Recent Posts - DAFNE Online

May 15, 2014

Stew B 125 posts

Topic: General Discussion / Workplace Injections

I guess we diabetics find ourselves injecting in some fairly unhygienic situations without really thinking about it (as a keen bird watcher I've spent time at various sewage farms, rubbish dumps, chemical factories etc. home and abroad and haven't thought twice about injecting). However if I went to my GP for an inoculation ('flu jab for instance) and he took me into the toilets to deliver the jab I'd raise my eyebrows quite high! Just saying..

May 15, 2014

Stew B 125 posts

Topic: General Discussion / How to Remember If You've Done an Injection

I use an approach similar to alturn. I keep my Lantus disposable pen in a separate case and on Sunday evening I make sure there are seven needles in the case too. It's easy to check how many are left each day and tell if an injection has been missed..

May 15, 2014

Stew B 125 posts

Topic: General Discussion / How to Remember If You've Done an Injection

I use an approach similar to alturn. I keep my Lantus disposable pen in a separate case and on Sunday evening I make sure there are seven needles in the case too. It's easy to check how many are left each day and tell if an injection has been missed..

May 15, 2014

mstarosta 5 posts

Topic: General Discussion / How to Remember If You've Done an Injection

Hi, the NovoPen Echo can recall doses for up to 12 hours & can be used with Levemir penfill cartridges. Available in 2 colours & skins available too. You can record QA & BI & sites on the DAFNE online app if it is available to you. I was sure that there would be an app to help with this issue by now but I haven't been able to find one yet. Hope this helps...

May 15, 2014

DanielDixon1123 1 post

Topic: Questions for HCPs / "Not suitable for diabetics"

Hello. This topic is about certain medications which can be easily picked up in a chemist.

I would like to know that since we are DAFNE trained and our blood sugars are, generally accepted as better than your average diabetic. Are we OK to use products such as Verrucas wart cream?

Blood sugars have been very good since starting DAFNE. Is this warning because of the risk of infection while using treatment?

May 14, 2014

Teanosugar 25 posts

Topic: General Discussion / How to Remember If You've Done an Injection

Much obliged everyone! It's all great feedback. The calendar idea is particularly useful because I have one right next to my fridge. I will also check the Insulcheck in Balance. That sounds like the greatest invention since the wheel... Very Happy

May 14, 2014

Alan 49 284 posts

Topic: General Discussion / How to Remember If You've Done an Injection

Like Garry, I use the Lilly Humapen Memoir pen and find it invaluable. You have to be on Humalog QA insulin to use it,

There is something called Insulcheck, which tells you how much time has passed since your last injection. This could help and they claim it fits most disposable and re-usable pens.
See the advert on page 44 of the current Balance magazine or visit www.insulcheck.com

May 14, 2014

lizzy 1 post

Topic: General Discussion / How to Remember If You've Done an Injection

I had exactly the same problem as you and was driving me up the wall... until i got the Novopen Echo for my levimer and novorapid. I would speak to your diabetic clinic or whoever, to see if they can prescribe you something similar. The pens that tell you when you when you last injected are a must i say! x.

May 14, 2014

Warwick 423 posts

Topic: Carbohydrate Counting / Need advise

Hi Avenella,

That looks pretty good so far. With only one evening where the BGs have gone high so far, I wouldn't want to advise you to change anything just yet. If you get a few higher readings each evening before bed, then it looks like the dose to change will be your evening QA dose with dinner. Your BI doses seem to be good, although three days of data probably isn't enough just yetto say one way or another.

Keep it up and post your diary again in a couple of days, and we should be able to help more.

Thanks,
Warwick.

May 14, 2014

Garry 328 posts

Topic: Carbohydrate Counting / Need advise

Welcome

and well done avanella.
We will try and assist with the information supplied so far.
You can show your BI injection sites too. This gives you the opportunity to review your distribution of injection sites for both QA and BI to plan how you can efficiently move them about in an effort to help good insulin dose absorbtion.
Keep the results coming.
Regards
Garry

May 14, 2014

avanella 9 posts

Topic: Carbohydrate Counting / Need advise

HI All,

Yes, SInce monday i records in online diary.

