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Mar 31, 2014
HelenP
218 posts
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Topic: General Discussion / my feet and hands Shazell,The splints were not bad and they did/do enable me to sleep through the night. The surgeon did say that they were not a permanent solution but that they may help. When my hands started to to go numb during the day I sought surgery. The carpal tunnel done here in Australia is not bad. It is surgery (GA) and I do have two 1cm scars but my hands are better (not numb). I came home in the early afternoon having had the surgery done at 8:00am. Hand is wrapped as if it has a boxing glove on but three days later that comes off and you are left with a manageable "wound covering'. There was some physiotherapy involved but I would say I now have full movement …although my hand strength is reduced. You have to try and work out what is the cause and unless they can shoot the numbness back to carpal tunnel the surgery will not be the answer. Keep at it ...diabetes is a marathon! Helen |
Mar 31, 2014
shazell
4 posts
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Topic: General Discussion / my feet and hands Hi Thank you for your reply HelenP 40 years is a bloody long time! has this been a recent problem with your hands and feet? My doctor isn't to helpful really, he just said to get tighter control! and all im thinking is (obviously im trying a lot harder to keep a better control) but do I just leave my hands and feet or do I push for something to be done? or wait till its unbearable? I find it so frustrating as I do realise the better control = better health, I think im just in panic mode to be honest and my diabetic nurse is in the middle of moving so all appointments have been canceled? its so scary, and wearing splints must be horrendous and to be honest I used to do care work and cared for a man who had the carpal tunnel done on his hands and that looked very invasive? Thanks again Helen |
Mar 31, 2014
Fi_feb2014class
2 posts
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Topic: General Discussion / eating Hi Warwick,Thank you for you reply, much appreciate. I think I have more of an addiction to things I shouldn't eat, like chocolate, lollies, slices, and more chocolate and lollies, and slices, I just don't stop till it's all gone, no control what so ever, and I've never been this way. I will how ever make some inquiries as Im sure I'm on the Chronic Diease Mangement Program. Thank you so much for your advice, sometimes helps to ask other diabetics there point of view etc. I'm off for a nice long walk to burn some unwanted fat lol. Cheers Fi |
Mar 30, 2014
HelenP
218 posts
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Topic: General Discussion / my feet and hands Shazell…a post script.A couple of years ago I took my bothersome hands to my GP. He thought the numbness etc that I was describing was carpal tunnel. I was referred to a hand surgeon. His assessment was that there was certainly some carpal tunnel involvement but he was unable to put a percentage on it (50% carpal tunnel/50% diabetic neuropathy?). We tried a splint at night but eventually I decided that I would try the surgery (both my mother and younger sister had had similar surgery). Over a couple on months I had surgery on both wrists. My hands are certainly better but I think the surgeon was right…maybe 60-70% carpal tunnel the rest neuropathy. The numbness has gone but my wrists ache etc if I do not keep them extended at night. Occasionally wear a splint to keep them in a good position if they are really bothering me. Helen |
Mar 30, 2014
HelenP
218 posts
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Topic: General Discussion / my feet and hands Hi Shazell,Yep my hands and feet give me grief. Been a diabetic for nearly 40 years. I do believe that if you can reign in your HbA1c the situation will/may improve. My feet (actually) calves feel as if they have a tight sock on them all the time (it is not painful…just a sensation, day and night) and my hands/arms are most comfortable at night if I lie crucifixion style. This started during an unbelievably traumatic time in my life but has significantly been brought to the manageable state where I am now. All the best…good luck with your DAFNE course as it will teach you much more about management than you anticipate. Helen |
Mar 30, 2014
shazell
4 posts
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Topic: General Discussion / my feet and hands hi, just a quick question, I have been diabetic for 17 years on pump for 8 (still awaiting my DAFNE course to come thru!) my hands at night go numb if my arms are bent over (or not actually) but I don't seem to notice in the day time, also my feet feel like they are stuck in a size smaller shoes, my control over the years has been up and down (last hb1c was 65?) which is just in the "poor" area, I am sick with worry about all this and im not coping with it at all to be honest, I have started to really up my game with my sugars but is there any hope that nerves can get better? all I have been told is to get better control, feeling a bit lost to be honest![]() ![]() |
Mar 29, 2014
Warwick
423 posts
