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Aug 1, 2013
marke 686 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 425 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 425 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.
 
Jul 31, 2013
SA2010 69 posts

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,.
 
Jul 31, 2013
Stew B 125 posts

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

Saw the resident GP on BBC breakfast talking a load of tosh after the "news" about the Secretary of State came out...
 
Jul 31, 2013
youone 102 posts

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 face”.
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




 
Jul 31, 2013
Vickyp 137 posts

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.
 
Jul 31, 2013
Rafa 99 posts

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!
 
Jul 31, 2013
Rafa 99 posts

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.
 
Jul 31, 2013
Rafa 99 posts

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.
 
Jul 31, 2013
mum2westiesGill 502 posts

Topic: General Discussion / Increase of Lantus/BI

Simon Buist
Thank 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)