May 14, 2014

Garry 328 posts

Topic: General Discussion / How to Remember If You've Done an Injection

We are all in the same boat...memory like a sieve...that sounds familiar....but I can't remember where I've just read it!
I Use Humalog QA and Lilly produce a memory pen, Humapen Memoir, which the displays date and time plus dose taken. So that's a help to me. The Lantus disposable pen is a different problem...as far as I know there are no memory pens out there for this BI.
So my fix was...I forced myself into the habit of always writing my dose notes into my DAFNE diary AFTER I had taken them. That way I knew for sure that I had taken my BI.
In times gone by, I would write up my doses in the diary before taking them. Then as mentioned above, go off and do something else..completely forgetting that I hadn't taken my insulin. 3 hours later check BG and see a 14, 15 or whatever! Only then would I realise my mistake and start trying to retrieve the situation...doing my best to try and avoid overlapping QA doses etc...often unsucessfully I have to say.
So thats my fix. It reflects Sharon doodle's approach in a sense. As alturn mentions though...I always have my DAFNE diary with me and use that as an aide-memoir.
Regards
Garry

May 14, 2014

MaryJC 10 posts

Topic: General Discussion / How to Remember If You've Done an Injection

I had this problem as well as I too am easily distracted. I recently did the dafne course and the DSN arranged for me to have pens that tell me when I took insulin last and how much I took. They are great, have never missed one since.

May 14, 2014

Garry 328 posts

Topic: General Discussion / Needles

Good...Power to the people!
Regards
Garry

May 14, 2014

alturn 78 posts

Topic: General Discussion / How to Remember If You've Done an Injection

If I missed a jab, I would probably correct as usual at subsequent meal times, as it is a one-off event. Taking an extra QA could cause hypo (I did it once, levels plunged, then over-corrected and got ketones, so don't do i!), could consider a reduced BI, but again might hypo.

But - prevention is better than cure. It takes some discipline.

Each day, I take out the number of needles required, arrange them to match meal times. If I have a needle left over, I have missed one.

I have also used alarms in the past. My meter supports alarms, but using them seemed to increase battery usage quite a lot. I now use my (ancient) non-smart mobile just for one alarm a day in case I am out.

This suits me as I don't work and eat similar amounts at the same time almost all the time, and so may not work for others.

I think on our DAFNE course someone mentioned that some pens remember the last number of units injected, but no idea how it works or any details.

Sharon's tick list is possible, but not portable. BG diaries could be used.

Regds,
John F

May 14, 2014

MaryJC 10 posts

Topic: General Discussion / Buddies

Hi Sharon
I also like the sound of being/ having a buddy. I have recently finished Dafne and that is the first time I had an opportunity to talk to another diabetic. I know several type 2 diet controlled but no one who was on insulin. So nobody actually understood when I felt like having a moan. Smile

May 13, 2014

Sharon doodle 15 posts

Topic: General Discussion / How to Remember If You've Done an Injection

I'm not sure what the best answer is , but just wanted you to know you are not alone.... I have a memory like a sieve. It doesn't help when we have so many injections- it becomes a blur. I was told of a device you could buy that you put on your pen, it tells you when your last injection was...don't think it's compatible with every pen though.
Maybe you could have a calendar in your kitchen that you tick after your injection?

May 13, 2014

Teanosugar 25 posts

Topic: General Discussion / How to Remember If You've Done an Injection

My other topic was related to injections so apologies for the ongoing theme. It's never been an issue for me until the last six months. I occasionally forget whether I've done my night-time injection at around 7pm (Lantus insulin using disposable pens). I think about doing it, eventually go to do it, end up doing something else in the kitchen and then wonder whether or not I've done it. More often than not I can recall it if I've done it, but very occasionally I can't remember. I do that many injections, it's sometimes hard to keep track and this problem is becoming more commonplace. When this situation arises it means there are 4 possibilities:

(1) The reality is I've injected but I choose to miss it because I don't want to risk overdosing.

(2) The reality is I've injected but I inject again and hope I've not doubled up.

(3) The reality is I've not injected but choose to miss it because I don't want to risk overdosing.

(4) The reality is I've not injected but choose to inject because I don't want to risk missing it.

Which is the best option in your opinion? Any advice on how I can start remembering if I have done my injections on those few times that I miss it? I know I could monitor my BMs closely, but it's difficult to know with background insulin as it doesn't kick in for ages.

Thanks!

May 13, 2014

Teanosugar 25 posts

Topic: General Discussion / Workplace Injections

Thanks, EPS. Yeah, I've been given a disabled toilet and have realised its advantage. I think I'll look out for them if I ever need to inject in public places.

