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May 14, 2013
carol
3 posts
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Topic: General Discussion / Freestyle InsuLinx Meter I always listen to my body! If it says "eat", I eat, even though my meter is saying I am fine. Better to be a bit high than way too low.I use a OneTouch Ultra 2 meter but am thinking of changing because there are smaller meters and this meter takes more blood than other ones. Have you ever used the GlucoMen LX? I was given it a few years ago. I know nothing about it, though. Carol |
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May 14, 2013
Sam Lucas
2 posts
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Topic: General Discussion / Travel Insurance Travel Insurance is important to understand, since like health insurance coverage, the customer may be refused coverage. Many insurance companies will offer a surplus of coverage for individuals and families. The company will consider few aspects of the policyholder, by reviewing the risk factors involved.cruckley caravan insurance |
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May 13, 2013
kay70mea
6 posts
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Topic: General Discussion / bosses Hi Everyone,Has anyone had their bosses say to them that because you are reporting bullying in the workplace, it's because there is a link between having Diabetes Type 1 and schizophrenia and bi-polar, and also it may be that you are having marital problems, Please anyone reply, |
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May 13, 2013
lmanyimo
4 posts
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Topic: General Discussion / Freestyle glucose strips Hi SamThanks a lot but my meter is optium so I won't be able to use them Lois |
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May 13, 2013
Sam Lucas
2 posts
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Topic: General Discussion / Caravan towing? Caravan accessories can compliment your purchase of your caravan or motorhome, and there are some basic accessories that will really help your journey to be as stress-free and enjoyable as possible.static caravan insurance |
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May 12, 2013
youone
102 posts
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Topic: DAFNE Online Mobile / iBGStar Sorry bit off topicThe common place now for smart phones is here, why don't the manufactures of BG meters catch up what a tool that would be. Phone, BG meter, and all the other things great tool come on lets have more 
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May 12, 2013
youone
102 posts
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Topic: DAFNE Online Mobile / Thinking of upgrading iphone 3GS to a Galaxy. Anyone got any views on this?
I also love the app works great also vey useful when your out and about, anyone got a IPhone 4S just the BI meter looks cool on there?
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May 12, 2013
youone
102 posts
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Topic: Carbohydrate Counting / Scales I got these recently seem okhttp://www.amazon.co.uk/gp/product/B00682KI4W |
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May 12, 2013
youone
102 posts
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Topic: General Discussion / Dealing with large carb meals
It would seem they don't want to change anything until your on the pump, lets look forward to you been under better control ,I know its not nice, please just watch then BG tests until your put on the pump. post up your dairy on another topic people will have a better view of your stats from day to day BG readings keep us all posted the BG reading of 15+ at lunch what was your ratio and amounts of QA breakfast CP QA ? I think like this The QA insulin is for what you eat (CP's) The BI is for how your body works |
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May 12, 2013
youone
102 posts
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Topic: General Discussion / Dealing with large carb meals Hi GariAt a normal meal I have a method which matches Dafne to the maximum A large carb meal dose not, it’s been turned over many years to suit me. Although since my Dafne course I've re tuned it using the Dafne methods. What I'm going to write may seem long and what's the point, but it’s the only to clarify what I do, they'll be calculations and so on things that I'm use to and do on auto now I apologize for this I don't want people to think going for a meal is a combat exercise. I have a good BI insulin control I can go 6 hours without a carb meal longer but I've never tried this and my BI stays within 1 on the meter Meal time is 7pm I took a test at 5pm it was 7.2 say 7 I do a 2 hour