Recent Posts - DAFNE Online

Aug 23, 2013

Rafa 99 posts

Topic: General Discussion / Background insulin (BI)

Carolin said:
Rafa said:
Thanks Carolin. Struggling myself but am really trying to get it right. So if i took my BI at 6 in the morning and then between 10-11 in the evening it shouldn&#x27;t be a major problem?

That's perfect as it'll give you 7 - 8 hrs in between night and morning doses

Great thanks Smile

Aug 23, 2013

Rafa 99 posts

Topic: General Discussion / Background insulin (BI)

novorapidboi26 said:
nothing to add to Carolin's response, although I am unclear about the 'of which sugars' bit when your counting carbs.....

you need to count the total carbs and just ignore the 'of which sugars' bit..........

Sorry i got mixed up with that bit. On DAFNE they told me not to count the carbs in beans when they had no added sugars but it wasn't beans i ate last night so i got mixed up but as it turns out i did count the spaghetti! Appreciate all the replies.

Aug 23, 2013

Rafa 99 posts

Topic: General Discussion / Background insulin (BI)

Carolin said:
Rafa said:
Thanks. Sorry yes did the overnight on Wednesday. I was 4.1 going to bed at 10pm and at 3am i was 3.4 then at 6am 2.5. I had had 8 cps for my dinner at 1950 with BG 4.8. Nearly sure now i took 2 qa that i shouldn&#x27;t have because i counted weight watchers spaghetti as 2 when i should have just counted the of which sugars which would have been zero.

Hi Rafa.

A couple of points:
1. I'm sure you would need to count the total carbs in the Weight Watchers spaghetti, not just the of which sugars.
2. It's not a great idea to test out your BI when you're going to bed on a BG that's below target - at 4.1mmol/l you're nearly 2.5mmol/l below which is unsafe to go to bed on. Did you have any CPs then to get into target?.
3. Did you treat the BG of 3.4mmol/l at 3am? This is a hypo. You were still hypo at 6am and this is worrying because running BG like this will affect your ability to recognise hypos.

Please be careful not to accept BG results that are below 4.5mmol/l and remember:
BG 3.5 or below............ TREAT as a hypo with 1.5 - 2 CPs rapid acting carbs
BG between 3.5 - 4.5......EAT CPs to get back into target

Carolin

Hi Carolin,

Many thanks for the replies. No stupidly i didn't treat any of them. Crazy really. Will try again tonight to get into range nad do a 3am. I have all my recordings etc recorded so will wait until Monday and post my last weeks readings to see what people think. Last night for example i was 4.2 at 1930 so had 10cps in Nandos and took 10-2 qa. Two hours later i had a two fingered kit kat and took 1 cp of qa. I didn't do my suagrs at this stage. Then at 2220 i was 2.3 and took 1cp of quick acting. I took my BI at this time. Then at 2310 i was 3.6 so had 1.5 cp (slice of brown toast). At 0030 i was 4.3 so went to sleep. Got up at 0630 and was 8.8. At 0830 having my breakfast i was 11.9 so had 4.5 cps and took my qa ration 1.5/1 + 1 qa adjustment. Will see how i fair out for the rest of the day.

Many thanks again.

Aug 23, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Background insulin (BI)

nothing to add to Carolin's response, although I am unclear about the 'of which sugars' bit when your counting carbs.....

you need to count the total carbs and just ignore the 'of which sugars' bit..........

Aug 23, 2013

Carolin 83 posts

Topic: General Discussion / Background insulin (BI)

Rafa said:
Thanks Carolin. Struggling myself but am really trying to get it right. So if i took my BI at 6 in the morning and then between 10-11 in the evening it shouldn't be a major problem?

That's perfect as it'll give you 7 - 8 hrs in between night and morning doses
Smile

Aug 23, 2013

Carolin 83 posts

Topic: General Discussion / Background insulin (BI)

Rafa said:
Thanks. Sorry yes did the overnight on Wednesday. I was 4.1 going to bed at 10pm and at 3am i was 3.4 then at 6am 2.5. I had had 8 cps for my dinner at 1950 with BG 4.8. Nearly sure now i took 2 qa that i shouldn't have because i counted weight watchers spaghetti as 2 when i should have just counted the of which sugars which would have been zero.