May 13, 2014

Stew B 125 posts

Topic: General Discussion / Needles

Interestingly I took this issue up with the dispensary at my GP practice, pointing out that since type 1s are supposed to be working in partnership to manage the condition, it seemed out of order for the practice to make any kind of change to treatment without discussing with or informing the patient (me). The dispensary told me that the PCT had made the changes and the practice hadn't had a say, but she promised to look into it. I got a phone call next morning to tell me that they had reinstated the 6mm needles on my prescription.. a small step, which I like to think was the result of my cogent argument, but equally may owe something to my membership of the practice PPG!

May 13, 2014

Louise1988 69 posts

Topic: General Discussion / Buddies

Hi Sharon,

I love the sound of the buddy system. I know a few of the Voluntary Groups in Diabetes UK use a buddy system for anyone new to their groups. I'm a peer support volunteer for Diabetes UK and am constantly trying to think of new ways to reach out to other diabetics, especially those who might be having troubles. Anyway, I'm happy to be your buddy Smile

May 13, 2014

Louise1988 69 posts

Topic: General Discussion / Needles

I know it seems silly, but I use 4mm, and the odd time I've used 5 or 6, it's hurt so so much!

May 13, 2014

EPS 3 posts

Topic: General Discussion / Needles

I use 4mm on penfill and 8mm on conventional syringes - it depends on the injection site. 4mm tend to leak out unless you hold them perpendicular to your skin (not inclined) and keep in place for 6 - 10 seconds with the plunger held in.

May 13, 2014

EPS 3 posts

Topic: General Discussion / Workplace Injections

Teanosugar said:
Type 1 since I was 13 years old; now 31. This is the mountain out of the molehill I'm probably making...

I work an office job, wear office clothes and take a packed lunch to work. I don't mind testing my blood and injecting in front of people, and I normally eat at my desk while I browse the internet. I always inject in my tummy at work as this is the most discrete and nobody bats an eyelid. However, I need to give my tummy a rest for a bit. I think I have those horrible bumps full of insulin that cause random hypos. The problem is I now need to inject in my buttocks, arms or legs for the next couple of months (I hate injecting in my legs though!). Anyway. I can't really do this at my desk as it's not discrete. I'd either have to pull my pants down or partly take off my shirt in a busy office environment. However, I don't want to go to the toilet to inject myself because this doesn't seem hygienic. The toilets are a disgrace in my office so there is a risk of catching something. I am going to ask my manager if there is anywhere I can go to do an injection in private. Does this sound far fetched or unreasonable? I don't expect them to accommodate and I won't kick up a fuss if they don't, but I think I'll at least ask. I know the obvious answer is to go to the toilet, but this doesn't seem right to me. Even if they were clean, it just seems like something that should be avoided because of hygiene issues.

Does anyone out there experience similar problems with injecting in the workplace, college, in public etc.? I take it some environments are better than others for this. What do people think to injecting in a rotten toilet cubicle?

Thanks.

Type 1 for 50 years and now using both 4mm penfill and conventional 8mm disposable syringes (best for rear-end sites). At work my employer was always considerate and offered a private room if I needed it. I agree that public and pub/restaurant lavatories are generally grim (it says a lot about their kitchens). However, I find the best solution is to access the dedicated 'disabled' lavatory, which tends to be little-used, spacious and has a washbasin which can be rinsed before placing any medication or equipment down. Diabetes can be classified as a disability within the Equality Act - if you really have to push it - and this places a legal obligation on employers and others to make reasonable arrangements. That said, I have never experienced a problem anywhere. Take your sharps home with you and think of the next person!

May 12, 2014

Annette Bell 72 posts

Topic: Questions for HCPs / Time zone change

Thanks everyone. I already have Frio wallets for my insulin as we holiday in Greece a lot, & these seem to work well. I've not, so far, had any issues with my test strips being affected by high temperatures so hopefully will be ok. We are staying with son & daughter-in-law & new(ish) granddaughter so I'm sure they'll know where I can get medical help if I need it. New Zealand is 12-13 hours ahead of us, not 24, which makes it a bit more complicated. We've looked at our flight times and I think I can more or less stay with my normal doses at normal times until we get there, & just postpone my first morning dose as we arrive at about midnight. This might mean high BG for the first day, but I'm sure with adjustments I can sort it. Thanks for all your suggestions & encouragement. If anyone has any more advice it will be gratefully received!

