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Jan 28, 2014
kawaii 6 posts

Topic: Questions for HCPs / average

novorapidboi26 said:
Hi Kawaii,

Your sleeping patterns could be effecting your blood sugar levels, waking at different times than you normally do will effect your internal clock, and its this clock that has an effect on hormone release, which in turn is responsible for glucose production from the liver and to the sensitivity to insulin in the blood stream.

Ultimately in the end you need to do a basal/background insulin test. This is normally a good idea when there has been a big change in your daily routines, before and after illness, change in weight and change in the seasons/weather.

There may be some requirement to adjust your insulin/carb ratios but until your sure its not your background insulin you should steer clear from them at this point.

Being on 56 units of Lantus I would assume you are more resistant to insulin than most and/or are heavier, this would mean any adjustment you make to your dose would need to be that bit bigger, so instead of a 2 unit increase, maybe try a 3 for example.

I am just a fellow diabetic and not an HCP so take anything I say as friendly advice...... Smile ....

I would recommend doing a background test, so no carbs or QA insulin in your system, then take hourly BG tests between the allotted test period.

The first test period should be overnight, so start before bed, and do hourly test until the morning.

This will let you know what your Lantus is doing overnight, it should be holding within 1-2mmol/l right through, if you wake higher or lower an adjustment is needed.

The same can be done during the day but you can break up the test periods in to 4-5 hour slots, so you can miss breakfast [or go carb free meal] and do hourly tests on the Monday, miss Lunch and do tests on the Tuesday, miss Dinner and do hourly tests on the Wednesday, you get the idea.

This will give you a good picture of what your current 56 units is doing over the majority of the day.


How long have you been diagnosed? To not have 8-10mmol/l from time to time would be abnormal to me personally, especially mid meal.

If you haven't I would expect you to be newly diagnosed [within 1-3 years], really fit or lucky..... Smile


I hope I have helped....



yh i am a tad Embarassed (been generous) heavier than others and my lantus has been reduced recently due to weight loss and increased sensitivity Very Happy hoping to lose more weight - i did the test and it was ok it was my sleeping pattern

I have been diagnosed for 8 years now and i think i have ODD (obsessive diabetes disorder) because at one point in my life thats the only thing i could control hence the hypos and its really hard to break my "diabetes" panic once my BG is around 9 or higher - but thanks anyway
 
Jan 28, 2014
kawaii 6 posts

Topic: Questions for HCPs / average

yh i am a tad Embarassed (been generous) heavier than others and my lantus has been reduced recently due to weight loss and increased sensitivity Very Happy hoping to lose more weight - i did the test and it was ok it was my sleeping pattern

I have been diagnosed for 8 years now and i think i have ODD (obsessive diabetes disorder) because at one point in my life thats the only thing i could control hence the hypos and its really hard to break my "diabetes" panic once my BG is around 9 or higher - but thanks anyway
 
Jan 28, 2014
Warwick 423 posts

Topic: General Discussion / steel toe shoe's

Thanks Garry,

Will keep an eye out.

Best regards.
 
Jan 28, 2014
Warwick 423 posts

Topic: Questions for HCPs / Insulin dose help!

Hi Led,

That totally depends on the sort of readings you are getting now. If you are experiencing lots more hypos than you were prior to the illness, then it would be appropriate to reduce your doses back to pre-illness levels.

Sometimes though, illness seems to cause long-term changes, and that may now be the case. Your BG diary should be able to give you an indication on what you need to do.

Cheers,
Warwick.
 
Jan 27, 2014
jalacy 2 posts

Topic: General Discussion / Snacks

Percy Pigs! From M&S, they are 0.6 each, one is usually enough if I feel low, but two would be enough to be sure. I put some in a small plastic bag to top me up while cycling, they are good because they don't go sticky. Also Bassetts mint creams - 1.0 each and are individually wrapped - very handy.
I find with glucose drinks I'm not that sure how many CPs I've had, they're heavy, and I'm tempted to drink them if I'm thirsty.
I also carry everywhere Nairns individually wrapped oat biscuits (mixture ginger, fruit etc.). Two per pack and 0.7 each, handy to have as a snack with a cuppa, or if needed after a Percy Pig emergency!
 
Jan 27, 2014
Led 2 posts

Topic: Questions for HCPs / Insulin dose help!

I have recently fully recovered from a heavy chesty cough and cold. During the illness I had to increase my basal by 6 units and changed Bolus ratio from 1:1 to 2:1. However although fully recovered now since about 3 weeks I am still using the increased doses of insulin...should I revert back to pre-illness doses or has my body now adapted to needing the increased doses??
 
