Recent Posts - DAFNE Online

Aug 24, 2014

Vickyp 135 posts

Topic: General Discussion / Planning for a Baby...Advice Needed

I was told hba1c of around 43 and target bs levels are between 4 and 7.5 (including the post parandial test).
Your diabetes team should arrange preconception clinic appointments, rather than just the standard diabetes clinic, as there are other drugs you should take....high dose (5mg) folic acid (prescription only) and vitamin D are the 2 I was told.

Aug 24, 2014

madcow6 1 post

Topic: Carbohydrate Counting / Grapes/fruit generally

It's recently been pointed out to me that some fruits release/create more sugars as they ripen. Could this change the sugar content with any great significance? I specifically mention grapes because I tend to eat quite a lot in one serving (200g +) so with this quantity I'm wondering if it'd make a difference.
Thanks!

Aug 24, 2014

Iffat 2 posts

Topic: General Discussion / Planning for a Baby...Advice Needed

Hello...

I have been married almost a year and would love to have a baby. What advice can other mums with type 1 give to me? I haven't started trying as only got diagnosed a month ago and my last HBA1C was 104 so i know this needs to come down?

What is a healthy HBA1C to start trying for a baby?

What do my BGL need to be? At the moment i have managed to stabilise my blood sugar levels so its going from approx 4.5-11, most days it stays around 6-8 since i've started taking insulin.

Any advice would be massively appreciated xx

Aug 23, 2014

Warwick 434 posts

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

With the high readings, did you take correctional doses to bring them down, or did they drop naturally? In general, it is much easier for us to give advice if you can share your DAFNE diary with the thread. Just enter the dates that you want to share with the thread and it will post those to this thread. We can then see what is happening during the course of the day too. With just the night to morning results, I don't think anyone would be brave enough to suggest a course of action. We need to know what is happening during the day too.

Aug 23, 2014

HelenH 9 posts

Topic: General Discussion / Faulty Novopens

Happened a few times to me - usually after a change of cartridge. Plunger had been stuck so didn't depress rubber stopper - always double check now.

Aug 23, 2014

mum2westiesGill 502 posts

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

I take 18u of lantus & am considering doing a split which is ok with my practice nurse who looks after my diabetes. Don't know whether to do a couple of night basal checks first. Any help would be greatly appreciated.

12/08
Bedtime 15.3 > 8.3 13/08 - dropped 7mmol

13/08
Bedtime 14.8 > 7.7 14/08 - dropped 7.1 mmol

14/08
Bedtime 8.8 > 3.8 15/08 - dropped 5mmol

15/08
Bedtime 6.7 < 7.9 16/08 - rose 1.2 mmol

16/08
Bedtime
no test - 8.6 teatime > 5.0 17/08 - dropped 3.6 mmol

17/08
Bedtime 17.6 > 4.6 18/08 - dropped 13mmol

18/08
Bedtime 19.1 > 16.7 19/08 - dropped 2.4mmol

19/08
Bedtime no test - 13.7 teatime > 9.6 20/08 - dropped 4.1 mmol

20/08
Bedtime 10.0 > 5.4 21/08 - dropped 4.6 mmol

21/08
Bedtime 10.5 < 12.3 22/08 - rose 1.8mmol

22/08
Bedtime 14.8 > 10.7 23/08 - dropped 4.1mmol

Aug 22, 2014

novorapidboi26 1,818 posts

Topic: Carbohydrate Counting / Jelly Babies

2-3 I think should do the job..........

Asda's owns brand for example may have a small difference but 2-3 usually does the trick.....

I prefer 250ml of isotnic sports drink..........;)

Aug 22, 2014

Alan 49 280 posts

Topic: Carbohydrate Counting / Jelly Babies

I am thinking of changing my 'emergency carbs' from Dextro glucose tablets to jelly babies. How many jelly babies make 1 CP?

