Recent Posts - DAFNE Online

Jan 20, 2014

Garry 328 posts

Topic: General Discussion / My Blood Glucose Diary - problems

Thanks to you both.
Regards
Garry

Jan 19, 2014

marke 681 posts

Topic: General Discussion / My Blood Glucose Diary - problems

Hi, before I take all the glory I should point out that both Simon and I have been working on the problem and both probably contributed to the solution.

For the technically minded, a brief explanation. The website runs on top of a database, which is basically a place to store information. This was where the cause of the problem lay. The number of diary entries had reached such a level that reading them to display on the site was taking too long. This is partly because everyone's diary entries are stored together. The site knows who you are from your login and only reads your entries from the very long list. What we had to do was speed up the reading of the list. Simon changed the way it was read and I added things called indexes. Just like a book index, a database index helps you to find the information you want quicker. The two things together seem to have got things back to a reasonable speed. This stops the 'something went wrong' error because the web page gets the diary entries back quick enough and doesn't timeout presuming the entries are not coming.

It took a while to fix because it wasn't obvious initially what the problem was and then we needed to test any changes before making them live just in case.
thank you everyone for your patience.

Jan 19, 2014

JayBee 587 posts

Topic: General Discussion / My Blood Glucose Diary - problems

Thanks! ^_^

Jan 19, 2014

Alan 49 284 posts

Topic: General Discussion / My Blood Glucose Diary - problems

WELL DONE MARK!

Jan 19, 2014

mum2westiesGill 502 posts

Topic: General Discussion / My Blood Glucose Diary - problems

Seem to be back to it's normal self again thank you Very Happy

Jan 19, 2014

john m 15 posts

Topic: General Discussion / My Blood Glucose Diary - problems

we seem 2b back 2 normal thanks Very Happy

Jan 18, 2014

Vickyp 137 posts

Topic: General Discussion / Tresiba

When was on injections I too had a 0:5u:1cp ratio, except at breakfast when it was 0.5:1 then minus 0.5! With 5 units if levemir once a day! I am still on tiny ratios, which are lower than these but control is so much better, and I feel so much better and more in control!
The tiniest bit of extra exertion makes my go low, so know exactly where you are coming from. It was during my DAFNE course that they were suggesting a pump, so I spoke to consultant and within 2 months was given the pump, and life is so much better, I wouldn't go back to injections.
I would worry about a long acting basal and how my sugars would suffer from it. I champion the pump!

Jan 18, 2014

NuMo 28 posts

Topic: General Discussion / Tresiba

Hello Joza

Vickyp is right - a pump is an excellent tool to help with insulin sensitivity. I too am insulin sensitive and am on the waiting list for a pump. I find it a nuisance being insulin sensitive, my ratio is 1/2u to 1CP, so a tiny error either way with carb counting has massive effects. I am also physically active (not athletic status I hasten to add), and this makes control even more difficult. My basal is 3u Levemir twice daily. This works for me as I can reduce the dose when I have been particularly active. This is usually the evening dose (as I often exercise in the evening), which I reduce by 1/2u if I feel my BG level and degree of exercise warrants it. This usually prevents a nightime hypo and if I have been over cautious, I correct in the morning. Lantus or such a long acting insulin as Tresiba seems to be would therefore not be appropriate for my situation. Have you spoken to your Dafne team? Mine are very helpful, in fact it was they who first suggested I try a pump. I would have thought a pump for you would be cheaper long term.

I googled Forxiga, and it seems to be a type 2 drug. Why are they giving you that?

I was on various type 2 drugs before they realised I was type 1, and looking back at my figures it is clear they did nothing to control my diabetes. And you are right - the side effects are unpleasant. I am much better and feel much better now I am on insulin - even though my control is poor despite my best efforts.

As one grandmother to another, you owe it to your family to stay well, so please go back to your Dafne team and if they suggest a pump, then stick to your guns and don't be talked out of it.

Jan 18, 2014

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

Good morning all Smile

. 14.1 - 10:53am for me Sad

Jan 18, 2014

Peterdbennett 4 posts

Topic: Questions for HCPs / Endurance training

Warwick,
Thanks a million for the reply some detail really appreciate it. Only started using the diary with dafne past few days so not enough data points yet to make any sense of. See your points and was thinking along the same lines as what you are saying. Dont want to be going in too high just find you never get your ful potential out. Ill try your tips for training and see how we go. Thanks again really appreciate it. 40'C god we would be lucky to hit 4'C here in ireland. Ha ha all the best of luck with your upcoming events.
Peter

Jan 18, 2014

Warwick 423 posts

Topic: Questions for HCPs / Endurance training

Hi Peter,

It is a bit hard to tell from this without seeing your diary for your training. Does it happen every time? Are you able to share your diary with this thread?

