Recent Posts - DAFNE Online

Mar 28, 2014

Peter 109 posts

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 Very Happy

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

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

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 425 posts

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

Topic: General Discussion / Done it :)

Congratulations! Smile

Mar 26, 2014

Stew B 125 posts

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

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

Topic: General Discussion / How do I do BI check?

Thanks for the advice Warwick. I'm going to give this a try. ðŸ˜Š

Jean ðŸ˜Š

Mar 25, 2014

Garry 328 posts

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 Embarassed

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

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

Topic: General Discussion / Done it :)

Congratulations.........keep up the good work......

Mar 25, 2014

Warwick 425 posts

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

Topic: General Discussion / Done it :)

Congrats xxxx Very Happy

Mar 24, 2014

GChana 1 post

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?

Mar 24, 2014

Simon 578 posts

Topic: General Discussion / Done it :)

Many congratulations! All the best to you and your family Very Happy

Mar 24, 2014

mum2westiesGill 502 posts

Topic: General Discussion / My Recent BGs - comments wanted please

Comments wanted on the above please - 17.03.2014 - 23.03.2014

Please can I have some comments on the above readings

Off to see the dietician tomorrow to make sure I am counting carbs correctly. The method I use is carbs & cals book/app & also food packaging labels

Mar 24, 2014

tcmonkey80 41 posts

Topic: General Discussion / Done it :)

Thank you Warwick Smile

Mar 24, 2014

xJeanx 8 posts

Topic: General Discussion / How do I do BI check?

Thanks for your reply Warwick.

I am on multiple daily injections of short acting insulin and twice daily injections of long acting insulin (in a morning before breakfast and in an evening before bed).

I have read how some people have carb free meals to check that their background insulin is correct but wanted to make sure I was doing it right before giving it a try. Would I go for a full 24 hours without any carbs and without any short acting insulin?

Thanks.

Mar 24, 2014

Warwick 425 posts

Topic: General Discussion / How do I do BI check?

Are you on once-per-day BI, or multiple injections of BI?

If just the once, then the easiest way is to compare your before bed readings with your before breakfast readings (assuming no CPs or QA at bedtime or overnight). If they differ by more than 1.5, then it indicates that your BI may need adjusting.

Cheers,
Warwick.

Mar 24, 2014

Warwick 425 posts

Topic: General Discussion / Done it :)

Congratulations. Lots of type-1s have delivered perfectly healthy babies, so focus on that fact rather than the potential negatives :-)

All the best.
Warwick.

Mar 24, 2014

Warwick 425 posts

Topic: General Discussion / Help please! High morning BG

Hi Lucy,

I'd suggest from what you have said, that increasing your evening BI would be appropriate. Increase by 10%, and then leave for three days to see how much of a change it makes.

Often BGs will increase in the morning due to dawn phenomenon - the rush of hormones that increase insulin resistance, but this tends to occur after 3 a.m. The fact that you are higher than desirable at 3 am, indicates that you can increase your evening BI without necessarily experiencing overnight hypos.

You may or may not have dawn phenomenon. If you start getting 3 am readings in a good range, and then before-breakfast readings in a high range, then DP would be indicated. For now, from what you have said, it appears just to be a lack of evening BI.

Mar 23, 2014

Lucyx78 11 posts

Topic: General Discussion / Help please! High morning BG

Hi
I would appreciate some advice please as I am struggling with morning BG.
I Have been going to bed around 8-8.5 and waking up around 13-17mmol. I have done a couple of 3am checks and I have had readings around the 10-11 mark. I am absolutely baffled as to why it is happening but it is really frustrating me. I do 17 units of BI at bed and the same in the morning (I'm on levemir). Do I continue to monitor and increase my BI at night 10-20%? Any advice would be appreciated. Thank you

Mar 23, 2014

tcmonkey80 41 posts

Topic: General Discussion / Done it :)

Hi everybody, I just wanted to let you all know that I am 3 months pregnant Smile

)
Both baby and me are doing really well.

My sugar levels are well controlled with the help of my pump (couldnt have done this without my pump). I have had 2 scans already and the baby is growing at a nice pace, fingers crossed we dont end up with a large baby Smile

I need to stop reading websites on complications on diabteic pregnancys, i have a great care team behind me and i am sure the baby will be perefect.

Very Happy

Mar 23, 2014

xJeanx 8 posts

Topic: General Discussion / How do I do BI check?

Hi everyone,

Does anyone know if there are any rules/ guidelines on how to do a background insulin check? I know it involves having carbohydrate free meals but not sure over what period of time I should do this for and how often to do blood glucose tests. Is this now taught on DAFNE courses?

