Recent Posts - DAFNE Online

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 20, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Background insulin (BI)

It can be done manually of course, but I think boring you with that is unnecessary for the moment.......

you could maybe try adding on 5% QA on to your meal time doses.......however, this might not be enough, or maybe too much....

professional advice may be needed.........

I have done it before, but I just went through the day a little higher than normal.....

Aug 20, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Operations/ Healing

If your blood sugars are not kept to reasonable levels then yes, healing can take longer, and infection is more likely.....

How have your blood sugars been over the last week........?

Your body may be using more glucose from the liver in order to assist in the healing of your mouth, this would mean that you may need to increase your background insulin. Just for the duration of the healing of course....

Your diabetic team should be able to advise of how much to increase it by and for how long.....

The dentist explanation could be correct, or it may need more treatment, either way getting your blood sugar under control can only help speed up the recovery.....

Aug 20, 2013

cathydl 3 posts

Topic: General Discussion / Background insulin (BI)

Hi No I don't have that type of meter unfortunately. Thanks for the reply.

Aug 20, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Background insulin (BI)

I would think it would just be a case of correcting as the day goes by........

Do you have a blood glucose monitor with an on board insulin function.....this would allow you to check your BG while there is still carbs and insulin working and correct safely, if the meter thinks you need to.

Aug 20, 2013

cathydl 3 posts

Topic: General Discussion / Background insulin (BI)

Hi

I've forgotten to take my BI this morning! I normally take 14u of Levemir. Any ideas how I can control my BG until I get home? Was hoping for an increased ratio of QA??

Cheers

Aug 20, 2013

Rafa 99 posts

Topic: General Discussion / Background insulin (BI)

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.

Aug 19, 2013

Warwick 425 posts

Topic: Questions for HCPs / Blood Glucose in the morning

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.

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.......

Aug 20, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Background insulin (BI) It can be done manually of course, but I think boring you with that is unnecessary for the moment....... you could maybe try adding on 5% QA on to your meal time doses.......however, this might not be enough, or maybe too much.... professional advice may be needed......... I have done it before, but I just went through the day a little higher than normal.....

Aug 20, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Operations/ Healing If your blood sugars are not kept to reasonable levels then yes, healing can take longer, and infection is more likely..... How have your blood sugars been over the last week........? Your body may be using more glucose from the liver in order to assist in the healing of your mouth, this would mean that you may need to increase your background insulin. Just for the duration of the healing of course.... Your diabetic team should be able to advise of how much to increase it by and for how long..... The dentist explanation could be correct, or it may need more treatment, either way getting your blood sugar under control can only help speed up the recovery.....

Aug 20, 2013 cathydl 3 posts	Topic: General Discussion / Background insulin (BI) Hi No I don't have that type of meter unfortunately. Thanks for the reply.

Aug 20, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Background insulin (BI) I would think it would just be a case of correcting as the day goes by........ Do you have a blood glucose monitor with an on board insulin function.....this would allow you to check your BG while there is still carbs and insulin working and correct safely, if the meter thinks you need to.

Aug 20, 2013 cathydl 3 posts	Topic: General Discussion / Background insulin (BI) Hi I've forgotten to take my BI this morning! I normally take 14u of Levemir. Any ideas how I can control my BG until I get home? Was hoping for an increased ratio of QA?? Cheers

Aug 20, 2013 Rafa 99 posts	Topic: General Discussion / Background insulin (BI) 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.

Aug 19, 2013 Warwick 425 posts	Topic: Questions for HCPs / Blood Glucose in the morning 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.