Recent Posts - DAFNE Online

May 28, 2013

Alan 49 284 posts

Topic: General Discussion / NHS Medication Changes: Are you affected?

I contacted PALS (as Mark suggested) but they said they were 'not able to comment about CCG Policies and Procedures'. So I contacted the DAFNE team in Maidstone Hospital and they faxed a letter they had sent my GP earlier in the year, saying that the ketone blood-testing strips should be made available to me. So hopefully, the problem is solved - thanks for everybody's help.

May 28, 2013

john m 15 posts

Topic: General Discussion / high and lows

1) qa novo rapid bl lantus
2) ihave spoken to my diabetes nurse and explained what is happening in the morning she said its possible i have got something called dawn phenomenon as my body starts to wake up in the morning it is releasing glucose even if i didnt have a hypo during the night i checked my bg at 3am and it was 11.4 going to increase my bl to 10 tonight and see what happens Question

May 28, 2013

Vickyp 137 posts

Topic: General Discussion / Optium Xceed meter renewal

I got an extra meter when I called them for control solution so I had a spare. .at their suggestion!

May 28, 2013

Vickyp 137 posts

Topic: Questions for HCPs / insulin pump

Not sure om availability, my consultant recommended the medtronic..but I am against the limitations of the tubing with access to controls and wearing dresses, added to teaching teenagers etc so requested the omnipod and he said yes! Very Happy

Will post how I get on, hopefully it will solve my issues with insulin sensitivity

May 28, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / insulin pump

The Omnipid, wow!!

Are these widely available where you are............

I would love to to get one of these, only been on the pump less than 6 months and the tubing really isn't a problem, but no tubing would open up more entry sites......

Cant wait to hear your thoughts........... Wink

May 28, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Subscribing to a Topic

Don't think you have access to that information......

It could probably be set up though....

May 28, 2013

George Thomson 2 posts

Topic: Questions for HCPs / Chia seed

As a long distance runner it was suggested by a friend that I try taking Chia seed as a supplement. The product has improved my performance and recovery time after serious exercise significantly after only three weeks but.......
As a type 1 diabetic of many years standing my sugar levels are generally well controlled but after starting taking Chia seed at the suggested dosage of 2 tablespoons with breakfast things have started changing. On a normal morning I run 5-6 miles after breakfast or once a week something longer (20 miles) whereas before after the shorter runs I would expect blood readings of 6-9 I am now getting 15-20. On a long run I generally check after about 90 minutes and expect about 4-7 (a good excuse for an energy bar) but now my sugar is still sky high and will stay that way until the end. I've tried missing the seed and things go back to normal for that day but I am loth to take mega insulin doses just in case or give the stuff up because of the improvement to, in particular my recovery time (after 20miles I feel I could do the same thing that afternoon). After a high lunch dose things are back to normal by mid afternoon. Advice please.
George Thomson

May 28, 2013

Anele46 109 posts

Topic: General Discussion / Optium Xceed meter renewal

Hi everyone,
Just to say I called Abbot a while ago to get a replacement battery for my Optium Xceed and as I could no longer read the serial number on the back they issued me with a new one (Optium Freestyle). They advised this was a design fault and the Freestyle meters have a new serial number and bar code sticker that will not fade through time.
I also mentioned I had a spare Xceed meter in my car which I don't need to use very often and thankfully I told them about it as it also needed replacing as would not have the update for no longer needing to be coded.
So I ended up getting two new meters and also two new finger prickers (Blue in colour) which are much better than the black and white one that comes as standard with the meter as I find it is less painful.

Just a thought for anyonme out there that my have an old Xceed meter (older than 2 years or so).

Hope this helps Very Happy

Cheers,
Anele.

May 28, 2013

Garry 328 posts

Topic: General Discussion / NHS Medication Changes: Are you affected?

Abbot renamed the meter as a rebranding exercise a while ago. Think they call it the same throughout the world now.
Regards
Garry

May 28, 2013

Warwick 423 posts

Topic: General Discussion / high and lows

There is an awful lot of correction going on during the morning. That tends to indicate that BI is too low, however you then tend to go low in the afternoons around 4 hours after taking QA so unless you are on a non-standard QA, that indicates the BI is too high. Confused yet? Laughing

Can you please answer the following?

1) Can you tell us a bit about what BI and QA insulin you are on?

2) In the afternoons, do you exercise, or do an activity that requires lots of blood sugar such as concentrating? If so, when you do this activity, can you please note it in the diary?

There are a few variables to work out here.

First is the correct BI dosage because if that isn't correct, then everything else becomes too hard to calculate. It gets a little tricky because of your split dose, but I'm not against split doses - I do it myself - but may need a little work to identify the correct BIs.

