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Aug 25, 2013
mum2westiesGill 502 posts

Topic: General Discussion / Increase of Lantus/BI

Last 2 days before going on hols
 
Aug 24, 2013
JayBee 582 posts

Topic: Questions for HCPs / ACCURATE BG READINGS

marke said:
Jwo can you explain why you think Protein affects blood glucose ? Some references etc, I'm not sure I agree with your statement. The reason DAFNE ( not just the UK as far as I am aware) do not
count Protein is it is a very complex area that is not straightforward. This is why I am cautious about stating it as a 'fact'.



I currently count protein myself. To be exact:

Add up total protein; if it is over 20g, that book (by a lady called Ginger) mentioned on the Experiment 1 thread directs to minus 20 from that and then divide the total by 2. A lot of my BGs have started making a lot more sense since doing this. I had hit a wall with working out my doses before starting to try it.

Further along however, Warwick has enlightened me to another approach but I have not applied it myself yet. If needed, I can try to find it in my long running help thread found in the HCP section of the forums since I cannot remember exactly what was given as direction (something about if only eating proteins then take insulin but if with carbs then don't, but I might be remembering wrong).

Edit:
Found it, it's on Page 17 of my thread. To quote:

Warwick said:
2) Protein - Gary believes that protein does raise BGLs but only if no carb is consumed with it. So if you consume carbs and protein, don't worry about the protein portion, but if it is a carb-free meal with protein, then treat the protein as being half carb, and dose for it. E.g. if you have 30g of protein and no carb, then take QA as if you had had 15g carb.



Seems to be a few ideas bouncing around. :S
 
Aug 24, 2013
SueB 3 posts

Topic: Questions for HCPs / Centrizine Hydrochloride and an affect on insulin sensitivity

I have been taking ceterizine continuously for many years as have chronic rhinitis (basically a dust allergy that causes a constant runny nose if don't take anything). My ratios are stable at 1:1.5. Maybe the effect is noticeable as you only took for a short time and I have been taking so long any effect on me is my normal.
 
Aug 23, 2013
marke 646 posts

Topic: Questions for HCPs / Centrizine Hydrochloride and an affect on insulin sensitivity

can't say I have ever noticed this effect. I used to take truck loads of Cetirizine and never really had any side effects, however we are obviously all different and what happens to me may not happen to you and vice-versa. Its not a published side-effect of the drug, but for most drugs the published side-effects are those widely observed in a number of people not individuals.
 
Aug 23, 2013
Garry 328 posts

Topic: Questions for HCPs / Centrizine Hydrochloride and an affect on insulin sensitivity

Took an anti histamine tablet a day, for 5 days, after being bitten on the leg, by a fly in the garden.
Big itch driving me crackers and some swelling which I was concerned about.
Insulin resistant and normally have to use QA ratios of 2:1 or 2.5:1 and 2:1 with meals but found I needed to knock the dinner ratio back particularly to 1.5:1.
Has anyone else noticed this?
Maybe I am erroneously connecting two things here. Would appreciate help from HCPs or another forum user who may use these tablets on a more regular basis.
Regards
Garry
 
Aug 23, 2013
Rafa 99 posts

Topic: General Discussion / Background insulin (BI)

Carolin said:

Rafa said:
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.



Great that you reduced your QA for your Nandos as your BG was below target Smile
But at 22.20 you were hypo and you need AT LEAST 1.5 CPs to treat this which might explain why you were still low at 23.10.

It's a lesson for everyone not to get complacent about low readings and treatment of hypos, especially as there are increased chances of having driving licences revoked if you develop hypo unawareness or have severe hypos.



Yes until DAFNE i would have been lax about the driving rules etc with regards to BG levels.
 
Aug 23, 2013
Carolin 83 posts

Topic: General Discussion / Background insulin (BI)

Rafa said:
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.



Great that you reduced your QA for your Nandos as your BG was below target Smile
But at 22.20 you were hypo and you need AT LEAST 1.5 CPs to treat this which might explain why you were still low at 23.10.

It's a lesson for everyone not to get complacent about low readings and treatment of hypos, especially as there are increased chances of having driving licences revoked if you develop hypo unawareness or have severe hypos.
 
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't be a major problem?



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



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'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 1,816 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 1,816 posts

Topic: General Discussion / Operations/ Healing

hope your back to normal soon....... Very Happy
 
Aug 23, 2013
novorapidboi26 1,816 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 1,816 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 1,816 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.......