Hi Rafa.

A couple of points:
1. I'm sure you would need to count the total carbs in the Weight Watchers spaghetti, not just the of which sugars.
2. It's not a great idea to test out your BI when you're going to bed on a BG that's below target - at 4.1mmol/l you're nearly 2.5mmol/l below which is unsafe to go to bed on. Did you have any CPs then to get into target?.
3. Did you treat the BG of 3.4mmol/l at 3am? This is a hypo. You were still hypo at 6am and this is worrying because running BG like this will affect your ability to recognise hypos.

Please be careful not to accept BG results that are below 4.5mmol/l and remember:
BG 3.5 or below............ TREAT as a hypo with 1.5 - 2 CPs rapid acting carbs
BG between 3.5 - 4.5......EAT CPs to get back into target

Carolin

Aug 23, 2013

Rafa 99 posts

Topic: General Discussion / Background insulin (BI)

novorapidboi26 said:
It will most likely help you in the morning due to the overlap.....

have you managed an overnight test of your Levemir yet?

Thanks. Sorry yes did the overnight on Wednesday. I was 4.1 going to bed at 10pm and at 3am i was 3.4 then at 6am 2.5. I had had 8 cps for my dinner at 1950 with BG 4.8. Nearly sure now i took 2 qa that i shouldn't have because i counted weight watchers spaghetti as 2 when i should have just counted the of which sugars which would have been zero.

Aug 23, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Operations/ Healing

hope your back to normal soon....... Very Happy

Aug 23, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Background insulin (BI)

It will most likely help you in the morning due to the overlap.....

have you managed an overnight test of your Levemir yet?

Aug 23, 2013

Rafa 99 posts

Topic: General Discussion / Background insulin (BI)

Carolin said:
Rafa said:
At the moment i take my evening levemir when i am going to bed which would be between say 10pm - 11pm and then my morning one at around 10am. Would it make any difference if i started to take it at 6am when i get up?

Please and thanks.

Hi Rafa,

The DAFNE guidance is that for twice daily BI you take one dose as you get up in the morning and the other dose as you go to bed at night; as long as these doses are >7hr apart any overlaps in action should not be a problem, and in fact the overlap that will occur in the morning is beneficial in controlling the Dawn Phenomenon.

Good Luck,

Carolin

Thanks Carolin. Struggling myself but am really trying to get it right. So if i took my BI at 6 in the morning and then between 10-11 in the evening it shouldn't be a major problem?

Aug 22, 2013

Teanosugar 25 posts

Topic: General Discussion / Operations/ Healing

Thanks to you both.

My blood sugars have been hovering around the 10 mark. Sometimes they can be higher. I feel a bit better today and have returned to work, but it's been a long time healing for small operation. It's pretty tiresome.

Aug 22, 2013

Carolin 83 posts

Topic: General Discussion / Background insulin (BI)

Rafa said:
At the moment i take my evening levemir when i am going to bed which would be between say 10pm - 11pm and then my morning one at around 10am. Would it make any difference if i started to take it at 6am when i get up?

Please and thanks.

Hi Rafa,

The DAFNE guidance is that for twice daily BI you take one dose as you get up in the morning and the other dose as you go to bed at night; as long as these doses are >7hr apart any overlaps in action should not be a problem, and in fact the overlap that will occur in the morning is beneficial in controlling the Dawn Phenomenon.

Good Luck,

Carolin

Aug 21, 2013

Rafa 99 posts

Topic: Questions for HCPs / Blood Glucose in the morning

novorapidboi26 said:
I done DAFNE in 2009, now on the pump and I am still learning..........asking questions is the best way to get the information you need....

Your BI dose is the most important and the doses will change from time to time unfortunately, so its wise to do some carb free testing every month or two if not more often....

let us know how you get on with it.......

Will do thanks.

Aug 21, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Blood Glucose in the morning

I done DAFNE in 2009, now on the pump and I am still learning..........asking questions is the best way to get the information you need....

