Recent Posts - DAFNE Online

Jul 2, 2013

youone 102 posts

Topic: General Discussion / Increasing Lantus (BI)

Hi
Not 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

Jul 2, 2013

Garry 328 posts

Topic: Questions ? / exercise

How strenuous is your exercise?
Regards
Garry

Jul 2, 2013

Kittycat789 10 posts

Topic: Questions ? / 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?

Jul 2, 2013

Lynda_2 10 posts

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

Jul 2, 2013

Garry 328 posts

Topic: General Discussion / New change to DVLA driving guide April 2013

Thanks for that. I'm afraid I hadn't noticed the text there.
Reading the documents provided by the links shows me that I was completely unaware of the guidance pdf. Embarassed

I last reapplied for my licence in 2010 and was not supplied with any guidance notes to use alongside the DIAB1 form.
Thank You youone
Regards
Garry

Jul 2, 2013

Garry 328 posts

Topic: General Discussion / Another reason to avoid hospitals

Wouldn't dream of trusting anyone else to look after my BGs. You must be in personal control of your BGs whilst in hospital.
We unfortunately hear of far too many incidents.
Many medical staff think they know what they are doing....but when you question them, they are readily able to demonstrate their complete lack of understanding of even the basic principles - never mind how to keep you stable.
Never leave control to them.
Regards
Garry

Jul 2, 2013

JayBee 582 posts

Topic: General Discussion / New change to DVLA driving guide April 2013

http://dafneonline.co.uk/news

Oooo, that is good. Smile

Jul 2, 2013

JayBee 582 posts

Topic: General Discussion / Another reason to avoid hospitals

This does not surprise me in the slightest and makes me feel quite sick. I had to make issue of looking after myself last time I was in hospital and I feared for a loved one with Type 2. He sadly passed away... I find it difficult to talk about because there seemed to be a lot of misleading around his case.

Jul 1, 2013

Sam 64 posts

Topic: General Discussion / Pregnancy*

Thanks Anele. I'm just trying to get ahead of the game. I was to go for the pump on the 15/7 and I was being a bit lazy and not looking at my results. Now I'm pregnant I'm freaking ever so slighly and wished I'd just stayed on top of them from the start. I'll see them next week I was just interested in what other mums to be had gone through!
Fingers crossed Razz

Jul 1, 2013

Anele46 108 posts

Topic: General Discussion / Pregnancy*

Hi Sam,
Congratulations on your pregnancy Smile

From your diary entries, most of them point to maybe an increase in your morning BI as you are often correcting at every meal prior to your evening BI.

Thankfully during my pregnancy my insulin requirements didn't change much but every pregnancy every different.

Can your DSN not offer any assistance? I would have thought given you are diabetic and your previous history they would or should I say should be keeping a close eye on you and you BGs etc.

I wish you all the very best Sam Smile

Cheers,
Anele.

Jul 1, 2013

Sam 64 posts

Topic: General Discussion / Pregnancy*

Calling all Ladies!

My BGs are all over the place. I've increased my breakfast ratio and that seems to be bringing me into target (except for the hypo - I was out shopping) I suffer from the DP so unless I get up at 5am to take a correction I will run high in the morning. I've included my diary - suggestions welcome.
I was due to go on the pump but that's out the window for now!

I'm curious as to what other mums to be have done and how you coped. I had a misscarriage a couple of months ago and this is my second pregnancy. I'm only 6 weeks so it's very early days.
I've got an apt in a few weeks to see the Obs Consultant.

Feel free to repsond to this post or pm me

Thanks
Sam Smile

Jul 1, 2013

youone 102 posts

Topic: General Discussion / New change to DVLA driving guide April 2013

If you haven't noticed on the front page of this site, DVLA have changed the guide to testing your BG,
I'll add it's for the better

Type 1 diabetic ~ 42 years

Jul 1, 2013

HelenP 218 posts

Topic: General Discussion / Another reason to avoid hospitals

I am on a pump and got a blood infection whilst travelling overseas. Arrived back in Brisbane with BGs (6 ish) but feeling very sick. Rang an ambulance and was admitted immediately to hospital. On the second day full of antibiotics and feeling much better, decided to take a shower, took off the pump and left it on the bedside table. Fear of dropping it on the tiles and the usual practice at home. Came out of the shower and the pump was gone! Major panic. Asked the geriatric I was sharing a room with if she had seen anybody near by bed...only the nurse. Took me over an hour to get it back as I was not supposed to have insulin as it was not on my drug list. A note on the admission sheet said I had an insulin pump in situ but did not specify I could have insulin in it!

