Recent Posts - DAFNE Online

Aug 28, 2025

Warwick 430 posts

Topic: Site Development / Course Handbook

Louise112 said:
Unable to access the coursehamd books online.

Have you tried the solutions that have been mentioned already further back in this topic? See the ones from Marke as they have helped others

Aug 22, 2025

Louise112 1 post

Topic: Site Development / Course Handbook

Unable to access the coursehamd books online.

Aug 21, 2025

Warwick 430 posts

Topic: General Discussion / Question about Background Insulin

I'd suggest still taking a little bit of BI at night. The reason is that while Levemir can last up to 24 hours, it doesn't necessarily do that, and if you are only taking it once per day, then there may be a period where you have no insulin on board at all which can lead to DKA.

Even if it is only 1 unit at night, then at least you will still have some present in your body. You can reduce the amount injected in the morning accordingly, so if you still plan on taking 10 units per day, then try 9 in the morning and 1 at night. If you still get overnight hypos, then try 8 in the morning and 1 at night.

Hope it works out for you

Aug 20, 2025

derekh1965 99 posts

Topic: General Discussion / Question about Background Insulin

Hi,
Thanks for your reply.
I am sick of the low sugars at 2am. I don't know how much BI too take. I only am taking 10 total units, 5 in the morning and 5 at night. still go low, and I know 5 in the morning is not enough. Today I had a funeral at 11am, so I took a 2cp snack to ensure I never went low , and at 2:30pm my sugar was at 16.7.
Would I be best taking only one injection in the morning, instead of splitting the dose?
Tonight I will take 3 units of BI and tomorrow inject 10 units in the morning and none at night

Aug 18, 2025

Warwick 430 posts

Topic: General Discussion / Question about Background Insulin

Looking at this, I'm thinking that Wednesday through Sunday were actually very well-controlled. Apart from the hypo on Saturday morning, you were largely within the range that you want to be in. Well done.

What readings in particular are worrying you? I'd actually be very happy if my control was as good as this.

Aug 15, 2025

derekh1965 99 posts

Topic: General Discussion / Question about Background Insulin

Hi Warwick,

Thank you again. As you can see my BS is all over the place. If I lower BI in the morning, my sugars are high, have 3cp snack at bedtime with no insuln, I go low.

Aug 7, 2025

Warwick 430 posts

Topic: General Discussion / Question about Background Insulin

You seem to be experiencing two issues here - lows during the day and overnight lows and I think they have different causes.

With regards to the overnight lows, they all seem to be within the 4-hour action period of your QA. You appear to be super-sensitive to insulin (Sat 05.30 = 18.9, Sat 07:45 = 4.4 after only 3 units of QA is quite extraordinary).

For the night time, I think that the amount of QA that you are having for the CPs probably needs reducing. So for example, Friday 23:00 4 CPs with 4 QA, perhaps try 3 QA or even 2 QA for this in future.

Daytime hypos, especially the Friday and Saturday ones around lunchtime aren't within a 4 hour period of QA, so that would seem to indicate that you BI might be too high in the mornings. You could try reducing that from 4 units to 3, and see after a few days whether that is stopping the low BGs around lunchtime.

DAFNE relies on getting BI correct, and then making any necessary changes to QA after that, but to work out whether we are getting the BI right, we really need to have periods of around 8 hours without any eating or QA injections.

Obviously, treat any hypos that occur, but if it is possible to have an 8 hour period of fasting after an evening meal, then you will be able to see if the BI is sufficient or too much.

To summarise:

1) If eating before going to bed, reduce the amount of QA that you have with the CPs. So if having 4 CPs, try 2 or 3 QA rather than 4.
2) Try reducing your morning BI from 4 to 3, and see if that stops the lows around lunchtime.
3) Try and have an 8 hour period without food overnight. Four hours after your last meal, test BGs, and then 4 hours later, test again. If you BI is correct, then the BGs for these two readings should be within about 1.5 mmol/L of each other. You can also run this test during the day if you want to check whether your daytime BI is correct. Have breakfast and dinner, but skip any snacks and lunch.

Hope that is helpful

Aug 7, 2025

derekh1965 99 posts

Topic: General Discussion / Question about Background Insulin

Hi Warwixck
Thanks for your reply. As you can see by my diary I am on low dosage of BI and still having low sugars during the night.