test before the meal to see if my BI is constant [this is from my diving years] At the table my BG is 7 it’s slightly higher but I round down My ratio is 1:1 [1 QA = 1CP]. I calculate the CPS to be 27 I've used an odd number [Using the Dafne ratio 2 to 3]. The calculation I use is 27 CP's would increase my BG between 54[2] and 81[3] if I didn't take any QA. After the 4 to 5 hour period I want my BG to 7 to 9 The 7 would be ideal the 9 or higher would be where I correct. My aim is to do a 3 way split If I divided the 54 / 3 = 18 If I divided the 81 / 3 = 27 I will work from here on the higher limit since I match the higher number 81 That is for every 1 CP I eat my BG goes up 3 When you take 1 injection at the meal end of 27 you would expect after the absorption period of 4 to 5 hours your BG would be 7 (true Dafne, regards to when you inject QA) I will split the 27 like this for this meal Time is 7.30pm After the starter I would inject 8 to 10 I'll call it 8 After the main course I would inject 10 Total 18 [so far, noted]. Note the time its 8.30pm. At 9pm the sweet comes it’s more than I estimated from the menu I'll say 3 more That means I'm now looking at 30 CP not 27 I've taken 18/12 short [note] I then inject the other 9 that means I expect a correction for the 3 [noted]. Time is 9.30pm Two hours have passed. At 12pm “what should my BG beâ€, should I take 1 now? I decide to do 1 at 12.30pm. The 1st QA was 8 at 7.30. That’s longer than the absorption period. All been used. S/UP 24 The 2nd QA was 10 at 8.30. That matches the absorption period all used. S/UP 30 The 3rd QA was at 9.30. That’s less than the absorption period? But its 2 hours after the 1st so I would expect from my experience that 1/2 has been used. [9/2 = 4.5 QA used.] Round up. [28/2 = 14 BG absorb.] Absorption in total = 24 + 30 + 14 BG's total 68 Taking the 81/BG from above - the 68/BG absorbed = 13/BG still left (note this) Because were still in the 1:1 ratio QA that is 1unit QA = 1 CP [Note 1 CP = 2 to 3 BG] My BG should read 20 [7 + 13]. It does so that idea of the sweet being more was incorrect A high number but you've still got the 4 to 5 QA working [note]. Which is 12 to 15 BG? I would expect by another two hours I would be close to 9 then level off at 7 You will see from where I’ve put a [note] that I have 5 QA still in the system which if I’m working to the higher number would bring me down to a 5 BG, yet I have only 13 BG to absorb. The calculation isn’t perfect but as you go higher in your CP intake you’ll see this insulin acts with other things in your body. I’m cautious here about corrections I would leave it if it’s like this and correct in the morning if needed. Seeing high BG number scares some Type 1’s, but if you understand what’s happened and know what you’ve eaten, also the amounts you’ve matched with, from experience you know to wait. I will add here I don’t normally have meals this size in CP’s I usually only reach about 20 CP’s when I have a pizza or other large CP meals I’m not a large eater. A normal meal for me is between 6 and 12 CP where I would split by 2 on the 12. Notes. We know QA has a 15min delay in starting to work. The split method mirrors a drip feeding system into your body. I feel better after a large CP meal. I enjoy a large CP meal. The BG of 20 after the 4 to 5 hour absorption period isn’t 7 to 9 But it will be from the last injection at 9.30pm Some people would say what’s the point. Let’s not forget the meal is to enjoy and also have a good next day with no or only very small corrections, from experience the BG of 20 would be 7 after all the QA is absorb which is about around the 3pm mark it may take a little longer on a meal of 27 CP a lot in anyone’s book. |
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May 12, 2013
taniahealy
9 posts
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My dafne nurse hasn't really said a lot about the lantus, I think she is just waiting for me to have the pump. I'm on novo rapid quick acting insulin and have only taken 9 units altogether today. 3 of that was a correction. Have really had enough with changing my dose of lantus all the time, surely after 4 weeks I should be getting it right by now.I used to do 1 dose of lantus before but the nurse suggested I change to 2, to try and helP with the dp. |
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May 12, 2013
Gari
17 posts
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I would also like to just say my original thread question was not really looking for advice to eat out. It was just looking at high carb meals. Thanks |
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May 12, 2013
Gari
17 posts