Second will be to work out your QA ratios which probably aren't too far off what you are already using, but a bit hard to tell with all of the corrections.

Third will be to work out what your correction doses are - how far do you drop when you have the correct BI and you take 1 unit of QA.

Post your results in a couple of days and let's see if the BI increase has helped things. Once we get the BI right, we can work on the others.

May 27, 2013

john m 15 posts

Topic: General Discussion / high and lows

ok i will try that thanks for all your help i will post the results in a few days time Smile

May 27, 2013

Vickyp 137 posts

Topic: General Discussion / high and lows

It may be worthwhile doing a test at 230/3am to see what's going on, as nighttime hypos can cause the morning highs! Would be best to do this for a few days before increasing bi, to check for pattern first.

May 27, 2013

john m 15 posts

Topic: General Discussion / high and lows

if i dont take insulin when i wake up my bg will be 20+ iam taking insulin to try and keep it n range my bg is still high at b/fast even after a large adjustment the diabectic nurse on the dafne course deduced my night time bl from 10 -8 because of a hypo during the night im going to put it back up to see what happens

May 27, 2013

Vickyp 137 posts

Topic: General Discussion / high and lows

Is there a reason you are taking QA if no carbs and you're within target..eg. Today, there is no need to correct, which can then lead to hypo! Also some of your corrections appear very high!

May 27, 2013

john m 15 posts

Topic: General Discussion / high and lows

hi there my problem is that when i wake up 4 work at 5am i check my bg make an adjustment but do not have any carbs yet when i check my bg before brekfast between 8-930 ti is rising can anyone help

May 27, 2013

mum2westiesGill 502 posts

Topic: General Discussion / Subscribing to a Topic

Hi,

When you subscribe to a certain topic how/where can you find a list of the ones you're subscribed to?

May 27, 2013

Vickyp 137 posts

Topic: General Discussion / NHS Medication Changes: Are you affected?

As far as am aware the optium screed is same as freestyle optium. Glucose strips are in blue foil (box of 50) and ketone in purple foil (box of 10). Would defo follow up with GP! I get 200 glucose strips at a time but only 10 ketone strips. Haven't really needed to use them so don't order a lot.

May 27, 2013

Alan 49 284 posts

Topic: General Discussion / NHS Medication Changes: Are you affected?

Thanks for all your suggestions - I will definitely follow this up.

I am slightly confused about a couple of things: The meter I was given is an Optium Xceed (manufactured by Abbott) - everybody seems to be referring to 'Freestyle' meters - are they different? The other thing is that I was referring to Ketone test-strips not glucose test-strips, which might be cheaper.

May 27, 2013

Warwick 423 posts

Topic: Questions for HCPs / ACCURATE BG READINGS

Hey Nettie,

Feel free to post your diary to the forum and we can then make some suggestions to help you out. Also, let us know what insulins you are on and whether you are on a single daily BI dose or more.

Cheers,
Warwick.

May 26, 2013

Vickyp 137 posts

Topic: Questions for HCPs / insulin pump

I get my pump training next Friday...am getting the omnipod Smile

May 26, 2013

Nettie 7 posts

Topic: Questions for HCPs / ACCURATE BG READINGS

I have just finished a DAFNE course. I really enjoyed it but my levels have been high. I increased
my BI but I have put it up again because it is mostly in the morning. I am not going to snack and see how I go on. Confused

May 26, 2013

Garry 328 posts

Topic: General Discussion / NHS Medication Changes: Are you affected?

Sorry I was talking about Ketone strips before. They are about Â£32 for 10.
I do not have any problem with my surgery, who now give me 250 strips of normal BG type per prescription.
I sat with the doctor to ensure he matched up my whole prescription to save me time.
As marke mentioned 50 strips were around Â£32 before, but in this competitive world they have probably reduced the price now.
Regards
Garry

May 26, 2013

mum2westiesGill 502 posts

Topic: General Discussion / My BG (Trending) Diary - All Comments Welcomed

Wed 22/05 - Fri 24/05

Can anybody see if there are any trends in this block I am missing?

Also am I entering the carbs correctly:
Fri 24/05 at 11.45 I had 35g cho and as you can see I've entered this as 3.5
at 15.09 I had 48g cho and as you can see I've entered this as 4.8

I feel as though I'm stuck in a rut at the moment ie even though I'm testing when I should ie fasting, before meals and before bed also watching BG levels I'm not making any adjustments.

