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Aug 1, 2013
Simon 574 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 430 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 430 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 123 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 135 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)
 
Jul 31, 2013
Simon Buist 1 post

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
 
Jul 31, 2013
mum2westiesGill 502 posts

Topic: General Discussion / Increase of Lantus/BI

Done! Very Happy
 
Jul 31, 2013
Garry 328 posts

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
 
Jul 31, 2013
Rafa 99 posts

Topic: General Discussion / Insulin Cooling Wallet?

Thanks for that Helen.
 
Jul 31, 2013
mum2westiesGill 502 posts

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.
 
Jul 31, 2013
HelenP 218 posts

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
 
Jul 30, 2013
youone 102 posts

Topic: General Discussion / Pregnancy*

Hi
I’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.
 
Jul 30, 2013
Adrienne 14 posts

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.
Smile
 
Jul 30, 2013
Rafa 99 posts

Topic: General Discussion / Insulin Cooling Wallet?

Thanks very much everyone. I will order one online. Thanks again.