For a sprint tri as you have described, I would worry more about lows than highs. The reason being that a sprint tri tends to be over pretty quickly (usually less than 2 hours), so any high can be corrected afterwards with QA. Lows, especially in the water are not desirable, so better to risk going a bit high than a bit low. Playing around with your BI (especially lowering it a little the night before a big training session) may also give you better control as you can then use QA to control the short-term nature of the event.

Have you had any issues in the past from going high - e.g. ketoacidosis? If not, then I don't think you need to worry about high BGs too much for training sessions of less than 2 hours.

I have the Diabetes Handbook and keep meaning to read it, but I do recommend ( a lot actually on this forum :-) ), this book here which will help you experiment to determine what works best for you:

http://www.amazon.com/Your-Diabetes-Science-Experiment-diabetes/dp/148106200X/ref=sr_1_1?ie=UTF8&qid=1390035270&sr=8-1&keywords=your+diabetes+science+experiment

For myself, I lower my BI the night before, and try and control the event more through QA if required. I tend to start a tri with BGs of around 13 having just taken in a load of sports drink. I carry a small packet of jelly beans in my swim cap in case I sense a hypo during the swim leg. Usually I exit the water with BGs between 5-6, and then take on about 4 x 750 ml bottles of sports drink on the bike. I then plan to start the run with BGs around 9-10 and take on regular sports drink.

(I should point out that this is for half ironman events - 2 km swim, 90 km bike and 21 km run, so it would differ a bit for a sprint tri like yours.) For a sprint tri, I'd still start with BGs of about 13 because I really don't want to hypo in the water, but I'd expect to need quite a bit less carb on the bike and run legs, and I'd be aiming for BGs of around 8-10 in both T1 and T2.

Keep your QA for transition in case you need it, but you shouldn't need to carry it on you while you are cycling and running.

I have a half ironman in a couple of weeks which I am very nervous about. The last four days here in Melbourne have had temperatures in excess of 40 degrees and I have no idea what a half ironman in such temperatures is going to do for my BGs. Some thing you just can't really find out in training :-)

All the best for it. Triathlons are awesome.

Warwick.

Jan 18, 2014

Peterdbennett 4 posts

Topic: Questions for HCPs / Endurance training

Hey looking for a bit of help please with endurance training. Looking at competing in a triathlon later in the year. 750m swim, 5k run 20k bike. At the moment having no probs if I train for individual events i.e. going for a run or a swim but when i start combining for brick sessions i.e swim followed by a run Iâ€™m starting to see my bg doing some fairly funky stuff. Seeing them start to drop off after run to only rise high post swim with no additional carbs. Bought the Diabetics athletes handbook just waiting on it to arrive but in the meantime would anyone be able to offer some advice.
thanks
Peter

Jan 17, 2014

Vickyp 137 posts

Topic: General Discussion / Tresiba

Definite thumbs up to pump for insulin sensitivity...one of the main reasons I was put on pump and am loads better!

Jan 17, 2014

joza 4 posts

Topic: General Discussion / Tresiba

Thank you for your reply and thoughts.

I am 64 and have been struggling with this for 19 years. Hypos are the problem, usually at night and mostly I am aware of them or catch them just before they happen. I have obviously had Lantus and Levemir subsequently splitting the Levemir twice daily. It seems that I am "sensitive" to insulin. My family were convinced that I was still making insulin and that this was the cause. If I do anything out of the ordinary i.e, grandmotherly duties or simply chasing around the supermarket/housework I would drop low. My NHS doctor wrote to my GP about a pump. She talked me out of it (again I think it was a cost issue).

Last year my husband met someone who suggested a Consultant in London who had helped him and that I should try. The consultant arranged a C. Peptide blood test which proved that I am most definitely Type 1 with zilch insulin of my own. He prescribed Tresiba BUT he wanted me to use 2 different tablets (morning only) using insulin as usual for the other 2 meals. I am ashamed to say I do have the tablets but am afraid to take them as one of them is quite new with some rubbish side effects (so the internet says). The main problem pill is called Forxiga (Dapagliflozin). So, the only change I made was to switch to Tresiba. ...........that's the story.