Aug 7, 2025

Warwick 430 posts

Topic: General Discussion / Question about Background Insulin

High doses of Levemir last for around 24 hours. Lower doses last up to about 19 hours. This is the reason that it is advisable to dose twice daily just to ensure that there is always some present in your body.

Levemir has a pretty flat profile, so you could probably second-dose at any time between 3 pm and 7 pm that is convenient for you, but probably best to try and inject around the same time each day to avoid hypos (up to a 90-minute variation probably won't matter too much).

Aug 6, 2025

derekh1965 99 posts

Topic: General Discussion / Question about Background Insulin

Hi,
looking for some help regarding BI, please.
I inject Levermir twice daily, first injection when I wake in the morning at 5am. My question is, if i wake up at 5am, when should I
inject my night BI time dose?

Jul 10, 2025

Reg 21 posts

Topic: General Discussion / Insulin storage

Many thanks Warwick

Jul 9, 2025

Warwick 430 posts

Topic: General Discussion / Insulin storage

If you are travelling, then I recommend using a Frio wallet - https://friouk.com

I bought one when I was first diagnosed 15 years ago and it is still working well, and keeping my insulin cool in hot climates. Even on a 43 degree Celsius day in Melbourne, my insulin stayed cool and effective

Jun 15, 2025

derekh1965 99 posts

Topic: Site Development / Course Handbook

I now have access to the Handbook after using Markes instructions.
When removing Dafne there is no option to save data and when saving changes a warning informs you this will delete cookies and data.
i went ahead and saved the changes anyway and after logging in again i had access to the Course Handbook

Jun 9, 2025

marke 643 posts

Topic: General Discussion / Insulin storage

I keep mine in the top part of the fridge and our fridge like all fridges varies its temperature depending on how much its opened Smile

. It doesn't have to be precisely 2-8 degrees, you just don't want it to freeze, hence it should always be in hand luggage when flying. Keeping it 'chilled' just ensures it stays effective until taken out of the fridge at which point it should last for around 28 days. However like blood tests this is just an average, it cluld last longer it could last shorter. Nothing in Diabetes is precise. Very Happy

Jun 9, 2025

marke 643 posts

Topic: Site Development / Course Handbook

Hi,
Sorry no we are not allowed to provide copies of the handbook as part of our agreement with the DAFNE Programme Team, we can only provide access to a copy that cannot be downloaded or printed.

Can you check in firefox under the site data again, when you filter to dafneonline.co.uk , you should have 4 cookies and mine has 4.6Kb of storage. When I clear the data, I always save and then restart the browser to ensure it has nothing still hanging around. I then open the handbook and it works everytime.

Regards

MarkE

Jun 7, 2025

suzanneh 1 post

Topic: Site Development / Course Handbook

Hi,

I am also experiencing this problem on both Chrome and Firefox after clearing cache cookies. Is there a way of being emailed the coursebook via wetransfer or another site at all? Thank you very much.

Jun 5, 2025

Reg 21 posts

Topic: General Discussion / Insulin storage

I understand that unopened insulin should be stored at a temperature of between 2-8 degrees, however, I find that fridge temperatures tend to vary, especially depending upon where you place the insulin in the fridge

I just wondered how resilient insulin was to changes in temperatures especially when travelling abroad and what other people's experiences were with storing insulin

Thank you in anticipation

May 27, 2025

marke 643 posts

Topic: Site Development / Course Handbook

Hi,
Can you confirm the browser you are using on what device and what OS version you have. It's hard to test every combination of browser/device/OS but we can try if we know what they are. It maybe that there is another fix for your particular combination.

May 27, 2025

derekh1965 99 posts

Topic: Site Development / Course Handbook

Hi Marke
Thanks for your reply
Unfortunately that still didn't work.
here is a copy of the link I am taken to which shows a blank page,
https://www.dafneonline.co.uk/hbook_topics/viewhbMDI?region=UK20 refreshed a few times

May 27, 2025

Reg 21 posts

Topic: General Discussion / Apple software updates

Many thanks marke, it's a pity we can't make representations to Libre/Dexcom to speed up the process. I spoke to apple about this but very non committal. Everyone wants to cover their back

May 27, 2025

marke 643 posts

Topic: Site Development / Course Handbook

Hi,
Sorry for the delayed reply. Its an issue with the program we used to display the handbook which is from Adobe. You should be able to fix it on a browser by going into its settings and deleting the cached data for our site.

