Recent Posts - DAFNE Online

Mar 13, 2014

Louise1988 69 posts

Topic: General Discussion / Need to nip this in the bud...

Thanks for the encouragement, will see how I go Smile

Mar 13, 2014

Rafa 99 posts

Topic: General Discussion / Need to nip this in the bud...

I would agree you are doing well. Would love those readings at bed, 3am and morning.

Mar 13, 2014

youone 102 posts

Topic: Carbohydrate Counting / reliable metre readings

Hi Vicky
I'm still not happy with the test strips supplied, There gave a 2 difference to my glucomen lx plus and a friends metre,
So until things settle I'm staying with the glucomen.
yes the CGM would aid you with your pregnancy.
I missed the countmein visit to the house of paliment the this week, which has gone well,
I really hope the government increase research funding for diabetes also funding for pumps and other devices.
I guess like you, I can't believe how much my pump has changed my life
Keep us informed on any good news
Brian

Mar 12, 2014

alturn 78 posts

Topic: General Discussion / Need to nip this in the bud...

I would consider -2 or +2 change from bed to breakfast is within range (I dropped 7 one night recently and also gone up by 4 so planning is difficult). As your Levemir is in relatively small amounts, any change could have a dramatic effect. I would err on the cautious side and prefer to be a bit high than risk an overnight hypo - of which you are very aware.

So if I was you I would continue to monitor and change by small amounts (1/2 unit change) if overnight changes get larger. Based on info provided, I think your doing Ok.

Hope this helps.

Mar 12, 2014

Louise1988 69 posts

Topic: General Discussion / Need to nip this in the bud...

For the past few days or so, I've noticed a slight increase from my before bed to before breakfast. It's only an increase of 1-2, but it's something I want to try to tackle. I've done a couple of 3am checks and I seem to dip slightly during the night. For example last night -

I went to bed at 10pm, by bg was 6.8. 3am this morning I was 6.4, and before breakfast at 7am, I was 7.3.

I've recently split my levemir, 3u at 9pm, and 3u at 9am. This is working really well for me, as I'm not going to bed high, and I'm not waking up low in the morning.

I was contemplating upping my 9pm dose, but I'm weary of the slight drop during the night, I don't want to drop and hypo.

Any suggestions?

Mar 11, 2014

mihaela 7 posts

Topic: General Discussion / miss

ok i started my night bi at 8pm now and im having 2 units qa in the morning so ill see how i go Smile

Mar 11, 2014

mum2westiesGill 502 posts

Topic: General Discussion / Targets - too many BGs out of target

So after having breakfast then find I'm high at lunchtime alter the breakfast ratio?

Mar 11, 2014

novorapidboi26 1,819 posts

Topic: General Discussion / Targets - too many BGs out of target

you seem to be rising from when you get up, to when you actually eat something, but that unrelated to QA ratios.....

start with your breakfast ratio, or your first meal if you want to call it that, if you are high at the next meal, 4-5 hours later, then you can up your ratio to 1.5:1 [1.5 units to 10g]...you should only up the ratio after observing your readings for 2-3 days though, and don't change your BI dose when doing this.....

Mar 11, 2014

novorapidboi26 1,819 posts

Topic: General Discussion / Type 1 as a disability

I too don't see it as a disability, and I suppose the only time its relevant and useful is in employment where we would fall under the disability discrimination act.

I personally probably wouldn't try and get a discount at the gym, but financially I am OK, but for some the cost of a gym membership is just a bit too much...

So my advice to you is go for it, think about the benefit to your health and how much easier your BG control will be due to increased activity......

Mar 11, 2014

Louise1988 69 posts

Topic: General Discussion / Type 1 as a disability

Like you, I've never seen it as a disability. However, there are certainly some scenarios where it would be deemed as a disability - education (needing more time for exams, if hypo occurs). I guess you could argue you'd be entitled to a concession for the gym. Worth trying I guess, you don't get if you don't ask.

