Recent Posts - DAFNE Online

Aug 12, 2013

addie 13 posts

Topic: General Discussion / Cycling and exercise

Also check out a really useful website call http://www.teambloodglucose.com/TeamBG/Home.html

Aug 11, 2013

Warwick 423 posts

Topic: General Discussion / Cycling and exercise

Yeah, exercise can reduce blood sugars for 24-48 hours afterwards. If you need to, you can 'drizzle' carbs using sports drink, gels etc while cycling, but if you don't need to then your teeth will be happier :-)

All I can suggest is reducing basal if need be, and test a little more often afterwards until you get an good idea of how your body's BGLs are responding to the increased exercise.

Aug 11, 2013

sarahg 29 posts

Topic: General Discussion / Cycling and exercise

Hi this was really cool,I have just done my first 40 miles on the bike, this weekend, found the sugars not too bad with reducing insulin, on the day but found that I should have reduce on the Sunday as well , if any one has any tips for cycling and the insulin that would be great, as would like to continue with cycling longer distances

Aug 11, 2013

mum2westiesGill 502 posts

Topic: General Discussion / Increase of Lantus/BI

2 more days of my BG diary to check - please comment

Aug 11, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Blood Glucose in the morning

the onset and peak of the novorapid will vary in everyone.......

once you have got your ratios right you can play about with the timing of your injection in order to tackle the mid meal spikes.........

i personally give my dose a minimum of 30 minutes before i eat........

Aug 10, 2013

lizgray46 4 posts

Topic: Questions for HCPs / Blood Glucose in the morning

At the moment I using a ratio of 1.5:1 but I think this needs to be increased as my BG 2 hours later is in double figures although it drops before lunch but then rises again 2 hours later. These reads are always in the teens though. By about 6pm my BG is down to low 3's which mean I have to have something to eat but then levels out during the evening. It feels as though my insulin (Novorapid) is taking longer to work than it should. Is this possible?
I am using Lantus at night, 18 units. Confused

Aug 10, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Blood Glucose in the morning

I was on a ratio of 3:1 when injecting at breakfast so that may have helped me......you could try something more substantial to trigger the digestion response......everyone is different you see......

You may need a larger ratio for breakfast also as you will be more resistant to insulin at this time due to the cortisol, one of the hormones released with the glucagon.....

What is your ratio for breakfast....?

Aug 10, 2013

lizgray46 4 posts

Topic: Questions for HCPs / Blood Glucose in the morning

I tried a small yoghurt this morning and my BG still rose but not as much but I think I will try the QA dose as well as the rise is every morning, just 1 unit of insulin though?
Although I have had diabetes for 37 years this is all new to me so your help is really really appreciated. Only just started counting carbs and finding it a bit daunting but determined to stay with it to finally get my BG's under control.

Better late than never!!

Aug 10, 2013

Garry 328 posts

Topic: Carbohydrate Counting / Cocoa

I'd be OK if I remembered to drink my Cocoa.
Regards
Garry

Aug 10, 2013

Janys 5 posts

Topic: General Discussion / Coeliac as well as Diabetic?

Hello lizabetic, I found DAFNE vey very helpful. Diabetes 39 years, coeliac 24 years (lost count now almost) and did DAFNE about 5/6 years ago. DAFNE is really helpful for anyone with coeliac as it gives you much more control over the amount of carbs you have and when you have them. It's just as easy to work out the carbs in GF food. You can even miss a meal with DAFNE if you get stuck. I hope you find it as helpful as I did. Janys Very Happy

Aug 10, 2013

lizabetic 1 post

Topic: General Discussion / Coeliac as well as Diabetic?

Hi there, was looking for this exact thread! I am coeliac 17yrs, things have come so far, and diabetic 5 now... yep coeliac came first!!! Just wondering how you guys got on with DAFNE course on your GF diets? I'm due to start end of August, I can't wait!

