Recent Posts - DAFNE Online

Nov 13, 2013

stephenbrowne 37 posts

Topic: Carbohydrate Counting / Counting Carbohydrates

Hi wiskeysmum,
I have used all the methods you describe. When I started carbohydrate counting in 1967, I was given some kitchen scales from the diabetes ward and used to weight everything. I have over the years tended to estimate CHO especially when not at home but since the DAFNE course in October I have been much stricter and have started using nutritional scales at home. I have found the scales from Lloyds pharmacy a help. It will even calculate the carbohydrate content of weighed food. I find I am very sensitive to insulin and am managing on an insulin pump which delivers fractions of a unit. Mistakes in carbohydrate counting can cause havok with blood sugars !
Best wishes,
Stephenbrowne

Nov 13, 2013

Rafa 99 posts

Topic: General Discussion / Endurance Exercise and BG

I was 6.1 an hour and a half before a run last night so had one choclate rice cake (1cp) and i was 11.1 going out. Ran for 25 minutes and was 10.8 afterwards. Had a shower and then before dinner roughly 40-50 minutes after the run i was 12.7. Had five cps and corrected +2. I was then 4.6 going to bed so was a little bit corncerned so had a small drop of orange juice. Woke up at 6am for work and i was 8.7. I know it was out of range but i was happy with that. Last week i went out for the same run and i was 7.7 and took no cp and dropped to 4.9 after it. Maybe when i am between 6-8 before a run i don't need to take a cp??

Nov 13, 2013

Louise1988 68 posts

Topic: General Discussion / Anyone had an endoscopy?

I reduced my basal dose the night before. I think they said I was able to have lucozade if I needed it, just no solid food. Smile

Nov 13, 2013

DianeW 115 posts

Topic: General Discussion / Anyone had an endoscopy?

Thanks guys. I will ask if it can be done first thing. Louise, can I just ask, did you take long acting insulin than normal? I assume if your BG is too low before it happens you can have Lucozade or something? I split my Lantus dose bedtime and morning. Just want to be equipped with as much info as I can, thanks!

Nov 13, 2013

Louise1988 68 posts

Topic: General Discussion / Anyone had an endoscopy?

I had one back in June this year. I was booked into the first appointment of the day at 9am, so I went less time without food. I was ok, and they checked my bg levels constantly, then gave me biscuits after. They were very good, but that was under private healthcare. I assumed the NHS follows the same guidelines.

Nov 13, 2013

novorapidboi26 1,818 posts

Topic: General Discussion / Anyone had an endoscopy?

I have no idea how things take place but I would imagine they would still want you to refrain from eating.

This should be fine with if your background is OK, might be worth doing some basal tests to make sure before the procedure.

They might hook you up to some sort of drip in the event they need to give your bg levels a boost....

Hope its not too uncomfortable for you..... Wink

Nov 13, 2013

DianeW 115 posts

Topic: General Discussion / Anyone had an endoscopy?

Just wondering if anyone has had one of these (camera down the throat to look at stomach etc). I've been suffering for months now with digestion problems etc and have been on tablets (Omeprazole) to prevent stomach acid, but not working so doctor is referring me to gastroenterology at hospital, and she said they would probably want to do an endoscopy. How does it work with a diabetic because I thought that you couldn't eat and drink anything at all because of the nature of the procedure. Grateful for any thoughts!

Nov 13, 2013

Jimandbillow 8 posts

Topic: Questions ? / Sick Day Rules For Those Not Using MDI Therapy

Thanks for your help Novorapidboi26

Nov 12, 2013

novorapidboi26 1,818 posts

Topic: Carbohydrate Counting / Rice cakes

also depends on when you want to have the snack, you could account for it before or after in meal time doses......

Nov 12, 2013

Louise1988 68 posts

Topic: Carbohydrate Counting / Rice cakes

It goes up about 2/3, so 1u would probably sort it out. I just don't like injecting when unnecessary, as I seem to be mega sensitive to it.