Your BI dose is the most important and the doses will change from time to time unfortunately, so its wise to do some carb free testing every month or two if not more often....

let us know how you get on with it.......

Aug 21, 2013

Rafa 99 posts

Topic: Questions for HCPs / Blood Glucose in the morning

novorapidboi26 said:
No, I mean, when did you check that the 15 units of Levmir you take before bed was the right amount.........

You would do this by having dinner at 5 or 6, then nothing to eat or drink after that, you would then take your Levemir as normal and test your BG also. You would get yourself up at 3 am and test again. You could even get up at more regular intervals if you wanted.

This should tell you if your 15 is holding your BG steady during the night, and if so, good, if not, then you will need to make adjustments.

Its common practice to perform this test, as with any dose change, for 2-3 days before making any changes.......

Ahhh right sorry with you now. Yes will do this tonight. Finished DAFNE a month now and my BG are much improved but still trying to get to grips with it all. Determined to get it right. Sorry for all the questions but thanks for all the replies much appreciated.

Aug 21, 2013

Rafa 99 posts

Topic: Carbohydrate Counting / Greggs baguette sandwiches

novorapidboi26 said:
Another app that is primarily for recording your food, with the calories and other nutritional information is My Fitness Pal. It has access to the biggest database of food s from supermarkets and high street stores, nearly every product is there. You can search manually with the name of it, or scan the bar code if it has one, which with greggs baguettes they don't........

It will give you the exact carbohydrate value to one decimal place and you can record the information of the packaging in the house if the product is not on their database and it will be saved for future use.........

I love it now I am on the pump.......

Thanks a lot i will pick this app up.

Aug 21, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Blood Glucose in the morning

No, I mean, when did you check that the 15 units of Levmir you take before bed was the right amount.........

You would do this by having dinner at 5 or 6, then nothing to eat or drink after that, you would then take your Levemir as normal and test your BG also. You would get yourself up at 3 am and test again. You could even get up at more regular intervals if you wanted.

This should tell you if your 15 is holding your BG steady during the night, and if so, good, if not, then you will need to make adjustments.

Its common practice to perform this test, as with any dose change, for 2-3 days before making any changes.......

Aug 21, 2013

Rafa 99 posts

Topic: Questions for HCPs / Blood Glucose in the morning

novorapidboi26 said:
OK thanks, so basically any morning high will be down to not enough Levemir before bed, the Dawn Phenomenon or insufficient QA for any carbs taken before bed.

All three of these could be responsible in your case......

When did you last test your 15 Levemir before bed dose? You should test it to see if you can get your waking number down....

Forgive me if i am being stupid but last test as in my last BG test before testing when taking my levemir at bed?

Aug 21, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Blood Glucose in the morning

OK thanks, so basically any morning high will be down to not enough Levemir before bed, the Dawn Phenomenon or insufficient QA for any carbs taken before bed.

All three of these could be responsible in your case......

When did you last test your 15 Levemir before bed dose? You should test it to see if you can get your waking number down.... Very Happy

Aug 21, 2013

Rafa 99 posts

Topic: Questions for HCPs / Blood Glucose in the morning

novorapidboi26 said:
Probably not as Levemir is in and out quite quickly..........

Can you confirm? Are you on one or two Levemir injections.....?

Sorry i am on two levemir injections. For example last night i had my dinner late at 2115 and my BG was 5.9 so i had 7 cps and took 6 qa. At 2255 when going to bed i was 5.7 so took my 15 levemir.

Aug 21, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Blood Glucose in the morning

Probably not as Levemir is in and out quite quickly..........

Can you confirm? Are you on one or two Levemir injections.....?

Aug 21, 2013

Rafa 99 posts

Topic: Questions for HCPs / Blood Glucose in the morning

Warwick said:
Yeah, missing basal insulin can make BGs a bit unmanageable for a couple of days while it all sorts itself out again. I don't miss often, but when I do, my readings go high for abut 24 hours.

