Recent Posts - DAFNE Online

Oct 18, 2013

Warwick 423 posts

Topic: Questions for HCPs / Traveling to China

I recommend the Frio wallets available here for keeping insulin cool while travelling:

http://www.friouk.com/1119

You soak the inner wallet in water for 2 minutes, then gently squeeze excess moisture from it, and it will keep your insulin cool for about a month. In summer, my insulin stays permanently in one of these. Once the month is up, re-soak and it's good for another month.

Oct 17, 2013

sarahg 29 posts

Topic: Questions for HCPs / Traveling to China

Hi guys this is great thanks for this

Oct 17, 2013

sarahg 29 posts

Topic: Questions for HCPs / Traveling to China

Hi guys this is great thanks for this

Oct 17, 2013

Louise1988 69 posts

Topic: General Discussion / Accu-Chek Aviva Expert Meters

I seem to have different levels of sensitivity to insulin, depending on the time of day, and depending on other things, too. My DSN has said that if the meter tells me to do something I don't agree with, to go with my instinct, but if I do this, I don't want my meter to log that I've taken a higher or lower dosage...

Oct 17, 2013

Garry 328 posts

Topic: Questions for HCPs / Traveling to China

May be a help to have something cool to carry your insulin in. Others have in the past passed comment about commercially available insulating pouches. May be prudent to invest in.
Have had to change QA cartridges in my pen when on holiday as the Humalog has failed to work (over temperature?) but no really relevent experience I'm afraid.
Regards
Garry

Oct 17, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Accu-Chek Aviva Expert Meters

Sorry cant help you with meter, but can you explain under what circumstances you would need 4 when it says 5?

On my pump, the bolus wizard spits out the final dose after considering all the other factors, however it can then be adjusted with the arrow keys, either up or down......can you try pushing directional keys once the final dose has been suggested...

Oct 17, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Accu Chek Aviva Expert Bolus Advisor - and eating out

I personally always finish the food on my plate, so would test, inject then eat.............trying to get the insulin in first is better.

Having a guess at the carbs then splitting it also helps if you find you cant manage it all, or it wasn't an accurate carb guess....

Obviously everyone has different carb guessing abilities but after a while you should know how to guess quite accurately, the carbs and cals book/app is good for that purpose also, you will soon get to know how many carbs are in an average portion of chips, or a burger, or potatoes etc.....

Lets test your ability now... Razz

What was the last meal you had eating out........?

Oct 17, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Fed up

ideal candidate for a pump, as you can just bolus at the click of a button......

I think if you really wanted to regain control you might have to make changes at your work, they should be able to accommodate you..... Wink

Oct 17, 2013

Louise1988 69 posts

Topic: General Discussion / Accu-Chek Aviva Expert Meters

Reviving an old thread, as I've recently starting using the expert. How do I override the bolus advice? For example, if it told me to inject 5 units, but I know that I should only inject 4?

Also, where can I get the cable to transfer the data to my computer?

I'm also looking for a protective case for the meter, can anyone help?!

Oct 17, 2013

Louise1988 69 posts

Topic: General Discussion / Accu Chek Aviva Expert Bolus Advisor - and eating out

Like Warwick, I try to estimate the number of carbs, and just inject after.

Oct 17, 2013

Googum 15 posts

Topic: Questions for HCPs / Traveling to China

Hello sarahg

The other thing you should also take into account is air conditioning,I live in the PRC part time,Heat and cold can take their toil as well towards hypos,Normally drop a couple of units of when here when it is hot,As to food i have found that more restaurants are using sauces that contain high fructose corn syrup and also a lot of bread has sugar added to it as well so be careful when eating out and tell hotel and they will accommodate your needs,Cant say i have never found chinese food same as the UK,As to getting insulin and meds through its very straight forward there but it is a good idea to get letter in the PRC they never bat a eye ball i have found,Sniffer Scanners in HK sometimes alert security that may have something in your bag,Enjoy the PRC and HK, Very Happy

Oct 16, 2013

Warwick 423 posts

Topic: General Discussion / Accu Chek Aviva Expert Bolus Advisor - and eating out

You will get bolus advice, but it will probably be incorrect as you need to take a BG reading first, and that reading will likely be higher after eating than before.

In these circumstances, I estimate the number of carbs that I am likely to inject, get the bolus advice, and then inject later once I know whether my estimate was in range. If I had less carbs, then I'll reduce the QA dose and if I had more, I'll increase it.

Oct 16, 2013

mum2westiesGill 502 posts

Topic: General Discussion / Accu Chek Aviva Expert Bolus Advisor - and eating out

Googum said:
Enter the DATA after your meal if your injecting after the meal

Would I still get the bolus advice though?