Aug 10, 2013

Warwick 423 posts

Topic: Questions for HCPs / Blood Glucose in the morning

Yes, definitely sounds like DP. If it is ALWAYS happening, then taking a small dose of QA when you wake may help. If you know a rise will happen, then it is OK to take some QA without any carbs. Just start with a small dose and increase it if need be.

I do the same at bedtime when my BGs are about 5 after a dinner of slow release carbs like beans, lentils or chick peas. I know my BGs will rise if I don' t take the extra QA, so I take it and avoid going high, and haven't had any trouble with hypos by doing this.

Aug 10, 2013

Stew B 125 posts

Topic: Site Development / Diary lists

Hi Marke

In the "type" list on the app/online diary, is there any chance that "waking" could be added? The hot weather and an increase in cycling miles have led to several changes to my overnight BI over the summer, and a poor sleep pattern means that I've also been waking very early. As a consequence I've been testing when I wake up (often an hour or two before breakfast). At the moment I record this as "other" and put "waking" in the notes section, which is fine but as I occasionally use "other" at other times it's difficult to separate the waking readings.

Thanks

Stew

Aug 9, 2013

HelenP 218 posts

Topic: Carbohydrate Counting / Cocoa

Hey, here in Australia cocoa is definitely not drinking chocolate. Cocoa is quite bitter and when made into a drink really does need sugar to make it drinkable. On the other hand drinking chocolate has a heap of other ingredients and is fine without sugar. For my cocoa I eat (in small quantities) 85% cocoa chocolate....it is an acquired taste.
Cocoa has 1.9g CHO in one TABLESPOON of cocoa powder. According to my Carb book drinking chocolate has 2g CHO per TEASPOON and i have three teaspoons to a tablespoon. So drinking chocolate has 3 x the amount of carbs.

Helen

Aug 9, 2013

davidcragg 17 posts

Topic: General Discussion / A bit of escapism - some fun

Warwick said:
I suspect the reason for the preciseness is that it has been translated from American units of measurement where 16.7 mmol/L = 300 mg/dl which is a nice round number. However, almost certainly a whoops moment :-)

Very good spot! Thanks

Aug 9, 2013

lizgray46 4 posts

Topic: Questions for HCPs / Blood Glucose in the morning

Thank you so much Very Happy

I will give that a go.

Aug 9, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Blood Glucose in the morning

Welcome to the forum...... Wink

Its sounds like the dawn phenomenon........

A lot of people will experience the rise as they wake, however some do not.........

There are 2 elements to the dawn phenomenon.....

1. Your body has been fasting and your stomach is empty, a few hours before waking your body releases hormones, one of which come from the pancreas, gulcagon, this arrives at the liver and instructs it to release some of it glucose stores to assist you in starting the day.

2. This process continues until you provide yourself with fuel and start the digestion process.

So basically, you will need to, or at least give it a try, having something to eat as soon as you wake.

When I was injecting [now pumping] I used to have a 125g pot of yogurt, 19g of carbs, low GI. As I was always in double figures because of the dawn phenomenon, this was all I could stomach. It worked well though.

So if you don't feel up to something substantial, something like a small yogurt would be ideal.....

Aug 9, 2013

lizgray46 4 posts

Topic: Questions for HCPs / Blood Glucose in the morning

When I take my first blood glucose (at approx 7.30am) the readings are normally quite good, between 4 and 7. I don't eat until 9am when I get to work only having a cup of coffee but by 9am my blood glucose has on average risen by 5mmol. Why is this and how can I stop it happening Confused

Thanks

Aug 9, 2013

mum2westiesGill 502 posts

Topic: General Discussion / Increase of Lantus/BI

Might be a change too far to make when going on holiday though, as you will need focus on adequate BG control when away. Perhaps leave it for a while.
- I'm also thinking it may be best to do any needed changes when I'm back from hols. When I'm home I may do the same as I do with BI changes and leave it 3 days to let things settle, 3 days to see any effect and maybe a few more to see how things are going.