Nov 12, 2013

novorapidboi26 1,818 posts

Topic: Questions ? / Sick Day Rules For Those Not Using MDI Therapy

Penine GP training document

From a google search its clear there are rules out there but each different clinic has their own recommendations........would still be wise for your friend to seek professional assistance but the above document gives some sound advice, will never be as effective as the DAFNE/MDI sick day rules but will definitely help.....

Nov 12, 2013

novorapidboi26 1,818 posts

Topic: Carbohydrate Counting / Rice cakes

they say you can avoid injecting for 1CP or less but its not mandatory.......it purely for convenience.......

what kind of change in BG do you observe with 1 rice cake...?

Smile

Nov 12, 2013

Jimandbillow 8 posts

Topic: Questions ? / Sick Day Rules For Those Not Using MDI Therapy

Thanks both,

I was asking on behalf of a friend. I've always been on an MDI and like you both, did not know the answer. Their HCP also didn't know.

Not sure what guidelines there are for this therapy, but hopefully I someone might have an answer. Must be something like what novorapidboi26 suggested.

Nov 12, 2013

Louise1988 68 posts

Topic: Carbohydrate Counting / Rice cakes

Thanks, Phil. Maybe I'll try injecting next time.

Nov 12, 2013

Phil Maskell 194 posts

Topic: Carbohydrate Counting / Rice cakes

According to this:

http://www.fatsecret.com/calories-nutrition/food/rice-cakes/carbohydrate

1 regular cake is 7.3 carbs I would round this off to 1 CP depending on my BG before, if less than 6 I probably wouldn't inject.

Just my 2p Very Happy

Nov 12, 2013

Louise1988 68 posts

Topic: Carbohydrate Counting / Rice cakes

I have a bit of a dilemma, regarding rice cakes! The label says that 2 rice cakes would equal 1cp. I generally only eat 1 at a time, so don't inject qa insulin. However, every time I eat one, my bg levels do go up!

Does anyone have any advice? Is it possible there are 'hidden sugars'???

Nov 12, 2013

Phil Maskell 194 posts

Topic: General Discussion / BD Pen Needles

Thanks Alan, glad they've not stopped them Very Happy

Changing the name on the system will of course confuse my GP surgery, they can never find what I want on the system, but still had until recently Actrapid and Insultard on there!

Nov 11, 2013

Warwick 434 posts

Topic: General Discussion / Endurance Exercise and BG

That certainly looks like a successful ride to me. Perhaps a bit more QA at breakfast, or no gel in the first couple of hours and you wouldn't have had the highs in the early part of the ride, but overall, it looks like you managed it really well, and the latter part of the ride and absence of hypos is a huge tick mark.

Well done. All the best with further refinement.

Nov 11, 2013

StephenJSteele 2 posts

Topic: General Discussion / BD Pen Needles

Top work Alan. I think we need to think of a new mission for you!

Nov 11, 2013

novorapidboi26 1,818 posts

Topic: Questions ? / Sick Day Rules For Those Not Using MDI Therapy

that is a tricky one.........

i suppose it might work but with a reduced portion of the daily total.........as you still need insulin to process ketones..........

im just taking a stab in the dark though.........definitely speak to a professional, which I realise you have done by using this thread, hopefully one of our regular hcps can make some comments....

Nov 11, 2013

JayBee 582 posts

Topic: Questions ? / Sick Day Rules For Those Not Using MDI Therapy

A very valid question though one I'm not sure of the answer because DAFNE is based on the MDI regime as it allows more flexibility.

I hope you're feeling okay. Sad

It maybe best to contact your health team for advice. Hopefully an HCP will speak up here too.

Have you thought about changing to MDI? Would you like to do the DAFNE course?

Welcome to the forum as well. Get well soon if you are poorly.

