Gary & Mark, I probably wouldn't split the Lantus, maybe lower it if you're dropping and give a little bit of QA for the exercise.

I am a keen cyclist and found this when I first started, I always assumed exercise just lowered BG, but I have found an early morning ride with no carbs or QA, if I push it really hard my BG will rocket for the first hour as hormones and liver kick in, any longer on the bike and the BG will lower, but not as much as you expect without a bit of QA, with exercise especially prolonged it is a fine line between some QA for the liver/muscle glycogen/glucose dump and too much, still not mastered this yet, if you do try a bit of QA as I suggested, have some sugar ready! Also if its prolonged exercise remember what Mark said that you may need to lower, even half your QA for the next few meals.

Hope this rambling makes sense and helps.

Jan 5, 2015

marke 655 posts

Topic: General Discussion / BI

word of caution, as ever, if you consider splitting your BI dose discuss this with your Diabetes team first. Generally people split BI dose when on Levimir rather than Lantus, since Lantus does tend to last longer. Its not impossible to split Lantus just a bit more unusual.
I agree that exercise may wel lbe increasing your BG. Also remember that exercise can cause your BG to drop for around 24 hours so
it may be a reason for the drop overnight rather than just BI being too high.
Sadly there is no 'correct' answer so experimentation is the only way to test how it works on you as an individual....

Jan 5, 2015

John Marrable 11 posts

Topic: Questions ? / BI dose

Thanks Gary, that is very helpful.

I wondered whether the rise after weightlifting may be due to my liver releasing glucose as a response to the high intensity exercise and that due to there being no QA insulin present the glucose is not able to be converted into energy hence causing the rise. As such, my plan is to inject 1u of QA insulin immediately before exercise (even without any carbohydrate portions to see what impact this has). Any thoughts on this as a potential solution? Of course I will carry hypo treatment (just in case it swings the other way!)

John

Jan 5, 2015

John Marrable 11 posts

Topic: General Discussion / BI

Thanks Gary, that is very helpful.

I wondered whether the rise after weightlifting may be due to my liver releasing glucose as a response to the high intensity exercise and that due to there being no QA insulin present the glucose is not able to be converted into energy hence causing the rise. As such, my plan is to inject 1u of QA insulin immediately before exercise (even without any carbohydrate portions to see what impact this has). Any thoughts on this as a potential solution? Of course I will carry hypo treatment (just in case it swings the other way!)

John

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 ? / 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 ? / 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 574 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 574 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.

Jan 12, 2015 snow123 13 posts	Topic: General Discussion / Accu-Chek Multiclix lancet drum supply I had the same a while ago but accu chek sent me a smaller pack to be going on with.

Jan 12, 2015 Vickyp 135 posts	Topic: General Discussion / Accu-Chek Multiclix lancet drum supply I had this a while ago now and went to a different pharmacy, in nearby town, as it had a different supplier and no issues....this was probably about 9months ago haven't had any issues since

Jan 12, 2015 stephenbrowne 37 posts	Topic: General Discussion / Cyborg Times (new BG meter) Hi HelenP, I have been very reluctant to undertake international travel with my insulin pump and backup Humapen and Novopen as well as Feestyle libre. I would not want to become embroiled in altercations at airports. You describe the sort of problem that I am anxious to avoid. Glad you were able to stand your ground successfully. Well done !

Jan 12, 2015 DianeW 115 posts	Topic: General Discussion / Accu-Chek Multiclix lancet drum supply Anyone experience a problem in getting the lancet drums for this finger pricking device? I ordered some on 23rd December and was told today by the pharmacist that she had problems in getting supplies, so that's 3 weeks now. She said to phone Accu-Chek to get "emergency" supplies.

Jan 12, 2015 Phil Maskell 194 posts	Topic: General Discussion / Anaerobic exercise and rising sugar levels Hi, From what I've found, most exercise (something that gets heart rate going, not just walking) will dump glycogen/glucose for the first hour (or longer if your bigger or more musclar) until muscles/liver have none left, then if you do prolonged exercise your BG will drop as this glucose is used. Non diabetic cyclist train to do this, known as a glycogen ride, they train with little or no sugar on board, a) to burn fat, b) to be better in races when they have extra sugar on board. As diabetics we can't easily do this, but good to know about this sugar dump. It was strange when I first started exercising a lot, at school I always assumed exercise lowered BG, turns out I wasn't pushing myself enough, coz if you do it goes up! This makes it awkward to control, you need some QA onboard for the first hours dump, but not too much coz prolonged activity, it will drop after. From that point for me I am constantly eating during cycling, not sure you'll have this issue with weight-lifting, but what will happen if take QA for this dump is after the session your muscles will relax and try to replenish the glycogen./glucose which will come from the blood, so hours after a good workout you could go hypo. I know this is a bit of a ramble, hope it makes sense and helps. Phil EDIT: Just realised I waffled on, but didn't really answer your question, yes BG will go up anyway if you push hard enough, so carbs on board will probably make it worse.

Jan 11, 2015 meltow 78 posts	Topic: General Discussion / Driving Licence Renewal Yes, another 3 years has gone by, and the renewal of my licence is now due, and the envelope from DVLA arrived on Saturday. Only 3 forms to complete this time, but once again, a jumbled mess of papers within the envelope. No photo to provide this time, phew! I'm never happy sending off my current licence.......

