Recent Posts - DAFNE Online

Aug 4, 2013

davidcragg 17 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 681 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 681 posts

Topic: DAFNE Graduate Group (DGG) / DAFNE Collab 2013

A report on the DAFNE Collaborative held in Manchester on 14th June 2013 is available below. If you are wondering why it took so long to put it on the site, welcome to the wonderful world of the NHS, a couple of days to write then weeks and weeks to get approval for publication. Cest La Vie, hopefully it will be of interest to some of you !!

Once again the DUAG was present at the DAFNE Collaborative to bring you all the news and views of what is going on in the DAFNE Programme. For those that donâ€™t know what it is, the DAFNE Collaborative is the annual event at which representatives of all DAFNE Centres, gather to receive updates on audit and research. They also attend workshops to promote best practice. The DUAG which is the user representative body on the DAFNE programme are also invited to attend the meeting..
The first set of presentations for the day were about the research database and results that have been taken from it. The first two focused largely on the data collected and how it will be used to compare centres. This will provide a means to identify which centres/areas get the best results and then to look for patterns as to why. It was clear that the initial improvements in HbA1c are not fully maintained over the longer term. This is a major concern as one of the â€˜selling pointsâ€™ of DAFNE is improved HBA1c, of course there are many other factors and things that improve after doing DAFNE but there needs to be a way to identify these so that they can be measured. Another issue identified is how to get the HbA1c of more graduates after 1 year, everyone who goes on the course has an HbA1c test just before the course and in theory another test after 1 year, however itâ€™s much harder to arrange after a year. The final presentation in the set focused on the improvements in severe hypos and DKA, these are both dramatically reduced by doing DAFNE which could present both a cost saving to the NHS and an improved quality of life for the DAFNE graduate. These are areas that have not really been emphasised in the past as the focus was largely on reductions in HbA1c.
The next set of presentations were on the DAFNE HART pilot study. This was a 6 week, 1 day a week, study focused on restoring Hypo awareness based on DAFNE principles. One of the key aspects of the pilot was the psychology around hypoâ€™s, the 3 basic types of thinking about hypoâ€™s were identified and these types were highlighted during the course in an attempt to â€˜break the cycleâ€™ causing behaviours that stopped the changes needed to improve hypo awareness. The course helps participants make small changes over the length of the course and reinforces the changes to move participants in the right direction. Although this was just a pilot study with 24 participants the results showed a definite improvement in hypos and psychological measures. The last of this group of presentations was probably the most â€˜hard-hittingâ€™ of the day. It focused on the results of discussions with the partners and family members of those approached to attend the HART pilot i.e those people living with someone experiencing hypo unawareness. As a Diabetic it really made you think about what itâ€™s like to be on the â€˜outsideâ€™ of a hypo and it is not a pleasant experience. It was certainly a sobering and though provoking presentation.
The first workshops of the day then occurred. This related to the collection of data at one year refreshers and how to increase the number of graduates data was gathered about. This is crucial to DAFNE because without post-course data about graduates itâ€™s hard to show that the course really does have an effect on a graduates management of their diabetes. At many DAFNE Centres there is a large reduction in the number of graduates providing the data. A lot of discussion focused on how to address this and get the data needed.
Lunch was followed by the second workshop of the day. This focused on various studies, including the DUAGâ€™s, on what follow-up graduates wanted after the course. It seems there is quite a lot of variation in what various centres offer as follow-ups and refreshers, The ultimate conclusion of this workshop is itâ€™s still not clear what graduates want as follow-up and what the best methods of providing follow-up are. A number of options are being considered and some more research and studies will most likely be done to work out what should be offered as follow-up.
The final set of presentations focused on the results of various research studies. The first was on the DAFNE 5 x 1 day study, that was looking to compare the outcome of doing DAFNE over 5 weeks , 1 day a week rather than a 5 day course over 1 week. The result was that ultimately there is very little difference between the two courses in terms of results. The most interesting result was that in the study where you could randomly end up on either type of course all participants thought that their version of the course was the best regardless of the preference they expressed before the courses began. The second presentation looked at the type of background insulin recommended for use during and after the course and the correlation with outcomes of HbA1c. Ultimately it seems that those on twice daily background injections get better HbA1c results in the long term. The next presentation focused on people on pumps after doing DAFNE it showed that DAFNE reduced the need to go onto a pump by reducing HbA1C and the number of disabling Hypoâ€™s. Unfortunately due to train time bookings the end of this presentation and the last presentation on the next phase of DAFNE research was missed and will have to be reported when the information is released.