Regards
Gill

Aug 8, 2013

Warwick 423 posts

Topic: General Discussion / A bit of escapism - some fun

I suspect the reason for the preciseness is that it has been translated from American units of measurement where 16.7 mmol/L = 300 mg/dl which is a nice round number. However, almost certainly a whoops moment :-)

Aug 8, 2013

SA2010 69 posts

Topic: General Discussion / A bit of escapism - some fun

davidcragg said:
I was somewhat surprised by the following sentence:

It is important for patients to check their blood sugars, and where very low (< 3.9mmol/l) or very high (16.7mmol/l) they must eat.

Can someone explain to me why if my bg is a very precise 16.7mmol/L or more I must eat? I have never been told this and it seems contrary to everything I have been told.

Thanks

I see your comment there - presume it is yours. Must have been an edit of the text going wrong and no proofreading !

Aug 8, 2013

davidcragg 17 posts

Topic: General Discussion / A bit of escapism - some fun

On the Theresa May story, I was reading this article from Nursing In Practice today:

http://www.nursinginpractice.com/article/diabetes-come-what-may

There are a lot of things in the article I would love to discuss with the author, but when the article moved to discuss fasting I was somewhat surprised by the following sentence:

It is important for patients to check their blood sugars, and where very low (< 3.9mmol/l) or very high (16.7mmol/l) they must eat.

Can someone explain to me why if my bg is a very precise 16.7mmol/L or more I must eat? I have never been told this and it seems contrary to everything I have been told.

Thanks

Aug 8, 2013

meltow 78 posts

Topic: Carbohydrate Counting / Cocoa

I might be very wrong with this [I don't have any in the cupboard either, so can't check!]............but I thought drinking chocolate had sugar/sweetener added into the chocolate powder. Whereas cocoa is in its natural state.

I certainly find drinking chocolate very sweet, and tend to avoid it at all costs. But no doubt its sweetness is the reason for its popularity Sad

Aug 8, 2013

Alan 49 284 posts

Topic: Carbohydrate Counting / Cocoa

I was thinking of having one or two cups of hot chocolate every day at home.
I don't have any cocoa or hot chocolate to refer to the nutrition panel. I'll have to look at it on the supermarket shelf.
Do you think hot chocolate and cocoa are one same thing?

Aug 12, 2013 addie 13 posts	Topic: General Discussion / Cycling and exercise Also check out a really useful website call http://www.teambloodglucose.com/TeamBG/Home.html

Aug 11, 2013 Warwick 423 posts	Topic: General Discussion / Cycling and exercise Yeah, exercise can reduce blood sugars for 24-48 hours afterwards. If you need to, you can 'drizzle' carbs using sports drink, gels etc while cycling, but if you don't need to then your teeth will be happier :-) All I can suggest is reducing basal if need be, and test a little more often afterwards until you get an good idea of how your body's BGLs are responding to the increased exercise.

Aug 11, 2013 sarahg 29 posts	Topic: General Discussion / Cycling and exercise Hi this was really cool,I have just done my first 40 miles on the bike, this weekend, found the sugars not too bad with reducing insulin, on the day but found that I should have reduce on the Sunday as well , if any one has any tips for cycling and the insulin that would be great, as would like to continue with cycling longer distances

Aug 11, 2013 mum2westiesGill 502 posts	Topic: General Discussion / Increase of Lantus/BI 2 more days of my BG diary to check - please comment

Aug 11, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Blood Glucose in the morning the onset and peak of the novorapid will vary in everyone....... once you have got your ratios right you can play about with the timing of your injection in order to tackle the mid meal spikes......... i personally give my dose a minimum of 30 minutes before i eat........

Aug 10, 2013 lizgray46 4 posts	Topic: Questions for HCPs / Blood Glucose in the morning At the moment I using a ratio of 1.5:1 but I think this needs to be increased as my BG 2 hours later is in double figures although it drops before lunch but then rises again 2 hours later. These reads are always in the teens though. By about 6pm my BG is down to low 3's which mean I have to have something to eat but then levels out during the evening. It feels as though my insulin (Novorapid) is taking longer to work than it should. Is this possible? I am using Lantus at night, 18 units.

