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15,721 posts found
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Jul 4, 2013
SA2010
69 posts
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Topic: Site Development / Regular email with synopsis of all changes: posts, news, handbook updates etc... HiI presume this is not feasible ! |
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Jul 4, 2013
youone
102 posts
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Topic: Questions for HCPs / insulin
I would use either your lunch or dinner meal as a carb free meal,I wouldn't do more than 1 meal at a time The method I would use is this Day 1 use the lunch meal, making sure its more than two hours after and 4 hours before your dose of BI Note BG at the start if its higher than 13 leave until another day, Try and act as normal as possible, I mean normal activities don't just sit and do nothing, Its pointless having a BI level that's not suitable to your normal day activities. This will give a guide for your morning BI,its only a guide. Then try the evening meal which is more difficult, you have a lot more to watch since it will effect your morning BG If you have a partner explain to them what your doing and why,also what to do if something happens. Have some fun and get them involved by them having the same meal,I find a very large bacon and tomato omelette fills the hungry space. Make sure you test and note in which direction your BG is moving Regards Brian Type1 42 yrs |
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Jul 4, 2013
SA2010
69 posts
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Topic: General Discussion / Higher CP value meal - Should higher than normal QA doses be split? I have mentioned before that maybe QA:CP ratios break down at certain levels of CPs. Or may be when the QA dose is high (relative to the normal dose) it acts much faster than the CPs ??I have just had an unexpected drop in BG to 3.7 mmol/l just over an hour after dinner. The only differences about this meal and QA dose from my norm were: * Time since previous meal and QA dose was 5 hours exactly (I normally have more than 5 hour break - to be 100% sure no residual QA still in action) * The QA dose was over 10u. My normal QA dose for dinner is between 7u and 9u most of the time. I cannot this time say it was the cycling in the afternoon - because I had such activity on the previous 2 days and the issue did not arise then, I am wondering now that a QA dose of 10.5u (10u+0.5u correction) for me has dropped the BG faster than the 11 CPs I had for dinner. Previous evening's meal was 9.5 CPs wih QA of 8.5u. Similar meal - difference was today there was 1 CP of Quince Paste/Jelly and 1.5 CPs of Oatcakes compared to 1 CP of Blueberry pancake yesterday. Rest of the meal the same as yesterday. Please have a look at the diary and tell me what you think BI = Lantus, QA = Novorapid Thanks Edit: Added bedtime BG to diary. 14.7 mmol/l Repeated the test and it was 15.1 in the other hand !!!! My theory now is that the 10.5u QA at 19:00 went woosh and got all used up within the first 2 hours leaving the CPs with no QA left. There is no other explanation. Fault in Novorapid action? Known issue? Can happen?? Despite DAFNE rules I have applied some QA correction at bedtime. Only 1u - surely DAFNE rules on correction on spike after hypo needs to have some limits. |
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Jul 4, 2013
SA2010
69 posts
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Topic: General Discussion / Lantus Prefilled Pen I had a Solostar Lantus Pen jam in February 2011. Talked to Sanofi and they asked for me to send it back to them. I did not ask to be informed of the outcome so do not know what they discovered. But that was more than 2 years ago so they should have fixed the source of that issue by nowMy reminder for reordering is set at 450 units left (ie pen and a half) so I allow myself one spare pen at all times. Probably needs to be more. Whilst on holiday I had a novorapid pen fill cartridge fall on the floor (ceramic floor tiles) and the glass cracked and started to leak. I stopped using it - worrying about the dose or minute glass bits - so I was one penfill down and no spares till back in the uk. |
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Jul 4, 2013
SA2010
69 posts
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Topic: General Discussion / Another reason to avoid hospitals Just to add to this from experiences - I think it goes beyond diabetes.I was in a daze for days whilst in hospital and it was due to the Tramadol they put on after an operation. It was only when my son who happens to be a Doctor said that it is not right and cannot just due to my op that we decided to check all medications and then asked for the Tramadol to be stopped that I came back to life. So the experts do not always know what they are doing and at weekends the pain team were not visiting the wards - so the risks go higher then Smon |
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Jul 4, 2013
cargeo111 ca...
12 posts
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Topic: Questions for HCPs / insulin Hi i want to make sure my back ground insulin is holding me steady will i have carbohydrate free meals all day ? |
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Jul 4, 2013
novorapidboi26
1,816 posts
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Topic: Questions for HCPs / insulin 11.2 before breakfast definitely needs a correction.........say your target is 5.5mmol/l and your correction factor is 2.5mmol for every unit...... you want to come down 5.7mmol, therefore 5.7/2.5 = 2.3 units of correction, so 2 units...... which ties in with youones calculation that you needed 2 more units..... make sure your correcting properly before you make any dose changing bg records...... |
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Jul 4, 2013
youone
102 posts
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Topic: Questions for HCPs / insulin
Hi If you counted the 2 weetabix + the milk as 4CP and matched with 4QA that would be a ratio of 1:1 Your BG was 13.4 6 above my target of 7 Ie 2 units of QA I would of changed the ratio to 1:1.5 giving you 6 units of QA Which would bring you down to 6.4 Most type 1 usually have a higher ratio at breakfast Of course this is only 1 test result, |
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Jul 4, 2013
cargeo111 ca...
12 posts
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Topic: Questions for HCPs / insulin after my meal i was sitting at 11.2 before should have taking 1 for correction maybe
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Jul 4, 2013
novorapidboi26
1,816 posts
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Topic: Questions for HCPs / insulin 4 units sounds about right, and your insulin should be on the way out by now, if not completely expired.....have the same again tomorrow, see what happens.......you may need a ratio change..... do you inject before or after you have eaten....? |
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Jul 4, 2013
cargeo111 ca...