Nov 11, 2013

Viz 7 posts

Topic: General Discussion / BD Pen Needles

Thank you very much for that Alan much appreciated as I've just changed from 8mm to 4mm

Nov 11, 2013

Viz 7 posts

Topic: General Discussion / BD Pen Needles

Thank you very much for that Alan much appreciated as I've just changed from 8mm to 4mm

Nov 13, 2013 stephenbrowne 37 posts	Topic: Carbohydrate Counting / Counting Carbohydrates Hi wiskeysmum, I have used all the methods you describe. When I started carbohydrate counting in 1967, I was given some kitchen scales from the diabetes ward and used to weight everything. I have over the years tended to estimate CHO especially when not at home but since the DAFNE course in October I have been much stricter and have started using nutritional scales at home. I have found the scales from Lloyds pharmacy a help. It will even calculate the carbohydrate content of weighed food. I find I am very sensitive to insulin and am managing on an insulin pump which delivers fractions of a unit. Mistakes in carbohydrate counting can cause havok with blood sugars ! Best wishes, Stephenbrowne

Nov 13, 2013 Rafa 99 posts	Topic: General Discussion / Endurance Exercise and BG I was 6.1 an hour and a half before a run last night so had one choclate rice cake (1cp) and i was 11.1 going out. Ran for 25 minutes and was 10.8 afterwards. Had a shower and then before dinner roughly 40-50 minutes after the run i was 12.7. Had five cps and corrected +2. I was then 4.6 going to bed so was a little bit corncerned so had a small drop of orange juice. Woke up at 6am for work and i was 8.7. I know it was out of range but i was happy with that. Last week i went out for the same run and i was 7.7 and took no cp and dropped to 4.9 after it. Maybe when i am between 6-8 before a run i don't need to take a cp??

Nov 13, 2013 Louise1988 68 posts	Topic: General Discussion / Anyone had an endoscopy? I reduced my basal dose the night before. I think they said I was able to have lucozade if I needed it, just no solid food.

Nov 13, 2013 DianeW 115 posts	Topic: General Discussion / Anyone had an endoscopy? Thanks guys. I will ask if it can be done first thing. Louise, can I just ask, did you take long acting insulin than normal? I assume if your BG is too low before it happens you can have Lucozade or something? I split my Lantus dose bedtime and morning. Just want to be equipped with as much info as I can, thanks!

Nov 13, 2013 Louise1988 68 posts	Topic: General Discussion / Anyone had an endoscopy? I had one back in June this year. I was booked into the first appointment of the day at 9am, so I went less time without food. I was ok, and they checked my bg levels constantly, then gave me biscuits after. They were very good, but that was under private healthcare. I assumed the NHS follows the same guidelines.

Nov 13, 2013 novorapidboi26 1,818 posts	Topic: General Discussion / Anyone had an endoscopy? I have no idea how things take place but I would imagine they would still want you to refrain from eating. This should be fine with if your background is OK, might be worth doing some basal tests to make sure before the procedure. They might hook you up to some sort of drip in the event they need to give your bg levels a boost.... Hope its not too uncomfortable for you.....

Nov 13, 2013 DianeW 115 posts	Topic: General Discussion / Anyone had an endoscopy? Just wondering if anyone has had one of these (camera down the throat to look at stomach etc). I've been suffering for months now with digestion problems etc and have been on tablets (Omeprazole) to prevent stomach acid, but not working so doctor is referring me to gastroenterology at hospital, and she said they would probably want to do an endoscopy. How does it work with a diabetic because I thought that you couldn't eat and drink anything at all because of the nature of the procedure. Grateful for any thoughts!

Nov 13, 2013 Jimandbillow 8 posts	Topic: Questions ? / Sick Day Rules For Those Not Using MDI Therapy Thanks for your help Novorapidboi26

Nov 12, 2013 novorapidboi26 1,818 posts	Topic: Carbohydrate Counting / Rice cakes also depends on when you want to have the snack, you could account for it before or after in meal time doses......

Nov 12, 2013 Louise1988 68 posts	Topic: Carbohydrate Counting / Rice cakes It goes up about 2/3, so 1u would probably sort it out. I just don't like injecting when unnecessary, as I seem to be mega sensitive to it.