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Topic: General Discussion / eating Hey Fi,I'd recommend having a chat to a dietician about this. They can make recommendations based on your current diet, and suggest ways that would hopefully be helpful. Are you on a Chronic Disease Management Plan? Through Medicare, you can get a doctor to arrange a Team Health Care Plan which involves seeing 5 medical professionals per year at a reduced cost. Dieticians are one of those so that you don't need to pay the full cost of seeing one. (You can see other health care professionals too at reduced rates such as physios, podiatrists, diabetes educator etc.) I think for you to be successful, you will need someone who can analyse your current diet, and make recommendations on how to improve that. I personally struggle with this too. Since being diagnosed with T1 about 3.5 years ago, I've put on an extra 10 kg that doesn't want to come off, and although my diet at mealtimes is excellent, my snacking feels out of control. Part of that is that because of my numerous hypos, I end up training my body to eat when I am not hungry, and that leads to bad habits elsewhere. I am working with my endo on reducing the number of hypos I have in the hope that with reduced hypo food, I'll be able to gain some control over my snacking. Good on you for seeking help. But please do consider discussing this with a dietician. And if you don't feel that you are getting good value from your dietician, then do feel free to change to a different one. My previous dietician was not particularly knowledgeable about diabetes, so I asked my DAFNE dietician for a recommendation, and I am much happier with the one I now use. All the best. Warwick. |
Mar 29, 2014
Fi_feb2014class
2 posts
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Topic: General Discussion / eating I'm having big issues with eating things I really shouldn't be,and over eating these things, I seem to have moments of binge eating allmost,am over it, am get bigger, but just seem to keep going.any ideas anyone willing to share. Regards Fi |
Mar 28, 2014
Peter
109 posts
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Topic: Questions for HCPs / How to avoid High glucose when travelling Justin, I got the CGMS through my role as Chairman of DUAG which means that I am one of the user representatives on the DAFNE Executive which is the group the runs the DAFNE Programme in the UK and RoI. One of the other members of the Executive mentioned in a meeting that their centre were reviewing CGMS and so I commented that I'd be interested in trying one. A few weeks later I was contacted ans asked whether I'd be prepared to provide input into the instructions that were being written for the use of a CGMS in "exchange" for getting one to use myself for a period. Unfortunately not a route that will help you or others much.I think the main reason that the advice says only correct at mealtimes is to avoid correcting between meals and then correcting again before the next meal and as a result ending up hypo. For me it takes time for a correcting does to work, and so if I test between meals because I'm not feeling right I will correct at that time. The other critical fact to remember is that it can take time for the insulin at one meal to counteract the carbs eaten. This is especially true if you inject after a meal. That's why the 2 hour rule exists as, for most, there will be a peak in BS readings sometime in that period, and if there is no need to correct for that as the pre-meal QA will sort that out eventually. Assuming you have some knowledge of how long your body usually takes to return the BS to pre-meal levels, then you should be able to identify an unexpected peak which should be treated before the next meal.Unfortunately though, as with all these discussions, what works for one does not necessarily apply to another. So you should only move outside the standard advice if you're confident you know what you're doing, ideally you're not abroad the first time you're doing it and, of course, you've discussed it with your HCP. Good luck Peter |
Mar 28, 2014
Peter
109 posts
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Topic: General Discussion / How do I do BI check? The other thing to do is to look at different times of the day, particularly as with the timing of BI injections you will have a peak in the morning when that dose begins to kick in (typically 2 hours after injection) and the available amount of BI will then drop during the day until it reaches a minimum in the evening around the time you're giving the evening does. NB. This does assume that you don't sleep for 12 hours a day![]() So if evenings are the main problem, then start be having a carb. free dinner once or twice. Once you're happy that that period is OK, then you could move to a carb. free lunch etc. That way you get all the data, but over a slightly longer period but without having to go carb. free for 24 hours at once. I find that much easier. |
Mar 28, 2014
hypo
18 posts
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Topic: General Discussion / Done it :) Congratulations on your pregnancy I am sure you and your baby will be just fine enjoy that blooming feeling, its one of the best feelings in the world x |
Mar 27, 2014
tcmonkey80
41 posts
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Topic: General Discussion / Done it :) Thank you everyone its been a strange thirteen weeks. Looking forward to having the blooming feeling he he x |
Mar 27, 2014
Warwick
423 posts
