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15,864 posts found
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Sep 19, 2013
hannahdefries
12 posts
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Topic: General Discussion / Exercise & BG levels BG Diary |
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Sep 19, 2013
hannahdefries
12 posts
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Topic: Carbohydrate Counting / Carbs and cals book Amy i downloaded the book to my phone on App store and it is soooooo convenient.. well recommended!Obviously if you have the phone to do so! x |
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Sep 19, 2013
hannahdefries
12 posts
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Topic: General Discussion / Exercise & BG levels Fab. thanks so muchI have just shared my diary with you When i woke this morning i was 11.. I took 4 QA (scared this was too much but hey ho).. I ran 2.6 miles in around 25 minutes at 6:20am, I had my BI which is levemir at 7:30 and i have now just had my breakfast and my BG was 4.8!! I do exercise quite often and have been doing this more since i finished DAFNE mid august. I have 2QA - 1CP , so 2:1 ratio. I have always had high levels after exercising. |
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Sep 19, 2013
Garry
328 posts
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Topic: General Discussion / ketones If you would like 'live' ketone levels you may wish considering another meter.I use an Abbott Optium Xceed meter for which you are able to be prescribed Ketone test strips in addition to the normal Blood Glucose testing strips. Urinanalyis test strips are OK but only give you results of what has already happened...not much use when you are wanting early warning of things going awry when ill. This meter and Ketone test strips give you a much tighter range for Ketone analysis too...down to 0.1 and although I havn't researched the accuracy of these low value results, I gain confidence from them as they seem to reflect how I am feeling at the time of illness. Regards Garry |
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Sep 19, 2013
AmySouter
1 post
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Topic: Carbohydrate Counting / Carbs and cals book I've just completed a week of Dafne and am trying to get a grip on counting CPs etc. The scales are out at home all the time, and sometimes i manage to get everything worked out in time to eat my food while its still hot... ! I think a Carbs and Cals book might make things speedier - has anyone tried the pocket version, or is the full size version more complete? |
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Sep 19, 2013
davidcragg
17 posts
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Topic: General Discussion / ketones Thanks Warwick.I went to the GP yesterday to rule out anything too nasty. Seems to be "something" viral, waiting on some blood results but told to get back to them if things get worse. Spent about 4 hours after that worrying that I was going to be admitted to hospital (won't go into details  ), but thankfully got through it and managed to have my evening meal and get some sleep  I'm getting more confident at putting in the bigger doses of insulin when ketones are present and it seems to be working. What I have learned this week is that if it wasn't for the DAFNE course I would certainly have ended up in hospital so this is been a good opportunity to put theory into practice - this is my first time being ill since dx. thanks again, David |
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Sep 19, 2013
Anele46
109 posts
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Topic: General Discussion / Exercise & BG levels
Thanks David, was hoping you could assist Hannah from your previous posts regarding exercise Cheers, Anele. |
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Sep 19, 2013
Warwick
425 posts
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Topic: General Discussion / ketones
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Sep 19, 2013
Warwick
425 posts
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Topic: DAFNE Graduate Group (DGG) / Join Now !! Is this applicable to Australian users, or just UK ones?Thanks, Warwick. |
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Sep 19, 2013
Warwick
425 posts
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Topic: General Discussion / Exercise & BG levels Hi Hannah,Welcome to the wonderful world of diabetes and exercise. It is rewarding when it works, but can be frustrating to get right too. It would be helpful to get some more information from you about your exercise and insulin regimes. Is it possible to get you to share your diary with me? Click on the "Users" link on the orange Menu bar at the top of this page, type ws130583 in the "Find a User" search bar to the right, click on "Warwick", and then click on "Share my diary with this user". You could also share the last 15 days of your diary with this forum, which gives everyone the chance to see what is going on. Can you please let me know the following? 1) What QA do you take? 2) What basal insulin do you take? 3) When do you take them? 4) Are you doing hard, quick runs, or gentle slow jogs? 5) On the days that you don't exercise, do your blood glucose levels rise anyway even without exercise or do they stay fairly stable? 6) Have you recently started exercising, or have you been doing this for a while? 7) Is this a new thing that your BGLs rise after exercise or is this fairly normal for you? Once we know that, it all becomes a little easier to make helpful suggestions. Cheers, Warwick. |