Aug 1, 2013

marke 681 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 681 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 1, 2013

Simon 578 posts

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

That said, if anybody does have Blackberry app building experience and wants to create an app, we'd be more than happy to have them onboard Smile

Aug 1, 2013

cargeo111 ca... 12 posts

Topic: Carbohydrate Counting / carbs

It tells you per slice is 20.8 carbs across from the carbohydrate then at per average slice 47.4 ...how much insulin for one slice ?

Aug 1, 2013

cargeo111 ca... 12 posts

Topic: Carbohydrate Counting / carbs

On Warburtons orange wrapper it says 20.8 carbs per slice but when you weigh it the carbs are more !!!

JamesW said:
What do you mean by "....bread is higher than the packet tells you....."? Do you mean a portion or slice as stated on the packet is not the same weight?

I usually look at the 100g column and then calculate the carbohydrate from that, once I know what quantity of bread/pasta/whatever I am dealing with.

Aug 1, 2013

JamesW 24 posts

Topic: Carbohydrate Counting / carbs

What do you mean by "....bread is higher than the packet tells you....."? Do you mean a portion or slice as stated on the packet is not the same weight?

I usually look at the 100g column and then calculate the carbohydrate from that, once I know what quantity of bread/pasta/whatever I am dealing with.

Aug 1, 2013

cargeo111 ca... 12 posts

Topic: Carbohydrate Counting / carbs

I have being running high lately so decided to weigh everything , bread is higher than the packet tells you also weetabix , how does everyone else judge these foods ?

Aug 1, 2013

Warwick 423 posts

Topic: Questions for HCPs / Help

Exercise does lead to hypos, especially new exercise. If you are on a pump or Levemir, then you can reduce the basal dose after exercise to try and prevent hypos. If you are on Lantus, it is a bit more tricky as Lantus doesn't really respond quickly enough to decreases to handle exercise. If you are running the same distance regularly though, your body should soon adapt, and you will find a basal rate of insulin that meets the reduced need. There will be a bit of trial and error involved though.

Aug 1, 2013

Warwick 423 posts

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

I was on 2 shots of basal insulin (Humalin) for the first 14 months after my diagnosis. It wasn't flexible, but I managed HbA1cs of around 6.5 with it by cutting out any high GI foods and exercising regularly. I think it works while the honeymoon period is present, but after that a switch to a mixture of BI and QA works better and gives much more flexibility.

Aug 4, 2013 davidcragg 17 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 681 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 681 posts	Topic: DAFNE Graduate Group (DGG) / DAFNE Collab 2013 A report on the DAFNE Collaborative held in Manchester on 14th June 2013 is available below. If you are wondering why it took so long to put it on the site, welcome to the wonderful world of the NHS, a couple of days to write then weeks and weeks to get approval for publication. Cest La Vie, hopefully it will be of interest to some of you !! Once again the DUAG was present at the DAFNE Collaborative to bring you all the news and views of what is going on in the DAFNE Programme. For those that donâ€™t know what it is, the DAFNE Collaborative is the annual event at which representatives of all DAFNE Centres, gather to receive updates on audit and research. They also attend workshops to promote best practice. The DUAG which is the user representative body on the DAFNE programme are also invited to attend the meeting.. The first set of presentations for the day were about the research database and results that have been taken from it. The first two focused largely on the data collected and how it will be used to compare centres. This will provide a means to identify which centres/areas get the best results and then to look for patterns as to why. It was clear that the initial improvements in HbA1c are not fully maintained over the longer term. This is a major concern as one of the â€˜selling pointsâ€™ of DAFNE is improved HBA1c, of course there are many other factors and things that improve after doing DAFNE but there needs to be a way to identify these so that they can be measured. Another issue identified is how to get the HbA1c of more graduates after 1 year, everyone who goes on the course has an HbA1c test just before the course and in theory another test after 1 year, however itâ€™s much harder to arrange after a year. The final presentation in the set focused on the improvements in severe hypos and DKA, these are both dramatically reduced by doing DAFNE which could present both a cost saving to the NHS and an improved quality of life for the DAFNE graduate. These are areas that have not really been emphasised in the past as the focus was largely on reductions in HbA1c. The next set of presentations were on the DAFNE HART pilot study. This was a 6 week, 1 day a week, study focused on restoring Hypo awareness based on DAFNE principles. One of the key aspects of the pilot was the psychology around hypoâ€™s, the 3 basic types of thinking about hypoâ€™s were identified and these types were highlighted during the course in an attempt to â€˜break the cycleâ€™ causing behaviours that stopped the changes needed to improve hypo awareness. The course helps participants make small changes over the length of the course and reinforces the changes to move participants in the right direction. Although this was just a pilot study with 24 participants the results showed a definite improvement in hypos and psychological measures. The last of this group of presentations was probably the most â€˜hard-hittingâ€™ of the day. It focused on the results of discussions with the partners and family members of those approached to attend the HART pilot i.e those people living with someone experiencing hypo unawareness. As a Diabetic it really made you think about what itâ€™s like to be on the â€˜outsideâ€™ of a hypo and it is not a pleasant experience. It was certainly a sobering and though provoking presentation. The first workshops of the day then occurred. This related to the collection of data at one year refreshers and how to increase the number of graduates data was gathered about. This is crucial to DAFNE because without post-course data about graduates itâ€™s hard to show that the course really does have an effect on a graduates management of their diabetes. At many DAFNE Centres there is a large reduction in the number of graduates providing the data. A lot of discussion focused on how to address this and get the data needed. Lunch was followed by the second workshop of the day. This focused on various studies, including the DUAGâ€™s, on what follow-up graduates wanted after the course. It seems there is quite a lot of variation in what various centres offer as follow-ups and refreshers, The ultimate conclusion of this workshop is itâ€™s still not clear what graduates want as follow-up and what the best methods of providing follow-up are. A number of options are being considered and some more research and studies will most likely be done to work out what should be offered as follow-up. The final set of presentations focused on the results of various research studies. The first was on the DAFNE 5 x 1 day study, that was looking to compare the outcome of doing DAFNE over 5 weeks , 1 day a week rather than a 5 day course over 1 week. The result was that ultimately there is very little difference between the two courses in terms of results. The most interesting result was that in the study where you could randomly end up on either type of course all participants thought that their version of the course was the best regardless of the preference they expressed before the courses began. The second presentation looked at the type of background insulin recommended for use during and after the course and the correlation with outcomes of HbA1c. Ultimately it seems that those on twice daily background injections get better HbA1c results in the long term. The next presentation focused on people on pumps after doing DAFNE it showed that DAFNE reduced the need to go onto a pump by reducing HbA1C and the number of disabling Hypoâ€™s. Unfortunately due to train time bookings the end of this presentation and the last presentation on the next phase of DAFNE research was missed and will have to be reported when the information is released.

