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Jul 31, 2013
SA2010
69 posts
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Topic: General Discussion / A bit of escapism - some fun Have to be careful with what we say - last thing anyone want is a libel action...My Diabetes nurse at my GP surgery was surprised I was on two types of insulin. Thought I had some specific problem to warrant that !... I do not think education WITHIN the health service is working and it definitely is not reaching the people who must be educated or maybe communication is made but the assumption is that it is read and understood,. |
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Jul 31, 2013
Stew B
125 posts
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Saw the resident GP on BBC breakfast talking a load of tosh after the "news" about the Secretary of State came out... |
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Jul 31, 2013
youone
102 posts
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Topic: General Discussion / Background insulin (BI) A lot of people seem to be having issues with the background insulin.The recommended amounts are based on your body weight; a simple calculation can give you a starting point. Please remember if you change the BI amounts you will need to test regularly, no seriously you need to. I’ll use an example from me that I used recently. I weighted myself on a Wii My weight was 73.66 kilos or 11st 6lbs Dafne recommends you need 0.5 – 0.8 insulin per day half being for food intake the other being BI. So 73.66 x 0.5 – 0.8 is I’ll give the whole range. 1. 73.66 x 0.5 = 36.8317 / 2 = 18.41585 2. 73.66 x 0.55 = 40.51487 / 2 = 20.257435 3. 73.66 x 0.6 = 44.19804 / 2 = 22.09902 4. 73.66 x 0.65 = 47.88121 / 2 = 23.940605 5. 73.66 x 0.7 = 51.56438 / 2 = 25.78219 6. 73.66 x 0.75 = 55.24755 / 2 = 27.623775 7. 73.66 x 0.8 = 58.93072 / 2 = 29.46536 Before Dafne I was taking 40u of BI (Lantus) once a day at 5am During the course this came down to 33u which gave me a constant BG during a Carb free meal period which was from my breakfast at 5.30am until 5pm. I had a recent visit to the hospital which I was told I couldn’t eat any CP or take QA insulin for over 24hrs a long time. I had a test run 1 week before I went in, I had to stop when my BG fell from 10.2 to 4.2 during the night, the fall was too great to continue. The question I asked what caused this, with not taking any CP and QA it could only be the BI, but why? It had been steady since the Dafne course even at work, was it the DP or stress, may well be, but I’m the person who deals it facts not unknown’s, what could have changed to make the BG go low? I looked at my diary, nothing there, until my daughter said†how did the run go, you’ve lost some weight around your faceâ€. I checked my weight before Dafne it was 12st 2lb, it was now 11st 6lb, so something had changed. A quick check in the Dafne notes and on the internet, yes weight is a factor with BI amounts. You’ll note I took 33u, Looking at the table above: the closes to that was the 0.8, at 29.46. (30U). I decided to drop to 30u and keep a check on my weight; in fact I stopped running that week. The procedure went smoothly with me having small issues only. Setting your BI depends on your Body (you) that means your lifestyle over the years I.ve played about with the BI up down I’ve tried it. It’s a case if you don’t have a regularly life style it will change weekly, Dafne helps here. The above may help those who wish to find the Ideal amount quicker instead of waiting week’s when you have a changing lifestyle. It’s not perfect but it’s a good starting point. The BI is for how your body works QA is for food intake. Your comments are always welcome A good idea isn’t always perfect, but can be if discussed Regards Brian Type 1 42yrs |
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Jul 31, 2013
Vickyp
137 posts
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Topic: Questions for HCPs / Help Definately don't correct at meal after a hypo, your BGs will be high as you've taken extra cps to recover from hypo...so if you correct you are likely to go down into another hypo!Not 100% on BI reduction and exercise, so don't want to comment but there are plenty people on here that can help with that question. You've hypoed twice after meals, how accurate is your carb counting? Also you may need to reduce carb ratios...but check for a pattern before making ratio changes. |
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Jul 31, 2013
Rafa
99 posts
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Topic: Carbohydrate Counting / Cinema Popcorn. Thanks for posting this. Held off on the popcorn at the cinema last week because i didn't want to guess. Never thought of asking them to weigh it! |
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Jul 31, 2013
Rafa
99 posts
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Topic: Questions for HCPs / Help New to all this but i think i made a mistake or two already!Went for a 3 mile run last night. I was 11.3 going out and 8.5 afterwards. Had my dinner half an hour later and i was 6.6. Had 7.5 cps and qa of 5. Two hours later i was 2.4 so i took 3.5 cps and then half an hour later i was 5.0 so took my BI and went to bed. Woke up at 0630 and was 6.5 so had my 1:1 ratio. I was then 1.8 three hours later so had 5 jelly babies and i was 8.1 half an hour after that so took my BI. Then three hours later i was 3.1 and i mistakenly took 3/4 cps and then when having lunch an hour later i was 10.6 so had my lunch and corrected. Am i right in thinking i should not have corrected at all at lunch and my BI the night of exercise should be reduced? Please and thanks. |
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Jul 31, 2013
Rafa
99 posts
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Topic: General Discussion / Carbs - Rounding Up/Down & BG levels I am the higher end of the target myself so i always round up. Only finished DAFNE last week and while my bloods aren't great they are a hell of a lot better than before. I had a mild hypo before lunch and ended up taking too many cps in error and an hour later when going to have lunch i was 10.6. A bit annoyed with myself over the cps but i corrected for lunch which i think was a mistake. I suppose you live and learn. |
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Jul 31, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / Increase of Lantus/BI Simon BuistThank you for your comment & help. Garry Have a look at Wed 31/07 11.14am entry. Have I done the (QA:CP) correct? Should be 1u QA to 1 1CP (or 10g carbohydrate) |
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Jul 31, 2013
Simon Buist
1 post
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Topic: General Discussion / Increase of Lantus/BI Its too early to tell at the minute as lantus takes a few days to fully work in your system, I had the same problem a few weeks ago and had to wait 2-3 days to be absolutely sure, try having a carb free meal tomorrow and see if it has stabled your bg levels if not, then raise ur BI again |
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Jul 31, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / Increase of Lantus/BI Done!