May 26, 2013

mum2westiesGill 502 posts

Topic: General Discussion / My BG (Trending) Diary - All Comments Welcomed

Sun 19/05 - Tue 21/05

Can anybody see if there are any trends in this block I am missing?


May 28, 2013 Alan 49 284 posts	Topic: General Discussion / NHS Medication Changes: Are you affected? I contacted PALS (as Mark suggested) but they said they were 'not able to comment about CCG Policies and Procedures'. So I contacted the DAFNE team in Maidstone Hospital and they faxed a letter they had sent my GP earlier in the year, saying that the ketone blood-testing strips should be made available to me. So hopefully, the problem is solved - thanks for everybody's help.

May 28, 2013 john m 15 posts	Topic: General Discussion / high and lows 1) qa novo rapid bl lantus 2) ihave spoken to my diabetes nurse and explained what is happening in the morning she said its possible i have got something called dawn phenomenon as my body starts to wake up in the morning it is releasing glucose even if i didnt have a hypo during the night i checked my bg at 3am and it was 11.4 going to increase my bl to 10 tonight and see what happens

May 28, 2013 Vickyp 137 posts	Topic: General Discussion / Optium Xceed meter renewal I got an extra meter when I called them for control solution so I had a spare. .at their suggestion!

May 28, 2013 Vickyp 137 posts	Topic: Questions for HCPs / insulin pump Not sure om availability, my consultant recommended the medtronic..but I am against the limitations of the tubing with access to controls and wearing dresses, added to teaching teenagers etc so requested the omnipod and he said yes! Will post how I get on, hopefully it will solve my issues with insulin sensitivity

May 28, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / insulin pump The Omnipid, wow!! Are these widely available where you are............ I would love to to get one of these, only been on the pump less than 6 months and the tubing really isn't a problem, but no tubing would open up more entry sites...... Cant wait to hear your thoughts...........

May 28, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Subscribing to a Topic Don't think you have access to that information...... It could probably be set up though....

May 28, 2013 George Thomson 2 posts	Topic: Questions for HCPs / Chia seed As a long distance runner it was suggested by a friend that I try taking Chia seed as a supplement. The product has improved my performance and recovery time after serious exercise significantly after only three weeks but....... As a type 1 diabetic of many years standing my sugar levels are generally well controlled but after starting taking Chia seed at the suggested dosage of 2 tablespoons with breakfast things have started changing. On a normal morning I run 5-6 miles after breakfast or once a week something longer (20 miles) whereas before after the shorter runs I would expect blood readings of 6-9 I am now getting 15-20. On a long run I generally check after about 90 minutes and expect about 4-7 (a good excuse for an energy bar) but now my sugar is still sky high and will stay that way until the end. I've tried missing the seed and things go back to normal for that day but I am loth to take mega insulin doses just in case or give the stuff up because of the improvement to, in particular my recovery time (after 20miles I feel I could do the same thing that afternoon). After a high lunch dose things are back to normal by mid afternoon. Advice please. George Thomson

May 28, 2013 Anele46 109 posts	Topic: General Discussion / Optium Xceed meter renewal Hi everyone, Just to say I called Abbot a while ago to get a replacement battery for my Optium Xceed and as I could no longer read the serial number on the back they issued me with a new one (Optium Freestyle). They advised this was a design fault and the Freestyle meters have a new serial number and bar code sticker that will not fade through time. I also mentioned I had a spare Xceed meter in my car which I don't need to use very often and thankfully I told them about it as it also needed replacing as would not have the update for no longer needing to be coded. So I ended up getting two new meters and also two new finger prickers (Blue in colour) which are much better than the black and white one that comes as standard with the meter as I find it is less painful. Just a thought for anyonme out there that my have an old Xceed meter (older than 2 years or so). Hope this helps Cheers, Anele.

May 28, 2013 Garry 328 posts	Topic: General Discussion / NHS Medication Changes: Are you affected? Abbot renamed the meter as a rebranding exercise a while ago. Think they call it the same throughout the world now. Regards Garry

May 28, 2013 Warwick 423 posts	Topic: General Discussion / high and lows There is an awful lot of correction going on during the morning. That tends to indicate that BI is too low, however you then tend to go low in the afternoons around 4 hours after taking QA so unless you are on a non-standard QA, that indicates the BI is too high. Confused yet? Can you please answer the following? 1) Can you tell us a bit about what BI and QA insulin you are on? 2) In the afternoons, do you exercise, or do an activity that requires lots of blood sugar such as concentrating? If so, when you do this activity, can you please note it in the diary? There are a few variables to work out here. First is the correct BI dosage because if that isn't correct, then everything else becomes too hard to calculate. It gets a little tricky because of your split dose, but I'm not against split doses - I do it myself - but may need a little work to identify the correct BIs. Second will be to work out your QA ratios which probably aren't too far off what you are already using, but a bit hard to tell with all of the corrections. Third will be to work out what your correction doses are - how far do you drop when you have the correct BI and you take 1 unit of QA. Post your results in a couple of days and let's see if the BI increase has helped things. Once we get the BI right, we can work on the others.