May 15, 2014 Stew B 125 posts	Topic: General Discussion / Workplace Injections I guess we diabetics find ourselves injecting in some fairly unhygienic situations without really thinking about it (as a keen bird watcher I've spent time at various sewage farms, rubbish dumps, chemical factories etc. home and abroad and haven't thought twice about injecting). However if I went to my GP for an inoculation ('flu jab for instance) and he took me into the toilets to deliver the jab I'd raise my eyebrows quite high! Just saying..

May 15, 2014 Stew B 125 posts	Topic: General Discussion / How to Remember If You've Done an Injection I use an approach similar to alturn. I keep my Lantus disposable pen in a separate case and on Sunday evening I make sure there are seven needles in the case too. It's easy to check how many are left each day and tell if an injection has been missed..

May 15, 2014 Stew B 125 posts	Topic: General Discussion / How to Remember If You've Done an Injection I use an approach similar to alturn. I keep my Lantus disposable pen in a separate case and on Sunday evening I make sure there are seven needles in the case too. It's easy to check how many are left each day and tell if an injection has been missed..

May 15, 2014 mstarosta 5 posts	Topic: General Discussion / How to Remember If You've Done an Injection Hi, the NovoPen Echo can recall doses for up to 12 hours & can be used with Levemir penfill cartridges. Available in 2 colours & skins available too. You can record QA & BI & sites on the DAFNE online app if it is available to you. I was sure that there would be an app to help with this issue by now but I haven't been able to find one yet. Hope this helps...

May 15, 2014 DanielDixon1123 1 post	Topic: Questions for HCPs / "Not suitable for diabetics" Hello. This topic is about certain medications which can be easily picked up in a chemist. I would like to know that since we are DAFNE trained and our blood sugars are, generally accepted as better than your average diabetic. Are we OK to use products such as Verrucas wart cream? Blood sugars have been very good since starting DAFNE. Is this warning because of the risk of infection while using treatment?

May 14, 2014 Teanosugar 25 posts	Topic: General Discussion / How to Remember If You've Done an Injection Much obliged everyone! It's all great feedback. The calendar idea is particularly useful because I have one right next to my fridge. I will also check the Insulcheck in Balance. That sounds like the greatest invention since the wheel...

May 14, 2014 Alan 49 284 posts	Topic: General Discussion / How to Remember If You've Done an Injection Like Garry, I use the Lilly Humapen Memoir pen and find it invaluable. You have to be on Humalog QA insulin to use it, There is something called Insulcheck, which tells you how much time has passed since your last injection. This could help and they claim it fits most disposable and re-usable pens. See the advert on page 44 of the current Balance magazine or visit www.insulcheck.com

May 14, 2014 lizzy 1 post	Topic: General Discussion / How to Remember If You've Done an Injection I had exactly the same problem as you and was driving me up the wall... until i got the Novopen Echo for my levimer and novorapid. I would speak to your diabetic clinic or whoever, to see if they can prescribe you something similar. The pens that tell you when you when you last injected are a must i say! x.

May 14, 2014 Warwick 423 posts	Topic: Carbohydrate Counting / Need advise Hi Avenella, That looks pretty good so far. With only one evening where the BGs have gone high so far, I wouldn't want to advise you to change anything just yet. If you get a few higher readings each evening before bed, then it looks like the dose to change will be your evening QA dose with dinner. Your BI doses seem to be good, although three days of data probably isn't enough just yetto say one way or another. Keep it up and post your diary again in a couple of days, and we should be able to help more. Thanks, Warwick.

May 14, 2014 Garry 328 posts	Topic: Carbohydrate Counting / Need advise Welcome and well done avanella. We will try and assist with the information supplied so far. You can show your BI injection sites too. This gives you the opportunity to review your distribution of injection sites for both QA and BI to plan how you can efficiently move them about in an effort to help good insulin dose absorbtion. Keep the results coming. Regards Garry

May 14, 2014 avanella 9 posts	Topic: Carbohydrate Counting / Need advise HI All, Yes, SInce monday i records in online diary.

