Recent Posts - DAFNE Online

Aug 5, 2013

Garry 328 posts

Topic: General Discussion / Increase of Lantus/BI

What happened Sunday Gill. Where did the morning go?
9.2 Sunday night and you list 3.5 CP. Your comment seems to suggest you consumed 2 x 1.7 CPs. But you take no QA and no BI. There must be info missing as how did you get to 3.4 BG at 08:18?
Difficult to comment rationally without all necessary information.
Take your time and wait to see a distinct pattern emerging. Once you are sure, you can confidently make needed changes.
Don't rush. We are all individuals and I think others have talked of Lantus changes taking longer for them to be sure about the outcome.
I think an unbalanced split BI may help you overcome your morning hypos and help you flatten out your food intake pattern.
Regards
Garry

Aug 5, 2013

mum2westiesGill 502 posts

Topic: General Discussion / Increase of Lantus/BI

So up to day 6 of the BI increase so have now had 3 days to let things settle, and 3 days to see the full effect - what does anyone think?

Aug 5, 2013

mum2westiesGill 502 posts

Topic: General Discussion / Increase of Lantus/BI

Your corrections can just be listed as 07:14 2.5, 07:31 1.5 and 10:12 1.5.
- These weren't corrections they were the amount of carbs I'd had for the hypos (jelly babies)

Any thoughts about having breakfast earlier?
- I don't really do breakfast until about 10am ish

Cheers
Gill

Aug 5, 2013

Garry 328 posts

Topic: General Discussion / Increase of Lantus/BI

Your corrections can just be listed as 07:14 2.5, 07:31 1.5 and 10:12 1.5.
Any thoughts about having breakfast earlier?
Your BI is of course working throughout this early daytime.
Regards
Garry

Aug 5, 2013

Garry 328 posts

Topic: Site Development / Message Inbox

Already do that marke with the HCPs at the hospital...but I would prefer not to share my whole diary in a more open forum.
The format below, with it's restricted date range, gives the opportunity to focus in and perhaps emphasise points to others.
Regards
Garry

Aug 5, 2013

Yorky 1 post

Topic: General Discussion / Insulin Pump Bug

G'day All,
As an IT geek, I know the possibility of "bugs" in software is always present (especially as I get paid to find them!) The article below is from a security website:

http://www.scmagazine.com.au/News/352073,diabetic-researcher-finds-insulin-pump-memory-glitch-that-almost-killed-him.aspx?eid=7&edate=20130805&utm_source=20130805&utm_medium=newsletter&utm_campaign=daily_newsletter

The big concern is this type of bug should have been tested for, as changing batteries is a basic user function of the device.

I guess the moral of the story is check, double-check, and just to be safe, check again. We all put our faith in devices (pumps/ BG monitors) - and we all assume they're working fine. How often do we all check our BG monitor is actually reading correctly with control liquid? Your devices may not ever experience a problem, but that doesn't mean it will never happen...

Aug 4, 2013

davidcragg 14 posts

Topic: DAFNE Online Mobile / Can you download to a Blackberry

Although I'm an Android user and not a Blackberry developer, I am aware that Android apps can be "repackaged" using the Blackberry developer tools available here: http://developer.blackberry.com/android/tools/. Is that an option?

Aug 3, 2013

marke 646 posts

Topic: Site Development / Message Inbox

You can already share your diary with another user, the instructions for doing this are here

Aug 3, 2013

mum2westiesGill 502 posts

Topic: General Discussion / Increase of Lantus/BI

Thanks Garry for sharing your BG diary.

Here's the next few days of mine, also day 4 of the BI increase so maybe another 2 days to see if things have settled, somehow I don't think so Crying or Very sad

Aug 3, 2013

NuMo 28 posts

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

I hope that the recent publicity will help to highlight LADA (Latent Autoimmune Diabetes in Adults) as it is frequently overlooked and poorly understood.

It seems as if when a person above a certain age presents with diabetes associated symptoms they are automatically assumed to have type 2. If LADA was better understood, care could be more tailored to the person's needs more quickly.