Many thanks. Since Monday morning my BG have been out of range in the mornings. 12.4 Monday, 11.1 Tuesday and 11.1 again this morning. Would missing my levemir Sunday morning still be having an affect at this stage? I increased my evening BI by one unit on Sunday night which was planned because my BG in the mornings had a patern of being around 9.

Aug 21, 2013

HelenP 218 posts

Topic: General Discussion / Operations/ Healing

Hi, I had a hysterectomy three years ago and a section of the incision about 1cm took over 100 days to heal. The rest of the incision (19cm) took a week to heal! It was written up on this site as I also was beside myself because it would not heal. Seemed to have little (if anything) to do with BGs. Advice was to keep BGs as level and low as possible. It did eventually heal without intervention (surgical) but I was worried at the time as like you it oozed gunk. Took a couple of courses of antibiotics but they seemed not to do anything. My only advice is to keep on top of it.

Good luck. Helen

Aug 20, 2013

youone 102 posts

Topic: General Discussion / Background insulin (BI)

Rafa said:
At the moment i take my evening levemir when i am going to bed which would be between say 10pm - 11pm and then my morning one at around 10am. Would it make any difference if i started to take it at 6am when i get up?

Please and thanks.

Hi
Yes it would make big difference, your BI should last 24hr coverage, changing when you take yours will need you to test since you take 1 at 10pm , if you switched to 6am you,ll still have 4 hours BI left so you,ll need to watch your BG for a couple of days.
Unless you feel your having high BG in the morning needs an earlier BI dose, but you need to watch your miday and dinner BG.
In a ideal world you would like to take your BI 12 hrs apart giving you 24hr coverage,
Dafne gives you the information and knowledge to control your life style, but your BI is the important insulin you take in any doubt consult your Dafne nurse

Aug 20, 2013

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Greggs baguette sandwiches

Another app that is primarily for recording your food, with the calories and other nutritional information is My Fitness Pal. It has access to the biggest database of food s from supermarkets and high street stores, nearly every product is there. You can search manually with the name of it, or scan the bar code if it has one, which with greggs baguettes they don't........

It will give you the exact carbohydrate value to one decimal place and you can record the information of the packaging in the house if the product is not on their database and it will be saved for future use.........

I love it now I am on the pump.......

Aug 23, 2013 Rafa 99 posts	Topic: General Discussion / Background insulin (BI) Carolin said: Rafa said: Thanks Carolin. Struggling myself but am really trying to get it right. So if i took my BI at 6 in the morning and then between 10-11 in the evening it shouldn&#x27;t be a major problem? That's perfect as it'll give you 7 - 8 hrs in between night and morning doses Great thanks

Aug 23, 2013 Rafa 99 posts	Topic: General Discussion / Background insulin (BI) novorapidboi26 said: nothing to add to Carolin's response, although I am unclear about the 'of which sugars' bit when your counting carbs..... you need to count the total carbs and just ignore the 'of which sugars' bit.......... Sorry i got mixed up with that bit. On DAFNE they told me not to count the carbs in beans when they had no added sugars but it wasn't beans i ate last night so i got mixed up but as it turns out i did count the spaghetti! Appreciate all the replies.