Aug 10, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Blood Glucose in the morning I was on a ratio of 3:1 when injecting at breakfast so that may have helped me......you could try something more substantial to trigger the digestion response......everyone is different you see...... You may need a larger ratio for breakfast also as you will be more resistant to insulin at this time due to the cortisol, one of the hormones released with the glucagon..... What is your ratio for breakfast....?

Aug 10, 2013 lizgray46 4 posts	Topic: Questions for HCPs / Blood Glucose in the morning I tried a small yoghurt this morning and my BG still rose but not as much but I think I will try the QA dose as well as the rise is every morning, just 1 unit of insulin though? Although I have had diabetes for 37 years this is all new to me so your help is really really appreciated. Only just started counting carbs and finding it a bit daunting but determined to stay with it to finally get my BG's under control. Better late than never!!

Aug 10, 2013 Garry 328 posts	Topic: Carbohydrate Counting / Cocoa I'd be OK if I remembered to drink my Cocoa. Regards Garry

Aug 10, 2013 Janys 5 posts	Topic: General Discussion / Coeliac as well as Diabetic? Hello lizabetic, I found DAFNE vey very helpful. Diabetes 39 years, coeliac 24 years (lost count now almost) and did DAFNE about 5/6 years ago. DAFNE is really helpful for anyone with coeliac as it gives you much more control over the amount of carbs you have and when you have them. It's just as easy to work out the carbs in GF food. You can even miss a meal with DAFNE if you get stuck. I hope you find it as helpful as I did. Janys

Aug 10, 2013 lizabetic 1 post	Topic: General Discussion / Coeliac as well as Diabetic? Hi there, was looking for this exact thread! I am coeliac 17yrs, things have come so far, and diabetic 5 now... yep coeliac came first!!! Just wondering how you guys got on with DAFNE course on your GF diets? I'm due to start end of August, I can't wait!

Aug 10, 2013 Warwick 423 posts	Topic: Questions for HCPs / Blood Glucose in the morning Yes, definitely sounds like DP. If it is ALWAYS happening, then taking a small dose of QA when you wake may help. If you know a rise will happen, then it is OK to take some QA without any carbs. Just start with a small dose and increase it if need be. I do the same at bedtime when my BGs are about 5 after a dinner of slow release carbs like beans, lentils or chick peas. I know my BGs will rise if I don' t take the extra QA, so I take it and avoid going high, and haven't had any trouble with hypos by doing this.

Aug 10, 2013 Stew B 125 posts	Topic: Site Development / Diary lists Hi Marke In the "type" list on the app/online diary, is there any chance that "waking" could be added? The hot weather and an increase in cycling miles have led to several changes to my overnight BI over the summer, and a poor sleep pattern means that I've also been waking very early. As a consequence I've been testing when I wake up (often an hour or two before breakfast). At the moment I record this as "other" and put "waking" in the notes section, which is fine but as I occasionally use "other" at other times it's difficult to separate the waking readings. Thanks Stew

Aug 9, 2013 HelenP 218 posts	Topic: Carbohydrate Counting / Cocoa Hey, here in Australia cocoa is definitely not drinking chocolate. Cocoa is quite bitter and when made into a drink really does need sugar to make it drinkable. On the other hand drinking chocolate has a heap of other ingredients and is fine without sugar. For my cocoa I eat (in small quantities) 85% cocoa chocolate....it is an acquired taste. Cocoa has 1.9g CHO in one TABLESPOON of cocoa powder. According to my Carb book drinking chocolate has 2g CHO per TEASPOON and i have three teaspoons to a tablespoon. So drinking chocolate has 3 x the amount of carbs. Helen

Aug 9, 2013 davidcragg 17 posts	Topic: General Discussion / A bit of escapism - some fun Warwick said: I suspect the reason for the preciseness is that it has been translated from American units of measurement where 16.7 mmol/L = 300 mg/dl which is a nice round number. However, almost certainly a whoops moment :-) Very good spot! Thanks

Aug 9, 2013 lizgray46 4 posts	Topic: Questions for HCPs / Blood Glucose in the morning Thank you so much I will give that a go.