Aug 21, 2014

Warwick 434 posts

Topic: General Discussion / Insulin Stacking

Insulin stacking is taking further QA, when the previous QA taken on board is not yet all used up. It makes it a little more difficult to predict where your BGs will end up when all the QA injected has finished acting. It isn't really something to be scared of, but just be aware that the margin for error is a bit higher as a result of multiple injections within the action period of the QA.

If you test several times afterwards, around the peak action period of the QA (usually about 90 minutes after the injection), and every 20 minutes after that until the QA runs out, then you should be able to catch any major swings up or down, and take corrective action.

Aug 21, 2014

Warwick 434 posts

Topic: Questions ? / Hand wipes

Best way would be to buy a pack, test after wiping with them, then wash your hands with soap and water, and try again. If the results aren't markedly different, then you should be fine.

Aug 21, 2014

Warwick 434 posts

Topic: Questions ? / High Morning Blood Sugar

Given that your readings look OK previous to this, I suggest that you follow the sick day rules in your DAFNE manual. It looks much more like sickness than Dawn Phenomenon, although if it stays like this for a while, then as Allan says, you may want to try a 3 am test to check. If your 3 am test is within range, but your morning BGs are high, then that would indicate dawn phenomenon.

Aug 21, 2014

mum2westiesGill 502 posts

Topic: General Discussion / My last 7 days BGs 140814 - 200814 - comments wanted please

Hi,

I'm looking for comments please on my last 7 days of BGs - 140814- 200814

Aug 21, 2014

mum2westiesGill 502 posts

Topic: General Discussion / Insulin Stacking

Hi,
I'm always frightened of injecting for 1 course of food then injecting a second time if I then decide to eat more.

Please can someone explain exactly what insulin stacking is?

Aug 21, 2014

Bananaman 34 posts

Topic: Questions ? / Hand wipes

They look like they probably would do but I was advised by my diabetic nurse to use baby wipes I use pampers baby wipes 64 for Â£1 and they do fine, watch out for wipes with alcohol moisturizer aloe vera etc

Aug 21, 2014

Linda flash 13 posts

Topic: Questions ? / Hand wipes

And these

http://www.amazon.co.uk/Dia-wipe-Diabetes-finger-testing-wipes/dp/B00EN2B8Z2/ref=sr_1_2?ie=UTF8&qid=1408613733&sr=8-2&keywords=diabetes+wipes

Aug 21, 2014

Linda flash 13 posts

Topic: Questions ? / Hand wipes

Found these

http://www.puresafety.co.uk/alcohol-free-skin-cleansing-wipes.html

Do you think they would be suitable?

Linda

Aug 20, 2014

Allan P 3 posts

Topic: Questions ? / High Morning Blood Sugar

Have you tried the dreaded 3 am test to see if you get the morning rise? If you are ill and if it was me I'd up my BI by 1u just while I'm ill and I'd also follow the sickness stepwise thing. You could try 1u of QA if high before bed and no CP. Keep locazade handy though just in case. There is also the DAFNE team from SWE center.

Aug 20, 2014

Wendycurtis 3 posts

Topic: Questions ? / High Morning Blood Sugar

Hi there,

I completed the DAFNE course just under 2 weeks ago, I have been following the adjustments accordingly but on the last three mornings my readings are extremely high like 20 and 23, And I then spend the rest of the day trying to bring them back to normal. I am not sure if it's because I don't feel too good,but my BI has been checked and is fine, so I was not adjusting that, it just seems to go up in the night after doing my Background Insulin! Do you have any suggestions what I can do to alleviate this?