Mar 11, 2014

Phil Maskell 194 posts

Topic: General Discussion / Type 1 as a disability

Hi,

I have never really thought of Type 1 as a disability more a pain in the arse/arm/leg Very Happy

Would people on here class it as a disability?

I have just moved to a new house walking distance from a leisure centre and am trying to get a bit fitter and they have concessionary card that makes most things half price or free, this card is open to low income/benefits and disabilities, I just need a letter from GP or hospital, it feels wrong to even ask.

What are other peoples opinions? Do I get some benefit out of being diabetic? Exercise costs me a fortune as it is in sugar eg. sports drinks/gels/bars etc...

Phil

Mar 11, 2014

Warwick 423 posts

Topic: General Discussion / miss

I think leave your evening BI so that you take it at dinner time, but if you are seeing similar results to Saturday and Sunday, then increasing your morning BI by an additional 2 units would seem warranted.

Have you changed your BI pen recently? Just wondering if your BI has gone bad recently. If you are in Victoria like I am, then the recent heat could certainly do that.

Cheers,
Warwick.

Mar 11, 2014

mihaela 7 posts

Topic: General Discussion / miss

Mar 10, 2014

Justinjroberts 9 posts

Topic: Questions for HCPs / How to avoid High glucose when travelling

Dear Peter,

Just wondering how did you manage to borrow a CGMS for 6 weeks. I would have happily tried anything to keep my BG under control while travelling. I can see how it would be a great help and avoid having to test continuously to avoid rapid fluctuations, also it is not always possible to keep testing. With regard to DAFNE, how dose it work as I have always been told to avoid testing between meals and only test when I want to eat, exercising, driving or when ill? And correct at meal times, my concern however was that I had such high levels which was making me unwell I had no option to test and correct, which worryingly still did not bring it back down.

Mar 10, 2014

marke 681 posts

Topic: DAFNE Online Mobile / Android App - Correction for high BG

Hi, there ARE differences but I'm not 100% sure what they are. Basically the iPhone app is still being developed and updated by Simon. However Keith no longer has time to develop/update the Android App so its falling behind the iPhone version. The auto-correction has only ever been implemented on the iPhone as far as I know ( I use an iPhone not an Android). Until we can find someone else to develop the Android App nothing much will change unfortunately. Both were developed by individuals in their own time and are not professionally funded.

Mar 10, 2014

Jas 1 post

Topic: DAFNE Online Mobile / Android App - Correction for high BG

Hi Guys,

I just switched phones from an iPhone to an Android phone and in general terms the functionality of the app on the iphone and android is the same (although it did take a few days to figure out the differences, it took me 3 days to figure out how to edit an entry Laughing

)

One thing that i still have not been able to figure out hence my post is an auto correction of QA when my BG is high, on the iphone app this was automatically calculated, but this does not seem the case for the android app?

Is that intentional or am i missing something in the settings to enable this?

Also does anyone know if all the functionality in the two apps is essentially the same or are there some differences?

thanks

Jas

Mar 10, 2014

Justinjroberts 9 posts

Topic: Questions for HCPs / How to avoid High glucose when travelling

Thanks for your thoughts, and when I visit my HCP in April I will certainly ask about the CGMS. Regarding my insulin my QI is Novorapid and my BI is Humalin I! I was on Lantus but had some problems last Autumn and had to split the doe to morning and evening and was also having to check my glucose levels and correct with Novorapid around 5.30am every morning, at that time of day my Novorapid worked on a ratio of lowering of 1 to 1 so one unit of Novorapid would only reduce my glucose levels by 1. I have only been on the Humalin I for three weeks after spending a week on a DAFNE course, having last been on the course 11 years ago.

Mar 10, 2014

Garry 328 posts

Topic: Questions for HCPs / How to avoid High glucose when travelling

Welcome to the forum Justinjroberts Smile

May I ask which QA insulin you use?
Regards
Garry

Mar 10, 2014

mihaela 7 posts

Topic: General Discussion / miss

maybe ill do my night bi at 8pm every afternoon and increase my morning bi to 10?