Just off now to have a look at the online handbook.

Thanks in advance.

Jean

Mar 28, 2014 Peter 109 posts	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	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	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 425 posts	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	Topic: General Discussion / Done it :) Congratulations!

Mar 26, 2014 Stew B 125 posts	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	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	Topic: General Discussion / How do I do BI check? Thanks for the advice Warwick. I'm going to give this a try. ðŸ˜Š Jean ðŸ˜Š

Mar 25, 2014 Garry 328 posts	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	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	Topic: General Discussion / Done it :) Congratulations.........keep up the good work......

Mar 25, 2014 Warwick 425 posts	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	Topic: General Discussion / Done it :) Congrats xxxx

Mar 24, 2014 GChana 1 post	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?

Mar 24, 2014 Simon 578 posts	Topic: General Discussion / Done it :) Many congratulations! All the best to you and your family

Mar 24, 2014 mum2westiesGill 502 posts	Topic: General Discussion / My Recent BGs - comments wanted please Comments wanted on the above please - 17.03.2014 - 23.03.2014 Please can I have some comments on the above readings Off to see the dietician tomorrow to make sure I am counting carbs correctly. The method I use is carbs & cals book/app & also food packaging labels

Mar 24, 2014 tcmonkey80 41 posts	Topic: General Discussion / Done it :) Thank you Warwick

Mar 24, 2014 xJeanx 8 posts	Topic: General Discussion / How do I do BI check? Thanks for your reply Warwick. I am on multiple daily injections of short acting insulin and twice daily injections of long acting insulin (in a morning before breakfast and in an evening before bed). I have read how some people have carb free meals to check that their background insulin is correct but wanted to make sure I was doing it right before giving it a try. Would I go for a full 24 hours without any carbs and without any short acting insulin? Thanks.

Mar 24, 2014 Warwick 425 posts	Topic: General Discussion / How do I do BI check? Are you on once-per-day BI, or multiple injections of BI? If just the once, then the easiest way is to compare your before bed readings with your before breakfast readings (assuming no CPs or QA at bedtime or overnight). If they differ by more than 1.5, then it indicates that your BI may need adjusting. Cheers, Warwick.

Mar 24, 2014 Warwick 425 posts	Topic: General Discussion / Done it :) Congratulations. Lots of type-1s have delivered perfectly healthy babies, so focus on that fact rather than the potential negatives :-) All the best. Warwick.

Mar 24, 2014 Warwick 425 posts	Topic: General Discussion / Help please! High morning BG Hi Lucy, I'd suggest from what you have said, that increasing your evening BI would be appropriate. Increase by 10%, and then leave for three days to see how much of a change it makes. Often BGs will increase in the morning due to dawn phenomenon - the rush of hormones that increase insulin resistance, but this tends to occur after 3 a.m. The fact that you are higher than desirable at 3 am, indicates that you can increase your evening BI without necessarily experiencing overnight hypos. You may or may not have dawn phenomenon. If you start getting 3 am readings in a good range, and then before-breakfast readings in a high range, then DP would be indicated. For now, from what you have said, it appears just to be a lack of evening BI.

Mar 23, 2014 Lucyx78 11 posts	Topic: General Discussion / Help please! High morning BG Hi I would appreciate some advice please as I am struggling with morning BG. I Have been going to bed around 8-8.5 and waking up around 13-17mmol. I have done a couple of 3am checks and I have had readings around the 10-11 mark. I am absolutely baffled as to why it is happening but it is really frustrating me. I do 17 units of BI at bed and the same in the morning (I'm on levemir). Do I continue to monitor and increase my BI at night 10-20%? Any advice would be appreciated. Thank you

Mar 23, 2014 tcmonkey80 41 posts	Topic: General Discussion / Done it :) Hi everybody, I just wanted to let you all know that I am 3 months pregnant ) Both baby and me are doing really well. My sugar levels are well controlled with the help of my pump (couldnt have done this without my pump). I have had 2 scans already and the baby is growing at a nice pace, fingers crossed we dont end up with a large baby I need to stop reading websites on complications on diabteic pregnancys, i have a great care team behind me and i am sure the baby will be perefect.

Mar 23, 2014 xJeanx 8 posts	Topic: General Discussion / How do I do BI check? Hi everyone, Does anyone know if there are any rules/ guidelines on how to do a background insulin check? I know it involves having carbohydrate free meals but not sure over what period of time I should do this for and how often to do blood glucose tests. Is this now taught on DAFNE courses? Just off now to have a look at the online handbook. Thanks in advance. Jean