Recent Posts - DAFNE Online

Sep 2, 2014

Warwick 425 posts

Topic: General Discussion / My BGs - lots of drops here

I just tend to add corrections at the end of each day while I remember why I was making corrections :-)

Sep 1, 2014

mum2westiesGill 502 posts

Topic: General Discussion / So many things to watch our for.....

re diabetes. You can only make one change at a time but what do others usually look out for first ie basal or qa & look at re making changes
1. difference between bedtime & fasting levels
2. keeping an eye on all levels during the day ie from meal to meal

Sep 1, 2014

mum2westiesGill 502 posts

Topic: General Discussion / My BGs - lots of drops here

Yes. I agree about the rise between dinner and bed. I think it is worth trying to split your dose and seeing if that stops the rise. Once you have fully split, you may find that you need to increase your basal insulin a bit to cover the extra required to keep you stable between dinner and bed.

- Yes I might try a split & see what happens

I think that the Abbot Insulinx records carbs along with the insulin dose it recommends, and any over-rides/corrections you have made to it in the form "Dose for carbs" + "Dose for correction". However, like you, I use an Accu-Chek (in my case the Expert) which records QA taken, but not split out into what QA was for ingested carbs, and what QA was taken for correcting. In terms of inputting into the diary, it just makes it easier when reviewing to identify whether ratios are good or need tweaking.

- I also use the Accu-chek Aviva Expert meter. Do you have any suggestions for how I could input QA & corrections into the diary separately?

Sep 1, 2014

Warwick 425 posts

Topic: General Discussion / My BGs - lots of drops here

Yes. I agree about the rise between dinner and bed. I think it is worth trying to split your dose and seeing if that stops the rise. Once you have fully split, you may find that you need to increase your basal insulin a bit to cover the extra required to keep you stable between dinner and bed.

I think that the Abbot Insulinx records carbs along with the insulin dose it recommends, and any over-rides/corrections you have made to it in the form "Dose for carbs" + "Dose for correction". However, like you, I use an Accu-Chek (in my case the Expert) which records QA taken, but not split out into what QA was for ingested carbs, and what QA was taken for correcting. In terms of inputting into the diary, it just makes it easier when reviewing to identify whether ratios are good or need tweaking.

Sep 1, 2014

mum2westiesGill 502 posts

Topic: General Discussion / My BGs - lots of drops here

Another 3 more days of mg BGs. Hmm what to do. 1. There's a rise usually between dinner & bedtime. 2. BGs are dropping a lot between bedtime and fasting. And advice will be considered. Thank you in advance.

Aug 31, 2014

HelenP 218 posts

Topic: General Discussion / Drinking water

Drinking water...being well hydrated (not over hydrated) ought to have an effect on the concentration of 'sugar' in your blood. Whether or not it is significant is the question. I have always been advised to have a large drink of water before I have a fasting blood test...I always thought it was to help with the viscosity/thickness. Helen

Aug 31, 2014

Alan 49 284 posts

Topic: General Discussion / Artificial Pancreas

This is an interesting article on the BBC website: http://www.bbc.co.uk/news/health-28810813

Aug 31, 2014

Muna A H 34 posts

Topic: General Discussion / Drinking water

Hi,

During family gathering, we were talking about the effect of drinking water on our body. We talked about if drinking water can lower the sugar levels. It was explained through an example of dissolving one tea spoon of sugar in 250ml compared to dissolving one tea spoon of sugar in 500ml. I personally donâ€™t think drinking water or more water lower the BG levels but I know the fact that drinking water is great for kidney function which is important for all of us. What do other people think?

Thanks

Aug 31, 2014

Stew B 125 posts

Topic: General Discussion / Pizza, chinese, indian....

Splitting is simply taking your calculated insulin dose in two or more separate injections over a period of time, rather than all at once in a single injection.