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Hi youone sorry for assuming you were a she. So can i just clarify. I believe i am similar to u in that the most QA i can give is about 10iu. So if you were eating a meal of 18iu you would give 10 at the start and 8 at the 2 hour mark. If the meal however was 29 you would give 10, 10 and then at the 4 hour mark give the other 9iu. Or at the 4 hour mark do your test and give however many units at this stage to bring yourself into range. Eg at the 4 hour mark you are 10mmols u would give 1iu. If you could clarify that would be great. Gari |
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May 12, 2013
youone
102 posts
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Topic: General Discussion / Dealing with large carb meals
Well I never seen that 43 lantus In the morning and a 2nd in the evening gives you a total of 51 during the 24 hrs and you eat very little. What did the Dafne nurse say on your course? All I can say for 5 years I was told to take 1 injection of 40 lantus I also have some blame for this, just didn't,t understand how it worked Now its down to 30 so just above the 1 to 1 ratio and below 1.5 Have you considered removing the 2nd evening injection of BI Do you take a QA insulin if so what type? I,m 52 I,he never gone above 12 stone ,most type 1 who are in good control that's no peaks and drops are slim and with exercise are fit, I was a sports diver the underwater type for 15years I found I had only small issues mainly other divers been unfit  Its a shame you don't,t enjoy food remember you can eat all the salid you want I have many carb free meals without injecting QA insulin because I know that if my BG is 7 it will stay 7 Of course when at work my ratios change to what I do Out of interest I would like to know what your Dafne nurse said about the 43 + 8 lantus I never seen that amount given by a consultant |
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May 12, 2013
taniahealy
9 posts
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Topic: General Discussion / Dealing with large carb meals Sorry didn't explain myself properly. I took 43 lantus this morning, checked my blood at 12 before lunch and it was 15.3, guessed I would be higher cos I reduced my lantus last night. Will probably be high all day. If I am then will increase my am lantus tomorrow. Seem to need loads throughout the day.I've only been eating breakfast and lunch cos I'm trying to keep my weight down. The think like a pancreas book I will Definately send for. If it gives good info with regards to the pump and dp. Both I need to learn about a bit more. Only now keeping good control of my diabetes so only now really aware of how much dp affects me. |
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May 12, 2013
youone
102 posts
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Topic: General Discussion / Dealing with large carb meals
Hi Trying to picture what's going on, you said you don't,t normally have CP meals after lunch, any reason for this? I would look at why your high during the day, if you thing your ratio is correct and your rising that would point to your am BI been to low I would consider increasing that from 7 to 10 since you need to be aggressive with lantus Because its day time you can watch your BG better Since your BG is falling during the night to dangerous levels (mild hypo) I would be very concerned if mine fell below 5.5 I would reduce the evening BG to 5 if it was me, but I must stress I know my test levels Because your BG levels may be high to begin with don't look upon this as failed your trying to get to a level where you remove the high peaks and low hypo drops a constituency level which then can be adjusted to your required target. We all start high at the start That would give you a 7am BI of 10 7pm BI of 5 But not knowing why you don't,t eat after lunch is a missing important factor so I give advice on not all the information that's something I dislike please if you change anything test and record The pump looks like the best option for us at the moment the dawn phenomenon does play tricks that can distract your concentration I feel for you Keep us posted |
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May 12, 2013
Warwick
423 posts