Oct 16, 2013

mum2westiesGill 502 posts

Topic: General Discussion / Accu Chek Aviva Expert Bolus Advisor - and eating out

Accu Chek Aviva Expert Bolus Advisor - and eating out

Is there anybody on here who uses this meter & how do you go on when eating out?

When eating out I personally find it much easier to
- order
- test
- eat meal
- then inject afterwords once I know how many carbs I've had rather than testing etc at the time of the meal arriving

the problem is that the meter only gives bolus advice once the carbs are entered.

Oct 16, 2013

Overlis 3 posts

Topic: General Discussion / Fed up

I have done the course before I fell pregnant just don't have the centre code! My problem is I tend to snack at work and because emergencies can crop up there I tend to find I don't get round to getting my insulin done!

Oct 16, 2013

Louise1988 69 posts

Topic: General Discussion / Fed up

Overlis, I sent you a message earlier Smile

Oct 16, 2013

Louise1988 69 posts

Topic: General Discussion / Fed up

I find it harder to control when I'm not at work. I guess because I'm eating more, and if I'm at work, I force myself to go to exercise classes after work, whereas I don't bother if I'm not at work!

Oct 16, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Fed up

Its funny, i find there much harder to control when not at work. The routine of the work day helps me as without it, at the weekends, I find myself snacking and sometimes not giving myself the insulin for it.......

I see your not a DAFNE graduate, is there any chance you could get on a course? For me and a lot of others it actually motivates you to take control, because it just seems so simple once you have learned how to dose adjust.

Oct 16, 2013

Overlis 3 posts

Topic: General Discussion / Fed up

My blood sugars aren't brilliantly controlled at the minute I stopped checking them after I had my son and have only just started again! I find it much easier to control when am not at work! I have no complications either so I'm lucky however just gets to me sometimes

Oct 16, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Fed up

Welcome to the forum..........

Its OK to have a rant and moan from time to time as its only natural for the diabetes to get you down sometimes. I suppose it will effect everyone differently.

I have had it 15 years and more than half that time it been controlled badly. Fortunately though I am fairly complication free and so it doesn't bother me. Although even with complications it probably wouldn't bother much either, but that's as everyone is different.

Were all here to support each other though........

Do you currently have any complications or are having issues with your blood sugar or is it just a general feeling...

Oct 16, 2013

Warwick 423 posts

Topic: General Discussion / Exercise & BG levels

Rafa said:
Warwick said:
Excellent Rafa. How exciting.

Thanks a million for all the information, much appreciated. Nervous but looking forward to it. Can i ask would you stop and test the BG much during a marathon?

Again, it will come down to what happens in your training. If you are hypoing often in your training, then yes, do test often. If not, then you may find with the excitement and adrenaline, that you are a little more resistant than usual anyway and don't need to. By the time you are halfway around the course you will probably have a good idea of what your BGs are doing and whether you need to keep testing or not.

I ran a half marathon on Sunday, and didn't test until the finish as I felt fine the whole way around. I was 14.5 at the end then, so I'd had a bit too much sports drink on the way around, although I was running faster than in training which possibly also contributed. It is good to have QA available in your bag that you drop off, so that you can correct if need be before starting and afterwards if BGs have gone a bit high. Just try and make sure that the bag is out of sunlight.

If you think that you might go high, then you could have a friend or family member sited at the halfway point with QA, and take it there if necessary.

I tend to have carbs right before the event so I am starting with BGs about 13 (they usually quickly drop). I haven't hypoed in a marathon yet, although I have a couple of times in half marathons and half ironman events and it's always a pain sitting out for 15 minutes while the BGS go back up.

The TRUE Result Twist is a good BG meter for testing during events although not sure if it is available in the UK. It is nice and small, and you can test while walking so you don't lose too much time.

I reviewed it here last week:

http://needcarbs.wordpress.com/2013/10/11/meters-reviewed-nipro-trueresult-twist/

If you can get hold of one, then I recommend it for taking with you as you exercise.

Oct 15, 2013

claire k 5 posts

Topic: General Discussion / Fed up

Hey it's a bummer alright, have it 30yrs. But ur aloud a rant its good for ya. It can also be a good thing, just need to get a different spin on it. I do it infront of ppl now, didnt for years more fool me. If I didnt know them I would ask first.
I would be a mess if I wasnt a diabetic.