Aug 30, 2014

mum2westiesGill 502 posts

Topic: General Discussion / Diary Entries - no carbs but insulin & carbs but no insulin

Thank you Warwick Smile

Aug 30, 2014

mum2westiesGill 502 posts

Topic: General Discussion / My BGs - lots of drops here

Hi Warwick
Re the entering the correction doese sperately is a little bit difficult with my meter. I use the accu-chek aviva adviser meter which tells me seperately how many units are required for correction & how many units are needed for the carbs. Once I press confirm it just tells me how many units to inject. Once that's done however, there doesn't seem to be any way to get it to tell you again what the split was between carbs and correction so I can't always remember all of the correction doses.

Aug 30, 2014

Warwick 425 posts

Topic: General Discussion / Diary Entries - no carbs but insulin & carbs but no insulin

1) 0+1 if you are correcting by 1 unit.
2) 0+1 if you are consuming 1 CP for a hypo. I usually have 1.5 or 2 CPs during a hypo, so it becomes 0+1.5 or 0+2.

Aug 30, 2014

mum2westiesGill 502 posts

Topic: General Discussion / Diary Entries - no carbs but insulin & carbs but no insulin

What is the correct way of entering into the diary
1. no carbs eaten but an insulin correction
2. carbs eaten (ie for a hypo) but no insulin

Aug 29, 2014

novorapidboi26 1,819 posts

Topic: General Discussion / Pizza, chinese, indian....

Rafa,

Splitting the dose is all about trying to accommodate the rush of glucose that will be absorbed much later than normal due to the high fat content delaying the digestion....

Its quite difficult to get right consistently....

Pump users can give some insulin up front then the remainder given over the next few hours which is helpful....

Aug 29, 2014

Ryder 6 posts

Topic: General Discussion / Pizza, chinese, indian....

I'm the opposite. Pizzas just destroy me. Can never seem to get it right. Just graduated from daphne today and will attempt split doses but I haven't done Chinese or Indian yet since carb counting but will just need to review and record to see what affects these could have on me personally to assist to find what works and what doesn't.

Aug 29, 2014

Rafa 99 posts

Topic: General Discussion / Pizza, chinese, indian....

I try and stay away from Chinese and Indian food because i just can't seem to get it right. Wake up 16 or 17 despite going to bed at around 5.0-6.0. By spliting doses what do people mean please?

Pizzas i am fine as in take the carbs needed matched with the qa.

Aug 29, 2014

novorapidboi26 1,819 posts

Topic: General Discussion / My BGs - lots of drops here

mum2westiesGill said:
Thanks for sharing NB you put me to shame with my diary

I have had a good bout of readings lately as I am on the slimming world diet with the misses, so less insulin going in, at least 20 units a day, but the carbs have been just as much though, 200-250g, so I don't know why really......the slimming world is a lot less fat and probably much slower digested/absorbed foods

Aug 29, 2014

novorapidboi26 1,819 posts

Topic: General Discussion / Welfare?

I read about this............

it was terrible........I don't believe his dying of ketoacidosis was down to him not having money, it was because he didn't take his insulin....

its very likely that he stopped taking it because he didn't want to go low with no food, but if he was on MDI, then he wouldn't have had to stop his insulin, but I also believe he wouldn't have been on MDI but a mixed twice a day one.......

so was it down to the welfare system, no, it was down to the healthcare professionals not giving him the support he needed, or was it? did he attend clinics? did he take care of himself.....?

I have been exactly in this situation, still employed but my situation meant I had literally no money for any food for a few months, I stopped my mix insulin and lost a lot of weight and was ill.......

there is a lot of unknowns in this case, but ultimately it is very sad and not a nice way to go that's for sure.....

Aug 29, 2014

Teanosugar 25 posts

Topic: General Discussion / Welfare?

