Recent Posts - DAFNE Online

May 31, 2014

Tracey F 2 posts

I just completed my Dafne course this week and we asked the same question about wipes. We were told not to use wipes with alcohol in them but were recommended if using wipes to get the ones AccuCheck do. I just bought them in Boots yesterday. Â£1.29 for 10 of them. Handy for when out and about!

May 31, 2014

Bananaman 34 posts

Topic: Questions for HCPs / Hand wipes

I was wanting to use hand wipes for when i am not able to wash my hands, I went for pro formula antibacterial wipes from tesco which have aloe vera in them so what I want to know is will these give an accurate blood glucose result

May 30, 2014

VickiA 16 posts

Topic: Questions for HCPs / Help with BG levels

Hi, thanks for the info. It's good to know if it is this dawn thing it's quite common. Tbh I'm not sure if it's a recent thing, my BG levels were out of control for a while before doing the DAFNE course so just starting to really notice these things. Going to keep an eye on it for a week and if my sugars are still high in the morning I'll look into the dawn phenomenon.

May 30, 2014

Warwick 425 posts

Topic: Questions for HCPs / Help with BG levels

It definitely sounds like dawn phenomenon. If you search the forums for dawn phenomenon or dp, you will find that you are definitely not alone in this.

For myself,I find that exercising helps me avoid it. When I stop exercising for a couple of days or more, I end up getting high in the mornings too. Apart from that, short of getting up at 5 in the morning every day and injecting QA to cover the rush of hormones, the only way I know of beating DP is using a pump where you can increase the insulin you are getting from 4 am onwards.

Is this just something recent? It becomes a bit of a balancing act between overnight hypos and high morning blood glucose. One thing I have been told which I find helpful is that injecting QA directly into muscle, increases the action of QA by about 2. So whereas I usually have to wait 3-4 hour for my QA to completely act, injecting into muscle shortens that to 1-2 hours. It is very useful for lowering high BGs very quickly. I have found that injecting into my deltoid (shoulder muscle at top of arm) works best for me.

Take care and hope it is just a temporary thing.

May 30, 2014

VickiA 16 posts

Topic: Questions for HCPs / Help with BG levels

Hi, I've moved my night time BI to later last night, will monitor this for a week and hope it makes a difference. Yeah I rotate my injection sites with every injection, I think I'm expecting things to change overnight need to learn to be patient. Thank you both for the advice Smile

May 30, 2014

Garry 328 posts

Topic: Questions for HCPs / Help with BG levels

May I ask do you cycle and move your injection sites about?
We all need discipline to spread the injections about in order to best control our insulin absorbtion rate.
Please review your injection sites and avoid any that show bumps or tenderness.
You can use your online diary to help you acheive the spread needed.
Regards
Garry

May 30, 2014

Bananaman 34 posts

Topic: General Discussion / Basal Correction

A weeks diary of your blood glucose/cps will help more but from what you have put I can see a problem with your lunch, you put down that your blood glucose was 4.4mmol/l you had 4.8cp and you took 5units of QA plus 1 when you should have had 4.8cp plus 1cp and 5 units of QA also you could try having a carb free lunch for a couple of days and seeing what your blood glucose results are.

May 29, 2014

glen4 46 posts

Topic: Questions for HCPs / Weight

How much exercise do you do in a normal week- however big/small!? Walking + housework counts! Smile

May 29, 2014

glen4 46 posts

Topic: Questions for HCPs / Weight

I know that people can be lactose or gluten intolerant! Gluten is wheat based- found in bread, cereals(bars), sausages/burgers! Lactose is dairy based main sugar in cows milk! Maybe go gluten free + switch to soya based dairy!? Do you drink fruit juices coke often? Hi Natalie Smile

May 29, 2014

natalie fitch 5 posts

Topic: Questions for HCPs / Weight

Hiya.what foods could I be allergic or intolerant to?

May 29, 2014

glen4 46 posts

Topic: Questions for HCPs / Weight

I would advise against taking laxatives! I'm wondering whether your slimming pills are working, or of any use!? Confused

May 29, 2014

glen4 46 posts

Topic: Questions for HCPs / Weight

Have you spoken to a nutritionist Natalie? You could be allergic or intolerant to certain foods perhaps!? Maybe have smaller portions, with more meals spread throughout the day! Don't always load up on carbs! Try to have a source of protein with each meal + drink plenty of water! Hope this is helpful!? Very Happy

May 29, 2014

glen4 46 posts

Topic: Questions for HCPs / Help with BG levels

You're body may be getting used to a new routine!? It can take up to a week for changes to take place! Only change 1 thing at a time- as our Dafne instructors told us! Hope things go well + start to improve! Smile

May 28, 2014

VickiA 16 posts

Topic: Questions for HCPs / Help with BG levels

Thank you for getting back to me. I'm on humilin for meal times and humilin I twice a day. I'll give that a try and see what happens. Yeah my diabetes seems to have a mind of it's own but I know it's probably me not getting something right!! Anyway fingers crossed and thanks again Smile