In Firefox go to the 3 bars in the top right and select 'settings' . Then 'Privacy & Security' , followed 'Manage Data' in the 'Cookies and Site Data section. In the search box at the top enter 'dafneonline' , the list below will change to just our site. Select the line and then click 'remove selected' then 'save data'. Now then you try to display it , it will hopefully work. If not refresh the page again.

In Edge go to the 3 dots in the top right and select 'settings' . Then 'Cookies and Site Permissions', followed by 'Manage and Cookies and Site Data' .
Next select 'See all cookies and site data' and in the search box at the top enter 'dafneonline' , the list below will change to just our site. Now click on 'Remove all shown'. In the pop-up window that appears select 'clear'. Now then you try to display it , it will hopefully work. If not refresh the page again.

Chrome will be similar to Edge.

May 27, 2025

marke 643 posts

Topic: General Discussion / Apple software updates

Hi,
It's not just Libre I'm afraid, Dexcom take just as long. The biggest issue is they are medial devices which have to be 'certified'. It's not like ordinary software that if it goes wrong it doesn't matter, you can make serious decisions based on its output. Therefore they have to do a lot more testing everytime the OS is updated. That said, they get the new releases in advance so you would hope they have more time to test. However I'm not sure how long the MHRA in the UK and other bodies in other countries take to approve the new versions of the apps.

May 21, 2025

Reg 21 posts

Topic: General Discussion / Apple software updates

Do folks agree that the time taken for Libre to catch up with apple software updates can lead to security compromises on your phone if you put off updating the software until Libre have posted their approval for that particular update? Also, why does it take so long for Libre to catch up with apple software updates?

May 17, 2025

Charles R 4 posts

Topic: Site Development / Course Handbook

derekh1965 said:
Thanks for you reply,

When I click on the DAFNE Course Handbook menu a page opens, and when clicking on DAFNE and 5X1 Course Handbook this opens a blank page.

I am in the UK

I'm in the UK, and when I take the route you took to open the DAFNE and 5X1 Course Handbook it opens for me. However, being a 272 page pdf document it does take a while to download, so it may be your internet connection letting you down. I hope this helps.

May 15, 2025

derekh1965 99 posts

Topic: Site Development / Course Handbook

Thanks for you reply,

When I click on the DAFNE Course Handbook menu a page opens, and when clicking on DAFNE and 5X1 Course Handbook this opens a blank page.

I am in the UK

Aug 28, 2025 Warwick 430 posts	Topic: Site Development / Course Handbook Louise112 said: Unable to access the coursehamd books online. Have you tried the solutions that have been mentioned already further back in this topic? See the ones from Marke as they have helped others

Aug 22, 2025 Louise112 1 post	Topic: Site Development / Course Handbook Unable to access the coursehamd books online.

Aug 21, 2025 Warwick 430 posts	Topic: General Discussion / Question about Background Insulin I'd suggest still taking a little bit of BI at night. The reason is that while Levemir can last up to 24 hours, it doesn't necessarily do that, and if you are only taking it once per day, then there may be a period where you have no insulin on board at all which can lead to DKA. Even if it is only 1 unit at night, then at least you will still have some present in your body. You can reduce the amount injected in the morning accordingly, so if you still plan on taking 10 units per day, then try 9 in the morning and 1 at night. If you still get overnight hypos, then try 8 in the morning and 1 at night. Hope it works out for you

Aug 20, 2025 derekh1965 99 posts	Topic: General Discussion / Question about Background Insulin Hi, Thanks for your reply. I am sick of the low sugars at 2am. I don't know how much BI too take. I only am taking 10 total units, 5 in the morning and 5 at night. still go low, and I know 5 in the morning is not enough. Today I had a funeral at 11am, so I took a 2cp snack to ensure I never went low , and at 2:30pm my sugar was at 16.7. Would I be best taking only one injection in the morning, instead of splitting the dose? Tonight I will take 3 units of BI and tomorrow inject 10 units in the morning and none at night

Aug 18, 2025 Warwick 430 posts	Topic: General Discussion / Question about Background Insulin Looking at this, I'm thinking that Wednesday through Sunday were actually very well-controlled. Apart from the hypo on Saturday morning, you were largely within the range that you want to be in. Well done. What readings in particular are worrying you? I'd actually be very happy if my control was as good as this.

Aug 15, 2025 derekh1965 99 posts	Topic: General Discussion / Question about Background Insulin Hi Warwick, Thank you again. As you can see my BS is all over the place. If I lower BI in the morning, my sugars are high, have 3cp snack at bedtime with no insuln, I go low.