Hope nobody minds me posting this:

http://www.mirror.co.uk/news/uk-news/killed-benefits-cuts-starving-soldier-3923771

I don't know all the facts, but I wondered if anyone has any thoughts because this is hardly the first time I've read about people dying on the welfare state. I'm not wanting to generate divisive political rants, but it seems to me that if you are disabled or have a long term condition then you're up against it if you lose your job. As someone with type 1, this isn't a great prospect.

Aug 29, 2014

Warwick 425 posts

Topic: General Discussion / My BGs - lots of drops here

Wednesday and Thursday look quite good. If that keeps looking stable, then you may want to stay as you are. By the way, could you change your notation a little, so that if for example, you are high at dinner time, and are taking 4 units to cover the evening meal, and a couple of units to bring down the high BGs, you write 4+2 in the QA field? And if you are only taking a corrective dose and not having any carbs, then something like 0+2 is good. It just helps to see what you were taking for any carbs, and what you were taking for corrections. Thanks.

Aug 29, 2014

mum2westiesGill 502 posts

Topic: General Discussion / My BGs - lots of drops here

Thanks for sharing NB you put me to shame with my diary Evil or Very Mad

Aug 29, 2014

Bananaman 34 posts

Topic: Questions for HCPs / sports massage for pump user

I have done this before but my blood glucose wasnt as well controlled so I didnt notice as much, I went yesterday and tried it with the pump off but it was ok and my blood glucose was unaffected.

Aug 29, 2014

novorapidboi26 1,819 posts

Topic: Questions for HCPs / sports massage for pump user

I might be totally ignorant of the effects of massage but I wouldn't assume that anything would happen to the BG level........

Obviously circulation is going to be affected and there maybe some additional hormone releases..........but what affect will that have on your levels, who knows........

Have you had this done before......?

Aug 29, 2014

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Dvla insulin pump

Neither did I............

All they are concerned about is that your are on insulin, same applies for folk on MDI and Type 2s on insulin, and any other type that's on insulin..... Smile

Aug 29, 2014

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Grapes/fruit generally

high in sugar in low in carbs........that sounds strange saying that, as they are the same, NO?

I think the glucose from grapes can hit the bloodstream faster when more ripe maybe....... Very Happy

Sep 2, 2014 Warwick 425 posts	Topic: General Discussion / My BGs - lots of drops here I just tend to add corrections at the end of each day while I remember why I was making corrections :-)

Sep 1, 2014 mum2westiesGill 502 posts	Topic: General Discussion / So many things to watch our for..... re diabetes. You can only make one change at a time but what do others usually look out for first ie basal or qa & look at re making changes 1. difference between bedtime & fasting levels 2. keeping an eye on all levels during the day ie from meal to meal

Sep 1, 2014 mum2westiesGill 502 posts	Topic: General Discussion / My BGs - lots of drops here Yes. I agree about the rise between dinner and bed. I think it is worth trying to split your dose and seeing if that stops the rise. Once you have fully split, you may find that you need to increase your basal insulin a bit to cover the extra required to keep you stable between dinner and bed. - Yes I might try a split & see what happens I think that the Abbot Insulinx records carbs along with the insulin dose it recommends, and any over-rides/corrections you have made to it in the form "Dose for carbs" + "Dose for correction". However, like you, I use an Accu-Chek (in my case the Expert) which records QA taken, but not split out into what QA was for ingested carbs, and what QA was taken for correcting. In terms of inputting into the diary, it just makes it easier when reviewing to identify whether ratios are good or need tweaking. - I also use the Accu-chek Aviva Expert meter. Do you have any suggestions for how I could input QA & corrections into the diary separately?

Sep 1, 2014 Warwick 425 posts	Topic: General Discussion / My BGs - lots of drops here Yes. I agree about the rise between dinner and bed. I think it is worth trying to split your dose and seeing if that stops the rise. Once you have fully split, you may find that you need to increase your basal insulin a bit to cover the extra required to keep you stable between dinner and bed. I think that the Abbot Insulinx records carbs along with the insulin dose it recommends, and any over-rides/corrections you have made to it in the form "Dose for carbs" + "Dose for correction". However, like you, I use an Accu-Chek (in my case the Expert) which records QA taken, but not split out into what QA was for ingested carbs, and what QA was taken for correcting. In terms of inputting into the diary, it just makes it easier when reviewing to identify whether ratios are good or need tweaking.