Aug 20, 2014

Wendycurtis 3 posts

Topic: General Discussion / Coeliac&Type 1

I have had type 1 Diabetes for 34 years, was diagnosed with Coeliac 1 year ago. You can still eat Pasta, Spaghetti, Bread, Rolls as long as it's Coeliac, I also found it a bit daunting at first, but you will get it eventually, it seems to be coming up quite a lot now in the market, so I think it is being better recognised. If you look closely at packets, it doesn't always have to say Coeliac, I.e. Bisto Best Gravy is fine, so is Kellogg's Rice Crispies Multi Cereal Shapes as long as you are okay with oats, this is the one on the advert where the little girl dresses up as a fish!
Hope this helps.

Aug 19, 2014

Neville COL 23 posts

Topic: Carbohydrate Counting / Low Carb Cookbooks

Ta Warwick! DAFNE was a real revelation to me: 42 years a diabetic, started on glass syringes and urine testing: about ten min injection training with an orange, and away you go. Diet sheet was so basic! Even when I was taken off animal insulin and put on Humalog, no further instruction! I only found out the ten second injection after a run of particularly bad blood tests! As for injecting for what you eat,the DAFNE method has introduced some reason for the blood tests, and as I noted more disciplined eating! Even tonight with quite a high CHO meal, injection was 7 units less than pre DAFNE! Only thing now is to get a little bit of gym work in to complete the good work..... Smile

Aug 19, 2014

Phil Maskell 194 posts

Topic: General Discussion / Continuous glucose monitoring

I like the sounds of this Very Happy

Hope its not like loads of other promises that don't come to anything and its affordable, have wanted a CGM for sport for ages, but the running costs have put this out of reach.

Aug 19, 2014

Simon 574 posts

Topic: General Discussion / Continuous glucose monitoring

I was chatting to Jackie, one of the DAFNE Doctors at Sheffield this morning and she told me about this upcoming system for continuous glucose monitoring. I was lucky to have a go with the Freestyle Navigator continuous monitoring system a month or so ago, and it seems this new system, the Freestyle Libre, is an evolution of the navigator. I for one found it really useful to get a continuous view of my blood glucose, to see how my body responds to food and insulin in (near) real time. If you're interested to learn more, there is an information and sign up page here: https://changeglucosemonitoring.co.uk/

Aug 24, 2014 Vickyp 135 posts	Topic: General Discussion / Planning for a Baby...Advice Needed I was told hba1c of around 43 and target bs levels are between 4 and 7.5 (including the post parandial test). Your diabetes team should arrange preconception clinic appointments, rather than just the standard diabetes clinic, as there are other drugs you should take....high dose (5mg) folic acid (prescription only) and vitamin D are the 2 I was told.

Aug 24, 2014 madcow6 1 post	Topic: Carbohydrate Counting / Grapes/fruit generally It's recently been pointed out to me that some fruits release/create more sugars as they ripen. Could this change the sugar content with any great significance? I specifically mention grapes because I tend to eat quite a lot in one serving (200g +) so with this quantity I'm wondering if it'd make a difference. Thanks!

Aug 24, 2014 Iffat 2 posts	Topic: General Discussion / Planning for a Baby...Advice Needed Hello... I have been married almost a year and would love to have a baby. What advice can other mums with type 1 give to me? I haven't started trying as only got diagnosed a month ago and my last HBA1C was 104 so i know this needs to come down? What is a healthy HBA1C to start trying for a baby? What do my BGL need to be? At the moment i have managed to stabilise my blood sugar levels so its going from approx 4.5-11, most days it stays around 6-8 since i've started taking insulin. Any advice would be massively appreciated xx

Aug 23, 2014 Warwick 434 posts	Topic: General Discussion / My BGs - lots of drops here With the high readings, did you take correctional doses to bring them down, or did they drop naturally? In general, it is much easier for us to give advice if you can share your DAFNE diary with the thread. Just enter the dates that you want to share with the thread and it will post those to this thread. We can then see what is happening during the course of the day too. With just the night to morning results, I don't think anyone would be brave enough to suggest a course of action. We need to know what is happening during the day too.