May 14, 2014 Garry 328 posts	Topic: General Discussion / How to Remember If You've Done an Injection We are all in the same boat...memory like a sieve...that sounds familiar....but I can't remember where I've just read it! I Use Humalog QA and Lilly produce a memory pen, Humapen Memoir, which the displays date and time plus dose taken. So that's a help to me. The Lantus disposable pen is a different problem...as far as I know there are no memory pens out there for this BI. So my fix was...I forced myself into the habit of always writing my dose notes into my DAFNE diary AFTER I had taken them. That way I knew for sure that I had taken my BI. In times gone by, I would write up my doses in the diary before taking them. Then as mentioned above, go off and do something else..completely forgetting that I hadn't taken my insulin. 3 hours later check BG and see a 14, 15 or whatever! Only then would I realise my mistake and start trying to retrieve the situation...doing my best to try and avoid overlapping QA doses etc...often unsucessfully I have to say. So thats my fix. It reflects Sharon doodle's approach in a sense. As alturn mentions though...I always have my DAFNE diary with me and use that as an aide-memoir. Regards Garry

May 14, 2014 MaryJC 10 posts	Topic: General Discussion / How to Remember If You've Done an Injection I had this problem as well as I too am easily distracted. I recently did the dafne course and the DSN arranged for me to have pens that tell me when I took insulin last and how much I took. They are great, have never missed one since.

May 14, 2014 Garry 328 posts	Topic: General Discussion / Needles Good...Power to the people! Regards Garry

May 14, 2014 alturn 78 posts	Topic: General Discussion / How to Remember If You've Done an Injection If I missed a jab, I would probably correct as usual at subsequent meal times, as it is a one-off event. Taking an extra QA could cause hypo (I did it once, levels plunged, then over-corrected and got ketones, so don't do i!), could consider a reduced BI, but again might hypo. But - prevention is better than cure. It takes some discipline. Each day, I take out the number of needles required, arrange them to match meal times. If I have a needle left over, I have missed one. I have also used alarms in the past. My meter supports alarms, but using them seemed to increase battery usage quite a lot. I now use my (ancient) non-smart mobile just for one alarm a day in case I am out. This suits me as I don't work and eat similar amounts at the same time almost all the time, and so may not work for others. I think on our DAFNE course someone mentioned that some pens remember the last number of units injected, but no idea how it works or any details. Sharon's tick list is possible, but not portable. BG diaries could be used. Regds, John F

May 14, 2014 MaryJC 10 posts	Topic: General Discussion / Buddies Hi Sharon I also like the sound of being/ having a buddy. I have recently finished Dafne and that is the first time I had an opportunity to talk to another diabetic. I know several type 2 diet controlled but no one who was on insulin. So nobody actually understood when I felt like having a moan.

May 13, 2014 Sharon doodle 15 posts	Topic: General Discussion / How to Remember If You've Done an Injection I'm not sure what the best answer is , but just wanted you to know you are not alone.... I have a memory like a sieve. It doesn't help when we have so many injections- it becomes a blur. I was told of a device you could buy that you put on your pen, it tells you when your last injection was...don't think it's compatible with every pen though. Maybe you could have a calendar in your kitchen that you tick after your injection?

May 13, 2014 Teanosugar 25 posts	Topic: General Discussion / How to Remember If You've Done an Injection My other topic was related to injections so apologies for the ongoing theme. It's never been an issue for me until the last six months. I occasionally forget whether I've done my night-time injection at around 7pm (Lantus insulin using disposable pens). I think about doing it, eventually go to do it, end up doing something else in the kitchen and then wonder whether or not I've done it. More often than not I can recall it if I've done it, but very occasionally I can't remember. I do that many injections, it's sometimes hard to keep track and this problem is becoming more commonplace. When this situation arises it means there are 4 possibilities: (1) The reality is I've injected but I choose to miss it because I don't want to risk overdosing. (2) The reality is I've injected but I inject again and hope I've not doubled up. (3) The reality is I've not injected but choose to miss it because I don't want to risk overdosing. (4) The reality is I've not injected but choose to inject because I don't want to risk missing it. Which is the best option in your opinion? Any advice on how I can start remembering if I have done my injections on those few times that I miss it? I know I could monitor my BMs closely, but it's difficult to know with background insulin as it doesn't kick in for ages. Thanks!

May 13, 2014 Teanosugar 25 posts	Topic: General Discussion / Workplace Injections Thanks, EPS. Yeah, I've been given a disabled toilet and have realised its advantage. I think I'll look out for them if I ever need to inject in public places.