Jan 17, 2014

novorapidboi26 1,819 posts

Topic: General Discussion / Tresiba

An ultra long basal insulin, up to 40 hours, that's impressive..........

I would suspect as you its down to cost and getting things approved through the normal channels of the NHS.........might just be a matter a time...

why were you at a private consultation about your diabetes.....?

Unless you want to pay for it yourself I see no reason....

Jan 17, 2014

joza 4 posts

Topic: General Discussion / Tresiba

Is anyone using this new insulin yet? Both my GP and hospital doctor will not supply it. My feeling is that this is due to cost. As it has been passed by NICE surely it is safe. I have obtained Tresiba from a private consultation with an Endocrinologist.

Jan 17, 2014

JayBee 587 posts

Topic: General Discussion / My Blood Glucose Diary - problems

marke said:
Hi, We have made some progress and hopefully will be able to test some fixes over the weekend. We obviously need to be careful, its one thing it being slow its another to kill it completely

Oh yes of course! I will grab a backup in case of the worst case scenario.

Best of luck! Sad

Jan 17, 2014

marke 681 posts

Topic: General Discussion / My Blood Glucose Diary - problems

Hi, We have made some progress and hopefully will be able to test some fixes over the weekend. We obviously need to be careful, its one thing it being slow its another to kill it completely Embarassed

Jan 17, 2014

JayBee 587 posts

Topic: General Discussion / Glucose monitoring contact lenses

As much as I loathe wearing contact lenses, this is still pretty awesome news. Smile

Jan 17, 2014

JayBee 587 posts

Topic: General Discussion / My Blood Glucose Diary - problems

marke said:
Hi, Yes we have not resolved the issues at the moment. We are still trying to work out what the problem is, it works fine in our test setup but not on the live site for some reason. I WILL post on this thread as soon as there are any developments.

Cool. I just started another thread about it. I will check here. Smile

Jan 17, 2014

JayBee 587 posts

Topic: Site Development / Website BG Diary Access

Ah, thank ya kindly whiskymum Smile

Jan 17, 2014

mum2westiesGill 502 posts

Topic: Site Development / Website BG Diary Access

http://www.dafneonline.co.uk/forums/1/topics/2359


Jan 20, 2014 Garry 328 posts	Topic: General Discussion / My Blood Glucose Diary - problems Thanks to you both. Regards Garry

Jan 19, 2014 marke 681 posts	Topic: General Discussion / My Blood Glucose Diary - problems Hi, before I take all the glory I should point out that both Simon and I have been working on the problem and both probably contributed to the solution. For the technically minded, a brief explanation. The website runs on top of a database, which is basically a place to store information. This was where the cause of the problem lay. The number of diary entries had reached such a level that reading them to display on the site was taking too long. This is partly because everyone's diary entries are stored together. The site knows who you are from your login and only reads your entries from the very long list. What we had to do was speed up the reading of the list. Simon changed the way it was read and I added things called indexes. Just like a book index, a database index helps you to find the information you want quicker. The two things together seem to have got things back to a reasonable speed. This stops the 'something went wrong' error because the web page gets the diary entries back quick enough and doesn't timeout presuming the entries are not coming. It took a while to fix because it wasn't obvious initially what the problem was and then we needed to test any changes before making them live just in case. thank you everyone for your patience.

Jan 19, 2014 JayBee 587 posts	Topic: General Discussion / My Blood Glucose Diary - problems Thanks! ^_^

Jan 19, 2014 Alan 49 284 posts	Topic: General Discussion / My Blood Glucose Diary - problems WELL DONE MARK!

Jan 19, 2014 mum2westiesGill 502 posts	Topic: General Discussion / My Blood Glucose Diary - problems Seem to be back to it's normal self again thank you

Jan 19, 2014 john m 15 posts	Topic: General Discussion / My Blood Glucose Diary - problems we seem 2b back 2 normal thanks

Jan 18, 2014 Vickyp 137 posts	Topic: General Discussion / Tresiba When was on injections I too had a 0:5u:1cp ratio, except at breakfast when it was 0.5:1 then minus 0.5! With 5 units if levemir once a day! I am still on tiny ratios, which are lower than these but control is so much better, and I feel so much better and more in control! The tiniest bit of extra exertion makes my go low, so know exactly where you are coming from. It was during my DAFNE course that they were suggesting a pump, so I spoke to consultant and within 2 months was given the pump, and life is so much better, I wouldn't go back to injections. I would worry about a long acting basal and how my sugars would suffer from it. I champion the pump!