Mar 10, 2014

mihaela 7 posts

Topic: General Discussion / miss

yes im not getting sick at all and im a bit dissapointed with my bg lately i dont know anymore

Mar 10, 2014

Warwick 423 posts

Topic: General Discussion / miss

Hello Mihaela,

Are you getting advice from your DAFNE coordinator to change your BI, or have you changed it yourself? Either way, I think that the reasoning for changing it is good, but a little weird that the results seem to be getting worse since changing it.

With the continual rise between eating dinner and going to bed, it does look like a case of your BI running out, and it is obvious that you have made two changes there - the first to take your evening BI at dinner time instead of bed time, and secondly to increase your morning BI. Both are excellent things to try.

Unfortunately, and unusually, this has resulted in higher BGs across the board, which is very unexpected. Is there any chance that you are coming down sick at the moment, as that would explain the rise in BGs. If so, then follow the sick day rules in your DAFNE handbook (There is a link to it at the top right of this page)

BI changes need to stay constant for three days to allow the body to adjust to the new doses, so stick with it, and hopefully we'll see some good progress soon. Please keep posting your diary to this forum thread, and I'll keep an eye out to see if there is anything else I can suggest.

If you are getting sick, then hopefully you will start getting better soon.

Best regards,
Warwick.

Mar 9, 2014

Warwick 423 posts

Topic: General Discussion / help needed reading my bg results!

Hello Hannah,

In general, to change BI, we look at the difference between your before-bed readings and your first morning reading. If the BI is correct, then there should be a difference of less than 1.5 between those two readings. So we have:

Sunday: 11.2 -> 9.9 - Perfectly acceptable.
Monday: 5.3 -> 12.0 - A jump of more than 6.
Tuesday:14.9 -> 7.3 after taking 2 units of QA. We can't really tell what happened here as you took QA (which you were correct in doing), but we can't tell whether the BI was appropriate when that happens.
Wednesday: 13.0 -> 12.6 - Perfectly acceptable, although at 13.0, 2 units of QA should have been taken to drop that to the desirable range.
Thursday: 10.2 -> 10.4 - Perfectly acceptable.
Friday: 10.8 -> 10.3 - Perfectly acceptable.
Saturday: 4.6 -> 9.2 with 2 CPs. so again can't tell as the CPs will affect that morning reading.

So apart from the Monday evening to Tuesday morning reading where there is an inexplicable jump of 6, it is fairly clear that your BI is actually spot on. Perhaps you forgot to record eating some CPs on Monday evening?

There is quite a bit of red in the diary though. If you are above 8.0, then it is a good idea to use QA to correct. For example, there are a few places in the diary, where a correction of QA would have been a good move, but was not taken. E.g: Sunday 2/3 at 13.29 and 23.39, Wednesday 23:32, Thursday 07.30 and 22.45, Friday 07:45 and 22:47, Saturday 08.24 and 12.48, and Sunday 09.51 and 14.21.

It is curious that your BGs dropped from 16.1 at 14.21 to 4.8 at 20.52 without any QA at all on Sunday 09/03. That would usually indicate that your BI is way out, but everywhere else, your BI looks to be the right dose. Did you not take QA to correct that 16.1 reading at 14.21 on Sunday 09/03? You should always correct for a reading of 13 and above unless you have eaten in the previous two hours as the risk of DKA increases for readings of 13 and above.

If you don't know how much a unit of QA will drop your BGs by, then start with 3, and then use trial and error to see if that is a suitable value. So for example, if you are 11.0, having one unit of QA will hopefully drop you to about 8.0. Two units of QA would hopefully drop you to 5.0 by your next meal depending on what QA you are on, and its profile.

Best regards,
Warwick.

Mar 9, 2014

hannahlaw 4 posts

Topic: General Discussion / help needed reading my bg results!