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Jul 31, 2013
Garry
328 posts
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Topic: General Discussion / Increase of Lantus/BI Please click the blue hyperlink Message Inbox in the top right hand corner of your screen.Regards Garry |
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Jul 31, 2013
Rafa
99 posts
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Thanks for that Helen. |
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Jul 31, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / Increase of Lantus/BI I've been getting some very high readings so last night Tues 30/07 I increased BI from 18u to 22u.Do you think I've done the right thing? I know I'll have to wait three days for any changes to start taking effect and another 3 for them to settle down and take full effect. So basically it will be next Mon 05/08 before I see what it's really starting to do. |
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Jul 31, 2013
HelenP
218 posts
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Topic: General Discussion / Insulin Cooling Wallet? Just a word of warning...activate the gel after you go through all the checks at the airport. I had one zealous security officer want the gel "removed" as it was not < 100mls.I now activate it when I am through bag searches etc. A doctor's letter may also be handy. The Frio wallets are the greatest. Am I making assumptions whenever I go anywhere I go by plane! Helen |
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Jul 30, 2013
youone
102 posts
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Topic: General Discussion / Pregnancy* HiI’m not a mum or a lady, but please don’t hold that against me, I haven’t a clue on how to handle a pregnancy and I hold up my arms to you mums in admiration. I found recently with me having a spot of time in hospital that I had to adjust my BI, if you wish to read the note I put in at the end it may be of some help. Topic: (colonoscopy’s). In short I had to go a long time on free carb and QA diet 26 hours, so my BI had to be right. What’s similar to you is the weight issue, as you go longer the more weight you put on. Which affects your amount of BI insulin? In my case I had lost weight so had to reduce my BI. It’s a simple calculation you make to give you a guide line on how much you need. Hope it helps, best wishes with you and the baby. |
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Jul 30, 2013
Adrienne
14 posts
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Topic: General Discussion / Pregnancy* Hi Sam how's it going? Any improvement? I probably would suggest an increase in BI like Anele has, maybe both morning and night as you have been correcting before breakfast.Congrats on your pregnancy, I'd be interested to know how youre going as I'm thinking about having a baby soon. 
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Jul 30, 2013
Rafa
99 posts
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Thanks very much everyone. I will order one online. Thanks again. |
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Jul 29, 2013
meltow
78 posts
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+1 for Frio products |
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Jul 29, 2013
michaelj
45 posts
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Topic: General Discussion / Insulin Cooling Wallet?
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Jul 29, 2013
michaelj
45 posts
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I would echo what Simon has said about Frio wallets. Used mine driving across Death Valley in California where the temp was 45 deg C. and the insulin was kept cool enough not to be affected. |
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Jul 29, 2013
Simon
578 posts
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Topic: General Discussion / Insulin Cooling Wallet? Rafa,I'd definitely recommend a Frio wallet - I've used them in hot countries since I was diagnosed and they're great. All you need to do it activate them in water then top up the water every couple of days: http://www.friouk.com/shop.aspx Simon |
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Jul 29, 2013
Rafa
99 posts
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Topic: General Discussion / Insulin Cooling Wallet? Hi,Just finished the DAFNE course last week so new to the site. I am heading away on my holidays soon and am looking to find something that will keep my insulin cool when i am out and about. Could anyone advise on this please? Thanks |
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Jul 29, 2013
youone
102 posts
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Topic: Carbohydrate Counting / colonscopys
thanks again Helen just a quick note on what I did to prepare for the long CP free period, the longest I've ever been. Read up on BI what to take. I think we all find getting the BI just right is very hard even me with the period of years I've been a type 1. I decided to do a test run I take 33 units of BI lantus once a day Test was no CP or QA after 1pm on day 1 Monday until 3pm Tuesday day 2 total 26hours. my BG was constant between 9.2 10.6 on day 1 I started with a higher BG to avoid Hypos . 5am on Day 2 my BG was 4.2 a drop of 6.4 I stopped here and corrected ( a difference of 6.4 is to great to continue without looking at my BI amount) The way I check was this My BMI weight had always been around 12 stone, I knew weight affects the amount of BI you need so I checked this, Since I started going for a run it had dropped to 11st 6lbs or 73,6 kgs using the calculation that you need a total of 0.5 - 0.8 units of insulin per kilogram of body weight with half for food intake and half is the basal rate. I did some quick sums and found that I should be taking 29.46 units of BI. I reduced the units taken on the Day of the procedure from 33 to 30 and had no issues, in fact I had a BG of 6.8 1hour before I went in, so decided to take 150ml of fresh orange to increase it by 1 CP 3 units of BG. The hospital had asked that I was above 7mmol when the nurse tested me I was 10,3. Dafne really helped on this occasion giving me less stress. hope this helps others. The loss of some weight was the factor that gave me the low BG ,another factor we should take into account when our BG's aren't what we expect. I also checked what if I was my ideal weight which is 9st 8lbs or 62.23 kg which is my target I would need 24.89 or 25 units of BI which matches Dafne 1unit for 1 hour ( seems I need 0.8 ) the top of the scale Brian type 1 42 yrs |