Jan 18, 2014 NuMo 28 posts	Topic: General Discussion / Tresiba Hello Joza Vickyp is right - a pump is an excellent tool to help with insulin sensitivity. I too am insulin sensitive and am on the waiting list for a pump. I find it a nuisance being insulin sensitive, my ratio is 1/2u to 1CP, so a tiny error either way with carb counting has massive effects. I am also physically active (not athletic status I hasten to add), and this makes control even more difficult. My basal is 3u Levemir twice daily. This works for me as I can reduce the dose when I have been particularly active. This is usually the evening dose (as I often exercise in the evening), which I reduce by 1/2u if I feel my BG level and degree of exercise warrants it. This usually prevents a nightime hypo and if I have been over cautious, I correct in the morning. Lantus or such a long acting insulin as Tresiba seems to be would therefore not be appropriate for my situation. Have you spoken to your Dafne team? Mine are very helpful, in fact it was they who first suggested I try a pump. I would have thought a pump for you would be cheaper long term. I googled Forxiga, and it seems to be a type 2 drug. Why are they giving you that? I was on various type 2 drugs before they realised I was type 1, and looking back at my figures it is clear they did nothing to control my diabetes. And you are right - the side effects are unpleasant. I am much better and feel much better now I am on insulin - even though my control is poor despite my best efforts. As one grandmother to another, you owe it to your family to stay well, so please go back to your Dafne team and if they suggest a pump, then stick to your guns and don't be talked out of it.

Jan 18, 2014 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average Good morning all . 14.1 - 10:53am for me

Jan 18, 2014 Peterdbennett 4 posts	Topic: Questions for HCPs / Endurance training Warwick, Thanks a million for the reply some detail really appreciate it. Only started using the diary with dafne past few days so not enough data points yet to make any sense of. See your points and was thinking along the same lines as what you are saying. Dont want to be going in too high just find you never get your ful potential out. Ill try your tips for training and see how we go. Thanks again really appreciate it. 40'C god we would be lucky to hit 4'C here in ireland. Ha ha all the best of luck with your upcoming events. Peter

Jan 18, 2014 Warwick 423 posts	Topic: Questions for HCPs / Endurance training Hi Peter, It is a bit hard to tell from this without seeing your diary for your training. Does it happen every time? Are you able to share your diary with this thread? For a sprint tri as you have described, I would worry more about lows than highs. The reason being that a sprint tri tends to be over pretty quickly (usually less than 2 hours), so any high can be corrected afterwards with QA. Lows, especially in the water are not desirable, so better to risk going a bit high than a bit low. Playing around with your BI (especially lowering it a little the night before a big training session) may also give you better control as you can then use QA to control the short-term nature of the event. Have you had any issues in the past from going high - e.g. ketoacidosis? If not, then I don't think you need to worry about high BGs too much for training sessions of less than 2 hours. I have the Diabetes Handbook and keep meaning to read it, but I do recommend ( a lot actually on this forum :-) ), this book here which will help you experiment to determine what works best for you: http://www.amazon.com/Your-Diabetes-Science-Experiment-diabetes/dp/148106200X/ref=sr_1_1?ie=UTF8&qid=1390035270&sr=8-1&keywords=your+diabetes+science+experiment For myself, I lower my BI the night before, and try and control the event more through QA if required. I tend to start a tri with BGs of around 13 having just taken in a load of sports drink. I carry a small packet of jelly beans in my swim cap in case I sense a hypo during the swim leg. Usually I exit the water with BGs between 5-6, and then take on about 4 x 750 ml bottles of sports drink on the bike. I then plan to start the run with BGs around 9-10 and take on regular sports drink. (I should point out that this is for half ironman events - 2 km swim, 90 km bike and 21 km run, so it would differ a bit for a sprint tri like yours.) For a sprint tri, I'd still start with BGs of about 13 because I really don't want to hypo in the water, but I'd expect to need quite a bit less carb on the bike and run legs, and I'd be aiming for BGs of around 8-10 in both T1 and T2. Keep your QA for transition in case you need it, but you shouldn't need to carry it on you while you are cycling and running. I have a half ironman in a couple of weeks which I am very nervous about. The last four days here in Melbourne have had temperatures in excess of 40 degrees and I have no idea what a half ironman in such temperatures is going to do for my BGs. Some thing you just can't really find out in training :-) All the best for it. Triathlons are awesome. Warwick.