Some input on my bg readings would be appreciated on patterns etc and should I change my BI or change the dose I take? Im on Lantus! Thanks in advance
Hannah x

Mar 9, 2014

mihaela 7 posts

Topic: General Discussion / miss

normal

Mar 13, 2014 Louise1988 69 posts	Topic: General Discussion / Need to nip this in the bud... Thanks for the encouragement, will see how I go

Mar 13, 2014 Rafa 99 posts	Topic: General Discussion / Need to nip this in the bud... I would agree you are doing well. Would love those readings at bed, 3am and morning.

Mar 13, 2014 youone 102 posts	Topic: Carbohydrate Counting / reliable metre readings Hi Vicky I'm still not happy with the test strips supplied, There gave a 2 difference to my glucomen lx plus and a friends metre, So until things settle I'm staying with the glucomen. yes the CGM would aid you with your pregnancy. I missed the countmein visit to the house of paliment the this week, which has gone well, I really hope the government increase research funding for diabetes also funding for pumps and other devices. I guess like you, I can't believe how much my pump has changed my life Keep us informed on any good news Brian

Mar 12, 2014 alturn 78 posts	Topic: General Discussion / Need to nip this in the bud... I would consider -2 or +2 change from bed to breakfast is within range (I dropped 7 one night recently and also gone up by 4 so planning is difficult). As your Levemir is in relatively small amounts, any change could have a dramatic effect. I would err on the cautious side and prefer to be a bit high than risk an overnight hypo - of which you are very aware. So if I was you I would continue to monitor and change by small amounts (1/2 unit change) if overnight changes get larger. Based on info provided, I think your doing Ok. Hope this helps.

Mar 12, 2014 Louise1988 69 posts	Topic: General Discussion / Need to nip this in the bud... For the past few days or so, I've noticed a slight increase from my before bed to before breakfast. It's only an increase of 1-2, but it's something I want to try to tackle. I've done a couple of 3am checks and I seem to dip slightly during the night. For example last night - I went to bed at 10pm, by bg was 6.8. 3am this morning I was 6.4, and before breakfast at 7am, I was 7.3. I've recently split my levemir, 3u at 9pm, and 3u at 9am. This is working really well for me, as I'm not going to bed high, and I'm not waking up low in the morning. I was contemplating upping my 9pm dose, but I'm weary of the slight drop during the night, I don't want to drop and hypo. Any suggestions?

Mar 11, 2014 mihaela 7 posts	Topic: General Discussion / miss ok i started my night bi at 8pm now and im having 2 units qa in the morning so ill see how i go

Mar 11, 2014 mum2westiesGill 502 posts	Topic: General Discussion / Targets - too many BGs out of target So after having breakfast then find I'm high at lunchtime alter the breakfast ratio?

Mar 11, 2014 novorapidboi26 1,819 posts	Topic: General Discussion / Targets - too many BGs out of target you seem to be rising from when you get up, to when you actually eat something, but that unrelated to QA ratios..... start with your breakfast ratio, or your first meal if you want to call it that, if you are high at the next meal, 4-5 hours later, then you can up your ratio to 1.5:1 [1.5 units to 10g]...you should only up the ratio after observing your readings for 2-3 days though, and don't change your BI dose when doing this.....

Mar 11, 2014 novorapidboi26 1,819 posts	Topic: General Discussion / Type 1 as a disability I too don't see it as a disability, and I suppose the only time its relevant and useful is in employment where we would fall under the disability discrimination act. I personally probably wouldn't try and get a discount at the gym, but financially I am OK, but for some the cost of a gym membership is just a bit too much... So my advice to you is go for it, think about the benefit to your health and how much easier your BG control will be due to increased activity......

Mar 11, 2014 Louise1988 69 posts	Topic: General Discussion / Type 1 as a disability Like you, I've never seen it as a disability. However, there are certainly some scenarios where it would be deemed as a disability - education (needing more time for exams, if hypo occurs). I guess you could argue you'd be entitled to a concession for the gym. Worth trying I guess, you don't get if you don't ask.