Aug 23, 2014 HelenH 9 posts	Topic: General Discussion / Faulty Novopens Happened a few times to me - usually after a change of cartridge. Plunger had been stuck so didn't depress rubber stopper - always double check now.

Aug 23, 2014 mum2westiesGill 502 posts	Topic: General Discussion / My BGs - lots of drops here I take 18u of lantus & am considering doing a split which is ok with my practice nurse who looks after my diabetes. Don't know whether to do a couple of night basal checks first. Any help would be greatly appreciated. 12/08 Bedtime 15.3 > 8.3 13/08 - dropped 7mmol 13/08 Bedtime 14.8 > 7.7 14/08 - dropped 7.1 mmol 14/08 Bedtime 8.8 > 3.8 15/08 - dropped 5mmol 15/08 Bedtime 6.7 < 7.9 16/08 - rose 1.2 mmol 16/08 Bedtime no test - 8.6 teatime > 5.0 17/08 - dropped 3.6 mmol 17/08 Bedtime 17.6 > 4.6 18/08 - dropped 13mmol 18/08 Bedtime 19.1 > 16.7 19/08 - dropped 2.4mmol 19/08 Bedtime no test - 13.7 teatime > 9.6 20/08 - dropped 4.1 mmol 20/08 Bedtime 10.0 > 5.4 21/08 - dropped 4.6 mmol 21/08 Bedtime 10.5 < 12.3 22/08 - rose 1.8mmol 22/08 Bedtime 14.8 > 10.7 23/08 - dropped 4.1mmol

Aug 22, 2014 novorapidboi26 1,818 posts	Topic: Carbohydrate Counting / Jelly Babies 2-3 I think should do the job.......... Asda's owns brand for example may have a small difference but 2-3 usually does the trick..... I prefer 250ml of isotnic sports drink..........;)

Aug 22, 2014 Alan 49 280 posts	Topic: Carbohydrate Counting / Jelly Babies I am thinking of changing my 'emergency carbs' from Dextro glucose tablets to jelly babies. How many jelly babies make 1 CP?

Aug 21, 2014 Warwick 434 posts	Topic: General Discussion / Insulin Stacking Insulin stacking is taking further QA, when the previous QA taken on board is not yet all used up. It makes it a little more difficult to predict where your BGs will end up when all the QA injected has finished acting. It isn't really something to be scared of, but just be aware that the margin for error is a bit higher as a result of multiple injections within the action period of the QA. If you test several times afterwards, around the peak action period of the QA (usually about 90 minutes after the injection), and every 20 minutes after that until the QA runs out, then you should be able to catch any major swings up or down, and take corrective action.

Aug 21, 2014 Warwick 434 posts	Topic: Questions ? / Hand wipes Best way would be to buy a pack, test after wiping with them, then wash your hands with soap and water, and try again. If the results aren't markedly different, then you should be fine.

Aug 21, 2014 Warwick 434 posts	Topic: Questions ? / High Morning Blood Sugar Given that your readings look OK previous to this, I suggest that you follow the sick day rules in your DAFNE manual. It looks much more like sickness than Dawn Phenomenon, although if it stays like this for a while, then as Allan says, you may want to try a 3 am test to check. If your 3 am test is within range, but your morning BGs are high, then that would indicate dawn phenomenon.

Aug 21, 2014 mum2westiesGill 502 posts	Topic: General Discussion / My last 7 days BGs 140814 - 200814 - comments wanted please Hi, I'm looking for comments please on my last 7 days of BGs - 140814- 200814

Aug 21, 2014 mum2westiesGill 502 posts	Topic: General Discussion / Insulin Stacking Hi, I'm always frightened of injecting for 1 course of food then injecting a second time if I then decide to eat more. Please can someone explain exactly what insulin stacking is?