I appreciate that the majority of mature people presenting with diabetes do indeed have type 2, but if there is a doubt a test would find type 1 tendencies. This would save years of unnecessary drugs, rising HBA1c levels and associated health problems. I speak from experience here.

Aug 2, 2013

Garry 328 posts

Topic: Site Development / Message Inbox

Would it be possible to add the facility to include diary entries when sending messages direct to one another using the Message Inbox?
Regards
Garry

Aug 2, 2013

Garry 328 posts

Topic: General Discussion / Increase of Lantus/BI

Gill. Here is my last 10 days. I am unable to include a BG Diary other than here. I'll ask if this facility can be added when creating a direct message through Message Inbox.
Regards
Garry

Aug 1, 2013

marke 646 posts

Topic: Questions for HCPs / Help

As Warwick points out the thing you have to understand is the effect of exercise. It has a number of effects both shortish term and longer term. The shortish is exercise can have an effect for 24-48 hours after you do it. It does vary from person to person but will definitely have an effect the day after you exercise. You need to bear this in mind when adjusting both pre-exercise and after it. There is not really a magic formula although the handbook does give some guidance.
In the longer term exercise will help your body in the process of converting sugar into energy with less insulin. Regular exercise should mean you need less insulin overall. Again there is no magic formula you just need to keep monitoring you BG and looking for changes. Your description of going low mid-morning the day after exercise is exactly my experience when doing a gym session the night before, however knowing what might happen I tended to check mid-morning the next day as well as making adjustments because I knew what might happen and so was ready to treat it if necessary.

Aug 1, 2013

marke 646 posts

Topic: General Discussion / Interesting Finding

Hi, I changed the post above to make the link clickable since it IS an interesting article, although as always caution is needed. Currently they have only trialled it on mice and not people so any commercial offering is more than a few years away. Still it would be a very useful component in 'curing' T1.

Aug 1, 2013

Garry 328 posts

Topic: General Discussion / Optium Xceed meter renewal

No. Not as far as we know.
I like my Xceed too Smile

Regards
Garry

Aug 1, 2013

youone 102 posts

Topic: General Discussion / Interesting Finding

Just read this, seems a interesting new path for people with type1

http://www.sciencedaily.com/releases/2013/06/130627131832.htm

Aug 1, 2013

cargeo111 ca... 12 posts

Topic: Carbohydrate Counting / carbs

Thanks i understand now Very Happy

Aug 1, 2013

JamesW 24 posts

Topic: Carbohydrate Counting / carbs

You appear to be getting a few things muddled at the moment.

One carbohydrate portion (CP) is deemed to be 10g of carbohydrate so something that contains 30g of carbohydrate would be the same as 3 CPs.

Initially a 1:1 ratio is a good idea so that is 1 unit of insulin for every 1 CP. So for a 3 CP item you would take 3 units. This ratio will alter as you get a better feel for what you personally require at a particular time of day or activity.

When you weigh a slice of bread you are not just getting the carbohydrate part but all of it e.g. fat, protein, water, sundry other bits and bobs as well as the carbohydrate. Bread is not just made up of carbohydrate so to weigh a slice of bread and get a value of 45g does not mean that it is 45g worth of carbohydrate. It is more likely to be 20g of carbohydrate which is backed up by your statement that a 47.4g slice of bread contains 20.8g of carbohydrate according to the nutritional information label. Sugar is entirely carbohydrate so 45g of that would equate to 45g of carbohydrate because that is what it is (minute elements of water and minerals aside).

Aug 1, 2013

cargeo111 ca... 12 posts

Topic: Carbohydrate Counting / carbs

Hi James i am now more confused i thought it was 1unit per gramme so if the bread weighs 45g would this not mean 4 units per slice ?

Aug 1, 2013

JamesW 24 posts

Topic: Carbohydrate Counting / carbs

To tackle the insulin element first.....that is entirely up to you! If you are on a 1:1 regime I would think that a slice of bread that is considered to contain 20.8g of carbohydrate would necessitate 2u of insulin.