Oct 15, 2013

Overlis 3 posts

Topic: General Discussion / Fed up

In fed up of been diabetic, injecting and testing my blood sugars! I know there is nothing I can do about it I've had it 25 years but today today I really wonder wether it's all worth it! Sorry for the down post but actually today not sure why I'm bothered just know that another 25 yrs of this is unfair fed up of always having to check labels when out with friends and popping off all the time! Sorry rant over

Oct 15, 2013

sarahg 29 posts

Topic: Questions for HCPs / Traveling to China

Hi Veronica thanks so much for this, I will take your advice on the Lantus cheers :

Oct 18, 2013 Warwick 423 posts	Topic: Questions for HCPs / Traveling to China I recommend the Frio wallets available here for keeping insulin cool while travelling: http://www.friouk.com/1119 You soak the inner wallet in water for 2 minutes, then gently squeeze excess moisture from it, and it will keep your insulin cool for about a month. In summer, my insulin stays permanently in one of these. Once the month is up, re-soak and it's good for another month.

Oct 17, 2013 sarahg 29 posts	Topic: Questions for HCPs / Traveling to China Hi guys this is great thanks for this

Oct 17, 2013 sarahg 29 posts	Topic: Questions for HCPs / Traveling to China Hi guys this is great thanks for this

Oct 17, 2013 Louise1988 69 posts	Topic: General Discussion / Accu-Chek Aviva Expert Meters I seem to have different levels of sensitivity to insulin, depending on the time of day, and depending on other things, too. My DSN has said that if the meter tells me to do something I don't agree with, to go with my instinct, but if I do this, I don't want my meter to log that I've taken a higher or lower dosage...

Oct 17, 2013 Garry 328 posts	Topic: Questions for HCPs / Traveling to China May be a help to have something cool to carry your insulin in. Others have in the past passed comment about commercially available insulating pouches. May be prudent to invest in. Have had to change QA cartridges in my pen when on holiday as the Humalog has failed to work (over temperature?) but no really relevent experience I'm afraid. Regards Garry

Oct 17, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Accu-Chek Aviva Expert Meters Sorry cant help you with meter, but can you explain under what circumstances you would need 4 when it says 5? On my pump, the bolus wizard spits out the final dose after considering all the other factors, however it can then be adjusted with the arrow keys, either up or down......can you try pushing directional keys once the final dose has been suggested...

Oct 17, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Accu Chek Aviva Expert Bolus Advisor - and eating out I personally always finish the food on my plate, so would test, inject then eat.............trying to get the insulin in first is better. Having a guess at the carbs then splitting it also helps if you find you cant manage it all, or it wasn't an accurate carb guess.... Obviously everyone has different carb guessing abilities but after a while you should know how to guess quite accurately, the carbs and cals book/app is good for that purpose also, you will soon get to know how many carbs are in an average portion of chips, or a burger, or potatoes etc..... Lets test your ability now... What was the last meal you had eating out........?

Oct 17, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Fed up ideal candidate for a pump, as you can just bolus at the click of a button...... I think if you really wanted to regain control you might have to make changes at your work, they should be able to accommodate you.....

Oct 17, 2013 Louise1988 69 posts	Topic: General Discussion / Accu-Chek Aviva Expert Meters Reviving an old thread, as I've recently starting using the expert. How do I override the bolus advice? For example, if it told me to inject 5 units, but I know that I should only inject 4? Also, where can I get the cable to transfer the data to my computer? I'm also looking for a protective case for the meter, can anyone help?!

Oct 17, 2013 Louise1988 69 posts	Topic: General Discussion / Accu Chek Aviva Expert Bolus Advisor - and eating out Like Warwick, I try to estimate the number of carbs, and just inject after.

Oct 17, 2013 Googum 15 posts	Topic: Questions for HCPs / Traveling to China Hello sarahg The other thing you should also take into account is air conditioning,I live in the PRC part time,Heat and cold can take their toil as well towards hypos,Normally drop a couple of units of when here when it is hot,As to food i have found that more restaurants are using sauces that contain high fructose corn syrup and also a lot of bread has sugar added to it as well so be careful when eating out and tell hotel and they will accommodate your needs,Cant say i have never found chinese food same as the UK,As to getting insulin and meds through its very straight forward there but it is a good idea to get letter in the PRC they never bat a eye ball i have found,Sniffer Scanners in HK sometimes alert security that may have something in your bag,Enjoy the PRC and HK,

Oct 16, 2013 Warwick 423 posts	Topic: General Discussion / Accu Chek Aviva Expert Bolus Advisor - and eating out You will get bolus advice, but it will probably be incorrect as you need to take a BG reading first, and that reading will likely be higher after eating than before. In these circumstances, I estimate the number of carbs that I am likely to inject, get the bolus advice, and then inject later once I know whether my estimate was in range. If I had less carbs, then I'll reduce the QA dose and if I had more, I'll increase it.

Oct 16, 2013 mum2westiesGill 502 posts	Topic: General Discussion / Accu Chek Aviva Expert Bolus Advisor - and eating out Googum said: Enter the DATA after your meal if your injecting after the meal Would I still get the bolus advice though?

