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15,849 posts found
Oct 5, 2014
mum2westiesGill
502 posts
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Topic: General Discussion / BG diary help please (mum2westiesGill diary) A few more days of my diary.Can anyone see any trends? Any help in identifying trends and/or advice on how to improve my control would be greatly appreciated Thank you |
Oct 4, 2014
Muna A H
34 posts
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Topic: General Discussion / Lantus - Splitting Thanks all for your helpful advices![]() |
Oct 4, 2014
MelDent35
5 posts
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Topic: General Discussion / Lantus - Splitting
Thanks Warwick. I don't do long distance endurance events unless you count the fact I walk pretty much everywhere since I don;t drive and am probably the only able bodied person in UK, if not the world, who can't ride a bike. I'm finding Levemir suits me much better as I was getting high around tea time which is when Lantus would have run out. It's early days but I'm keeping an eye on post Levemir results and changing dose if I see a pattern. I know from dafne that you need to wait 2 - 3 days before changing to see if a pattern emerges. This morning I took 12 units instead of 10 so waiting to see what pre lunch BG is. |
Oct 4, 2014
wigworld
19 posts
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Topic: General Discussion / Just finished my course today. .. In our area, they require you to do the DAFNE course before they'll allow you to have a pump. After doing the course, one of the guys on our course decided he wasn't interested in the pump any more.Like everyone else here, my mind was blown by how much I learned on the DAFNE course. I've been diabetic for 40 years, and I'm a pharmacist, so I was sceptical that I would get any benefit from it. How wrong I was! At least part of it for me was unlearning some of the garbage I've been told over the years (glycaemic index, anyone?)! And how come no-one has ever told me until now that 4mm needles are plenty long enough, when I've been using 8mm needles for around 20 years!?! Anyway, enough of my ranting. DAFNE is superb, the best thing I've ever done. ![]() |
Oct 4, 2014
wigworld
19 posts
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Thanks, Marke, I look forward to hearing your feedback. I'm seriously considering getting one, even if I have to pay for the sensors myself. |
Oct 4, 2014
wigworld
19 posts
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Topic: General Discussion / Lantus - Splitting Switching from Lantus once daily to twice daily isn't quite the same as switching from Humulin I or Levemir, because Lantus does last for 24 hours, whereas the others don't (12 hours for Humulin I and 18 hours for Levemir, if I remember correctly).Having said that, I understand that evidence does show improved BG control with a split dose of Lantus, but making the switch isn't quite as straight forward as it would be with Levemir or Humulin I. |
Oct 4, 2014
Warwick
423 posts
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Topic: General Discussion / Lantus - Splitting In the book "Think Like a Pancreas" by Gary Scheiner, he details how when switching from any other basal insulin to Levemir, you'll often find that you need to increase your BI dose, sometimes by up to 25%. So if you are switching back from Levemir to Lantus, then you may actually find that you need less BI than you have been taking up until now.You may well have high levels during the first few days while your body gets used to the Lantus again, but your GP is probably erring on the side of caution (quite rightly) in ensuring that you don't enter the land of endless hypos. Monitor for a few days, and you will quickly get an idea of whether 17 is right for you, or if you need more or less these days. A few days of highs won't hurt, but do monitor more frequently than usual, and use QA where you need to to drop any seriously high readings. A couple of 3 am readings will give you an idea of whether you have got it right or not. All the best with it. Warwick. |
Oct 4, 2014
Muna A H
34 posts
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Topic: General Discussion / Lantus - Splitting Hi there,Few weeks ago I went to my GP for some infection I had. We together reviewed the history of my HAB1c. Surprisingly my HAB1c were much better than when I started using the Levemir, I have been using the Levemir for two or three years now. I talked to my GP about switching to Lantus. Back then I use to have between 17 to 22 unit of Lantus at night and she suggested to start with 17 and keep monitoring my BG levels and adjust accordingly. At the moment I take 12 units of Levemir in the morning and 15 unit at night. I got the lantus today from the chemist and was very excited to start using it but now I am a bit worried and don't know where to start from. I am worried that the 17 unit to start with will put my levels high during the day and I am not sure when it is the best time to inject, specially after reading the posts about the Lantus. Any advice please? Muna |