Aug 7, 2025 Warwick 430 posts	Topic: General Discussion / Question about Background Insulin You seem to be experiencing two issues here - lows during the day and overnight lows and I think they have different causes. With regards to the overnight lows, they all seem to be within the 4-hour action period of your QA. You appear to be super-sensitive to insulin (Sat 05.30 = 18.9, Sat 07:45 = 4.4 after only 3 units of QA is quite extraordinary). For the night time, I think that the amount of QA that you are having for the CPs probably needs reducing. So for example, Friday 23:00 4 CPs with 4 QA, perhaps try 3 QA or even 2 QA for this in future. Daytime hypos, especially the Friday and Saturday ones around lunchtime aren't within a 4 hour period of QA, so that would seem to indicate that you BI might be too high in the mornings. You could try reducing that from 4 units to 3, and see after a few days whether that is stopping the low BGs around lunchtime. DAFNE relies on getting BI correct, and then making any necessary changes to QA after that, but to work out whether we are getting the BI right, we really need to have periods of around 8 hours without any eating or QA injections. Obviously, treat any hypos that occur, but if it is possible to have an 8 hour period of fasting after an evening meal, then you will be able to see if the BI is sufficient or too much. To summarise: 1) If eating before going to bed, reduce the amount of QA that you have with the CPs. So if having 4 CPs, try 2 or 3 QA rather than 4. 2) Try reducing your morning BI from 4 to 3, and see if that stops the lows around lunchtime. 3) Try and have an 8 hour period without food overnight. Four hours after your last meal, test BGs, and then 4 hours later, test again. If you BI is correct, then the BGs for these two readings should be within about 1.5 mmol/L of each other. You can also run this test during the day if you want to check whether your daytime BI is correct. Have breakfast and dinner, but skip any snacks and lunch. Hope that is helpful

Aug 7, 2025 derekh1965 99 posts	Topic: General Discussion / Question about Background Insulin Hi Warwixck Thanks for your reply. As you can see by my diary I am on low dosage of BI and still having low sugars during the night.

Aug 7, 2025 Warwick 430 posts	Topic: General Discussion / Question about Background Insulin High doses of Levemir last for around 24 hours. Lower doses last up to about 19 hours. This is the reason that it is advisable to dose twice daily just to ensure that there is always some present in your body. Levemir has a pretty flat profile, so you could probably second-dose at any time between 3 pm and 7 pm that is convenient for you, but probably best to try and inject around the same time each day to avoid hypos (up to a 90-minute variation probably won't matter too much).

Aug 6, 2025 derekh1965 99 posts	Topic: General Discussion / Question about Background Insulin Hi, looking for some help regarding BI, please. I inject Levermir twice daily, first injection when I wake in the morning at 5am. My question is, if i wake up at 5am, when should I inject my night BI time dose?

Jul 10, 2025 Reg 21 posts	Topic: General Discussion / Insulin storage Many thanks Warwick

Jul 9, 2025 Warwick 430 posts	Topic: General Discussion / Insulin storage If you are travelling, then I recommend using a Frio wallet - https://friouk.com I bought one when I was first diagnosed 15 years ago and it is still working well, and keeping my insulin cool in hot climates. Even on a 43 degree Celsius day in Melbourne, my insulin stayed cool and effective

Jun 15, 2025 derekh1965 99 posts	Topic: Site Development / Course Handbook I now have access to the Handbook after using Markes instructions. When removing Dafne there is no option to save data and when saving changes a warning informs you this will delete cookies and data. i went ahead and saved the changes anyway and after logging in again i had access to the Course Handbook

Jun 9, 2025 marke 643 posts	Topic: General Discussion / Insulin storage I keep mine in the top part of the fridge and our fridge like all fridges varies its temperature depending on how much its opened . It doesn't have to be precisely 2-8 degrees, you just don't want it to freeze, hence it should always be in hand luggage when flying. Keeping it 'chilled' just ensures it stays effective until taken out of the fridge at which point it should last for around 28 days. However like blood tests this is just an average, it cluld last longer it could last shorter. Nothing in Diabetes is precise.