Doctor very apologetic. Patient dumbstruck!

Jul 1, 2013

eelong 3 posts

Topic: General Discussion / interesting lecture on dietary recommendations over the last 50-60 years

Check out the following link for some interesting ideas/concepts regarding dietary advice. The concluding points from this lecture have particular relevance to diabetics!

http://www.youtube.com/watch?feature=player_embedded&v=5IYVIdztWWs&list=PLJHP-Y-w4v319kDSCIKBr53nCsgY34fhy

Tim Noakes, director of the UCT/Medical Research Council (MRC) Research Unit for Exercise Science and Sports Medicine and Discovery Health professor of exercise and sports science shares his views during the "The Great Centenary Debate" at the University of Cape Town's Faculty of Health Sciences. The debate was a showdown between Noakes and Dr Jacques Rossouw on the topic "Cholesterol is not an important factor for heart disease and current dietary recommendations do even more harm than good."

Posted by Tom Longbottom
BSc (Hons.) Exercise and Sport Science
Personal Trainer

Type 1 Diabetic ~4yrs

Jun 30, 2013

julienne 1 post

Topic: DAFNE Online Mobile / App alarm

I love this app, it is the simplest and most reliable app out there for recording my readings. However, there was an app I was using previously that allowed an alarm to set for post meal testing and I am seriously missing that facility. Is this anything that is likely to be added soon?

I could use the app on my phone but invariably I forget (either I am ditzy or a busy mum with three kids) and what was nice before was once I added a pre-meal reading I would automatically get an alarm.

thanks

julienne

Jun 30, 2013

Nettie 7 posts

Topic: General Discussion / Lantus Prefilled Pen

Hi, I always take spares after being stranded in Corfu during the dust storm caused by the volcano in Iceland. I had just enough but it was very worrying for me at the time. You can't be too careful!

Jun 30, 2013

Nettie 7 posts

Topic: General Discussion / Changing Injection sites

Hi, I don't have an order. I usually do thighs and stomach. Perhaps I should think about a plan. By the way isn't DAFNE great. Very Happy

Jun 30, 2013

MaryJC 10 posts

Topic: Questions ? / Figures muddle me!!!

I've always been a compulsive over eater. I binge eat. Since being diagnosed I am much better but I still crave the carbs. If I don't eat regular I do have hypos. Sometimes I'm as low as 2 mm ol. I find these rather scary as I live alone and I don't always have warning signs. Just going for a walk can make me hypo so I overcompensate with the carbs because I don't know how to juggle my insulin. If I eat regular and stay sedentary I'm ok. Not good for the weight though. Lol
I also find all the different advice confusing. The clinic tell me to have carbs with every meal and never to skip meals. I'm getting good with working out how many carbs and how much insulin. But to me they are just numbers that don't mean anything. I've been reading everything I can find so am much better informed now. It's the correcting and juggling and looking for patterns that I don't seem to get. I've always been a 'words' person and not good with numbers at all.

Jun 30, 2013

novorapidboi26 1,818 posts

Topic: Questions ? / Figures muddle me!!!

Thats exactly right...

I Usually go for meat, cheese or egg meals....although for complete accuracy your best just missing the meal altogether. ...

its difficult for most but thats why its good its only down now and again....

do you think you will go hypo if you go carb free or is it just a hunger thing...

Its

Jun 30, 2013

Stew B 123 posts

Topic: General Discussion / Apps

Nice one - thanks googs!

Stew

Jun 30, 2013

Stew B 123 posts

Topic: General Discussion / pump therapy to reduce hypos?

Hi Richard
I had (for me) an unsuccessful pump attempt last year (see my post on this thread: http://www.dafneonline.co.uk/forums/1/topics/1903 ). However, the one aspect that the pump did help with was to reduce the number of hypos I was experiencing.