Oct 4, 2014
Warwick
423 posts
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Topic: General Discussion / Lantus - Splitting I think you received bad advice there. My endo had no issue with me splitting Lantus, and it worked fairly well for me. The reason I switched to Levemir was that I do long-distance endurance events and I had to mke changes to Lantus about three days prior to my events to avoid hypos during the events. Levemir seems to be better at responding to changes. |
Oct 3, 2014
marke
681 posts
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Topic: General Discussion / New Glucose testing system All, I hope to be able to give you all details of this device next week. My consultant has set me up with a trial and I'm meeting someone to have it fitted. I too asked about the sensors on the NHS and was told no but we shall see !! If nothing else it will hopefully give me a more detailed BG trend. Since normal BG readings are only an approximation anyway I am not too worried that it doesn't measure blood directly.I will let you know how it goes !! |
Oct 3, 2014
MelDent35
5 posts
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Topic: General Discussion / Just finished my course today. .. I finished today too and it has totally blown my mind. There was stuff I didn't know even after 35 years with Type 1. I'm not great at mental arithmetic but I haven;t found the dose and CP calculations too hard so if I can do it anyone can. I only got grade E in GCSE Maths. I already feel like I;m back in control as my control has been terrible in recent years. For the first time I see myself as being the one to make Diabetes fit into my life and not the other way round. I also switched from Lantus to Levemir mid week. It's early days but it already seems to be helping I'm really going to miss the people from my course on Monday after spending a whole week with them. We have follow up on 13th November and I already can't wait to see them all again and find out how they're getting on. |
Oct 3, 2014
MelDent35
5 posts
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Topic: General Discussion / Lantus - Splitting I heard you can't split Lantus. I had tried taking it just at night for a while and then in the morning for a while but it really didn't work for me. During my dafne course this week I have switched to taking Levemir twice a day. It's early days and I'm only on 10 units twice a day to start with but the truth is Lantus didn't work for me. If you want to try a split insulin I recommend you ask your healthcare team about switching to Levemir or another type that CAN be split. |
Oct 3, 2014
MelDent35
5 posts
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Topic: General Discussion / Planning for a Baby...Advice Needed
I have had Type 1 for 35 years (I'm 39) and have never wanted kids as I don;t feel it is fair to inflict an increased risk of Type 1 on another human being plus I have no maternal instinct.. I became a Dafne graduate today but because I was the only woman in my group who was of the age where having a baby is still possible I was singled out. Didn't your dafne educator give you info on pregnancy with Type 1? My Hba1c is really bad, the last was 102. I wish you the best of luck with getting pregnant and having a healthy successful pregnancy. ![]() |
Oct 3, 2014
wigworld
19 posts
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Topic: General Discussion / New Glucose testing system The 15 minutes lag time is a fair point, but how often is that really an issue for most people? In terms of accuracy, they claim that the variation from blood glucose is around 10%, and that's better than the variation between different brands of BG test strips.Sorry, I sound like a salesman for the system - I'm not! |
Oct 3, 2014
stephenbrowne
37 posts
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I saw an advert for this system on the back of Balance magazine. I'm on an insulin pump and find I need to do about 10 tests a day so I was very inteerested. Two things put me off : the price, and the fact that if measues interstitial fluid sugar rather than blood sugar so is 15 minutes behind the true blood sugar. Nevertheless only needing to change it every 14 days is an advantage and it is easy to see trends. |
Oct 2, 2014
wigworld
19 posts
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Topic: Carbohydrate Counting / Jelly Babies I find 3 jelly babies is approx 1 CP (M&S or Morrisons brand). |
Oct 2, 2014
wigworld
19 posts
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I love ripe bananas (that most people would say have gone off!) and I certainly find they raise my BG more than am 'ordinary banana'. |
Oct 2, 2014
mum2westiesGill
502 posts
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Topic: General Discussion / BG diary help please (mum2westiesGill diary) Can anyone see any trendsAny help in identifying trends and/or advice on how to improve my control would be greatly appreciated Thank you |