Mar 11, 2014 Phil Maskell 194 posts	Topic: General Discussion / Type 1 as a disability Hi, I have never really thought of Type 1 as a disability more a pain in the arse/arm/leg Would people on here class it as a disability? I have just moved to a new house walking distance from a leisure centre and am trying to get a bit fitter and they have concessionary card that makes most things half price or free, this card is open to low income/benefits and disabilities, I just need a letter from GP or hospital, it feels wrong to even ask. What are other peoples opinions? Do I get some benefit out of being diabetic? Exercise costs me a fortune as it is in sugar eg. sports drinks/gels/bars etc... Phil

Mar 11, 2014 Warwick 423 posts	Topic: General Discussion / miss I think leave your evening BI so that you take it at dinner time, but if you are seeing similar results to Saturday and Sunday, then increasing your morning BI by an additional 2 units would seem warranted. Have you changed your BI pen recently? Just wondering if your BI has gone bad recently. If you are in Victoria like I am, then the recent heat could certainly do that. Cheers, Warwick.

Mar 11, 2014 mihaela 7 posts	Topic: General Discussion / miss

Mar 10, 2014 Justinjroberts 9 posts	Topic: Questions for HCPs / How to avoid High glucose when travelling Dear Peter, Just wondering how did you manage to borrow a CGMS for 6 weeks. I would have happily tried anything to keep my BG under control while travelling. I can see how it would be a great help and avoid having to test continuously to avoid rapid fluctuations, also it is not always possible to keep testing. With regard to DAFNE, how dose it work as I have always been told to avoid testing between meals and only test when I want to eat, exercising, driving or when ill? And correct at meal times, my concern however was that I had such high levels which was making me unwell I had no option to test and correct, which worryingly still did not bring it back down.

Mar 10, 2014 marke 681 posts	Topic: DAFNE Online Mobile / Android App - Correction for high BG Hi, there ARE differences but I'm not 100% sure what they are. Basically the iPhone app is still being developed and updated by Simon. However Keith no longer has time to develop/update the Android App so its falling behind the iPhone version. The auto-correction has only ever been implemented on the iPhone as far as I know ( I use an iPhone not an Android). Until we can find someone else to develop the Android App nothing much will change unfortunately. Both were developed by individuals in their own time and are not professionally funded.

Mar 10, 2014 Jas 1 post	Topic: DAFNE Online Mobile / Android App - Correction for high BG Hi Guys, I just switched phones from an iPhone to an Android phone and in general terms the functionality of the app on the iphone and android is the same (although it did take a few days to figure out the differences, it took me 3 days to figure out how to edit an entry ) One thing that i still have not been able to figure out hence my post is an auto correction of QA when my BG is high, on the iphone app this was automatically calculated, but this does not seem the case for the android app? Is that intentional or am i missing something in the settings to enable this? Also does anyone know if all the functionality in the two apps is essentially the same or are there some differences? thanks Jas

Mar 10, 2014 Justinjroberts 9 posts	Topic: Questions for HCPs / How to avoid High glucose when travelling Thanks for your thoughts, and when I visit my HCP in April I will certainly ask about the CGMS. Regarding my insulin my QI is Novorapid and my BI is Humalin I! I was on Lantus but had some problems last Autumn and had to split the doe to morning and evening and was also having to check my glucose levels and correct with Novorapid around 5.30am every morning, at that time of day my Novorapid worked on a ratio of lowering of 1 to 1 so one unit of Novorapid would only reduce my glucose levels by 1. I have only been on the Humalin I for three weeks after spending a week on a DAFNE course, having last been on the course 11 years ago.

Mar 10, 2014 Garry 328 posts	Topic: Questions for HCPs / How to avoid High glucose when travelling Welcome to the forum Justinjroberts May I ask which QA insulin you use? Regards Garry

Mar 10, 2014 mihaela 7 posts	Topic: General Discussion / miss maybe ill do my night bi at 8pm every afternoon and increase my morning bi to 10?