Jan 27, 2014
novorapidboi26 1,819 posts

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

So I think that because your scared to bolus at night, this is resulting in highs in the morning, which in turn is making it harder to get more stable during the day....


I think the odd missed correction may also be responsible for the odd high here and there also....

I think your meter is doing a good job, I too have a fancy function on my pump that gives a final dose, it also provides the other information but as a result I will need to go looking for corrections when i am evaluating a dose.

when you learn with DAFNE you use something called a step wise approach which requires the patient to write all there QA and correction information down, because you missed this and because you have a fancy meter your not in the habit of writing all the info down, but having it all there really does make it much easier to see what's happening.......

so get in the habit of writing it down on a customised log book (excel spreadsheet) with all the info you need....I only write down the last three days if I want to pin point a problem area......

I think its simple enough to work out your QA and correction separately from a single dose as long as you have a BG reading, and CHO with ratio.....

you should definitely try giving insulin for supper, if your scared just set some alarms over night to monitor it, and to build your confidence......

I shouldn't really say this but its my experience and belief that your liver will assist your recovery from a hypo no problem every time, the problem is if you drop again soon after the first one, then your liver will already be depleted some.....

basically if you did go low you will recover, and also probably wake.....provided you have normal hypo symptoms, which it seem you do......have some faith...... Smile ....

your not having a lot of carbs at night though are you........a sandwich...so 40g max......you will be fine........
 
Jan 27, 2014
mum2westiesGill 502 posts

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

Hi NRB,

Thank you so much for obviuosly having a good look at my diary.

Re bolusing for suppers after me asking this question a lot here and there & after seeing your answer I think I'm finally going to start taking QA for suppers which are carby - no more being scared of taking QA for carby suppers Very Happy


Some general comments on your results:

22/01/2014:

I didn't test at 9:15 because I actually ate breakfast that morning at 8:42 then bolused after. I always prefer to bolus before eating but that morning we were away from home in a B & B......

Just to confirm there was no lunch this day.

22:30 yes no insulin or correction because of me being scared to bolus before bed - hopefully I'm going to get over this problem the more I realise that anything with carbs in should be matched with insulin.


23/01/2014:

8:29 It's not really been entering my mind of late to do a correction 1. when doing a fasting BG also a while before my breakfast 2. maybe with my Accu-chek Aviva Expert meter I'm used to all corrections being included with bolus advice.

I did do this a while back. Now that I've got my new meter how would I remember the corrections which the meter shows because when I've done a BG test & the bolus advice screen shows up it shows seperately how much insulin for correction & how much for carbs then the total. When I go back into my data on the meter it only shows the total ie not broken down seperately into corrections & carbs. I know I have 1 unit to bring me down 3mmol.

22:11 Agreed no correction done & also I had supper which takes me back to being scared of bolusing at bedtime.


24/01/2014:

Thanks for picking up on me not doing corrections - same as 8:29 on 23/01/2014

Once again thanks for having a good look through and any comments/criticisms are welcomed. Very Happy

 
Jan 27, 2014
novorapidboi26 1,819 posts

Topic: Questions for HCPs / average

Hi Kawaii,

Your sleeping patterns could be effecting your blood sugar levels, waking at different times than you normally do will effect your internal clock, and its this clock that has an effect on hormone release, which in turn is responsible for glucose production from the liver and to the sensitivity to insulin in the blood stream.

Ultimately in the end you need to do a basal/background insulin test. This is normally a good idea when there has been a big change in your daily routines, before and after illness, change in weight and change in the seasons/weather.

There may be some requirement to adjust your insulin/carb ratios but until your sure its not your background insulin you should steer clear from them at this point.

Being on 56 units of Lantus I would assume you are more resistant to insulin than most and/or are heavier, this would mean any adjustment you make to your dose would need to be that bit bigger, so instead of a 2 unit increase, maybe try a 3 for example.

I am just a fellow diabetic and not an HCP so take anything I say as friendly advice...... Smile ....

I would recommend doing a background test, so no carbs or QA insulin in your system, then take hourly BG tests between the allotted test period.

The first test period should be overnight, so start before bed, and do hourly test until the morning.

This will let you know what your Lantus is doing overnight, it should be holding within 1-2mmol/l right through, if you wake higher or lower an adjustment is needed.

The same can be done during the day but you can break up the test periods in to 4-5 hour slots, so you can miss breakfast [or go carb free meal] and do hourly tests on the Monday, miss Lunch and do tests on the Tuesday, miss Dinner and do hourly tests on the Wednesday, you get the idea.

This will give you a good picture of what your current 56 units is doing over the majority of the day.