To expand on my earlier statement, by using the 100g column (assuming one exists) I can calculate how much carbohydrate is present based on the weight of the slice of bread (in this case) irrespective of what the per slice column says.

For example, if per 100g of bread it is 70g of carbohydrate then if I was to eat 100g of bread I would be consuming 70g of carbohydrate. For ease, if a slice weighs 50g then it would be 35g of carbohydrate per slice.

To get a bit more complex, taking your 47.4g slice but assuming the same 70g carbohydrate per 100g value it would be a case of dividing the indicated carbohydrate value (70) by the total indicated weight (100) which would result in the carbohydrate value per gram 70/100 = 0.7.

Taking that per gram value (0.7) we can multiple that against your weighed slice value (47.4): 0.7 x 47.4 = 33.18. This equates to 33.18g of carbohydrate for that specific slice of bread.

If a 100g column doesn't exist and you only have a per slice (with a stated weight) column you can do the same sort of thing. In this case it is 20.8g of carbohydrate divided by 47.4g of total weight which gives 0.44 (rounded up). This means that there is 0.44g of carbohydrate per gram of bread and if there was a 100g column it would say that there was 44g of carbohydrate per 100g of product.

Does that help or does it just confuse matters? I know what I am trying to convey but perhaps I am not being very clear in my examples.

Aug 1, 2013

BeccyB 50 posts

Topic: General Discussion / Optium Xceed meter renewal

Are the Xceeds on the way out? Am I not going to be able to get test strips at some point? I like my Xceed :-(

Aug 1, 2013

Garry 328 posts

Topic: General Discussion / Increase of Lantus/BI

Personally I just use 1. Your entry is good and everyone will know what you mean.
BGs have come down with a bump...but stick with it and let things settle out. You may need do more BG testing to keep a closer check on things.
Regards
Garry

Aug 1, 2013

Rafa 99 posts

Topic: Questions for HCPs / Help

Thanks very much for the replies. Yes after stupidly correcting i ran low again. You live and learn! Think i am going to reduce the BI on nights of runs as i am running low around 9am-10am the next morning. I am fine for breakfast at 630am though so should i maybe reduce my ratio at breakfast??

Aug 5, 2013 Garry 328 posts	Topic: General Discussion / Increase of Lantus/BI What happened Sunday Gill. Where did the morning go? 9.2 Sunday night and you list 3.5 CP. Your comment seems to suggest you consumed 2 x 1.7 CPs. But you take no QA and no BI. There must be info missing as how did you get to 3.4 BG at 08:18? Difficult to comment rationally without all necessary information. Take your time and wait to see a distinct pattern emerging. Once you are sure, you can confidently make needed changes. Don't rush. We are all individuals and I think others have talked of Lantus changes taking longer for them to be sure about the outcome. I think an unbalanced split BI may help you overcome your morning hypos and help you flatten out your food intake pattern. Regards Garry

Aug 5, 2013 mum2westiesGill 502 posts	Topic: General Discussion / Increase of Lantus/BI So up to day 6 of the BI increase so have now had 3 days to let things settle, and 3 days to see the full effect - what does anyone think?

Aug 5, 2013 mum2westiesGill 502 posts	Topic: General Discussion / Increase of Lantus/BI Your corrections can just be listed as 07:14 2.5, 07:31 1.5 and 10:12 1.5. - These weren't corrections they were the amount of carbs I'd had for the hypos (jelly babies) Any thoughts about having breakfast earlier? - I don't really do breakfast until about 10am ish Cheers Gill

Aug 5, 2013 Garry 328 posts	Topic: General Discussion / Increase of Lantus/BI Your corrections can just be listed as 07:14 2.5, 07:31 1.5 and 10:12 1.5. Any thoughts about having breakfast earlier? Your BI is of course working throughout this early daytime. Regards Garry

Aug 5, 2013 Garry 328 posts	Topic: Site Development / Message Inbox Already do that marke with the HCPs at the hospital...but I would prefer not to share my whole diary in a more open forum. The format below, with it's restricted date range, gives the opportunity to focus in and perhaps emphasise points to others. Regards Garry

