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Dec 3, 2013
novorapidboi26 1,816 posts

Topic: General Discussion / Ratios - how many mealtime .......

as alturn said, one meal at a time is best practice...........and 0.5 incriments in the best for most insulin delivery pens...... Smile
 
Dec 3, 2013
novorapidboi26 1,816 posts

Topic: General Discussion / Pump Holiday...?

Only been on it about 11 months and so far haven't felt the need for it and would probably be put off by the need to increase the background insulin doses and insulin/carb ratios.

However if its all getting too much for you then you should go back to MDI. And at the very least you can gauge how simple/not simple it will be for you in case you feel like doing it again in the future.

Good luck whatever you decide......... Smile
 
Dec 3, 2013
Rafa 99 posts

Topic: Carbohydrate Counting / Carbs n cals app

Yes wifi will sort it for you. Had the same problem with app as well with updates etc.
 
Dec 3, 2013
Rafa 99 posts

Topic: General Discussion / Endurance Exercise and BG

Warwick said:
If I am over 13 at the end of exercise, then I'll definitely correct. Perhaps with a correction factor of half of what I would inject if I hadn't exercised.



Hi Warwick,

Yes that's what i decided to do. Had 6 cps and took qa of 6 + correction of 2 instead of 4. Three hours later i was 7.9 so was happy enough with that. Thanks for the reply.
 
Dec 3, 2013
Warwick 430 posts

Topic: General Discussion / Endurance Exercise and BG

If I am over 13 at the end of exercise, then I'll definitely correct. Perhaps with a correction factor of half of what I would inject if I hadn't exercised.
 
Dec 2, 2013
alturn 78 posts

Topic: General Discussion / Ratios - how many mealtime .......

I would only change one ratio at a time, and then by 0.5 increments, e.g. 2.5:1 to 3.0:1 (Units:CPs).
 
Dec 2, 2013
HelenP 218 posts

Topic: General Discussion / Pump Holiday...?

Has anyone decided to have a "pump holiday" and to go back onto multiple injections?

I am feeling a bit world weary and am contemplating this for say a month. I am interested to find out what prompted you to decide a break was an advantage and whether or not you got anything out of it.

Motivation is related to being able to pay less attention to the minutiae. I accept the HbA1c will go up.

Any thoughts?
Helen
 
Dec 2, 2013
mum2westiesGill 502 posts

Topic: General Discussion / Ratios - how many mealtime .......

ratios can be changed at once?
 
Dec 2, 2013
davidcragg 14 posts

Topic: Carbohydrate Counting / Carbs n cals app

Interview said:
I'm not able to access pictures on Carbs & Cals App if I'm not connected to Internet. Before update, I could see individual pictures. any suggestions to get this?



When you are connected to wifi go to the setup screen and press the "Download all images" button - hopefully that will solve your problem

David
 
Dec 1, 2013
Rafa 99 posts

Topic: General Discussion / Endurance Exercise and BG

Was 12.8 waking up this morning so went out for a 45 minute run. Just back in and 16.8. Should i correct with my food would anyone think?
 
Dec 1, 2013
Veronica 2 posts

Topic: General Discussion / Anyone had an endoscopy?

Suggest you check with your Hospital Diabetes Team - they should see you when you go into hospital for any reason, and will be able to give you advice about what you need to do.
 
Nov 29, 2013
Interview 1 post

Topic: Carbohydrate Counting / Carbs n cals app

I'm not able to access pictures on Carbs & Cals App if I'm not connected to Internet. Before update, I could see individual pictures. any suggestions to get this?
 
Nov 28, 2013
DianeW 115 posts

Topic: General Discussion / Continuous Blood Glucose Monitor

THanks a lot guys. I'm getting it in January some time. It's specifically to see what's happening during the night, dawn phenomenon and all that. I suffer from poor digestion too at present and I'm sure that it isn't helping my levels.
 
Nov 28, 2013
davebro 2 posts

Topic: General Discussion / Anyone had an endoscopy?

if you havent had it done yet i had one in august they usualy send out the rellevent info to you a limited diet for a couple of days then no solid food the day before andmorning of procedure bi insulin only day before and morning i also got in first because of diebetes you can also have sweets like jelly babies etc ..
 
Nov 28, 2013
novorapidboi26 1,816 posts

Topic: General Discussion / MY TRENDS

I think from the results above its clear you hold steady enough from when you wake till breakfast at eleven, sometimes its up and sometimes down, but its only ever + or - 2 mmol/l, so I would say that you don't need to correct if you feel that having insulin on board already by the time you have breakfast will confuse things. I personally would correct if I was above 11 for example. So trying to wake on good numbers is obviously good, we all want that though...... Smile

Regarding your ratio adjustment, DAFNE teaches us not to change more than one thing at a time, I have broke that rule on occasion, but it does make sense and is the best practice.