Aug 23, 2013 Rafa 99 posts	Topic: General Discussion / Background insulin (BI) Carolin said: Rafa said: Thanks. Sorry yes did the overnight on Wednesday. I was 4.1 going to bed at 10pm and at 3am i was 3.4 then at 6am 2.5. I had had 8 cps for my dinner at 1950 with BG 4.8. Nearly sure now i took 2 qa that i shouldn&#x27;t have because i counted weight watchers spaghetti as 2 when i should have just counted the of which sugars which would have been zero. Hi Rafa. A couple of points: 1. I'm sure you would need to count the total carbs in the Weight Watchers spaghetti, not just the of which sugars. 2. It's not a great idea to test out your BI when you're going to bed on a BG that's below target - at 4.1mmol/l you're nearly 2.5mmol/l below which is unsafe to go to bed on. Did you have any CPs then to get into target?. 3. Did you treat the BG of 3.4mmol/l at 3am? This is a hypo. You were still hypo at 6am and this is worrying because running BG like this will affect your ability to recognise hypos. Please be careful not to accept BG results that are below 4.5mmol/l and remember: BG 3.5 or below............ TREAT as a hypo with 1.5 - 2 CPs rapid acting carbs BG between 3.5 - 4.5......EAT CPs to get back into target Carolin Hi Carolin, Many thanks for the replies. No stupidly i didn't treat any of them. Crazy really. Will try again tonight to get into range nad do a 3am. I have all my recordings etc recorded so will wait until Monday and post my last weeks readings to see what people think. Last night for example i was 4.2 at 1930 so had 10cps in Nandos and took 10-2 qa. Two hours later i had a two fingered kit kat and took 1 cp of qa. I didn't do my suagrs at this stage. Then at 2220 i was 2.3 and took 1cp of quick acting. I took my BI at this time. Then at 2310 i was 3.6 so had 1.5 cp (slice of brown toast). At 0030 i was 4.3 so went to sleep. Got up at 0630 and was 8.8. At 0830 having my breakfast i was 11.9 so had 4.5 cps and took my qa ration 1.5/1 + 1 qa adjustment. Will see how i fair out for the rest of the day. Many thanks again.

Aug 23, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Background insulin (BI) nothing to add to Carolin's response, although I am unclear about the 'of which sugars' bit when your counting carbs..... you need to count the total carbs and just ignore the 'of which sugars' bit..........

Aug 23, 2013 Carolin 83 posts	Topic: General Discussion / Background insulin (BI) Rafa said: Thanks Carolin. Struggling myself but am really trying to get it right. So if i took my BI at 6 in the morning and then between 10-11 in the evening it shouldn't be a major problem? That's perfect as it'll give you 7 - 8 hrs in between night and morning doses

Aug 23, 2013 Carolin 83 posts	Topic: General Discussion / Background insulin (BI) Rafa said: Thanks. Sorry yes did the overnight on Wednesday. I was 4.1 going to bed at 10pm and at 3am i was 3.4 then at 6am 2.5. I had had 8 cps for my dinner at 1950 with BG 4.8. Nearly sure now i took 2 qa that i shouldn't have because i counted weight watchers spaghetti as 2 when i should have just counted the of which sugars which would have been zero. Hi Rafa. A couple of points: 1. I'm sure you would need to count the total carbs in the Weight Watchers spaghetti, not just the of which sugars. 2. It's not a great idea to test out your BI when you're going to bed on a BG that's below target - at 4.1mmol/l you're nearly 2.5mmol/l below which is unsafe to go to bed on. Did you have any CPs then to get into target?. 3. Did you treat the BG of 3.4mmol/l at 3am? This is a hypo. You were still hypo at 6am and this is worrying because running BG like this will affect your ability to recognise hypos. Please be careful not to accept BG results that are below 4.5mmol/l and remember: BG 3.5 or below............ TREAT as a hypo with 1.5 - 2 CPs rapid acting carbs BG between 3.5 - 4.5......EAT CPs to get back into target Carolin

Aug 23, 2013 Rafa 99 posts	Topic: General Discussion / Background insulin (BI) novorapidboi26 said: It will most likely help you in the morning due to the overlap..... have you managed an overnight test of your Levemir yet? Thanks. Sorry yes did the overnight on Wednesday. I was 4.1 going to bed at 10pm and at 3am i was 3.4 then at 6am 2.5. I had had 8 cps for my dinner at 1950 with BG 4.8. Nearly sure now i took 2 qa that i shouldn't have because i counted weight watchers spaghetti as 2 when i should have just counted the of which sugars which would have been zero.

Aug 23, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Operations/ Healing hope your back to normal soon.......

Aug 23, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Background insulin (BI) It will most likely help you in the morning due to the overlap..... have you managed an overnight test of your Levemir yet?

