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15,864 posts found
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Dec 5, 2013
Vickyp
137 posts
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Topic: General Discussion / Pump Holiday...? As a trial, with guidance from my consultant, I had a pump holiday for 3 weeks..and hated it! My BGs were all over the place, I felt tired all the time and just generally crap; as soon as was back on the pump felt better...and told consultant not to do that to me again!!! |
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Dec 5, 2013
Vickyp
137 posts
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Topic: General Discussion / Ratios - how many mealtime ....... one meal at a time and monitor over atleast 3 days before making changes to other mealtimes. Also agree with the 0.5 increment |
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Dec 3, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / 7-day waking average 26.11.1313.0 - 22:17pm - bedtime - 4 slices of corned beef eaten after bedtime test - not quite 3am but: - 8.1 - 04:31am - 6.0 - 06:33am 3.3 - 09:43am - fasting 27.11.13 13.8 - 22:52pm - bedtime - stayed overnight in Chester last night & ate in a thai restaurant then also had carbs (a chocolate biscuit - 12.9g per biscuit) after bedtime test - didn't reduce the lantus last night but will probably do it tonight 8.4 - 07:44am - fasting 28.11.13 12.4 - 22:29pm - bedtime - reduced lantus by 2u so from 16u tom 14u - 13.5 - 04:51am - during the night 9.2 - 07:56am - fasting 29.11.13 12.6 - 22:24pm - bedtime - 12.4 - 04:20am - during the night - not exactly 3am but this is when I woke up so thought I'd best do a test 11.4 - 07:34am - fasting 30.11.13 15.9 - 22:39pm - bedtime - ate crisps during the evening but it was a very small amount 17.1 - 07:24am - fasting - all my BG levels seem to be creeping up, not just bedtime & fasting but also during the daytime - what to do? 1.12.13 13.0 - 22:39pm - bedtime - night out/ had mcDonalds for supper also eaten after bedtime test: may chicken (only 1 half of the bun eaten(38g carbs),crunchie McFlurry(52g carbs) total 90g carbs)/no QA insulin because going to bed to sleep & don't or not got the confidence to take QA before going to sleep. 14.2 - 10:26am - fasting 2.12.13 12.9 - 22:28pm - bedtime - after bedtime test I ate: corned beef 2 slices/bit of cheese/splash of salad crem/1 rich tea (5.6g cho) 14.9 - 08:39am - fasting 3.12.13 9.8 - 22:32pm - bedtime - after bedtime test I ate: corned beef 2 slices/splash of salad crem/2 rich tea biscuits(5.6g cho each = 11.2g cho) - no QA as not confident enough to take this when going to bed 3.2 - 08:28am - fasting - had 5 jelly babies - 25g cho - 6.8 - 08:44am |
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Dec 3, 2013
novorapidboi26
1,819 posts
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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......
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Dec 3, 2013
novorapidboi26
1,819 posts
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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.........
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Dec 3, 2013
Rafa
99 posts
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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. |
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Dec 3, 2013
Rafa
99 posts
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Topic: General Discussion / Endurance Exercise and BG
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. |
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Dec 3, 2013
Warwick
425 posts
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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. |
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Dec 2, 2013
alturn
78 posts
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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). |
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Dec 2, 2013
HelenP
218 posts
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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 |
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Dec 2, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / Ratios - how many mealtime ....... ratios can be changed at once? |
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Dec 2, 2013
davidcragg
17 posts
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Topic: Carbohydrate Counting / Carbs n cals app
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 |
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Dec 1, 2013
Rafa
99 posts
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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? |
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Dec 1, 2013
Veronica
2 posts
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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. |
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Nov 29, 2013
Interview
1 post
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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? |
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Nov 28, 2013
DianeW
115 posts
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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. |
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Nov 28, 2013
davebro
2 posts
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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 .. |
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Nov 28, 2013
novorapidboi26
1,819 posts
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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...... 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? |
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Nov 27, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / MY TRENDS
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? |
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Nov 26, 2013
novorapidboi26
1,819 posts
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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.... |
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Nov 25, 2013
stephenbrowne
37 posts
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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. |
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Nov 25, 2013
stephenbrowne
37 posts
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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! |
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Nov 25, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / MY TRENDS Hi,Can anyone see/identify any trends for my last week? |
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Nov 25, 2013
mum2westiesGill
502 posts
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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 |