May 13, 2014 Stew B 125 posts	Topic: General Discussion / Needles Interestingly I took this issue up with the dispensary at my GP practice, pointing out that since type 1s are supposed to be working in partnership to manage the condition, it seemed out of order for the practice to make any kind of change to treatment without discussing with or informing the patient (me). The dispensary told me that the PCT had made the changes and the practice hadn't had a say, but she promised to look into it. I got a phone call next morning to tell me that they had reinstated the 6mm needles on my prescription.. a small step, which I like to think was the result of my cogent argument, but equally may owe something to my membership of the practice PPG!

May 13, 2014 Louise1988 69 posts	Topic: General Discussion / Buddies Hi Sharon, I love the sound of the buddy system. I know a few of the Voluntary Groups in Diabetes UK use a buddy system for anyone new to their groups. I'm a peer support volunteer for Diabetes UK and am constantly trying to think of new ways to reach out to other diabetics, especially those who might be having troubles. Anyway, I'm happy to be your buddy

May 13, 2014 Louise1988 69 posts	Topic: General Discussion / Needles I know it seems silly, but I use 4mm, and the odd time I've used 5 or 6, it's hurt so so much!

May 13, 2014 EPS 3 posts	Topic: General Discussion / Needles I use 4mm on penfill and 8mm on conventional syringes - it depends on the injection site. 4mm tend to leak out unless you hold them perpendicular to your skin (not inclined) and keep in place for 6 - 10 seconds with the plunger held in.

May 13, 2014 EPS 3 posts	Topic: General Discussion / Workplace Injections Teanosugar said: Type 1 since I was 13 years old; now 31. This is the mountain out of the molehill I'm probably making... I work an office job, wear office clothes and take a packed lunch to work. I don't mind testing my blood and injecting in front of people, and I normally eat at my desk while I browse the internet. I always inject in my tummy at work as this is the most discrete and nobody bats an eyelid. However, I need to give my tummy a rest for a bit. I think I have those horrible bumps full of insulin that cause random hypos. The problem is I now need to inject in my buttocks, arms or legs for the next couple of months (I hate injecting in my legs though!). Anyway. I can't really do this at my desk as it's not discrete. I'd either have to pull my pants down or partly take off my shirt in a busy office environment. However, I don't want to go to the toilet to inject myself because this doesn't seem hygienic. The toilets are a disgrace in my office so there is a risk of catching something. I am going to ask my manager if there is anywhere I can go to do an injection in private. Does this sound far fetched or unreasonable? I don't expect them to accommodate and I won't kick up a fuss if they don't, but I think I'll at least ask. I know the obvious answer is to go to the toilet, but this doesn't seem right to me. Even if they were clean, it just seems like something that should be avoided because of hygiene issues. Does anyone out there experience similar problems with injecting in the workplace, college, in public etc.? I take it some environments are better than others for this. What do people think to injecting in a rotten toilet cubicle? Thanks. Type 1 for 50 years and now using both 4mm penfill and conventional 8mm disposable syringes (best for rear-end sites). At work my employer was always considerate and offered a private room if I needed it. I agree that public and pub/restaurant lavatories are generally grim (it says a lot about their kitchens). However, I find the best solution is to access the dedicated 'disabled' lavatory, which tends to be little-used, spacious and has a washbasin which can be rinsed before placing any medication or equipment down. Diabetes can be classified as a disability within the Equality Act - if you really have to push it - and this places a legal obligation on employers and others to make reasonable arrangements. That said, I have never experienced a problem anywhere. Take your sharps home with you and think of the next person!

May 12, 2014 Annette Bell 72 posts	Topic: Questions for HCPs / Time zone change Thanks everyone. I already have Frio wallets for my insulin as we holiday in Greece a lot, & these seem to work well. I've not, so far, had any issues with my test strips being affected by high temperatures so hopefully will be ok. We are staying with son & daughter-in-law & new(ish) granddaughter so I'm sure they'll know where I can get medical help if I need it. New Zealand is 12-13 hours ahead of us, not 24, which makes it a bit more complicated. We've looked at our flight times and I think I can more or less stay with my normal doses at normal times until we get there, & just postpone my first morning dose as we arrive at about midnight. This might mean high BG for the first day, but I'm sure with adjustments I can sort it. Thanks for all your suggestions & encouragement. If anyone has any more advice it will be gratefully received!