Aug 1, 2013 marke 681 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 681 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??

Aug 1, 2013 Simon 578 posts	Topic: DAFNE Online Mobile / Can you download to a Blackberry That said, if anybody does have Blackberry app building experience and wants to create an app, we'd be more than happy to have them onboard

Aug 1, 2013 cargeo111 ca... 12 posts	Topic: Carbohydrate Counting / carbs It tells you per slice is 20.8 carbs across from the carbohydrate then at per average slice 47.4 ...how much insulin for one slice ?

Aug 1, 2013 cargeo111 ca... 12 posts	Topic: Carbohydrate Counting / carbs On Warburtons orange wrapper it says 20.8 carbs per slice but when you weigh it the carbs are more !!! JamesW said: What do you mean by "....bread is higher than the packet tells you....."? Do you mean a portion or slice as stated on the packet is not the same weight? I usually look at the 100g column and then calculate the carbohydrate from that, once I know what quantity of bread/pasta/whatever I am dealing with.

Aug 1, 2013 JamesW 24 posts	Topic: Carbohydrate Counting / carbs What do you mean by "....bread is higher than the packet tells you....."? Do you mean a portion or slice as stated on the packet is not the same weight? I usually look at the 100g column and then calculate the carbohydrate from that, once I know what quantity of bread/pasta/whatever I am dealing with.

Aug 1, 2013 cargeo111 ca... 12 posts	Topic: Carbohydrate Counting / carbs I have being running high lately so decided to weigh everything , bread is higher than the packet tells you also weetabix , how does everyone else judge these foods ?

Aug 1, 2013 Warwick 423 posts	Topic: Questions for HCPs / Help Exercise does lead to hypos, especially new exercise. If you are on a pump or Levemir, then you can reduce the basal dose after exercise to try and prevent hypos. If you are on Lantus, it is a bit more tricky as Lantus doesn't really respond quickly enough to decreases to handle exercise. If you are running the same distance regularly though, your body should soon adapt, and you will find a basal rate of insulin that meets the reduced need. There will be a bit of trial and error involved though.

Aug 1, 2013 Warwick 423 posts	Topic: General Discussion / A bit of escapism - some fun I was on 2 shots of basal insulin (Humalin) for the first 14 months after my diagnosis. It wasn't flexible, but I managed HbA1cs of around 6.5 with it by cutting out any high GI foods and exercising regularly. I think it works while the honeymoon period is present, but after that a switch to a mixture of BI and QA works better and gives much more flexibility.