Stew

Jun 30, 2013

MaryJC 10 posts

Topic: Questions ? / Figures muddle me!!!

Thank you very much. I will try tomorrow for carb free meals. But I will be honest and admit I have never been able to go without carbs. I have trouble just trying to keep them lower than normal.
Am I right in thinking then, that the basal insulin keeps my blood sugar stable and the bolus only covers what I have just eaten. Does that sum it up?

Jun 29, 2013

novorapidboi26 1,818 posts

Topic: Questions ? / Figures muddle me!!!

when DAFNE is started you learn that the background dose is the most critical.......its the foundation.........so for you the 9 in the morning and the 9 before bed.........

you will need to test these doses by having carb free meals, this will tell you what the current dose of 9 is actually doing..........it should be holding your blood sugar steady from one meal time to the next......

Its also taught to obtain 3 consecutive days results in order to make accurate conclusions about what is happening........

these 2 background doses will need to be adjusted and correct before any real evaluation of the bolus/mealtime insulin doses can be done....

it seems as though your ratios are really low, so you need not a lot of insulin, this may be the case, but it may also be that your background doses are too much........

I hope that made sense........basically you need to get some background test results down on paper........

Welcome to the forum Mary......... Smile

Jun 29, 2013

novorapidboi26 1,818 posts

Topic: General Discussion / pump therapy to reduce hypos?

I never had a problem with hypos as such but the pump has changed my diabetes for the better.........much more efficient use of the insulin and therefore less is used....

pumps are able to deliver much smaller doses and therefore will reduce hypos significantly.........

the CGM is a good device to have with a pump, but I don't know of many who use one permanently, ideally they are used to ascertain certain blood sugar pattern, especially overnight, which will then allow critical dose changes to basal rates to be made........having it all the time isn't really practical or cheap I suppose.........some exceptional circumstances may warrant it, but for the majority it would, in my opinion make you lazy.......

Do you drive..........?

I ask because you had paramedics phoned for a 2.6........this is low but can be treated normally............more than 2 paramedic events would mean your license would be revoked........did you feel you were not able to deal with the hypo....... seeing as there were no symptoms.......

Jul 2, 2013 youone 102 posts	Topic: General Discussion / Increasing Lantus (BI) Hi Not 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

Jul 2, 2013 Garry 328 posts	Topic: Questions ? / exercise How strenuous is your exercise? Regards Garry

Jul 2, 2013 Kittycat789 10 posts	Topic: Questions ? / 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?

Jul 2, 2013 Lynda_2 10 posts	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

Jul 2, 2013 Garry 328 posts	Topic: General Discussion / New change to DVLA driving guide April 2013 Thanks for that. I'm afraid I hadn't noticed the text there. Reading the documents provided by the links shows me that I was completely unaware of the guidance pdf. I last reapplied for my licence in 2010 and was not supplied with any guidance notes to use alongside the DIAB1 form. Thank You youone Regards Garry

Jul 2, 2013 Garry 328 posts	Topic: General Discussion / Another reason to avoid hospitals Wouldn't dream of trusting anyone else to look after my BGs. You must be in personal control of your BGs whilst in hospital. We unfortunately hear of far too many incidents. Many medical staff think they know what they are doing....but when you question them, they are readily able to demonstrate their complete lack of understanding of even the basic principles - never mind how to keep you stable. Never leave control to them. Regards Garry

Jul 2, 2013 JayBee 582 posts	Topic: General Discussion / New change to DVLA driving guide April 2013 http://dafneonline.co.uk/news Oooo, that is good.

Jul 2, 2013 JayBee 582 posts	Topic: General Discussion / Another reason to avoid hospitals This does not surprise me in the slightest and makes me feel quite sick. I had to make issue of looking after myself last time I was in hospital and I feared for a loved one with Type 2. He sadly passed away... I find it difficult to talk about because there seemed to be a lot of misleading around his case.