Oct 2, 2014
wigworld
19 posts
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Topic: General Discussion / New Glucose testing system I saw that price of £48 per sensor somewhere, but it wasn't clear if that was the retail price or trade price. The NHS pay trade price, so I guess around £30 a fortnight. I test 5 or 6 times a day at the moment, which costs the NHS around £45-£50 a month. The sensors would cost the NHS around £60 a month. (If £48 per sensor is the trade price, however, that increases, obviously). The NHS would also save on the cost of lancets (though they're not expensive).I think it's unlikely they would be allowed unless Abbott could show evidence of definite benefits (i.e. a definite reduction in HbA1c). I also think that they will generate so much data that most people with Diabetes will be unable to use them effectively - for this reason I think, at first anyway, they might only be available for DAFNE graduates. The NHS commissioning arrangements might mean that availability on of the sensors on prescription is likely to vary from area to area - i.e. there may be a 'postcode lottery' as to whether you can have one or not. |
Oct 1, 2014
SimonC
78 posts
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Topic: General Discussion / New Glucose testing system This does look quite good - a sort of half way house between CGM and pricking - I would like to try it out, as pricking is a pain (no real pun here as it doesn't hurt me), but I suspect that the NHS will be slow to adopt. I see that someone is giving a cost of approx £48 per sensor, I suspect the this will drop if other companies come out with rival systems. Approx £100 per month may seem a bit high, but the strips and lancets for the finger pricking also cost the NHS - the companies love to give out the monitors free as then they will make a lot of money from GP's prescribing the strips, and if, as in Type 1 you need to do quite a lot of testing, then this can add up - I did a very quick and rough estimation.On Amazon - in the US a box of 50 accu-check strips costs $32 - approx £20, and if you did 4 tests a day for an average month of 30 days, this equals 120 strips used - 2 and a half boxes - about £50 per month for the strips. I didn't do a check on the cost of lancets - as I rarely change mine - yes I know! So currently strips are very roughly half the cost of this new system, and so I suspect that it will come down to what sort of improvement in lifestyle you can claim will result in using the new sensors and whether the GP thinks that is worth it or not. I think that many will be able to make a good case - as in driving, it is quick and easy, and will ensure that Type 1 diabetics comply with the DVLA requirements - and therefore help with general road safety. It is less intrusive, for many less painful, the info given helps give an informed view over a period of time - so you can see if the levels are rising or dropping - which can help prevent hypos, less risk of infection, and ultimately may help in long term control which will bring down the cost of long term complications (unfortunately the NHS and GP's don't think long term as they can only deal with budgets for the short term). Any way, thats my two penneth worth, I would try them if offered. |
Oct 1, 2014
Gareth H
12 posts
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that looks great but very similar to the ipro2 thing they put on you for 7 day monitoring...while i found that very helpful i also found it annoyingly uncomfortable after a few days! |
Sep 30, 2014
CurlyWurly
15 posts
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I seen this on the diabetes.co.uk forum - looks great and I would love it. The chances of the NHS funding it instead of strips though is pretty low for now I would imagine. It seems the sensors only last 2 weeks and cost approx. £48 each. Free strips but finger pricks Vs. £100 a month. |
Sep 30, 2014
Muna A H
34 posts
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Topic: General Discussion / New Glucose testing system I searched this product. Seemed amazing. I hope it will be available in Australia soon![]() http://www.diabetesmine.com/ Cheers Muna |
Sep 30, 2014
Alan 49
284 posts
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Topic: General Discussion / New Glucose testing system I'd like to get one of these when they become available:https://www.freestylelibre.co.uk/default.aspx |
Sep 30, 2014
Gareth H
12 posts
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Topic: General Discussion / Hypos - All Over The Place the trouble with reducing the lantus again is that they say most people need 24 units to go through an entire day, and you are already well below that.Have you thought about maybe diverting some of that lantus? like moving even 4 of it to a morning injection so that you have 12 evening and 4 morning? just to see what it does. I am new to all this reading stuff as i only did DAFNE last month but i cannot see a specific pattern in those readings that would say to reduce the lantus. |