Recent Posts - DAFNE Online

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 12, 2014

michaelj 45 posts

Topic: Questions for HCPs / Time zone change

Anette,
I spent 3 weeks in New Zealand Jan 2014 and had no problems with this. If your flight goes late evening as mine did you can take your basal at your usual time in the evening. The first leg depending on where you stop ( mine was Malaysia) takes about 12 hrs so your am units could be done on the aircraft.There will be a stop for some time before the next flight. You can work this out from your air tickets. Second leg is usually 10 hours so you may have to be a little flexible about timing you next dose. I find if you keep to UK time for the first 24 hrs this will help with your timings, as New Zealand is 24 hrs in front of us and when you get there you can do a simple swop.
I take my basal in one go and just break it down to half dose for the first 12 hours and then started on NZ time. Would agree with Warwick about stocking up with insulin and and other bits. Make sure you have plenty of test strips as you will probably be testing a lot more than usual.. Frio wallets are fine for insulin but NZ can get quite hot, and some test strips can be affected by temperature, so check the box and if needed, get a small cool bag for them. I personally always take twice as much medication as I would normally need to make sure I don't run out. New Zealand is pretty much up to speed on diabetic issues, they use the same insulin's as we do. run Daphne courses and do have a diabetic association, so life out there is not normally a problem. I even found a diabetic drop in shop in the town of Blenheim and chatted for a while to a very nice lady about diabetes in New Zealand. They are having pretty much the same problems with this disease as the UK
Have a great time and enjoy yourself. It's a fantastic country.

May 12, 2014

Rachel454 2 posts

Topic: Carbohydrate Counting / CP free lunch

Thanks for that Warwick I will bear that in mind, I did think that might be the case!
Rachel

Warwick said:
Some people (including me) find that in a carb-free meal, protein can raise blood glucose levels. Your lunch contained several sources of protein - ham, egg and cheese, and it may be that this has raised your BGs as a result. I usually need to take a small amount of QA if I just have scrambled eggs without toast.

If you had the salad without the omelet, then the rise would probably be negligible. You'd get hungrier though :-)

May 12, 2014

Warwick 425 posts

Topic: Questions for HCPs / Time zone change

Hi Annette,

There are a couple of good websites with detail about this here which may be helpful:

http://clinical.diabetesjournals.org/content/21/2/82.full

http://www.diabetesexplained.com/diabetes-and-time-zone-crossing.html

Realistically, it will be a bit hit and miss. Although I live in Australia, I travel to New Zealand a couple of times per year (my home land). Although the two hour time difference doesn't affect me too much, the flights always do. Part of that is travelling with small children - hypos galore followed by highs from guessing badly the carb content of the airline meals.

Some things I recommend:

The Frio travel wallet: http://www.diabetesfrio.com/frio-wallets/cat_3.html?ccUser= It keeps insulin cold, even on hot airline flights. I use these for about 9 months of the year. All it needs is to be dipped in water about once per week.

Make sure you have enough insulin in your hand luggage to last an extra week in case your hold luggage gets lost. You would be able to get replacement insulin in New Zealand, but you'll need to see a doctor for a prescription first. Ditto for carrying extra insulin in the hold luggage in case you lose your hand luggage.

Get a letter from your GP to show a local GP in NZ if you run out of insulin for any reason. Prescriptions are fairly cheap in NZ (for locals, not sure about tourist visitors). Needles are about $25 per box of 100, so if you can get them cheaper in the UK (They are free here in Australia), then bring them with you.

Have fun. NZ is a great country (although I am naturally biased), and you shouldn't have any issue with being diabetic there.

Cheers,
Warwick.

May 12, 2014

Warwick 425 posts

Topic: Carbohydrate Counting / Need advise

Hi Avanella,

Are you able to record your BGs in the DAFNE online diary and share it with this forum? It will make it easier to help you.

Thanks,
Warwick.