Aug 5, 2013 Yorky 1 post	Topic: General Discussion / Insulin Pump Bug G'day All, As an IT geek, I know the possibility of "bugs" in software is always present (especially as I get paid to find them!) The article below is from a security website: http://www.scmagazine.com.au/News/352073,diabetic-researcher-finds-insulin-pump-memory-glitch-that-almost-killed-him.aspx?eid=7&edate=20130805&utm_source=20130805&utm_medium=newsletter&utm_campaign=daily_newsletter The big concern is this type of bug should have been tested for, as changing batteries is a basic user function of the device. I guess the moral of the story is check, double-check, and just to be safe, check again. We all put our faith in devices (pumps/ BG monitors) - and we all assume they're working fine. How often do we all check our BG monitor is actually reading correctly with control liquid? Your devices may not ever experience a problem, but that doesn't mean it will never happen...

Aug 4, 2013 davidcragg 14 posts	Topic: DAFNE Online Mobile / Can you download to a Blackberry Although I'm an Android user and not a Blackberry developer, I am aware that Android apps can be "repackaged" using the Blackberry developer tools available here: http://developer.blackberry.com/android/tools/. Is that an option?

Aug 3, 2013 marke 646 posts	Topic: Site Development / Message Inbox You can already share your diary with another user, the instructions for doing this are here

Aug 3, 2013 mum2westiesGill 502 posts	Topic: General Discussion / Increase of Lantus/BI Thanks Garry for sharing your BG diary. Here's the next few days of mine, also day 4 of the BI increase so maybe another 2 days to see if things have settled, somehow I don't think so

Aug 3, 2013 NuMo 28 posts	Topic: General Discussion / A bit of escapism - some fun I hope that the recent publicity will help to highlight LADA (Latent Autoimmune Diabetes in Adults) as it is frequently overlooked and poorly understood. It seems as if when a person above a certain age presents with diabetes associated symptoms they are automatically assumed to have type 2. If LADA was better understood, care could be more tailored to the person's needs more quickly. I appreciate that the majority of mature people presenting with diabetes do indeed have type 2, but if there is a doubt a test would find type 1 tendencies. This would save years of unnecessary drugs, rising HBA1c levels and associated health problems. I speak from experience here.

Aug 2, 2013 Garry 328 posts	Topic: Site Development / Message Inbox Would it be possible to add the facility to include diary entries when sending messages direct to one another using the Message Inbox? Regards Garry

Aug 2, 2013 Garry 328 posts	Topic: General Discussion / Increase of Lantus/BI Gill. Here is my last 10 days. I am unable to include a BG Diary other than here. I'll ask if this facility can be added when creating a direct message through Message Inbox. Regards Garry

Aug 1, 2013 marke 646 posts	Topic: Questions for HCPs / Help As Warwick points out the thing you have to understand is the effect of exercise. It has a number of effects both shortish term and longer term. The shortish is exercise can have an effect for 24-48 hours after you do it. It does vary from person to person but will definitely have an effect the day after you exercise. You need to bear this in mind when adjusting both pre-exercise and after it. There is not really a magic formula although the handbook does give some guidance. In the longer term exercise will help your body in the process of converting sugar into energy with less insulin. Regular exercise should mean you need less insulin overall. Again there is no magic formula you just need to keep monitoring you BG and looking for changes. Your description of going low mid-morning the day after exercise is exactly my experience when doing a gym session the night before, however knowing what might happen I tended to check mid-morning the next day as well as making adjustments because I knew what might happen and so was ready to treat it if necessary.

Aug 1, 2013 marke 646 posts	Topic: General Discussion / Interesting Finding Hi, I changed the post above to make the link clickable since it IS an interesting article, although as always caution is needed. Currently they have only trialled it on mice and not people so any commercial offering is more than a few years away. Still it would be a very useful component in 'curing' T1.