Oct 16, 2013 mum2westiesGill 502 posts	Topic: General Discussion / Accu Chek Aviva Expert Bolus Advisor - and eating out Accu Chek Aviva Expert Bolus Advisor - and eating out Is there anybody on here who uses this meter & how do you go on when eating out? When eating out I personally find it much easier to - order - test - eat meal - then inject afterwords once I know how many carbs I've had rather than testing etc at the time of the meal arriving the problem is that the meter only gives bolus advice once the carbs are entered.

Oct 16, 2013 Overlis 3 posts	Topic: General Discussion / Fed up I have done the course before I fell pregnant just don't have the centre code! My problem is I tend to snack at work and because emergencies can crop up there I tend to find I don't get round to getting my insulin done!

Oct 16, 2013 Louise1988 69 posts	Topic: General Discussion / Fed up Overlis, I sent you a message earlier

Oct 16, 2013 Louise1988 69 posts	Topic: General Discussion / Fed up I find it harder to control when I'm not at work. I guess because I'm eating more, and if I'm at work, I force myself to go to exercise classes after work, whereas I don't bother if I'm not at work!

Oct 16, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Fed up Its funny, i find there much harder to control when not at work. The routine of the work day helps me as without it, at the weekends, I find myself snacking and sometimes not giving myself the insulin for it....... I see your not a DAFNE graduate, is there any chance you could get on a course? For me and a lot of others it actually motivates you to take control, because it just seems so simple once you have learned how to dose adjust.

Oct 16, 2013 Overlis 3 posts	Topic: General Discussion / Fed up My blood sugars aren't brilliantly controlled at the minute I stopped checking them after I had my son and have only just started again! I find it much easier to control when am not at work! I have no complications either so I'm lucky however just gets to me sometimes

Oct 16, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Fed up Welcome to the forum.......... Its OK to have a rant and moan from time to time as its only natural for the diabetes to get you down sometimes. I suppose it will effect everyone differently. I have had it 15 years and more than half that time it been controlled badly. Fortunately though I am fairly complication free and so it doesn't bother me. Although even with complications it probably wouldn't bother much either, but that's as everyone is different. Were all here to support each other though........ Do you currently have any complications or are having issues with your blood sugar or is it just a general feeling...

Oct 16, 2013 Warwick 423 posts	Topic: General Discussion / Exercise & BG levels Rafa said: Warwick said: Excellent Rafa. How exciting. Thanks a million for all the information, much appreciated. Nervous but looking forward to it. Can i ask would you stop and test the BG much during a marathon? Again, it will come down to what happens in your training. If you are hypoing often in your training, then yes, do test often. If not, then you may find with the excitement and adrenaline, that you are a little more resistant than usual anyway and don't need to. By the time you are halfway around the course you will probably have a good idea of what your BGs are doing and whether you need to keep testing or not. I ran a half marathon on Sunday, and didn't test until the finish as I felt fine the whole way around. I was 14.5 at the end then, so I'd had a bit too much sports drink on the way around, although I was running faster than in training which possibly also contributed. It is good to have QA available in your bag that you drop off, so that you can correct if need be before starting and afterwards if BGs have gone a bit high. Just try and make sure that the bag is out of sunlight. If you think that you might go high, then you could have a friend or family member sited at the halfway point with QA, and take it there if necessary. I tend to have carbs right before the event so I am starting with BGs about 13 (they usually quickly drop). I haven't hypoed in a marathon yet, although I have a couple of times in half marathons and half ironman events and it's always a pain sitting out for 15 minutes while the BGS go back up. The TRUE Result Twist is a good BG meter for testing during events although not sure if it is available in the UK. It is nice and small, and you can test while walking so you don't lose too much time. I reviewed it here last week: http://needcarbs.wordpress.com/2013/10/11/meters-reviewed-nipro-trueresult-twist/ If you can get hold of one, then I recommend it for taking with you as you exercise.

Oct 15, 2013 claire k 5 posts	Topic: General Discussion / Fed up Hey it's a bummer alright, have it 30yrs. But ur aloud a rant its good for ya. It can also be a good thing, just need to get a different spin on it. I do it infront of ppl now, didnt for years more fool me. If I didnt know them I would ask first. I would be a mess if I wasnt a diabetic.

Oct 15, 2013 Overlis 3 posts	Topic: General Discussion / Fed up In fed up of been diabetic, injecting and testing my blood sugars! I know there is nothing I can do about it I've had it 25 years but today today I really wonder wether it's all worth it! Sorry for the down post but actually today not sure why I'm bothered just know that another 25 yrs of this is unfair fed up of always having to check labels when out with friends and popping off all the time! Sorry rant over

Oct 15, 2013 sarahg 29 posts	Topic: Questions for HCPs / Traveling to China Hi Veronica thanks so much for this, I will take your advice on the Lantus cheers :