May 12, 2014

Warwick 425 posts

Topic: Carbohydrate Counting / CP free lunch

Some people (including me) find that in a carb-free meal, protein can raise blood glucose levels. Your lunch contained several sources of protein - ham, egg and cheese, and it may be that this has raised your BGs as a result. I usually need to take a small amount of QA if I just have scrambled eggs without toast.

If you had the salad without the omelet, then the rise would probably be negligible. You'd get hungrier though :-)

May 11, 2014

Rachel454 2 posts

Topic: Carbohydrate Counting / CP free lunch

Hi, I'm currently doing my DAFNE course today and yesterday I had the same carb free lunch Ham and Cheese 2 egg Omlette with salad that consisted of lettuce, toms, cucumber, spring onion and beetroot. I've been testing my BG every hour since my lunch and its gradually increasing from 6.5 before my lunch at 2pm it has just reached 13.5! I've not even had any milk in tea or coffee so I'm unsure as to why this could be. I usually take 20 of BI at 12am I did this on Friday however the reason for doing the CP free lunch as I had a suspicion my BI was running out towards 6pm so yesterday evening I did 14u of BI at 12am and a further 6u at 12pm today in the hope it may fix the problem. I realise I can't make a judgment on one day's results but I'm concerned I miss calculated the CP content of my lunch.
Any thoughts welcome!
Thanks Rachel

May 11, 2014

natalie fitch 5 posts

Topic: Carbohydrate Counting / Need advise

What is your meal ratio at lunchtime?you could try increasing your lunchtime ratio

May 11, 2014

natalie fitch 5 posts

Topic: Carbohydrate Counting / Need advise

What is your meal ratio at lunchtime?you could try increasing your lunchtime ratio

May 10, 2014

avanella 9 posts

Topic: General Discussion / Basal Correction

Hi.. Using glargine/lantus for basal. The BG has been high for the past two days. I take 12 hourly, jab at 10am and 10pm. Morning:7 QA and evening 6 QA.. Jus increased the basal in the morning to 8 QA today. Earlier, at abt 1pm had hypo bg was 3.1, evening bg increased to 14.1.

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!

May 12, 2014 michaelj 45 posts	Topic: Questions for HCPs / Time zone change Anette, I spent 3 weeks in New Zealand Jan 2014 and had no problems with this. If your flight goes late evening as mine did you can take your basal at your usual time in the evening. The first leg depending on where you stop ( mine was Malaysia) takes about 12 hrs so your am units could be done on the aircraft.There will be a stop for some time before the next flight. You can work this out from your air tickets. Second leg is usually 10 hours so you may have to be a little flexible about timing you next dose. I find if you keep to UK time for the first 24 hrs this will help with your timings, as New Zealand is 24 hrs in front of us and when you get there you can do a simple swop. I take my basal in one go and just break it down to half dose for the first 12 hours and then started on NZ time. Would agree with Warwick about stocking up with insulin and and other bits. Make sure you have plenty of test strips as you will probably be testing a lot more than usual.. Frio wallets are fine for insulin but NZ can get quite hot, and some test strips can be affected by temperature, so check the box and if needed, get a small cool bag for them. I personally always take twice as much medication as I would normally need to make sure I don't run out. New Zealand is pretty much up to speed on diabetic issues, they use the same insulin's as we do. run Daphne courses and do have a diabetic association, so life out there is not normally a problem. I even found a diabetic drop in shop in the town of Blenheim and chatted for a while to a very nice lady about diabetes in New Zealand. They are having pretty much the same problems with this disease as the UK Have a great time and enjoy yourself. It's a fantastic country.