Jul 1, 2013 Sam 64 posts	Topic: General Discussion / Pregnancy* Thanks Anele. I'm just trying to get ahead of the game. I was to go for the pump on the 15/7 and I was being a bit lazy and not looking at my results. Now I'm pregnant I'm freaking ever so slighly and wished I'd just stayed on top of them from the start. I'll see them next week I was just interested in what other mums to be had gone through! Fingers crossed

Jul 1, 2013 Anele46 108 posts	Topic: General Discussion / Pregnancy* Hi Sam, Congratulations on your pregnancy From your diary entries, most of them point to maybe an increase in your morning BI as you are often correcting at every meal prior to your evening BI. Thankfully during my pregnancy my insulin requirements didn't change much but every pregnancy every different. Can your DSN not offer any assistance? I would have thought given you are diabetic and your previous history they would or should I say should be keeping a close eye on you and you BGs etc. I wish you all the very best Sam Cheers, Anele.

Jul 1, 2013 Sam 64 posts	Topic: General Discussion / Pregnancy* Calling all Ladies! My BGs are all over the place. I've increased my breakfast ratio and that seems to be bringing me into target (except for the hypo - I was out shopping) I suffer from the DP so unless I get up at 5am to take a correction I will run high in the morning. I've included my diary - suggestions welcome. I was due to go on the pump but that's out the window for now! I'm curious as to what other mums to be have done and how you coped. I had a misscarriage a couple of months ago and this is my second pregnancy. I'm only 6 weeks so it's very early days. I've got an apt in a few weeks to see the Obs Consultant. Feel free to repsond to this post or pm me Thanks Sam

Jul 1, 2013 youone 102 posts	Topic: General Discussion / New change to DVLA driving guide April 2013 If you haven't noticed on the front page of this site, DVLA have changed the guide to testing your BG, I'll add it's for the better Type 1 diabetic ~ 42 years

Jul 1, 2013 HelenP 218 posts	Topic: General Discussion / Another reason to avoid hospitals I am on a pump and got a blood infection whilst travelling overseas. Arrived back in Brisbane with BGs (6 ish) but feeling very sick. Rang an ambulance and was admitted immediately to hospital. On the second day full of antibiotics and feeling much better, decided to take a shower, took off the pump and left it on the bedside table. Fear of dropping it on the tiles and the usual practice at home. Came out of the shower and the pump was gone! Major panic. Asked the geriatric I was sharing a room with if she had seen anybody near by bed...only the nurse. Took me over an hour to get it back as I was not supposed to have insulin as it was not on my drug list. A note on the admission sheet said I had an insulin pump in situ but did not specify I could have insulin in it! Doctor very apologetic. Patient dumbstruck!

Jul 1, 2013 eelong 3 posts	Topic: General Discussion / interesting lecture on dietary recommendations over the last 50-60 years Check out the following link for some interesting ideas/concepts regarding dietary advice. The concluding points from this lecture have particular relevance to diabetics! http://www.youtube.com/watch?feature=player_embedded&v=5IYVIdztWWs&list=PLJHP-Y-w4v319kDSCIKBr53nCsgY34fhy Tim Noakes, director of the UCT/Medical Research Council (MRC) Research Unit for Exercise Science and Sports Medicine and Discovery Health professor of exercise and sports science shares his views during the "The Great Centenary Debate" at the University of Cape Town's Faculty of Health Sciences. The debate was a showdown between Noakes and Dr Jacques Rossouw on the topic "Cholesterol is not an important factor for heart disease and current dietary recommendations do even more harm than good." Posted by Tom Longbottom BSc (Hons.) Exercise and Sport Science Personal Trainer Type 1 Diabetic ~4yrs

Jun 30, 2013 julienne 1 post	Topic: DAFNE Online Mobile / App alarm I love this app, it is the simplest and most reliable app out there for recording my readings. However, there was an app I was using previously that allowed an alarm to set for post meal testing and I am seriously missing that facility. Is this anything that is likely to be added soon? I could use the app on my phone but invariably I forget (either I am ditzy or a busy mum with three kids) and what was nice before was once I added a pre-meal reading I would automatically get an alarm. thanks julienne

Jun 30, 2013 Nettie 7 posts	Topic: General Discussion / Lantus Prefilled Pen Hi, I always take spares after being stranded in Corfu during the dust storm caused by the volcano in Iceland. I had just enough but it was very worrying for me at the time. You can't be too careful!