Aug 23, 2013 Rafa 99 posts	Topic: General Discussion / Background insulin (BI) Carolin said: Rafa said: At the moment i take my evening levemir when i am going to bed which would be between say 10pm - 11pm and then my morning one at around 10am. Would it make any difference if i started to take it at 6am when i get up? Please and thanks. Hi Rafa, The DAFNE guidance is that for twice daily BI you take one dose as you get up in the morning and the other dose as you go to bed at night; as long as these doses are >7hr apart any overlaps in action should not be a problem, and in fact the overlap that will occur in the morning is beneficial in controlling the Dawn Phenomenon. Good Luck, Carolin Thanks Carolin. Struggling myself but am really trying to get it right. So if i took my BI at 6 in the morning and then between 10-11 in the evening it shouldn't be a major problem?

Aug 22, 2013 Teanosugar 25 posts	Topic: General Discussion / Operations/ Healing Thanks to you both. My blood sugars have been hovering around the 10 mark. Sometimes they can be higher. I feel a bit better today and have returned to work, but it's been a long time healing for small operation. It's pretty tiresome.

Aug 22, 2013 Carolin 83 posts	Topic: General Discussion / Background insulin (BI) Rafa said: At the moment i take my evening levemir when i am going to bed which would be between say 10pm - 11pm and then my morning one at around 10am. Would it make any difference if i started to take it at 6am when i get up? Please and thanks. Hi Rafa, The DAFNE guidance is that for twice daily BI you take one dose as you get up in the morning and the other dose as you go to bed at night; as long as these doses are >7hr apart any overlaps in action should not be a problem, and in fact the overlap that will occur in the morning is beneficial in controlling the Dawn Phenomenon. Good Luck, Carolin

Aug 21, 2013 Rafa 99 posts	Topic: Questions for HCPs / Blood Glucose in the morning novorapidboi26 said: I done DAFNE in 2009, now on the pump and I am still learning..........asking questions is the best way to get the information you need.... Your BI dose is the most important and the doses will change from time to time unfortunately, so its wise to do some carb free testing every month or two if not more often.... let us know how you get on with it....... Will do thanks.

Aug 21, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Blood Glucose in the morning I done DAFNE in 2009, now on the pump and I am still learning..........asking questions is the best way to get the information you need.... Your BI dose is the most important and the doses will change from time to time unfortunately, so its wise to do some carb free testing every month or two if not more often.... let us know how you get on with it.......

Aug 21, 2013 Rafa 99 posts	Topic: Questions for HCPs / Blood Glucose in the morning novorapidboi26 said: No, I mean, when did you check that the 15 units of Levmir you take before bed was the right amount......... You would do this by having dinner at 5 or 6, then nothing to eat or drink after that, you would then take your Levemir as normal and test your BG also. You would get yourself up at 3 am and test again. You could even get up at more regular intervals if you wanted. This should tell you if your 15 is holding your BG steady during the night, and if so, good, if not, then you will need to make adjustments. Its common practice to perform this test, as with any dose change, for 2-3 days before making any changes....... Ahhh right sorry with you now. Yes will do this tonight. Finished DAFNE a month now and my BG are much improved but still trying to get to grips with it all. Determined to get it right. Sorry for all the questions but thanks for all the replies much appreciated.

Aug 21, 2013 Rafa 99 posts	Topic: Carbohydrate Counting / Greggs baguette sandwiches novorapidboi26 said: Another app that is primarily for recording your food, with the calories and other nutritional information is My Fitness Pal. It has access to the biggest database of food s from supermarkets and high street stores, nearly every product is there. You can search manually with the name of it, or scan the bar code if it has one, which with greggs baguettes they don't........ It will give you the exact carbohydrate value to one decimal place and you can record the information of the packaging in the house if the product is not on their database and it will be saved for future use......... I love it now I am on the pump....... Thanks a lot i will pick this app up.

Aug 21, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Blood Glucose in the morning No, I mean, when did you check that the 15 units of Levmir you take before bed was the right amount......... You would do this by having dinner at 5 or 6, then nothing to eat or drink after that, you would then take your Levemir as normal and test your BG also. You would get yourself up at 3 am and test again. You could even get up at more regular intervals if you wanted. This should tell you if your 15 is holding your BG steady during the night, and if so, good, if not, then you will need to make adjustments. Its common practice to perform this test, as with any dose change, for 2-3 days before making any changes.......