Aug 9, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Blood Glucose in the morning Welcome to the forum...... Its sounds like the dawn phenomenon........ A lot of people will experience the rise as they wake, however some do not......... There are 2 elements to the dawn phenomenon..... 1. Your body has been fasting and your stomach is empty, a few hours before waking your body releases hormones, one of which come from the pancreas, gulcagon, this arrives at the liver and instructs it to release some of it glucose stores to assist you in starting the day. 2. This process continues until you provide yourself with fuel and start the digestion process. So basically, you will need to, or at least give it a try, having something to eat as soon as you wake. When I was injecting [now pumping] I used to have a 125g pot of yogurt, 19g of carbs, low GI. As I was always in double figures because of the dawn phenomenon, this was all I could stomach. It worked well though. So if you don't feel up to something substantial, something like a small yogurt would be ideal.....

Aug 9, 2013 lizgray46 4 posts	Topic: Questions for HCPs / Blood Glucose in the morning When I take my first blood glucose (at approx 7.30am) the readings are normally quite good, between 4 and 7. I don't eat until 9am when I get to work only having a cup of coffee but by 9am my blood glucose has on average risen by 5mmol. Why is this and how can I stop it happening Thanks

Aug 9, 2013 mum2westiesGill 502 posts	Topic: General Discussion / Increase of Lantus/BI Might be a change too far to make when going on holiday though, as you will need focus on adequate BG control when away. Perhaps leave it for a while. - I'm also thinking it may be best to do any needed changes when I'm back from hols. When I'm home I may do the same as I do with BI changes and leave it 3 days to let things settle, 3 days to see any effect and maybe a few more to see how things are going. Regards Gill

Aug 8, 2013 Warwick 423 posts	Topic: General Discussion / A bit of escapism - some fun I suspect the reason for the preciseness is that it has been translated from American units of measurement where 16.7 mmol/L = 300 mg/dl which is a nice round number. However, almost certainly a whoops moment :-)

Aug 8, 2013 SA2010 69 posts	Topic: General Discussion / A bit of escapism - some fun davidcragg said: I was somewhat surprised by the following sentence: It is important for patients to check their blood sugars, and where very low (< 3.9mmol/l) or very high (16.7mmol/l) they must eat. Can someone explain to me why if my bg is a very precise 16.7mmol/L or more I must eat? I have never been told this and it seems contrary to everything I have been told. Thanks I see your comment there - presume it is yours. Must have been an edit of the text going wrong and no proofreading !

Aug 8, 2013 davidcragg 17 posts	Topic: General Discussion / A bit of escapism - some fun On the Theresa May story, I was reading this article from Nursing In Practice today: http://www.nursinginpractice.com/article/diabetes-come-what-may There are a lot of things in the article I would love to discuss with the author, but when the article moved to discuss fasting I was somewhat surprised by the following sentence: It is important for patients to check their blood sugars, and where very low (< 3.9mmol/l) or very high (16.7mmol/l) they must eat. Can someone explain to me why if my bg is a very precise 16.7mmol/L or more I must eat? I have never been told this and it seems contrary to everything I have been told. Thanks

Aug 8, 2013 meltow 78 posts	Topic: Carbohydrate Counting / Cocoa I might be very wrong with this [I don't have any in the cupboard either, so can't check!]............but I thought drinking chocolate had sugar/sweetener added into the chocolate powder. Whereas cocoa is in its natural state. I certainly find drinking chocolate very sweet, and tend to avoid it at all costs. But no doubt its sweetness is the reason for its popularity

Aug 8, 2013 Alan 49 284 posts	Topic: Carbohydrate Counting / Cocoa I was thinking of having one or two cups of hot chocolate every day at home. I don't have any cocoa or hot chocolate to refer to the nutrition panel. I'll have to look at it on the supermarket shelf. Do you think hot chocolate and cocoa are one same thing?