May 27, 2013 john m 15 posts	Topic: General Discussion / high and lows ok i will try that thanks for all your help i will post the results in a few days time

May 27, 2013 Vickyp 137 posts	Topic: General Discussion / high and lows It may be worthwhile doing a test at 230/3am to see what's going on, as nighttime hypos can cause the morning highs! Would be best to do this for a few days before increasing bi, to check for pattern first.

May 27, 2013 john m 15 posts	Topic: General Discussion / high and lows if i dont take insulin when i wake up my bg will be 20+ iam taking insulin to try and keep it n range my bg is still high at b/fast even after a large adjustment the diabectic nurse on the dafne course deduced my night time bl from 10 -8 because of a hypo during the night im going to put it back up to see what happens

May 27, 2013 Vickyp 137 posts	Topic: General Discussion / high and lows Is there a reason you are taking QA if no carbs and you're within target..eg. Today, there is no need to correct, which can then lead to hypo! Also some of your corrections appear very high!

May 27, 2013 john m 15 posts	Topic: General Discussion / high and lows hi there my problem is that when i wake up 4 work at 5am i check my bg make an adjustment but do not have any carbs yet when i check my bg before brekfast between 8-930 ti is rising can anyone help

May 27, 2013 mum2westiesGill 502 posts	Topic: General Discussion / Subscribing to a Topic Hi, When you subscribe to a certain topic how/where can you find a list of the ones you're subscribed to?

May 27, 2013 Vickyp 137 posts	Topic: General Discussion / NHS Medication Changes: Are you affected? As far as am aware the optium screed is same as freestyle optium. Glucose strips are in blue foil (box of 50) and ketone in purple foil (box of 10). Would defo follow up with GP! I get 200 glucose strips at a time but only 10 ketone strips. Haven't really needed to use them so don't order a lot.

May 27, 2013 Alan 49 284 posts	Topic: General Discussion / NHS Medication Changes: Are you affected? Thanks for all your suggestions - I will definitely follow this up. I am slightly confused about a couple of things: The meter I was given is an Optium Xceed (manufactured by Abbott) - everybody seems to be referring to 'Freestyle' meters - are they different? The other thing is that I was referring to Ketone test-strips not glucose test-strips, which might be cheaper.

May 27, 2013 Warwick 423 posts	Topic: Questions for HCPs / ACCURATE BG READINGS Hey Nettie, Feel free to post your diary to the forum and we can then make some suggestions to help you out. Also, let us know what insulins you are on and whether you are on a single daily BI dose or more. Cheers, Warwick.

May 26, 2013 Vickyp 137 posts	Topic: Questions for HCPs / insulin pump I get my pump training next Friday...am getting the omnipod

May 26, 2013 Nettie 7 posts	Topic: Questions for HCPs / ACCURATE BG READINGS I have just finished a DAFNE course. I really enjoyed it but my levels have been high. I increased my BI but I have put it up again because it is mostly in the morning. I am not going to snack and see how I go on.

May 26, 2013 Garry 328 posts	Topic: General Discussion / NHS Medication Changes: Are you affected? Sorry I was talking about Ketone strips before. They are about Â£32 for 10. I do not have any problem with my surgery, who now give me 250 strips of normal BG type per prescription. I sat with the doctor to ensure he matched up my whole prescription to save me time. As marke mentioned 50 strips were around Â£32 before, but in this competitive world they have probably reduced the price now. Regards Garry

May 26, 2013 mum2westiesGill 502 posts	Topic: General Discussion / My BG (Trending) Diary - All Comments Welcomed Wed 22/05 - Fri 24/05 Can anybody see if there are any trends in this block I am missing? Also am I entering the carbs correctly: Fri 24/05 at 11.45 I had 35g cho and as you can see I've entered this as 3.5 at 15.09 I had 48g cho and as you can see I've entered this as 4.8 I feel as though I'm stuck in a rut at the moment ie even though I'm testing when I should ie fasting, before meals and before bed also watching BG levels I'm not making any adjustments.

May 26, 2013 mum2westiesGill 502 posts	Topic: General Discussion / My BG (Trending) Diary - All Comments Welcomed Sun 19/05 - Tue 21/05 Can anybody see if there are any trends in this block I am missing?