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15,847 posts found
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 .. |
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? |
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? |
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.... |
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. |
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! |
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? |
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 |
Nov 25, 2013
novorapidboi26
1,819 posts
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Topic: General Discussion / will it ever be under control ? doubt it
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.... ![]() |
Nov 24, 2013
joe callery
4 posts
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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
1,819 posts
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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...........? |
Nov 24, 2013
joe callery
4 posts
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Topic: General Discussion / will it ever be under control ? doubt it hi jaybee this is what is getting me so mixed up is a quick acting insulin takes 5 hours to work means you can never really get it under control due to say eating 3 hours after your breakfast you can only cover cps without testing your blood and then constantly adding time on to the next time you can test your blood ?.i normally go to bed about 4 in the morning so breakfast is at 12 and normally dinner is at 7pm but the dafne way is supposed to let you change things and live freely but i have found this not to be the case for me |
Nov 24, 2013
joe callery
4 posts
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Topic: General Discussion / will it ever be under control ? doubt it yes garry as i was taking a lot of severe hypo's and have lost my warning signs so it was advised to have a higher target to start off with |
Nov 24, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / 7-day waking average 11.5 - 22:27pm - bedtime- went out for an indian, ate 1 poppadom, prawn bhuna but didn't eat all of this by any means, egg fried rice which was just a nice portion - BG 9.4 - teatime - no other carbs eaten after bedtime test 10.7 - 09:10 - 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 24, 2013
Garry
328 posts
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Topic: General Discussion / will it ever be under control ? doubt it Have you been asked to up your target range joe from the normal 4.5 to 7.5 or 8.0 by your Health Care Professional team? Thanks.Regards Garry |
Nov 23, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / 7-day waking average 8.5 - 22:42pm - bedtime- rich tea biscuits eaten after bedtime test 11.0 - 07:45am - 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 23, 2013
JayBee
587 posts
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Topic: General Discussion / will it ever be under control ? doubt it At initial glance, some of the higher numbers appear to be because your QA doses may still be working (for example, when having dinner around 4.30pm and then testing again at gone 7pm, that's only 3 hours when QA can take up to 5hours). I am not sure why you would take on 7CP for 7.5BG on Sat 16/11... is this hypo fear response?I do feel for you - it can be very overwhelming when BGs are being so irrational. ![]() Am I correct in understanding that you pass on breakfast? What sort of numbers do you see upon waking despite not eating breakfast? On that note, have you done any BI testing to see what your BI does working on it's own? It's okay to be high for this if you are unable to get in range for the test. Hopefully your waking BGs will spread some light on this - particularly for the evening BI dose. Keep working at it, okay? Best wishes. |
Nov 23, 2013
Googum
15 posts
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I would go back to your GP and ask to see a neurologist who specializes in neuropathy for a option and may be your med regime needs to be changed, |
Nov 23, 2013
joe callery
4 posts
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Topic: General Discussion / will it ever be under control ? doubt it ![]() |
Nov 23, 2013
HelenP
218 posts
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Topic: General Discussion / Nerve Dysfunction in feet. John, I had a period of burning and "pain" in both feet. I felt as if I had a very tight pair of socks on my feet. It was treated with anti convulsants and after a relatively short period of fairly good control it went away. I now have reduced sensation but it is not painful. I also recently had a compound dislocation of my R big toe and was terrified I would lose the toe but absolutely no bother. Healed quickly, no infection and all is well!Good luck. Helen |
Nov 22, 2013
John H
20 posts
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Topic: General Discussion / Nerve Dysfunction in feet. Hello folks, not a regular here but, just wondering if anybody recognises the following problems. 45 years old now and T1for 38 years, suffered various diabetes related problems some caused by rebelious nature. After recent eye surgery (very unpleasent) I have managed to bring my poorly controlled diabetes into a more acceptable level. During this time the nerve dysfunction has become more noticeable (skin twisting sensation & burning) in both feet. My medication for this has continued for 12 months (Duloxatine) But I can feel this getting worse. Anybody noticed this happening during control stabilizing processes, any advice or recommendations other than aputation would be greatly received.Many thanks, John. |
Nov 22, 2013
stephenbrowne
37 posts
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Topic: General Discussion / Diabetic Neuropathy Bowel Problems
So pleased you got on well at your appointment, Googum. I do hope you get on well with the agreed plan of your medical team . No doubt they will have given some detailed advice. As you mention , it is probably advisable to start with a low dose and gradually increase it to find the best individual dose for your particular needs. It is not ,of course, a "magic cure" and might need some perseverance to find the right dose get a satisfactory response. All the best, |
Nov 22, 2013
Rafa
99 posts
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Getting to grips with it more i think touch wood! 30 minutes before a run last night i was 6.8 so took 1.5 cp then i was 11.8 heading out. Ran for 35 minutes and was 6.1 afterwards. Had 6 cps and took 4 qa. Two hours later i was 9.3 and was hungry. I had 6 cps and took 6qa which was a mistake because i was 3.4 an hour and half later. I had 3 cp's and then i was 4.6 going to bed 45 minutes later. Woke up at 6am and was 6.0 and went for a 25 minute run and was 6.8 afterwards. I had 6 cps and took qa of 6 as opposed to 1.5/1. Just checked now and i am 4.9 so had one cp with no qa. |
Nov 22, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / 7-day waking average 13.5 - 22:45pm - bedtime11.2 - 08:37am - 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
Sorry didn't manage it without food ![]() |
Nov 22, 2013
Googum
15 posts
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Topic: General Discussion / Diabetic Neuropathy Bowel Problems Hello YouoneThanks for the reply,Yes i have always had a high fiber low fat protein diet,My other main problem also are in taking my meds and Opioids to help but are a necessity in my treatments but main cause is the neuropathy so balancing it can be tricky,Am pleased that you found a better procurement with your condition and seems to work well for once again thanks for the reply ![]() |