May 28, 2014

glen4 46 posts

Topic: Questions for HCPs / Help with BG levels

What insulins are you using? You could be more sensitive/responsive to 1 rather than the other!? I'm on Levemir twice daily! I always leave a 10-12 hour gap in-between! I also use Novorapid at mealtimes! My HCP'S said to leave at least a 7-8 hour gap between your BI doses! So no problem there. Maybe take your evening BI a tad earlier!? Leave for 3 days, try to find a pattern!? Increasing from 7-8 units of BI at night is very little I know! With 8 you're having night hypos, yet with 7 you jump from normal(5- Cool

to 16-20! That seems very strange Confused

! I would chat with your GP/HCP, they will be greater informed than us! Hope I've been of help!? Smile

May 28, 2014

Garry 328 posts

Topic: Questions for HCPs / BG REACTIONS

I normally try to start with a BG of 8 or 9 but playing after work sometimes find that difficult to acheive.
Played last Monday and started at 6.4 but by the 4th I was already at 4.4 and had to resort to starting the sandwiches.
I walk much further than other people on the course however...home course is 7,200 yards but I must walk 9000+...zig-zag...maybe you know the feeling!
Regards
Garry

May 28, 2014

VickiA 16 posts

Topic: Questions for HCPs / Help with BG levels

I use 1:1 ratios right through the day. I thought that myself but scared to up my ratio in the morning in case of more hypos

May 28, 2014

alanG 11 posts

Topic: Questions for HCPs / BG REACTIONS

Hi Garry.
Do you adjust your doseage prior to golf, or do you operate normally and take plenty of supplies? Since I moved onto carb counting in November last year I have had no problems with any hypo issue during golf, but the other Saturday was the first time I measured my BG after golf. I did once measure my BG when I got home after my normal routine of 2 pints of orange/soda,
and the reading was high then. However, as I had recovered by dinner time, I "solved" the problem by ignoring the reading at the time, and subsequently not bothering to measure until the next meal in the evening. If I did have something to eat, I used a QA in line with the specific intake.
Clearly, I would feel more comfortable to be able to explain the readings, and where the glucose had dissipated to.
Regards
Alan

May 28, 2014

glen4 46 posts

Topic: Questions for HCPs / Help with BG levels

Could be a case of the dawn phenonoma!? What ratios are you using throughout the day?

May 28, 2014

glen4 46 posts

Topic: DAFNE Graduate Group (DGG) / Help with BG levels

Have you tried leaving a 12 hour gap between injecting each dose of your BI? Maybe try that for a few days!? If there is no change, I would either increase/decrease either 1 of your BI dosages! It's hard to tell without a diary of readings to look at!

May 31, 2014 Tracey F 2 posts	Topic: Questions for HCPs / Hand wipes I just completed my Dafne course this week and we asked the same question about wipes. We were told not to use wipes with alcohol in them but were recommended if using wipes to get the ones AccuCheck do. I just bought them in Boots yesterday. Â£1.29 for 10 of them. Handy for when out and about!

May 31, 2014 Bananaman 34 posts	Topic: Questions for HCPs / Hand wipes I was wanting to use hand wipes for when i am not able to wash my hands, I went for pro formula antibacterial wipes from tesco which have aloe vera in them so what I want to know is will these give an accurate blood glucose result

May 30, 2014 VickiA 16 posts	Topic: Questions for HCPs / Help with BG levels Hi, thanks for the info. It's good to know if it is this dawn thing it's quite common. Tbh I'm not sure if it's a recent thing, my BG levels were out of control for a while before doing the DAFNE course so just starting to really notice these things. Going to keep an eye on it for a week and if my sugars are still high in the morning I'll look into the dawn phenomenon.

May 30, 2014 Warwick 425 posts	Topic: Questions for HCPs / Help with BG levels It definitely sounds like dawn phenomenon. If you search the forums for dawn phenomenon or dp, you will find that you are definitely not alone in this. For myself,I find that exercising helps me avoid it. When I stop exercising for a couple of days or more, I end up getting high in the mornings too. Apart from that, short of getting up at 5 in the morning every day and injecting QA to cover the rush of hormones, the only way I know of beating DP is using a pump where you can increase the insulin you are getting from 4 am onwards. Is this just something recent? It becomes a bit of a balancing act between overnight hypos and high morning blood glucose. One thing I have been told which I find helpful is that injecting QA directly into muscle, increases the action of QA by about 2. So whereas I usually have to wait 3-4 hour for my QA to completely act, injecting into muscle shortens that to 1-2 hours. It is very useful for lowering high BGs very quickly. I have found that injecting into my deltoid (shoulder muscle at top of arm) works best for me. Take care and hope it is just a temporary thing.