Nov 12, 2013 novorapidboi26 1,818 posts	Topic: Questions ? / Sick Day Rules For Those Not Using MDI Therapy Penine GP training document From a google search its clear there are rules out there but each different clinic has their own recommendations........would still be wise for your friend to seek professional assistance but the above document gives some sound advice, will never be as effective as the DAFNE/MDI sick day rules but will definitely help.....

Nov 12, 2013 novorapidboi26 1,818 posts	Topic: Carbohydrate Counting / Rice cakes they say you can avoid injecting for 1CP or less but its not mandatory.......it purely for convenience....... what kind of change in BG do you observe with 1 rice cake...?

Nov 12, 2013 Jimandbillow 8 posts	Topic: Questions ? / Sick Day Rules For Those Not Using MDI Therapy Thanks both, I was asking on behalf of a friend. I've always been on an MDI and like you both, did not know the answer. Their HCP also didn't know. Not sure what guidelines there are for this therapy, but hopefully I someone might have an answer. Must be something like what novorapidboi26 suggested.

Nov 12, 2013 Louise1988 68 posts	Topic: Carbohydrate Counting / Rice cakes Thanks, Phil. Maybe I'll try injecting next time.

Nov 12, 2013 Phil Maskell 194 posts	Topic: Carbohydrate Counting / Rice cakes According to this: http://www.fatsecret.com/calories-nutrition/food/rice-cakes/carbohydrate 1 regular cake is 7.3 carbs I would round this off to 1 CP depending on my BG before, if less than 6 I probably wouldn't inject. Just my 2p

Nov 12, 2013 Louise1988 68 posts	Topic: Carbohydrate Counting / Rice cakes I have a bit of a dilemma, regarding rice cakes! The label says that 2 rice cakes would equal 1cp. I generally only eat 1 at a time, so don't inject qa insulin. However, every time I eat one, my bg levels do go up! Does anyone have any advice? Is it possible there are 'hidden sugars'???

Nov 12, 2013 Phil Maskell 194 posts	Topic: General Discussion / BD Pen Needles Thanks Alan, glad they've not stopped them Changing the name on the system will of course confuse my GP surgery, they can never find what I want on the system, but still had until recently Actrapid and Insultard on there!

Nov 11, 2013 Warwick 434 posts	Topic: General Discussion / Endurance Exercise and BG That certainly looks like a successful ride to me. Perhaps a bit more QA at breakfast, or no gel in the first couple of hours and you wouldn't have had the highs in the early part of the ride, but overall, it looks like you managed it really well, and the latter part of the ride and absence of hypos is a huge tick mark. Well done. All the best with further refinement.

Nov 11, 2013 StephenJSteele 2 posts	Topic: General Discussion / BD Pen Needles Top work Alan. I think we need to think of a new mission for you!

Nov 11, 2013 novorapidboi26 1,818 posts	Topic: Questions ? / Sick Day Rules For Those Not Using MDI Therapy that is a tricky one......... i suppose it might work but with a reduced portion of the daily total.........as you still need insulin to process ketones.......... im just taking a stab in the dark though.........definitely speak to a professional, which I realise you have done by using this thread, hopefully one of our regular hcps can make some comments....

Nov 11, 2013 JayBee 582 posts	Topic: Questions ? / Sick Day Rules For Those Not Using MDI Therapy A very valid question though one I'm not sure of the answer because DAFNE is based on the MDI regime as it allows more flexibility. I hope you're feeling okay. It maybe best to contact your health team for advice. Hopefully an HCP will speak up here too. Have you thought about changing to MDI? Would you like to do the DAFNE course? Welcome to the forum as well. Get well soon if you are poorly.

Nov 11, 2013 Viz 7 posts	Topic: General Discussion / BD Pen Needles Thank you very much for that Alan much appreciated as I've just changed from 8mm to 4mm

Nov 11, 2013 Viz 7 posts	Topic: General Discussion / BD Pen Needles Thank you very much for that Alan much appreciated as I've just changed from 8mm to 4mm