Sep 1, 2014 mum2westiesGill 502 posts	Topic: General Discussion / My BGs - lots of drops here Another 3 more days of mg BGs. Hmm what to do. 1. There's a rise usually between dinner & bedtime. 2. BGs are dropping a lot between bedtime and fasting. And advice will be considered. Thank you in advance.

Aug 31, 2014 HelenP 218 posts	Topic: General Discussion / Drinking water Drinking water...being well hydrated (not over hydrated) ought to have an effect on the concentration of 'sugar' in your blood. Whether or not it is significant is the question. I have always been advised to have a large drink of water before I have a fasting blood test...I always thought it was to help with the viscosity/thickness. Helen

Aug 31, 2014 Alan 49 284 posts	Topic: General Discussion / Artificial Pancreas This is an interesting article on the BBC website: http://www.bbc.co.uk/news/health-28810813

Aug 31, 2014 Muna A H 34 posts	Topic: General Discussion / Drinking water Hi, During family gathering, we were talking about the effect of drinking water on our body. We talked about if drinking water can lower the sugar levels. It was explained through an example of dissolving one tea spoon of sugar in 250ml compared to dissolving one tea spoon of sugar in 500ml. I personally donâ€™t think drinking water or more water lower the BG levels but I know the fact that drinking water is great for kidney function which is important for all of us. What do other people think? Thanks

Aug 31, 2014 Stew B 125 posts	Topic: General Discussion / Pizza, chinese, indian.... Splitting is simply taking your calculated insulin dose in two or more separate injections over a period of time, rather than all at once in a single injection.

Aug 30, 2014 mum2westiesGill 502 posts	Topic: General Discussion / Diary Entries - no carbs but insulin & carbs but no insulin Thank you Warwick

Aug 30, 2014 mum2westiesGill 502 posts	Topic: General Discussion / My BGs - lots of drops here Hi Warwick Re the entering the correction doese sperately is a little bit difficult with my meter. I use the accu-chek aviva adviser meter which tells me seperately how many units are required for correction & how many units are needed for the carbs. Once I press confirm it just tells me how many units to inject. Once that's done however, there doesn't seem to be any way to get it to tell you again what the split was between carbs and correction so I can't always remember all of the correction doses.

Aug 30, 2014 Warwick 425 posts	Topic: General Discussion / Diary Entries - no carbs but insulin & carbs but no insulin 1) 0+1 if you are correcting by 1 unit. 2) 0+1 if you are consuming 1 CP for a hypo. I usually have 1.5 or 2 CPs during a hypo, so it becomes 0+1.5 or 0+2.

Aug 30, 2014 mum2westiesGill 502 posts	Topic: General Discussion / Diary Entries - no carbs but insulin & carbs but no insulin What is the correct way of entering into the diary 1. no carbs eaten but an insulin correction 2. carbs eaten (ie for a hypo) but no insulin

Aug 29, 2014 novorapidboi26 1,819 posts	Topic: General Discussion / Pizza, chinese, indian.... Rafa, Splitting the dose is all about trying to accommodate the rush of glucose that will be absorbed much later than normal due to the high fat content delaying the digestion.... Its quite difficult to get right consistently.... Pump users can give some insulin up front then the remainder given over the next few hours which is helpful....

Aug 29, 2014 Ryder 6 posts	Topic: General Discussion / Pizza, chinese, indian.... I'm the opposite. Pizzas just destroy me. Can never seem to get it right. Just graduated from daphne today and will attempt split doses but I haven't done Chinese or Indian yet since carb counting but will just need to review and record to see what affects these could have on me personally to assist to find what works and what doesn't.