Jan 11, 2015 John Marrable 11 posts	Topic: General Discussion / Anaerobic exercise and rising sugar levels As I understand it when you perform anaerobic exercise (such as weightlifting) the liver and muscles will produce stored glycogen which converts into glucose for energy causing the blood sugar levels to rise. Would eating carbohydrates prior to this type of exercise stop the liver and muscles producing glycogen (as the glucose can be taken from the carbohydrates) or would the liver and muscles produce glycogen anyway? Kind regards John

Jan 10, 2015 HelenP 218 posts	Topic: General Discussion / Cyborg Times (new BG meter) I had trouble with my pump at Singapore...the officious attendant, after I had told her I had an insulin pump and presented the accompanying kit and paperwork, wanted to put it through the scanner (not the walk through). She also wanted me to take the pump off so she could take it somewhere else for examination. I objected and she then wanted me to dismantle the pump to ensure there were no drugs in either the battery compartment or the cartridge compartment. I tried to explain the ramifications...and the time that it would take to do this etc. Finally a man, about 30 came and just waved me through! We were on transfer and if they had held me up much longer, me and about 20 others (complaining passengers because of the delay) would have missed our flight back to Australia. I have done a fair bit of international travel and that is about all the trouble i have ever had...that and a reminder to not activate my Frio pouch until through the first check at the airport. More than 100mL of "liquid"! Helen

Jan 10, 2015 Faulty Headl... 18 posts	Topic: General Discussion / Cyborg Times (new BG meter) Just wondering about meters, pumps and so on. You know the way now you have to have your phone charged so you can show it working or they take it off you? is it the same for our diabetic devices?

Jan 9, 2015 John Marrable 11 posts	Topic: General Discussion / BI Firstly, thank you all for responding, the insight is really useful. Following consecutive nights of hypos I have now reduced by BI from 24u to 18u. I am injecting 2u of QA prior to exercise and this has helped to offset what I guess is the natural release of glucose from the body (provoked by the weightlifting). As you guys say - trial and error is the best bet using the dafne principles for guidance. Suec - many thanks for the recommendation. I have just bought the book on Amazon. Only Â£6! Kind regards John

Jan 9, 2015 suec 5 posts	Topic: General Discussion / BI Hi John, individual experimentation and frequent testing is the key there is a very good book ''Your Diabetes Science Experiment'' by Ginger Vieira which gives advice on this and lots of useful background information on exercise and managing diet and insulin.

Jan 7, 2015 BeccyB 50 posts	Topic: General Discussion / BI I knew there was a reason why I avoid strenuous exercise

Jan 6, 2015 Phil Maskell 194 posts	Topic: General Discussion / BI I agree with Gary & Mark, I probably wouldn't split the Lantus, maybe lower it if you're dropping and give a little bit of QA for the exercise. I am a keen cyclist and found this when I first started, I always assumed exercise just lowered BG, but I have found an early morning ride with no carbs or QA, if I push it really hard my BG will rocket for the first hour as hormones and liver kick in, any longer on the bike and the BG will lower, but not as much as you expect without a bit of QA, with exercise especially prolonged it is a fine line between some QA for the liver/muscle glycogen/glucose dump and too much, still not mastered this yet, if you do try a bit of QA as I suggested, have some sugar ready! Also if its prolonged exercise remember what Mark said that you may need to lower, even half your QA for the next few meals. Hope this rambling makes sense and helps.

Jan 5, 2015 marke 655 posts	Topic: General Discussion / BI word of caution, as ever, if you consider splitting your BI dose discuss this with your Diabetes team first. Generally people split BI dose when on Levimir rather than Lantus, since Lantus does tend to last longer. Its not impossible to split Lantus just a bit more unusual. I agree that exercise may wel lbe increasing your BG. Also remember that exercise can cause your BG to drop for around 24 hours so it may be a reason for the drop overnight rather than just BI being too high. Sadly there is no 'correct' answer so experimentation is the only way to test how it works on you as an individual....

Jan 5, 2015 John Marrable 11 posts	Topic: Questions ? / BI dose Thanks Gary, that is very helpful. I wondered whether the rise after weightlifting may be due to my liver releasing glucose as a response to the high intensity exercise and that due to there being no QA insulin present the glucose is not able to be converted into energy hence causing the rise. As such, my plan is to inject 1u of QA insulin immediately before exercise (even without any carbohydrate portions to see what impact this has). Any thoughts on this as a potential solution? Of course I will carry hypo treatment (just in case it swings the other way!) John

Jan 5, 2015 John Marrable 11 posts	Topic: General Discussion / BI Thanks Gary, that is very helpful. I wondered whether the rise after weightlifting may be due to my liver releasing glucose as a response to the high intensity exercise and that due to there being no QA insulin present the glucose is not able to be converted into energy hence causing the rise. As such, my plan is to inject 1u of QA insulin immediately before exercise (even without any carbohydrate portions to see what impact this has). Any thoughts on this as a potential solution? Of course I will carry hypo treatment (just in case it swings the other way!) John

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 ? / 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 ? / 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 574 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 574 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.