Jun 9, 2025 marke 643 posts	Topic: Site Development / Course Handbook Hi, Sorry no we are not allowed to provide copies of the handbook as part of our agreement with the DAFNE Programme Team, we can only provide access to a copy that cannot be downloaded or printed. Can you check in firefox under the site data again, when you filter to dafneonline.co.uk , you should have 4 cookies and mine has 4.6Kb of storage. When I clear the data, I always save and then restart the browser to ensure it has nothing still hanging around. I then open the handbook and it works everytime. Regards MarkE

Jun 7, 2025 suzanneh 1 post	Topic: Site Development / Course Handbook Hi, I am also experiencing this problem on both Chrome and Firefox after clearing cache cookies. Is there a way of being emailed the coursebook via wetransfer or another site at all? Thank you very much.

Jun 5, 2025 Reg 21 posts	Topic: General Discussion / Insulin storage I understand that unopened insulin should be stored at a temperature of between 2-8 degrees, however, I find that fridge temperatures tend to vary, especially depending upon where you place the insulin in the fridge I just wondered how resilient insulin was to changes in temperatures especially when travelling abroad and what other people's experiences were with storing insulin Thank you in anticipation

May 27, 2025 marke 643 posts	Topic: Site Development / Course Handbook Hi, Can you confirm the browser you are using on what device and what OS version you have. It's hard to test every combination of browser/device/OS but we can try if we know what they are. It maybe that there is another fix for your particular combination.

May 27, 2025 derekh1965 99 posts	Topic: Site Development / Course Handbook Hi Marke Thanks for your reply Unfortunately that still didn't work. here is a copy of the link I am taken to which shows a blank page, https://www.dafneonline.co.uk/hbook_topics/viewhbMDI?region=UK20 refreshed a few times

May 27, 2025 Reg 21 posts	Topic: General Discussion / Apple software updates Many thanks marke, it's a pity we can't make representations to Libre/Dexcom to speed up the process. I spoke to apple about this but very non committal. Everyone wants to cover their back

May 27, 2025 marke 643 posts	Topic: Site Development / Course Handbook Hi, Sorry for the delayed reply. Its an issue with the program we used to display the handbook which is from Adobe. You should be able to fix it on a browser by going into its settings and deleting the cached data for our site. In Firefox go to the 3 bars in the top right and select 'settings' . Then 'Privacy & Security' , followed 'Manage Data' in the 'Cookies and Site Data section. In the search box at the top enter 'dafneonline' , the list below will change to just our site. Select the line and then click 'remove selected' then 'save data'. Now then you try to display it , it will hopefully work. If not refresh the page again. In Edge go to the 3 dots in the top right and select 'settings' . Then 'Cookies and Site Permissions', followed by 'Manage and Cookies and Site Data' . Next select 'See all cookies and site data' and in the search box at the top enter 'dafneonline' , the list below will change to just our site. Now click on 'Remove all shown'. In the pop-up window that appears select 'clear'. Now then you try to display it , it will hopefully work. If not refresh the page again. Chrome will be similar to Edge.

May 27, 2025 marke 643 posts	Topic: General Discussion / Apple software updates Hi, It's not just Libre I'm afraid, Dexcom take just as long. The biggest issue is they are medial devices which have to be 'certified'. It's not like ordinary software that if it goes wrong it doesn't matter, you can make serious decisions based on its output. Therefore they have to do a lot more testing everytime the OS is updated. That said, they get the new releases in advance so you would hope they have more time to test. However I'm not sure how long the MHRA in the UK and other bodies in other countries take to approve the new versions of the apps.

May 21, 2025 Reg 21 posts	Topic: General Discussion / Apple software updates Do folks agree that the time taken for Libre to catch up with apple software updates can lead to security compromises on your phone if you put off updating the software until Libre have posted their approval for that particular update? Also, why does it take so long for Libre to catch up with apple software updates?

May 17, 2025 Charles R 4 posts	Topic: Site Development / Course Handbook derekh1965 said: Thanks for you reply, When I click on the DAFNE Course Handbook menu a page opens, and when clicking on DAFNE and 5X1 Course Handbook this opens a blank page. I am in the UK I'm in the UK, and when I take the route you took to open the DAFNE and 5X1 Course Handbook it opens for me. However, being a 272 page pdf document it does take a while to download, so it may be your internet connection letting you down. I hope this helps.

May 15, 2025 derekh1965 99 posts	Topic: Site Development / Course Handbook Thanks for you reply, When I click on the DAFNE Course Handbook menu a page opens, and when clicking on DAFNE and 5X1 Course Handbook this opens a blank page. I am in the UK