What have you observed with your overnight background testing? Do you think you still need to reduce your dose? Do any of the above results show an overnight period where you have had no carbs or QA working?
 
Nov 27, 2013
mum2westiesGill 502 posts

Topic: General Discussion / MY TRENDS

novorapidboi26 said:
you should think about correcting in the morning.....

you seem to be above target between 18:00 - 21:00, which I assume is dinner time, so might be worth evaluating your lunchtime ratio....



Hi NRB,
Thank you for the help with spotting trends for me.

When you say about correcting in the morning would this be re the fasting test which would then mean having 1 or 2u of insulin but with no food as I don't usually have breakfast until about 11:00am ish and sometimes as you can see from days: 20/11, 21/11, 22/11 & 23/11 I don't have breakfast.

Yes 18:00 - 21:00 is dinner time & like you say it may be worth evaluating my lunchtime ratio say from 1:1 to 1.5:1. The thing is at the moment I'm in the very slow process of reducing my BI/Lantus ie once a week or so then waiting to see the effect. Can mealtime ratios be changed whilst I am also making changes to BI?
 
Nov 26, 2013
novorapidboi26 1,816 posts

Topic: General Discussion / MY TRENDS

you should think about correcting in the morning.....

you seem to be above target between 18:00 - 21:00, which I assume is dinner time, so might be worth evaluating your lunchtime ratio....
 
Nov 25, 2013
stephenbrowne 37 posts

Topic: General Discussion / Continuous Blood Glucose Monitor

Sorry,
I forgot to mention. I wore the cannula on the anterior abdominal wall and the meter on my belt.
 
Nov 25, 2013
stephenbrowne 37 posts

Topic: General Discussion / Continuous Blood Glucose Monitor

Hello DianeW,
I was on a CGM device about 1 week before starting an insulin pump nearly 18 months ago. It was helpful in detecting unrecognised night time low blood sugars. It was not a problem to wear. There was a small plastic cannula and a sort of paper sticky tape to hold it in place and a meter the size of a moderate size match box. One had to do regular finger prick blood sugars as well.
One of the problems I noted with it was that it does not measure true blood sugar but tissue sugar which represents what one's blood sugar was 15 minutes previously. I was woken at night as soon as my blood sugar reached 4.0 mmol/l but when I tried to correct this the alarm still kept going off until in the end my blood sugar was very high. This may, of course be because I was in great trouble with getting adequate control even on 5 injections a day.
I gain the impression that in the UK CGM is mainly used short term for recognising night time hypoglycaemic attacks, but I may be wrong. I understnad that advances in the technology are already in process. It might be worth asking more about CGM and the pros & cons from your diabetes team.
All the best!
 
Nov 25, 2013
mum2westiesGill 502 posts

Topic: General Discussion / MY TRENDS

Hi,
Can anyone see/identify any trends for my last week?
 
Nov 25, 2013
mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

17.9 - 22:22pm - bedtime
- after bedtime test ate 2 slices of corned beef & some cheddar cheese with a dash of salad cream
6.0 - 08:30am - fasting

lantus decreases:
Tue 29.10 from 24u to 22u
Sat 02.10 from 22u to 20u
Tue 6.11 from 20u to 18u
Wed 20.11 from 18u to 16u
 
Nov 25, 2013
novorapidboi26 1,816 posts

Topic: General Discussion / will it ever be under control ? doubt it

joe callery said:
no i dont snack a lot but days where i go to the football i do eat more but then am doing a lot more exercise and i was taking a lot of hypo's but that has been greatly reduced it is just frustrating when things dont work out the way you expect them to ?



i can definitely agree with that..........

just record as much information as you can when you are doing things outside your normal routine, this should help you come up with a plan of attack. It will never be perfect though, that's something I have accepted.... Smile
 
Nov 24, 2013
joe callery 4 posts

Topic: General Discussion / will it ever be under control ? doubt it

no i dont snack a lot but days where i go to the football i do eat more but then am doing a lot more exercise and i was taking a lot of hypo's but that has been greatly reduced it is just frustrating when things dont work out the way you expect them to ?

 
Nov 24, 2013
novorapidboi26 1,816 posts

Topic: General Discussion / will it ever be under control ? doubt it

5 hours is a maximum, you should test to see how long it actually does last for you personally.....

when you work that time out, you can then do on board insulin calculations when you want to have food in between main meals............

do you feel you snack a lot...........?