How long have you been diagnosed? To not have 8-10mmol/l from time to time would be abnormal to me personally, especially mid meal.

If you haven't I would expect you to be newly diagnosed [within 1-3 years], really fit or lucky..... Smile


I hope I have helped....
 
Jan 27, 2014
novorapidboi26 1,819 posts

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

Hi,

Just to answer you question about bolusing for suppers

yes, you should, any carb going in should be matched with insulin, why would you think it shouldn't?


Some general comments on your results:

22/01/2014:

There was no BG test done at 9:15 breakfast, this was only 30 minutes from your fasting level, however knowing the morning hormonal activity its likely you could have been higher than 8.7 at 9:15, its good habit to always test just before bolusing for accurate corrections, you could have even gave your insulin at the fasting level, so as to give it time to get started, 30 minutes may be too long for some folk, but definitely 10 minutes minimum.

Did you have any lunch this day...?

22:30 you had no insulin or correction for your food and high BG?.....is that right, and if so, why?

I realize you have asked the question as to whether to do this at the start.... Smile


23/01/2014:

8:29 - No correction, any reason?

Just a general comment about data input to the diary, you should try and show corrections as + 1 etc, this lets you and other know what proportion of the total QA insulin you took was a correction.

22:11 - No correction, I see you would have had insulin on board, but it would only have had an hour left, unlikely to drop your 15.3 on target.


24/01/2014:

08:27 - No correction, there's a pattern emerging, I could understand holding back a correction if you were going to eat a short time later, but the diary doesn't show this.

Any reason?


Much the same is going on on the 25th.


Sorry if they were lots of criticisms as opposed to solutions......... Wink
 
Jan 27, 2014
novorapidboi26 1,819 posts

Topic: General Discussion / Android App

The website diary has it so there shouldn't be a problem adding it....... Smile
 
Jan 27, 2014
Garry 328 posts

Topic: General Discussion / steel toe shoe's

Here in the UK I use Element II...as in roman 2, Warwick.
Goretex uppers and liners that breathe reasonably well.
Must be lots of others out there though using Goretex I would have thought.
Regards
Garry
 
Jan 27, 2014
Garry 328 posts

Topic: General Discussion / steel toe shoes for type 1

Just regular neilbunting.
Regards
Garry
 
Jan 27, 2014
Garry 328 posts

Topic: DAFNE Online Mobile / Android DAFNE app freezing

Since the diary database has been fixed...hope you are now able to upload data without problems.
Regards
Garry
 
Jan 26, 2014
John McLean 3 posts

Topic: DAFNE Online Mobile / Android DAFNE app freezing

forgot to add , check you are running the latest version via play store settings, Notifications - notify me about updates to apps.....
 
Jan 26, 2014
John McLean 3 posts

Topic: General Discussion / Android App

Hopefully I'm on the correct thread for making suggestions about the android app.

It will be good to have a place to record both the QA & BI injection locations, presently there is only one dropdown?

thanks

John
 
Jan 26, 2014
John McLean 3 posts

Topic: DAFNE Online Mobile / Android DAFNE app freezing

Hi Derek, have you tried updating the Android system software, via settings about this phone, you might have some old software floating around causing problems.

Then again it could be something else, in essence they are just small computers.
 
Jan 25, 2014
mum2westiesGill 502 posts

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

Hi please can I have some comments on my results. Also should I be blousing for suppers. I eat these after doing my bedtime test. I usually have a sandwich 2 slices of bread - 18g cho per slice so 36g cho in total.
 
Jan 24, 2014
kawaii 6 posts

Topic: Questions for HCPs / average

Before DAFNE my average recorded on my meter was around 6.3 HBA1C 58% Very Happy currently my average blood glucose is 9.1 Sad my results have been a tad higher than usual they tend to be above the recommended targets or on the high side of the recommended targets - but i'm still having the same type of food with less hypos - i am on a 1:1 ratio and on 56 units of lantus - I've tried increasing the ratio of QA by half but not much change there - my sleeping pattern has also changed i tend to work till late in the morning 3 am (tend to snack on nuts or peanut butter) go to be and wake up at 11 am go to the gym then have brunch at 1 - checked ketones

is it my sleeping pattern change or the exercise thats giving me high sugars or should i increase my ratio again by half or increase my lantus

im really confused Confused and panicking and i feel like i should be injecting more or should i wait a bit longer and see a pattern because i haven't had high BG reading like 8 -10 (except on my periods)
 
Jan 23, 2014
brian123456 1 post

Topic: General Discussion / Tresiba

Yes fantastic stuff, never had anything as good, and would not be with out it,
best wishes from Brian.