Aug 21, 2013 Rafa 99 posts	Topic: Questions for HCPs / Blood Glucose in the morning novorapidboi26 said: OK thanks, so basically any morning high will be down to not enough Levemir before bed, the Dawn Phenomenon or insufficient QA for any carbs taken before bed. All three of these could be responsible in your case...... When did you last test your 15 Levemir before bed dose? You should test it to see if you can get your waking number down.... Forgive me if i am being stupid but last test as in my last BG test before testing when taking my levemir at bed?

Aug 21, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Blood Glucose in the morning OK thanks, so basically any morning high will be down to not enough Levemir before bed, the Dawn Phenomenon or insufficient QA for any carbs taken before bed. All three of these could be responsible in your case...... When did you last test your 15 Levemir before bed dose? You should test it to see if you can get your waking number down....

Aug 21, 2013 Rafa 99 posts	Topic: Questions for HCPs / Blood Glucose in the morning novorapidboi26 said: Probably not as Levemir is in and out quite quickly.......... Can you confirm? Are you on one or two Levemir injections.....? Sorry i am on two levemir injections. For example last night i had my dinner late at 2115 and my BG was 5.9 so i had 7 cps and took 6 qa. At 2255 when going to bed i was 5.7 so took my 15 levemir.

Aug 21, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Blood Glucose in the morning Probably not as Levemir is in and out quite quickly.......... Can you confirm? Are you on one or two Levemir injections.....?

Aug 21, 2013 Rafa 99 posts	Topic: Questions for HCPs / Blood Glucose in the morning Warwick said: Yeah, missing basal insulin can make BGs a bit unmanageable for a couple of days while it all sorts itself out again. I don't miss often, but when I do, my readings go high for abut 24 hours. Many thanks. Since Monday morning my BG have been out of range in the mornings. 12.4 Monday, 11.1 Tuesday and 11.1 again this morning. Would missing my levemir Sunday morning still be having an affect at this stage? I increased my evening BI by one unit on Sunday night which was planned because my BG in the mornings had a patern of being around 9.

Aug 21, 2013 HelenP 218 posts	Topic: General Discussion / Operations/ Healing Hi, I had a hysterectomy three years ago and a section of the incision about 1cm took over 100 days to heal. The rest of the incision (19cm) took a week to heal! It was written up on this site as I also was beside myself because it would not heal. Seemed to have little (if anything) to do with BGs. Advice was to keep BGs as level and low as possible. It did eventually heal without intervention (surgical) but I was worried at the time as like you it oozed gunk. Took a couple of courses of antibiotics but they seemed not to do anything. My only advice is to keep on top of it. Good luck. Helen

Aug 20, 2013 youone 102 posts	Topic: General Discussion / Background insulin (BI) Rafa said: At the moment i take my evening levemir when i am going to bed which would be between say 10pm - 11pm and then my morning one at around 10am. Would it make any difference if i started to take it at 6am when i get up? Please and thanks. Hi Yes it would make big difference, your BI should last 24hr coverage, changing when you take yours will need you to test since you take 1 at 10pm , if you switched to 6am you,ll still have 4 hours BI left so you,ll need to watch your BG for a couple of days. Unless you feel your having high BG in the morning needs an earlier BI dose, but you need to watch your miday and dinner BG. In a ideal world you would like to take your BI 12 hrs apart giving you 24hr coverage, Dafne gives you the information and knowledge to control your life style, but your BI is the important insulin you take in any doubt consult your Dafne nurse

Aug 20, 2013 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Greggs baguette sandwiches Another app that is primarily for recording your food, with the calories and other nutritional information is My Fitness Pal. It has access to the biggest database of food s from supermarkets and high street stores, nearly every product is there. You can search manually with the name of it, or scan the bar code if it has one, which with greggs baguettes they don't........ It will give you the exact carbohydrate value to one decimal place and you can record the information of the packaging in the house if the product is not on their database and it will be saved for future use......... I love it now I am on the pump.......