May 30, 2014 VickiA 16 posts	Topic: Questions for HCPs / Help with BG levels Hi, I've moved my night time BI to later last night, will monitor this for a week and hope it makes a difference. Yeah I rotate my injection sites with every injection, I think I'm expecting things to change overnight need to learn to be patient. Thank you both for the advice

May 30, 2014 Garry 328 posts	Topic: Questions for HCPs / Help with BG levels May I ask do you cycle and move your injection sites about? We all need discipline to spread the injections about in order to best control our insulin absorbtion rate. Please review your injection sites and avoid any that show bumps or tenderness. You can use your online diary to help you acheive the spread needed. Regards Garry

May 30, 2014 Bananaman 34 posts	Topic: General Discussion / Basal Correction A weeks diary of your blood glucose/cps will help more but from what you have put I can see a problem with your lunch, you put down that your blood glucose was 4.4mmol/l you had 4.8cp and you took 5units of QA plus 1 when you should have had 4.8cp plus 1cp and 5 units of QA also you could try having a carb free lunch for a couple of days and seeing what your blood glucose results are.

May 29, 2014 glen4 46 posts	Topic: Questions for HCPs / Weight How much exercise do you do in a normal week- however big/small!? Walking + housework counts!

May 29, 2014 glen4 46 posts	Topic: Questions for HCPs / Weight I know that people can be lactose or gluten intolerant! Gluten is wheat based- found in bread, cereals(bars), sausages/burgers! Lactose is dairy based main sugar in cows milk! Maybe go gluten free + switch to soya based dairy!? Do you drink fruit juices coke often? Hi Natalie

May 29, 2014 natalie fitch 5 posts	Topic: Questions for HCPs / Weight Hiya.what foods could I be allergic or intolerant to?

May 29, 2014 glen4 46 posts	Topic: Questions for HCPs / Weight I would advise against taking laxatives! I'm wondering whether your slimming pills are working, or of any use!?

May 29, 2014 glen4 46 posts	Topic: Questions for HCPs / Weight Have you spoken to a nutritionist Natalie? You could be allergic or intolerant to certain foods perhaps!? Maybe have smaller portions, with more meals spread throughout the day! Don't always load up on carbs! Try to have a source of protein with each meal + drink plenty of water! Hope this is helpful!?

May 29, 2014 glen4 46 posts	Topic: Questions for HCPs / Help with BG levels You're body may be getting used to a new routine!? It can take up to a week for changes to take place! Only change 1 thing at a time- as our Dafne instructors told us! Hope things go well + start to improve!

May 28, 2014 VickiA 16 posts	Topic: Questions for HCPs / Help with BG levels Thank you for getting back to me. I'm on humilin for meal times and humilin I twice a day. I'll give that a try and see what happens. Yeah my diabetes seems to have a mind of it's own but I know it's probably me not getting something right!! Anyway fingers crossed and thanks again

May 28, 2014 glen4 46 posts	Topic: Questions for HCPs / Help with BG levels What insulins are you using? You could be more sensitive/responsive to 1 rather than the other!? I'm on Levemir twice daily! I always leave a 10-12 hour gap in-between! I also use Novorapid at mealtimes! My HCP'S said to leave at least a 7-8 hour gap between your BI doses! So no problem there. Maybe take your evening BI a tad earlier!? Leave for 3 days, try to find a pattern!? Increasing from 7-8 units of BI at night is very little I know! With 8 you're having night hypos, yet with 7 you jump from normal(5- to 16-20! That seems very strange ! I would chat with your GP/HCP, they will be greater informed than us! Hope I've been of help!?

May 28, 2014 Garry 328 posts	Topic: Questions for HCPs / BG REACTIONS I normally try to start with a BG of 8 or 9 but playing after work sometimes find that difficult to acheive. Played last Monday and started at 6.4 but by the 4th I was already at 4.4 and had to resort to starting the sandwiches. I walk much further than other people on the course however...home course is 7,200 yards but I must walk 9000+...zig-zag...maybe you know the feeling! Regards Garry

May 28, 2014 VickiA 16 posts	Topic: Questions for HCPs / Help with BG levels I use 1:1 ratios right through the day. I thought that myself but scared to up my ratio in the morning in case of more hypos

May 28, 2014 alanG 11 posts	Topic: Questions for HCPs / BG REACTIONS Hi Garry. Do you adjust your doseage prior to golf, or do you operate normally and take plenty of supplies? Since I moved onto carb counting in November last year I have had no problems with any hypo issue during golf, but the other Saturday was the first time I measured my BG after golf. I did once measure my BG when I got home after my normal routine of 2 pints of orange/soda, and the reading was high then. However, as I had recovered by dinner time, I "solved" the problem by ignoring the reading at the time, and subsequently not bothering to measure until the next meal in the evening. If I did have something to eat, I used a QA in line with the specific intake. Clearly, I would feel more comfortable to be able to explain the readings, and where the glucose had dissipated to. Regards Alan

May 28, 2014 glen4 46 posts	Topic: Questions for HCPs / Help with BG levels Could be a case of the dawn phenonoma!? What ratios are you using throughout the day?

May 28, 2014 glen4 46 posts	Topic: DAFNE Graduate Group (DGG) / Help with BG levels Have you tried leaving a 12 hour gap between injecting each dose of your BI? Maybe try that for a few days!? If there is no change, I would either increase/decrease either 1 of your BI dosages! It's hard to tell without a diary of readings to look at!