Recent Posts - DAFNE Online

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 1,816 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 1,816 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 1,816 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 1,816 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 1,816 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 1,816 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 430 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 19, 2013

JayBee 582 posts

Topic: Carbohydrate Counting / Greggs baguette sandwiches

I will have another look if they have improved it. The last time I got their Android app all it did was list the menu and show pictures .... Waste of space really so uninstalled it and carried on using the PDF.

Aug 19, 2013

Rafa 99 posts

Topic: Carbohydrate Counting / Greggs baguette sandwiches

They have an app now that's free. Got it for my iphone over the weekend. It's a very good one in terms of all the products and nutritional information.

Aug 19, 2013

Teanosugar 25 posts

Topic: General Discussion / Operations/ Healing

Hi,

This is to do with diabetes, but here is the back story:

I had a wisdom tooth extraction about two months ago and have had two fillings replaced in the teeth next to them (this was around the same time). I got dry socket with the extraction and was treated for that as well. However, I keep getting infections and toothache in the wisdom tooth next to the one that was extracted. It also smells and tastes horrible, and I was convinced it needs taking out. All my other teeth seem fine except this one. I went back to my dentist today. He did a thorough inspection and said that he thinks it's all still healing and that the bad smell/ taste is food getting stuck in the socket. I was given some antibiotics and was told to start taking them in a couple of days if I don't feel better. In the meantime I just have to sit it out and wait for it to heal.

I've been sent home from work this morning because my blood was 21.8 and I felt horrendous.

Is it normal for diabetics to experience this? How long can I expect to heal? The NHS website says two weeks is normal, but do diabetics find that they can take forever to recover from operations and whatnot?

Thanks.

Aug 19, 2013

Rafa 99 posts

Topic: Questions for HCPs / Blood Glucose in the morning

Many thanks Warwick. I actually think i forgot to take my levemir yesterday morning. My bloods were fine yesterday morning and at lunch but then from dinner onwards they went crazy. 12.4 at dinner so i took the correction of +2 and 1 for the cp i ate. Then at 10.30 going to be bed i was 16.4. Took a correction of +3 and my evening levemir. Decided to do a 3am and i was 11.9. Didn't do anything at this stage when i probably should have corrected. Anyway woke up this morning and at 6am before breakfast and i was 12.1

Could missing my levemir yesterday morning be a reason?

Aug 19, 2013

Warwick 430 posts

Topic: Questions for HCPs / Blood Glucose in the morning

Hi Rafa,

If you find yourself giving correctional QA after most BG readings, then that would be an indicator that your basal insulin (levemir) is a bit low and may need to be increased by 10-15%. Remember to wait 2-3 days after chaning though to see what changes to your BGs have been made.

Cheers,
Warwick.

Aug 18, 2013

HelenP 218 posts

Topic: Questions for HCPs / insulin pump

Hi Vicki.

In the last week or so here in Australia we had a guy (I think he was a GP) who has recently (don't know how recently) been diagnosed type 1 talking on "The Health Report" on Radio National. Basically he was saying that he is living on a very low carb diet (not unlike the Aitkins Diet) and he has reduced his insulin demand to a very low single dose that he takes at night. I am presuming it is long acting and by injection. He has eggs for breakfast, salad and protein for lunch and leafy greens, nuts and some dried fruits for dinner. We were warned about "trying this at home" but he did talk a lot of sense and we were advised to talk about this with our specialists. He did this with the blessing of his endocrinologist. Maybe there is something in there for you. Good luck. Helen

Aug 18, 2013

Vickyp 135 posts

Topic: Questions for HCPs / insulin pump

I am now having a trial without the pump... To see what happens over 24hrs as the amount of insulin I get through the pump is now on average less than 5 units, with only 0.8 basal! I have a rare form of diabetes (not type1 or type2) so consultant now wants to see what happens Confused

Aug 18, 2013

Rafa 99 posts

Topic: Questions for HCPs / Blood Glucose in the morning

Struggling a bit myself with getting to grips with it all. My sugars are a lot better am than before DAFNE but still around the 9 mark. Would it make sense to increase my levemir by one/two units at night?

Aug 16, 2013

Warwick 430 posts

Topic: Questions for HCPs / weight gain

No problem, and all the best with it. Sometimes it feels like a bit of a juggling act, but if you are feeling more confident about DAFNE principles now, then you can hopefully concentrate on reducing intake. I also find that introducing incidental exercise wherever possible also helps. I used to take the train to work, now I cycle and I feel so much better for it.