12 posts
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Topic: Questions for HCPs / insulin Thank you , i had two weetabix with milk at 10.30 took 4 units still sitting at 13.4
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Jul 4, 2013
novorapidboi26
1,816 posts
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Topic: Questions for HCPs / insulin you would only maybe be looking at 5g of carbs, depending on the milk amount, but no more than 10g [1unit] for it.......but there are carbs in milk, so it should be counted, as part of a meal at least...... |
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Jul 4, 2013
cargeo111 ca...
12 posts
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Topic: Questions for HCPs / insulin Hi do you cover milk with insulin in your cereal? |
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Jul 4, 2013
Garry
328 posts
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Topic: Questions for HCPs / exercise My BGs just go down after an hours swimming. Running...knees are a bit too old for that now...but energetic cycling and my bloods can rocket up - like you.Would follow Warwick's advice. Strikes me that he is very clued up from lots of experience. But as he said, you will need experiment and find out what works for you personally. Accurate record keeping is so important though to help you understand what works effectively. Regards Garry |
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Jul 3, 2013
Kittycat789
10 posts
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Topic: Questions for HCPs / exercise Hi Gary sorry for the delay i swim and run get high readings after both |
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Jul 3, 2013
novorapidboi26
1,816 posts
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Topic: Questions for HCPs / Figures muddle me!!! the basic rule for carb counting is that 1 unit is needed for every 10 grams of carbohydrate.....this can change later on as you fine tune your doses.......Because your saying you can go low without the carbs, or even with a small increase in activity, this would suggest the background doses may be out, too much in your case...... So getting the BI tested as soon as possible is critical......... Have you managed to do the tests yet? |
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Jul 3, 2013
Warwick
430 posts
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Topic: Questions for HCPs / exercise You can correct, but if you do, take BG readings at regular intervals afterwards. It is common to have a high reading following exercise, especially for competitive sport or anaerobic exercise, but often the BGs will drop naturally afterwards and hypos are more likely than prolonged high readings.If I finished above 15, then I'd inject about half of what I'd inject if I hadn't exercised, but below 15 it always seems to sort itself out within an hour. Feel free to experiment yourself by taking readings an hour apart afterwards and see what your trends are. |
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Jul 3, 2013
Warwick
430 posts
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Topic: General Discussion / Increasing Lantus (BI) Ketones below 0.5 are fine. Ketones between 0.5-1.5 are something to keep an eye on, and ketones over 1.5 = get to hospital immediately.Just correct with QA for the high readings, and if you are correcting all of the time, then bump up your BI by 10% until the illness passes. |
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Jul 3, 2013
JayBee
582 posts
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Topic: General Discussion / New vaccine! Should we get our hopes up?
In most cases it is expense. You'll end up using a lot more test strips on a CGM than a regular meter because of the continuous nature of the device. Last time I asked about one they made it quite clear they only give you one for one week to help clear the picture when you're having great difficulty - but that is my health team's opinion. With DAFNE though, we should be able to get a good picture with our meters... |
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Jul 2, 2013
youone
102 posts
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Topic: General Discussion / New change to DVLA driving guide April 2013
Hi Garry I must admit I was living in the sticks,I didn't, know until my Dafne course back in March although it is something I've always done before I drive, the only difference being I set the level at 5.8, the reason for that goes back to one of my previous consultants hammering away that my BG should be 5.8,it just stuck with me
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Jul 2, 2013
youone
102 posts
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Topic: General Discussion / Increasing Lantus (BI) HiNot to go off topic, reading the previous posts regarding the split of the BI into two, I would note background insulin BI has a lag before it takes affect.this is the reason like me many people are higher BG after breakfast. My ratio for breakfast is 2:1 then it changes to 1:1 for the rest of the day,I'm only on 1 inject of BI, I,m only mentioning this since being on this site I've noticed a lot of unexplained high BG in the late evenings with people on the split then lows in the morning or hypos. Its only my opinion but with the lag of the BI people are on the wrong ratio which makes them high there then correct thinking it will level out, but then the BI kicks in giving a confusing morning BG, which then makes people adjust BI. Could be wrong since i'm only on 1 injection with the single lag to contend with. On being I'll, don't knock yourself out, 10 or 13 when your I'll is acceptable, the highs are giving ketone which is normal since you aren't taking enough insulin both QA and BI. The Dafne sick day guide points you to the correct path to take with the correct amount of insulin, which depends on TDD, you'll notice on your Dose adjustment diary at the bottom of each page, what I do is every two weeks add up the TDD and note it. So when I was I'll last month the information is at hand to use the Dafne sick day guide, it took two weeks before I was back to my targets but it fell from 13 then to 10 then slowly to 7,I was very I'll the first week to conclude the highs are expected its just your body saying come on your not doing much activities so let's increase your insulin, when you start getting back to normal you need less Hope this helps Type 1 40 yrs |
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Jul 2, 2013
Garry
328 posts
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Topic: Questions for HCPs / exercise How strenuous is your exercise?Regards Garry |
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Jul 2, 2013
Kittycat789
10 posts
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Topic: Questions for HCPs / exercise Hi just wandering if any one can help if i get a bg in target before exercise but have a high reading afterwards, should i use corrective? |
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Jul 2, 2013
Lynda_2
10 posts
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Topic: General Discussion / Increasing Lantus (BI) I have been sick this weekend could not eat for two day. I kept testing and my reads were around 10 or 13 each time. I took two units after each test but reads stayed about the same. As I could not eat I was frightened to take to much. Last night I tested for ketones it showed a trace. It is the first time I have had ketones. Now eating and injecting do you think this will sort out soon? Wood like to hear from someone. Regards Lynda |