Jun 30, 2013 Nettie 7 posts	Topic: General Discussion / Changing Injection sites Hi, I don't have an order. I usually do thighs and stomach. Perhaps I should think about a plan. By the way isn't DAFNE great.

Jun 30, 2013 MaryJC 10 posts	Topic: Questions ? / Figures muddle me!!! I've always been a compulsive over eater. I binge eat. Since being diagnosed I am much better but I still crave the carbs. If I don't eat regular I do have hypos. Sometimes I'm as low as 2 mm ol. I find these rather scary as I live alone and I don't always have warning signs. Just going for a walk can make me hypo so I overcompensate with the carbs because I don't know how to juggle my insulin. If I eat regular and stay sedentary I'm ok. Not good for the weight though. Lol I also find all the different advice confusing. The clinic tell me to have carbs with every meal and never to skip meals. I'm getting good with working out how many carbs and how much insulin. But to me they are just numbers that don't mean anything. I've been reading everything I can find so am much better informed now. It's the correcting and juggling and looking for patterns that I don't seem to get. I've always been a 'words' person and not good with numbers at all.

Jun 30, 2013 novorapidboi26 1,818 posts	Topic: Questions ? / Figures muddle me!!! Thats exactly right... I Usually go for meat, cheese or egg meals....although for complete accuracy your best just missing the meal altogether. ... its difficult for most but thats why its good its only down now and again.... do you think you will go hypo if you go carb free or is it just a hunger thing... Its

Jun 30, 2013 Stew B 123 posts	Topic: General Discussion / Apps Nice one - thanks googs! Stew

Jun 30, 2013 Stew B 123 posts	Topic: General Discussion / pump therapy to reduce hypos? Hi Richard I had (for me) an unsuccessful pump attempt last year (see my post on this thread: http://www.dafneonline.co.uk/forums/1/topics/1903 ). However, the one aspect that the pump did help with was to reduce the number of hypos I was experiencing. Stew

Jun 30, 2013 MaryJC 10 posts	Topic: Questions ? / Figures muddle me!!! Thank you very much. I will try tomorrow for carb free meals. But I will be honest and admit I have never been able to go without carbs. I have trouble just trying to keep them lower than normal. Am I right in thinking then, that the basal insulin keeps my blood sugar stable and the bolus only covers what I have just eaten. Does that sum it up?

Jun 29, 2013 novorapidboi26 1,818 posts	Topic: Questions ? / Figures muddle me!!! when DAFNE is started you learn that the background dose is the most critical.......its the foundation.........so for you the 9 in the morning and the 9 before bed......... you will need to test these doses by having carb free meals, this will tell you what the current dose of 9 is actually doing..........it should be holding your blood sugar steady from one meal time to the next...... Its also taught to obtain 3 consecutive days results in order to make accurate conclusions about what is happening........ these 2 background doses will need to be adjusted and correct before any real evaluation of the bolus/mealtime insulin doses can be done.... it seems as though your ratios are really low, so you need not a lot of insulin, this may be the case, but it may also be that your background doses are too much........ I hope that made sense........basically you need to get some background test results down on paper........ Welcome to the forum Mary.........

Jun 29, 2013 novorapidboi26 1,818 posts	Topic: General Discussion / pump therapy to reduce hypos? I never had a problem with hypos as such but the pump has changed my diabetes for the better.........much more efficient use of the insulin and therefore less is used.... pumps are able to deliver much smaller doses and therefore will reduce hypos significantly......... the CGM is a good device to have with a pump, but I don't know of many who use one permanently, ideally they are used to ascertain certain blood sugar pattern, especially overnight, which will then allow critical dose changes to basal rates to be made........having it all the time isn't really practical or cheap I suppose.........some exceptional circumstances may warrant it, but for the majority it would, in my opinion make you lazy....... Do you drive..........? I ask because you had paramedics phoned for a 2.6........this is low but can be treated normally............more than 2 paramedic events would mean your license would be revoked........did you feel you were not able to deal with the hypo....... seeing as there were no symptoms.......