Jan 18, 2014 Peterdbennett 4 posts	Topic: Questions for HCPs / Endurance training Hey looking for a bit of help please with endurance training. Looking at competing in a triathlon later in the year. 750m swim, 5k run 20k bike. At the moment having no probs if I train for individual events i.e. going for a run or a swim but when i start combining for brick sessions i.e swim followed by a run Iâ€™m starting to see my bg doing some fairly funky stuff. Seeing them start to drop off after run to only rise high post swim with no additional carbs. Bought the Diabetics athletes handbook just waiting on it to arrive but in the meantime would anyone be able to offer some advice. thanks Peter

Jan 17, 2014 Vickyp 137 posts	Topic: General Discussion / Tresiba Definite thumbs up to pump for insulin sensitivity...one of the main reasons I was put on pump and am loads better!

Jan 17, 2014 joza 4 posts	Topic: General Discussion / Tresiba Thank you for your reply and thoughts. I am 64 and have been struggling with this for 19 years. Hypos are the problem, usually at night and mostly I am aware of them or catch them just before they happen. I have obviously had Lantus and Levemir subsequently splitting the Levemir twice daily. It seems that I am "sensitive" to insulin. My family were convinced that I was still making insulin and that this was the cause. If I do anything out of the ordinary i.e, grandmotherly duties or simply chasing around the supermarket/housework I would drop low. My NHS doctor wrote to my GP about a pump. She talked me out of it (again I think it was a cost issue). Last year my husband met someone who suggested a Consultant in London who had helped him and that I should try. The consultant arranged a C. Peptide blood test which proved that I am most definitely Type 1 with zilch insulin of my own. He prescribed Tresiba BUT he wanted me to use 2 different tablets (morning only) using insulin as usual for the other 2 meals. I am ashamed to say I do have the tablets but am afraid to take them as one of them is quite new with some rubbish side effects (so the internet says). The main problem pill is called Forxiga (Dapagliflozin). So, the only change I made was to switch to Tresiba. ...........that's the story.

Jan 17, 2014 novorapidboi26 1,819 posts	Topic: General Discussion / Tresiba An ultra long basal insulin, up to 40 hours, that's impressive.......... I would suspect as you its down to cost and getting things approved through the normal channels of the NHS.........might just be a matter a time... why were you at a private consultation about your diabetes.....? Unless you want to pay for it yourself I see no reason....

Jan 17, 2014 joza 4 posts	Topic: General Discussion / Tresiba Is anyone using this new insulin yet? Both my GP and hospital doctor will not supply it. My feeling is that this is due to cost. As it has been passed by NICE surely it is safe. I have obtained Tresiba from a private consultation with an Endocrinologist.

Jan 17, 2014 JayBee 587 posts	Topic: General Discussion / My Blood Glucose Diary - problems marke said: Hi, We have made some progress and hopefully will be able to test some fixes over the weekend. We obviously need to be careful, its one thing it being slow its another to kill it completely Oh yes of course! I will grab a backup in case of the worst case scenario. Best of luck!

Jan 17, 2014 marke 681 posts	Topic: General Discussion / My Blood Glucose Diary - problems Hi, We have made some progress and hopefully will be able to test some fixes over the weekend. We obviously need to be careful, its one thing it being slow its another to kill it completely

Jan 17, 2014 JayBee 587 posts	Topic: General Discussion / Glucose monitoring contact lenses As much as I loathe wearing contact lenses, this is still pretty awesome news.

Jan 17, 2014 JayBee 587 posts	Topic: General Discussion / My Blood Glucose Diary - problems marke said: Hi, Yes we have not resolved the issues at the moment. We are still trying to work out what the problem is, it works fine in our test setup but not on the live site for some reason. I WILL post on this thread as soon as there are any developments. Cool. I just started another thread about it. I will check here.

Jan 17, 2014 JayBee 587 posts	Topic: Site Development / Website BG Diary Access Ah, thank ya kindly whiskymum

Jan 17, 2014 mum2westiesGill 502 posts	Topic: Site Development / Website BG Diary Access http://www.dafneonline.co.uk/forums/1/topics/2359