May 12, 2014 Rachel454 2 posts	Topic: Carbohydrate Counting / CP free lunch Thanks for that Warwick I will bear that in mind, I did think that might be the case! Rachel Warwick said: Some people (including me) find that in a carb-free meal, protein can raise blood glucose levels. Your lunch contained several sources of protein - ham, egg and cheese, and it may be that this has raised your BGs as a result. I usually need to take a small amount of QA if I just have scrambled eggs without toast. If you had the salad without the omelet, then the rise would probably be negligible. You'd get hungrier though :-)

May 12, 2014 Warwick 425 posts	Topic: Questions for HCPs / Time zone change Hi Annette, There are a couple of good websites with detail about this here which may be helpful: http://clinical.diabetesjournals.org/content/21/2/82.full http://www.diabetesexplained.com/diabetes-and-time-zone-crossing.html Realistically, it will be a bit hit and miss. Although I live in Australia, I travel to New Zealand a couple of times per year (my home land). Although the two hour time difference doesn't affect me too much, the flights always do. Part of that is travelling with small children - hypos galore followed by highs from guessing badly the carb content of the airline meals. Some things I recommend: The Frio travel wallet: http://www.diabetesfrio.com/frio-wallets/cat_3.html?ccUser= It keeps insulin cold, even on hot airline flights. I use these for about 9 months of the year. All it needs is to be dipped in water about once per week. Make sure you have enough insulin in your hand luggage to last an extra week in case your hold luggage gets lost. You would be able to get replacement insulin in New Zealand, but you'll need to see a doctor for a prescription first. Ditto for carrying extra insulin in the hold luggage in case you lose your hand luggage. Get a letter from your GP to show a local GP in NZ if you run out of insulin for any reason. Prescriptions are fairly cheap in NZ (for locals, not sure about tourist visitors). Needles are about $25 per box of 100, so if you can get them cheaper in the UK (They are free here in Australia), then bring them with you. Have fun. NZ is a great country (although I am naturally biased), and you shouldn't have any issue with being diabetic there. Cheers, Warwick.

May 12, 2014 Warwick 425 posts	Topic: Carbohydrate Counting / Need advise Hi Avanella, Are you able to record your BGs in the DAFNE online diary and share it with this forum? It will make it easier to help you. Thanks, Warwick.

May 12, 2014 Warwick 425 posts	Topic: Carbohydrate Counting / CP free lunch Some people (including me) find that in a carb-free meal, protein can raise blood glucose levels. Your lunch contained several sources of protein - ham, egg and cheese, and it may be that this has raised your BGs as a result. I usually need to take a small amount of QA if I just have scrambled eggs without toast. If you had the salad without the omelet, then the rise would probably be negligible. You'd get hungrier though :-)

May 11, 2014 Rachel454 2 posts	Topic: Carbohydrate Counting / CP free lunch Hi, I'm currently doing my DAFNE course today and yesterday I had the same carb free lunch Ham and Cheese 2 egg Omlette with salad that consisted of lettuce, toms, cucumber, spring onion and beetroot. I've been testing my BG every hour since my lunch and its gradually increasing from 6.5 before my lunch at 2pm it has just reached 13.5! I've not even had any milk in tea or coffee so I'm unsure as to why this could be. I usually take 20 of BI at 12am I did this on Friday however the reason for doing the CP free lunch as I had a suspicion my BI was running out towards 6pm so yesterday evening I did 14u of BI at 12am and a further 6u at 12pm today in the hope it may fix the problem. I realise I can't make a judgment on one day's results but I'm concerned I miss calculated the CP content of my lunch. Any thoughts welcome! Thanks Rachel

May 11, 2014 natalie fitch 5 posts	Topic: Carbohydrate Counting / Need advise What is your meal ratio at lunchtime?you could try increasing your lunchtime ratio

May 11, 2014 natalie fitch 5 posts	Topic: Carbohydrate Counting / Need advise What is your meal ratio at lunchtime?you could try increasing your lunchtime ratio

May 10, 2014 avanella 9 posts	Topic: General Discussion / Basal Correction Hi.. Using glargine/lantus for basal. The BG has been high for the past two days. I take 12 hourly, jab at 10am and 10pm. Morning:7 QA and evening 6 QA.. Jus increased the basal in the morning to 8 QA today. Earlier, at abt 1pm had hypo bg was 3.1, evening bg increased to 14.1.