Aug 1, 2013 Garry 328 posts	Topic: General Discussion / Optium Xceed meter renewal No. Not as far as we know. I like my Xceed too Regards Garry

Aug 1, 2013 youone 102 posts	Topic: General Discussion / Interesting Finding Just read this, seems a interesting new path for people with type1 http://www.sciencedaily.com/releases/2013/06/130627131832.htm

Aug 1, 2013 cargeo111 ca... 12 posts	Topic: Carbohydrate Counting / carbs Thanks i understand now

Aug 1, 2013 JamesW 24 posts	Topic: Carbohydrate Counting / carbs You appear to be getting a few things muddled at the moment. One carbohydrate portion (CP) is deemed to be 10g of carbohydrate so something that contains 30g of carbohydrate would be the same as 3 CPs. Initially a 1:1 ratio is a good idea so that is 1 unit of insulin for every 1 CP. So for a 3 CP item you would take 3 units. This ratio will alter as you get a better feel for what you personally require at a particular time of day or activity. When you weigh a slice of bread you are not just getting the carbohydrate part but all of it e.g. fat, protein, water, sundry other bits and bobs as well as the carbohydrate. Bread is not just made up of carbohydrate so to weigh a slice of bread and get a value of 45g does not mean that it is 45g worth of carbohydrate. It is more likely to be 20g of carbohydrate which is backed up by your statement that a 47.4g slice of bread contains 20.8g of carbohydrate according to the nutritional information label. Sugar is entirely carbohydrate so 45g of that would equate to 45g of carbohydrate because that is what it is (minute elements of water and minerals aside).

Aug 1, 2013 cargeo111 ca... 12 posts	Topic: Carbohydrate Counting / carbs Hi James i am now more confused i thought it was 1unit per gramme so if the bread weighs 45g would this not mean 4 units per slice ?

Aug 1, 2013 JamesW 24 posts	Topic: Carbohydrate Counting / carbs To tackle the insulin element first.....that is entirely up to you! If you are on a 1:1 regime I would think that a slice of bread that is considered to contain 20.8g of carbohydrate would necessitate 2u of insulin. To expand on my earlier statement, by using the 100g column (assuming one exists) I can calculate how much carbohydrate is present based on the weight of the slice of bread (in this case) irrespective of what the per slice column says. For example, if per 100g of bread it is 70g of carbohydrate then if I was to eat 100g of bread I would be consuming 70g of carbohydrate. For ease, if a slice weighs 50g then it would be 35g of carbohydrate per slice. To get a bit more complex, taking your 47.4g slice but assuming the same 70g carbohydrate per 100g value it would be a case of dividing the indicated carbohydrate value (70) by the total indicated weight (100) which would result in the carbohydrate value per gram 70/100 = 0.7. Taking that per gram value (0.7) we can multiple that against your weighed slice value (47.4): 0.7 x 47.4 = 33.18. This equates to 33.18g of carbohydrate for that specific slice of bread. If a 100g column doesn't exist and you only have a per slice (with a stated weight) column you can do the same sort of thing. In this case it is 20.8g of carbohydrate divided by 47.4g of total weight which gives 0.44 (rounded up). This means that there is 0.44g of carbohydrate per gram of bread and if there was a 100g column it would say that there was 44g of carbohydrate per 100g of product. Does that help or does it just confuse matters? I know what I am trying to convey but perhaps I am not being very clear in my examples.

Aug 1, 2013 BeccyB 50 posts	Topic: General Discussion / Optium Xceed meter renewal Are the Xceeds on the way out? Am I not going to be able to get test strips at some point? I like my Xceed :-(

Aug 1, 2013 Garry 328 posts	Topic: General Discussion / Increase of Lantus/BI Personally I just use 1. Your entry is good and everyone will know what you mean. BGs have come down with a bump...but stick with it and let things settle out. You may need do more BG testing to keep a closer check on things. Regards Garry

Aug 1, 2013 Rafa 99 posts	Topic: Questions for HCPs / Help Thanks very much for the replies. Yes after stupidly correcting i ran low again. You live and learn! Think i am going to reduce the BI on nights of runs as i am running low around 9am-10am the next morning. I am fine for breakfast at 630am though so should i maybe reduce my ratio at breakfast??