Mar 10, 2014 mihaela 7 posts	Topic: General Discussion / miss yes im not getting sick at all and im a bit dissapointed with my bg lately i dont know anymore

Mar 10, 2014 Warwick 423 posts	Topic: General Discussion / miss Hello Mihaela, Are you getting advice from your DAFNE coordinator to change your BI, or have you changed it yourself? Either way, I think that the reasoning for changing it is good, but a little weird that the results seem to be getting worse since changing it. With the continual rise between eating dinner and going to bed, it does look like a case of your BI running out, and it is obvious that you have made two changes there - the first to take your evening BI at dinner time instead of bed time, and secondly to increase your morning BI. Both are excellent things to try. Unfortunately, and unusually, this has resulted in higher BGs across the board, which is very unexpected. Is there any chance that you are coming down sick at the moment, as that would explain the rise in BGs. If so, then follow the sick day rules in your DAFNE handbook (There is a link to it at the top right of this page) BI changes need to stay constant for three days to allow the body to adjust to the new doses, so stick with it, and hopefully we'll see some good progress soon. Please keep posting your diary to this forum thread, and I'll keep an eye out to see if there is anything else I can suggest. If you are getting sick, then hopefully you will start getting better soon. Best regards, Warwick.

Mar 9, 2014 Warwick 423 posts	Topic: General Discussion / help needed reading my bg results! Hello Hannah, In general, to change BI, we look at the difference between your before-bed readings and your first morning reading. If the BI is correct, then there should be a difference of less than 1.5 between those two readings. So we have: Sunday: 11.2 -> 9.9 - Perfectly acceptable. Monday: 5.3 -> 12.0 - A jump of more than 6. Tuesday:14.9 -> 7.3 after taking 2 units of QA. We can't really tell what happened here as you took QA (which you were correct in doing), but we can't tell whether the BI was appropriate when that happens. Wednesday: 13.0 -> 12.6 - Perfectly acceptable, although at 13.0, 2 units of QA should have been taken to drop that to the desirable range. Thursday: 10.2 -> 10.4 - Perfectly acceptable. Friday: 10.8 -> 10.3 - Perfectly acceptable. Saturday: 4.6 -> 9.2 with 2 CPs. so again can't tell as the CPs will affect that morning reading. So apart from the Monday evening to Tuesday morning reading where there is an inexplicable jump of 6, it is fairly clear that your BI is actually spot on. Perhaps you forgot to record eating some CPs on Monday evening? There is quite a bit of red in the diary though. If you are above 8.0, then it is a good idea to use QA to correct. For example, there are a few places in the diary, where a correction of QA would have been a good move, but was not taken. E.g: Sunday 2/3 at 13.29 and 23.39, Wednesday 23:32, Thursday 07.30 and 22.45, Friday 07:45 and 22:47, Saturday 08.24 and 12.48, and Sunday 09.51 and 14.21. It is curious that your BGs dropped from 16.1 at 14.21 to 4.8 at 20.52 without any QA at all on Sunday 09/03. That would usually indicate that your BI is way out, but everywhere else, your BI looks to be the right dose. Did you not take QA to correct that 16.1 reading at 14.21 on Sunday 09/03? You should always correct for a reading of 13 and above unless you have eaten in the previous two hours as the risk of DKA increases for readings of 13 and above. If you don't know how much a unit of QA will drop your BGs by, then start with 3, and then use trial and error to see if that is a suitable value. So for example, if you are 11.0, having one unit of QA will hopefully drop you to about 8.0. Two units of QA would hopefully drop you to 5.0 by your next meal depending on what QA you are on, and its profile. Best regards, Warwick.

Mar 9, 2014 hannahlaw 4 posts	Topic: General Discussion / help needed reading my bg results! Some input on my bg readings would be appreciated on patterns etc and should I change my BI or change the dose I take? Im on Lantus! Thanks in advance Hannah x

Mar 9, 2014 mihaela 7 posts	Topic: General Discussion / miss normal