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Sep 18, 2013
Anele46
109 posts
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Topic: General Discussion / Exercise & BG levels
Hi Hannah, I'm not sure to be honest as I'm not a HCP but going from one of your earlier posts you said you were 4.6 before your run which rose to 14 so going by that I would say you should take some. I reckon your best bet is to err on the side of caution and take 1 or 2 units before and make sure you have carbs during, before and if you can take your meter with you so you can test during or if you feel low. Keeping a record of how much exercise, carbs and QA and BI will give you an idea on how your body reacts to the types of exercise. Obviously this will not always be set in stone as diabetes can still be unpredictable. Also something to keep in mind or might help is to think about how 1 unit of QA affects your BG? How much does it tend to lower it by might help you decide how much you need too. Like I say I would recommend you seek some advice from your DSN, GP or consultant. Sorry I can't give you a definitive clear answer as everyone's BGs react differently with exercise QA and carbs. Hope you get the regime for you worked out Good luck x |
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Sep 17, 2013
hannahdefries
12 posts
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Topic: General Discussion / Exercise & BG levels Thanks for all your help, So even if i test before exercise and i am running at 5 for example, I should still maybe have some QA before exercise? |
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Sep 17, 2013
davidcragg
17 posts
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Topic: DAFNE Graduate Group (DGG) / Join Now !! Can anyone tell me if a newsletter or announcement has occured since July 26th 2013?Since sending in my application by email on that date I've had no acknowledgement or correspondance, so it is hard to know if my application has been processed and not much is going on or if my application has got lost along the way and I'm missing out on things. thanks David |
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Sep 17, 2013
davidcragg
17 posts
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Topic: General Discussion / ketones My numbers recently have been absolutely rubbish, pretty much double digits all the way Yesterday I decided it was time to do something about it and increased by BI in the morning from 5u to 6u. Not a major change, but a start. I wasn't feeling very well, felt very tired and always on the edge of thinking I would throw up, but spent a good part of the morning sleeping. I took this as just being because my numbers were high. I woke up in time to get ready and go to the doctors to have my annual bloodwork done (hadn't planned to do it today, just opportune given I was off work) where for the first time in years I thought I was going to be sick and pass out - thankfully not! Once I got home and tested before lunch I saw that my bgs where finally coming down, although not in range, it was progress. Had lunch and a small corrective dose and before I knew it... ...more sleeping! I tested at 17:38 and somehow my bgs had risen to 15.2mmol/L so I had a further 4u - yes more than I'd have on a normal day as that would take me to 3.2mmol/L but I knew it wouldn't make that much of an impact based on my previous corrective doses. More sleep and I woke at 19:37 realising I should be checking for ketones. For the first time I've used the ketostixs it came back positive, in colour terms closer to the 4mmol/L than the 1.5mmol/L. I confess to retesting just before dinner because it's the first time since being hospitalised with DKA I've had a postive ketone result and it was taking my brain a little while to come to terms with that. So no surprises (I guess) when the ketone result was the same at 1958 but my bgs at 15.3mmol/L were. Dinner was 33.6g of carbs, so 3u for the dinner and 7u based on 20% normal TDD. Two hours later ketones had pretty much gone but my bg was still 15.6mmol/L which was a surprise again (to me at least). Because the ketones had gone I took a 3u corrective dose and 1u for 1CPs worth of salted peanuts and by bedtime I was 8.6mmol/L. I decided not to correct this any further but take my BI as normal. I woke to 9.4mmol/L, feeling absolutely shattered but at least no ketones present. Had the same breakfast as the previous day and 1u of correction. More sleep. At 10:14 I was back at 13.4mmol/L so another correction and more sleep. Now it's lunchtime and I'm 9.6mmol/L, having 4CPs for lunch and a 1u correction. So I guess I've not quite managed to follow the rules exactly, but I'm trying. The weird bit is that I don't feel ill, just tired and ordinarily I'd put that down to the constant highs, but this is super sleepy tired. The feeling sick of yesterday has gone but my numbers still don't seem to want to play ball. So, a couple of questions if I may: 1. Is it sensible to have a few carb free meals to see if this is purely a shift in BI? Am I ill and just don't realise it - if that makes sense? 