Aug 21, 2014 Bananaman 34 posts	Topic: Questions ? / Hand wipes They look like they probably would do but I was advised by my diabetic nurse to use baby wipes I use pampers baby wipes 64 for Â£1 and they do fine, watch out for wipes with alcohol moisturizer aloe vera etc

Aug 21, 2014 Linda flash 13 posts	Topic: Questions ? / Hand wipes And these http://www.amazon.co.uk/Dia-wipe-Diabetes-finger-testing-wipes/dp/B00EN2B8Z2/ref=sr_1_2?ie=UTF8&qid=1408613733&sr=8-2&keywords=diabetes+wipes

Aug 21, 2014 Linda flash 13 posts	Topic: Questions ? / Hand wipes Found these http://www.puresafety.co.uk/alcohol-free-skin-cleansing-wipes.html Do you think they would be suitable? Linda

Aug 20, 2014 Allan P 3 posts	Topic: Questions ? / High Morning Blood Sugar Have you tried the dreaded 3 am test to see if you get the morning rise? If you are ill and if it was me I'd up my BI by 1u just while I'm ill and I'd also follow the sickness stepwise thing. You could try 1u of QA if high before bed and no CP. Keep locazade handy though just in case. There is also the DAFNE team from SWE center.

Aug 20, 2014 Wendycurtis 3 posts	Topic: Questions ? / High Morning Blood Sugar Hi there, I completed the DAFNE course just under 2 weeks ago, I have been following the adjustments accordingly but on the last three mornings my readings are extremely high like 20 and 23, And I then spend the rest of the day trying to bring them back to normal. I am not sure if it's because I don't feel too good,but my BI has been checked and is fine, so I was not adjusting that, it just seems to go up in the night after doing my Background Insulin! Do you have any suggestions what I can do to alleviate this?

Aug 20, 2014 Wendycurtis 3 posts	Topic: General Discussion / Coeliac&Type 1 I have had type 1 Diabetes for 34 years, was diagnosed with Coeliac 1 year ago. You can still eat Pasta, Spaghetti, Bread, Rolls as long as it's Coeliac, I also found it a bit daunting at first, but you will get it eventually, it seems to be coming up quite a lot now in the market, so I think it is being better recognised. If you look closely at packets, it doesn't always have to say Coeliac, I.e. Bisto Best Gravy is fine, so is Kellogg's Rice Crispies Multi Cereal Shapes as long as you are okay with oats, this is the one on the advert where the little girl dresses up as a fish! Hope this helps.

Aug 19, 2014 Neville COL 23 posts	Topic: Carbohydrate Counting / Low Carb Cookbooks Ta Warwick! DAFNE was a real revelation to me: 42 years a diabetic, started on glass syringes and urine testing: about ten min injection training with an orange, and away you go. Diet sheet was so basic! Even when I was taken off animal insulin and put on Humalog, no further instruction! I only found out the ten second injection after a run of particularly bad blood tests! As for injecting for what you eat,the DAFNE method has introduced some reason for the blood tests, and as I noted more disciplined eating! Even tonight with quite a high CHO meal, injection was 7 units less than pre DAFNE! Only thing now is to get a little bit of gym work in to complete the good work.....

Aug 19, 2014 Phil Maskell 194 posts	Topic: General Discussion / Continuous glucose monitoring I like the sounds of this Hope its not like loads of other promises that don't come to anything and its affordable, have wanted a CGM for sport for ages, but the running costs have put this out of reach.

Aug 19, 2014 Simon 574 posts	Topic: General Discussion / Continuous glucose monitoring I was chatting to Jackie, one of the DAFNE Doctors at Sheffield this morning and she told me about this upcoming system for continuous glucose monitoring. I was lucky to have a go with the Freestyle Navigator continuous monitoring system a month or so ago, and it seems this new system, the Freestyle Libre, is an evolution of the navigator. I for one found it really useful to get a continuous view of my blood glucose, to see how my body responds to food and insulin in (near) real time. If you're interested to learn more, there is an information and sign up page here: https://changeglucosemonitoring.co.uk/