Aug 29, 2014 Rafa 99 posts	Topic: General Discussion / Pizza, chinese, indian.... I try and stay away from Chinese and Indian food because i just can't seem to get it right. Wake up 16 or 17 despite going to bed at around 5.0-6.0. By spliting doses what do people mean please? Pizzas i am fine as in take the carbs needed matched with the qa.

Aug 29, 2014 novorapidboi26 1,819 posts	Topic: General Discussion / My BGs - lots of drops here mum2westiesGill said: Thanks for sharing NB you put me to shame with my diary I have had a good bout of readings lately as I am on the slimming world diet with the misses, so less insulin going in, at least 20 units a day, but the carbs have been just as much though, 200-250g, so I don't know why really......the slimming world is a lot less fat and probably much slower digested/absorbed foods

Aug 29, 2014 novorapidboi26 1,819 posts	Topic: General Discussion / Welfare? I read about this............ it was terrible........I don't believe his dying of ketoacidosis was down to him not having money, it was because he didn't take his insulin.... its very likely that he stopped taking it because he didn't want to go low with no food, but if he was on MDI, then he wouldn't have had to stop his insulin, but I also believe he wouldn't have been on MDI but a mixed twice a day one....... so was it down to the welfare system, no, it was down to the healthcare professionals not giving him the support he needed, or was it? did he attend clinics? did he take care of himself.....? I have been exactly in this situation, still employed but my situation meant I had literally no money for any food for a few months, I stopped my mix insulin and lost a lot of weight and was ill....... there is a lot of unknowns in this case, but ultimately it is very sad and not a nice way to go that's for sure.....

Aug 29, 2014 Teanosugar 25 posts	Topic: General Discussion / Welfare? Hope nobody minds me posting this: http://www.mirror.co.uk/news/uk-news/killed-benefits-cuts-starving-soldier-3923771 I don't know all the facts, but I wondered if anyone has any thoughts because this is hardly the first time I've read about people dying on the welfare state. I'm not wanting to generate divisive political rants, but it seems to me that if you are disabled or have a long term condition then you're up against it if you lose your job. As someone with type 1, this isn't a great prospect.

Aug 29, 2014 Warwick 425 posts	Topic: General Discussion / My BGs - lots of drops here Wednesday and Thursday look quite good. If that keeps looking stable, then you may want to stay as you are. By the way, could you change your notation a little, so that if for example, you are high at dinner time, and are taking 4 units to cover the evening meal, and a couple of units to bring down the high BGs, you write 4+2 in the QA field? And if you are only taking a corrective dose and not having any carbs, then something like 0+2 is good. It just helps to see what you were taking for any carbs, and what you were taking for corrections. Thanks.

Aug 29, 2014 mum2westiesGill 502 posts	Topic: General Discussion / My BGs - lots of drops here Thanks for sharing NB you put me to shame with my diary

Aug 29, 2014 Bananaman 34 posts	Topic: Questions for HCPs / sports massage for pump user I have done this before but my blood glucose wasnt as well controlled so I didnt notice as much, I went yesterday and tried it with the pump off but it was ok and my blood glucose was unaffected.

Aug 29, 2014 novorapidboi26 1,819 posts	Topic: Questions for HCPs / sports massage for pump user I might be totally ignorant of the effects of massage but I wouldn't assume that anything would happen to the BG level........ Obviously circulation is going to be affected and there maybe some additional hormone releases..........but what affect will that have on your levels, who knows........ Have you had this done before......?

Aug 29, 2014 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Dvla insulin pump Neither did I............ All they are concerned about is that your are on insulin, same applies for folk on MDI and Type 2s on insulin, and any other type that's on insulin.....

Aug 29, 2014 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Grapes/fruit generally high in sugar in low in carbs........that sounds strange saying that, as they are the same, NO? I think the glucose from grapes can hit the bloodstream faster when more ripe maybe.......