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Topic: General Discussion / Exercise tips Very cool. Phil Southerland's book Not Dead Yet is also a very good read. Phil is the founder of Team Type 1, now known as Team Novo Nordisk. Quite motivating. |
Mar 26, 2014
JayBee
587 posts
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Topic: General Discussion / Done it :) Congratulations!![]() |
Mar 26, 2014
Stew B
125 posts
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Topic: General Discussion / Exercise tips I've been following Team Novo Nordisk on Facebook and Twitter. I find the fact that there's a successful professional cycling squad made up exclusively of type 1 diabetics quite reassuring.. In a recent post team members gave their top five tips for a successful training session: http://www.teamnovonordisk.com/top-5-essentials-endurance-training/ |
Mar 25, 2014
mum2westiesGill
502 posts
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Topic: General Discussion / My Recent BGs - comments wanted please Hi,Sorry for the late reply. I use stomach for breakfast, lunch & dinner but always rotate under above & each side of navel also there does not appear to be any lumps |
Mar 25, 2014
xJeanx
8 posts
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Topic: General Discussion / How do I do BI check? Thanks for the advice Warwick. I'm going to give this a try. 😊Jean 😊 |
Mar 25, 2014
Garry
328 posts
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Topic: Carbohydrate Counting / Alcohol, carb counting and insulin doses Bit vexing isn't it, that a beer bottle label doesn't have to tell you the carbohydrate content. May tell you alsorts of other useless stuff...but not the CHO value. I've moaned about this in the past.When I first became type 1....a few years ago...the only beer on the market at that time that made any claims to be low carbohydrate was Holsten Diet Pils and that was low, with as much sugar brewed out as the specialised yeast was capable of acheiving. Can't remember the value now though as it is over 30 years ago. But even then they gave you the CHO value on the label. I have discovered Marston's Resolution at 0.6g/100ml or 1.65g per 275 bottle. 6 bottles for 1 CP is good isn't it. My only problem is that I have to drive a 46 mile round trip to get it, as no one sells it in my area. I last bought 2 cases some months ago...did not last very long however ![]() I'll try and cull some info from the net and post it on this thread if anyone has an interest. Regards Garry |
Mar 25, 2014
novorapidboi26
1,819 posts
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Topic: Carbohydrate Counting / Alcohol, carb counting and insulin doses The best thing to do is experiment with it, and record the results........I can have 2 - 3 pints with accompanying insulin and have no hypo later, where as a good drink the night before consisting of wine, beer, spirits can require a dramatic drop in insulin doses to prevent hypo that night and the next day.... |
Mar 25, 2014
novorapidboi26
1,819 posts
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Topic: General Discussion / Done it :) Congratulations.........keep up the good work...... |
Mar 25, 2014
Warwick
423 posts
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Topic: General Discussion / How do I do BI check? Hi Jean,The full 24 hour test isn't really necessary. Identify the problem time of day - morning/afternoon/evening. Where you would usually have a meal, don't, but take a reading. At the next meal (or before bed if you missed the evening meal), take another reading and compare the two readings. They shouldn't differ by more than 1.5 if your BI is correct. If you have a hypo or need to correct with QA at any time between the start and end of the test, then it won't be a valid result. And the same applies for if your reading before the meal you are missing is high or low and you need to correct, or eat carbs. In that case, abandon the test, and try again the next day. So, for example, if you have trouble with your BGs remaining steady in the evenings, at dinner time, don't eat, but take a reading. At bed time, take another reading and compare it with the reading that you took previously. If it has risen higher than 1.5, then your BI is inadequate. If it has dropped by more than 1.5, then you are taking too much BI. You can eat at the end of the test, but just remember to take a ppropriate QA with it. Take BI at your usual times - there is no need to change the timing of it during the test. During the test, you should only do what you would normally do during that time of day, so don't suddenly start marathon training during the test :-) If you are unusually physically active during your test, then that is likely to influence your BGs. Ditto for if you experience unusual stress. It is also a good idea to repeat the test if you can on a different day. I am sure that you have experienced the odd way-out result as I have with no known explanation, and it can be good to test a couple of times just to check that it can be repeated with similar results. Cheers, Warwick. |
Mar 24, 2014
Vickyp
137 posts
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Topic: General Discussion / Done it :) Congrats xxxx![]() |
Mar 24, 2014
GChana
1 post
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Topic: General Discussion / My Recent BGs - comments wanted please hi - just had a quick look, & you have been injecting into the stomach mainly...are you rotating around the area? have you checked for lumps? |