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 1,816 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 1,816 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 1,816 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 1,816 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 1,816 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 1,816 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 430 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 19, 2013 JayBee 582 posts	Topic: Carbohydrate Counting / Greggs baguette sandwiches I will have another look if they have improved it. The last time I got their Android app all it did was list the menu and show pictures .... Waste of space really so uninstalled it and carried on using the PDF.

Aug 19, 2013 Rafa 99 posts	Topic: Carbohydrate Counting / Greggs baguette sandwiches They have an app now that's free. Got it for my iphone over the weekend. It's a very good one in terms of all the products and nutritional information.

Aug 19, 2013 Teanosugar 25 posts	Topic: General Discussion / Operations/ Healing Hi, This is to do with diabetes, but here is the back story: I had a wisdom tooth extraction about two months ago and have had two fillings replaced in the teeth next to them (this was around the same time). I got dry socket with the extraction and was treated for that as well. However, I keep getting infections and toothache in the wisdom tooth next to the one that was extracted. It also smells and tastes horrible, and I was convinced it needs taking out. All my other teeth seem fine except this one. I went back to my dentist today. He did a thorough inspection and said that he thinks it's all still healing and that the bad smell/ taste is food getting stuck in the socket. I was given some antibiotics and was told to start taking them in a couple of days if I don't feel better. In the meantime I just have to sit it out and wait for it to heal. I've been sent home from work this morning because my blood was 21.8 and I felt horrendous. Is it normal for diabetics to experience this? How long can I expect to heal? The NHS website says two weeks is normal, but do diabetics find that they can take forever to recover from operations and whatnot? Thanks.

Aug 19, 2013 Rafa 99 posts	Topic: Questions for HCPs / Blood Glucose in the morning Many thanks Warwick. I actually think i forgot to take my levemir yesterday morning. My bloods were fine yesterday morning and at lunch but then from dinner onwards they went crazy. 12.4 at dinner so i took the correction of +2 and 1 for the cp i ate. Then at 10.30 going to be bed i was 16.4. Took a correction of +3 and my evening levemir. Decided to do a 3am and i was 11.9. Didn't do anything at this stage when i probably should have corrected. Anyway woke up this morning and at 6am before breakfast and i was 12.1 Could missing my levemir yesterday morning be a reason?

Aug 19, 2013 Warwick 430 posts	Topic: Questions for HCPs / Blood Glucose in the morning Hi Rafa, If you find yourself giving correctional QA after most BG readings, then that would be an indicator that your basal insulin (levemir) is a bit low and may need to be increased by 10-15%. Remember to wait 2-3 days after chaning though to see what changes to your BGs have been made. Cheers, Warwick.

Aug 18, 2013 HelenP 218 posts	Topic: Questions for HCPs / insulin pump Hi Vicki. In the last week or so here in Australia we had a guy (I think he was a GP) who has recently (don't know how recently) been diagnosed type 1 talking on "The Health Report" on Radio National. Basically he was saying that he is living on a very low carb diet (not unlike the Aitkins Diet) and he has reduced his insulin demand to a very low single dose that he takes at night. I am presuming it is long acting and by injection. He has eggs for breakfast, salad and protein for lunch and leafy greens, nuts and some dried fruits for dinner. We were warned about "trying this at home" but he did talk a lot of sense and we were advised to talk about this with our specialists. He did this with the blessing of his endocrinologist. Maybe there is something in there for you. Good luck. Helen

Aug 18, 2013 Vickyp 135 posts	Topic: Questions for HCPs / insulin pump I am now having a trial without the pump... To see what happens over 24hrs as the amount of insulin I get through the pump is now on average less than 5 units, with only 0.8 basal! I have a rare form of diabetes (not type1 or type2) so consultant now wants to see what happens

Aug 18, 2013 Rafa 99 posts	Topic: Questions for HCPs / Blood Glucose in the morning Struggling a bit myself with getting to grips with it all. My sugars are a lot better am than before DAFNE but still around the 9 mark. Would it make sense to increase my levemir by one/two units at night?

Aug 16, 2013 Warwick 430 posts	Topic: Questions for HCPs / weight gain No problem, and all the best with it. Sometimes it feels like a bit of a juggling act, but if you are feeling more confident about DAFNE principles now, then you can hopefully concentrate on reducing intake. I also find that introducing incidental exercise wherever possible also helps. I used to take the train to work, now I cycle and I feel so much better for it.