2. I know I could most probably of handling this better, checking for ketones earlier etc, it would be good to hear what people think I should be doing now, any thoughts? 3. Can someone explain the process around ketones, how does taking 7u remove the ketones but doesn't drop the bgs? I understand ketones can occur from the body breaking down fat to produce energy but the actual process of sorting it all out afterwards is what I'm unsure about. Is the insulin responsible for clearing up ketones or does the body deal with that in other ways and the insulin just allows the body to stop going to fat sources? Sorry for the ramble and thanks for taking the time to read David |
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Sep 17, 2013
Anele46
109 posts
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Topic: General Discussion / Exercise & BG levels
I'm not sure to be honest as everyone's bodies react differently to exercise and QA and BI. I guess it's a case and trial and error till you find the ratios of QA/BI and CPs and exercise that works. I'd discuss it with your DSN or consultant for extra advice but it may be a case of keeping a diary of it to build up a picture of it and see trends to help get the best for you. Obviously it seems wrong and scary to be taking QA before exercise hence I'd always always exercise caution when doing so. |
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Sep 17, 2013
Anele46
109 posts
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Topic: General Discussion / Exercise & BG levels
Hi Hannah, sorry my post didn't help Warwick talks about Anaerobic exercise increasing your BGs after exercise and Aerobic exercise decreasing BGs after exercise. Not sure where your 2.5 mile run fits in between Anerobic and Aerobic but I guess it depends on how strenuous your run was... I had a quick look on the web for the definitions (fitness19.com) Anaerobic Exercise: Anaerobic exercise is very high intensity or at your maximum level of exertion. Examples include sprinting and weight lifting. Aerobic Exercise: Common types of aerobic exercise include running at a comfortable pace (you should be able to talk without breathing too hard), swimming, and biking. |
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Sep 17, 2013
hannahdefries
12 posts
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Topic: General Discussion / Exercise & BG levels How much would you say a 'little' QA would be? I went swimming yesterday morning and was 9.1 before, then around 13 when i got home.. I did give myself 2 QA before my swim too. |
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Sep 17, 2013
hannahdefries
12 posts
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Topic: General Discussion / Exercise & BG levels I am still so confused, I woke at 6:10am to go for a run, my BG was 4.6, I ran 2.5 miles (drank around 100ml lucozade before my run), when i got home I then went to have breakfast and my BG was 14!
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Sep 17, 2013
Anele46
109 posts
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Topic: General Discussion / Exercise & BG levels Hello Hannah,Looking at previous posts for similar issues I think you may need a little QA before exercising which seems totally wrong but I remember my Consultant discussing it my Annual DAFNE meet up a few months back and he said the same. See comments from WARWICK in the previous post Increased blood glucose after exercise Hope this helps Anele. |
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Sep 17, 2013
hannahdefries
12 posts
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Topic: General Discussion / Exercise & BG levels HELP.. please )I exercise 5 out of 7 mornings each week and i can not get my levels to run okay.. I am following the dafne principles of 2-3 or 1-2 cp before exercising and when i come home from exercising and go to have my breakfast my levels are between 11 and 14.. Can anyone help or does anyone have any suggestions? |
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Sep 15, 2013
marke
686 posts
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Hi, not at the moment since the hypo unawareness was a trial course to see what results they would get. The results I think suggested that people would benefit however they now have to work out the practicalities of making it available at DAFNE Centres. I will update you if and when I hear more news about the course. |
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Sep 14, 2013
Warwick
425 posts
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Topic: Questions for HCPs / Weekly readings Just noticed the comment on the switch to Levemir. It is common to need a higher dose of Levemir than other types of basal insulin - up to 25% more is not uncommon. Just in case you find that that is required. |