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Topic: General Discussion / Dealing with large carb meals Ideally you only want a 1.5 drop or rise in before bed and before breakfast readings, but dawn phenomenon can make that REALLY difficult to achieve.You may well find that this is actually impossible to achieve without having a hypo during the night, and therefore the pump will hopefully help that. Injections have their place, but the pump certainly gives better flexibility than injections. I'm on injections myself, but as far as I can tell, I am unaffected by dawn phenomenon, so 90% of the time, my BGs are within the ranges I want them to be. If I was having trouble with dawn phenomenon though, then a pump would certainly be something I was considering. There are a range of short-acting, regular and basal insulins available, and it is possible to find a combination that suits you, but if you are going to be on a pump by the end of July anyway, then it is probably best just to try and manage as best you can with your current knowledge and then get used to managing with your pump. In terms of whether you should reduce your basal tonight, it does seem like a large drop, so I think that a decrease is indicated (although if you have dropped it already in the last day or two, then best to wait a few days to see if a pattern emerges). But definitely do a 3 am too, because if you find that your BGs rise too much with dawn phenomenon, then until you get the pump, you probably need to work out which is worse for you - high BGs from DP, or low BGs from taking enough basal to handle DP. The book "Think Like a Pancreas" by Gary Scheiner is a good resource and discusses ways to combat DP if you decide to stick with injections, although a large part of the book covers pumps too so is valuable for both injectors and pumpers. All the best with it. |
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May 12, 2013
taniahealy
9 posts
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Forgot to mention. I'm going onto the pump because I have real bad dawn phenomenon, I go up from the time I wake till about lunch time, if I woke with a bs of 5 then didn't do any insulin, then by lunch I would probably be reaching 30. ( no exaggeration). When I get up between 6 and half past, I have my porridge straight away and do my insulin at a ratio of 2:1 this way I'm ok by lunch. It's a real pain, good job I enjoy my breakfast. |
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May 12, 2013
taniahealy
9 posts
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I always take my lantus 7 and 7. Last night I took 8 units and was 12.2 at 10:30. When I got up 6:15am which I normally do. I was 4:8. This was a result for me. The first time I haven't had a hypo during the night for over a week. Did set my alarm for 3am but was too lazy to get up. Do you think I should reduce my pm lantus again tonight, cos there was still a drop. I don't normally eat after lunch so am wondering if this is also making me drop through the night. Really appreciate everyone's reply's. It's good to talk with people who have been in the same boat.I was running at 10 all day yesterday, so going to increase my lantus this morning. |
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May 11, 2013
youone
102 posts
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Topic: General Discussion / Dealing with large carb meals
What times do you take your Lantus? I have seen some people that where put on Lantus with times that over lapped leaving a red zone that had no BI cover I,E My understanding and I'm not a expert, I go by experience Lantus is there for 24hr cover, so if you take 1st dose at say 7am you would take the 2nd at 7pm giving 12hrs cover for each if for discussion you took 1 at 7am and the 2nd at 5pm you would over lap losing 2 hours in the morning the readings you give are good, but 1 set of readings is meaningless, you would need at lest 2 days to see if a pattern was there. I don't want to say from what you've given, but if you where 8 before bed took no QA or CP went down to 6.2 at 3am, this would point to your Lantus is to high or over lapping. the time you take the Lantus would give a better judgement. your BG went up to 8 when you woke, what time? to me if it goes up it could mean the simple thing that your BI is not enough, but I will wait until you give the times you take your Lantus too many times I've seen BI increased by un train diabetic nurses which cause Type 1's to hypo. when a change in their time of taking the BI is the better option. again chat to a trained Dafne nurse, avoid nurses who have been appointed for a GP clinic, unless their trained My GP nurse that runs the diabetic clinic got her information from the GPs books from her UNI days in 1979 I'm different I take 1 injection of Lantus to cover the 24hrs keep testing while you change and if your increasing test more to give yourself a good guide to weather your BG is going up or down, remember don't correct with the QA until 4 to 5 hours after you've taken it. I find to many Type 1's aim for the holy grail (4.5 to 6 ) BG to crash to the ground and give up, if its in the high 6 to 8's but constant that's good you then can fine tune yourself and gain confidence. off topic what's the reason your changing to the pump? myself the way I split the QA is just like drip feeding from a pump and of course I've been injecting since I was 11 I'm now 52 so if anyone wants to do the maths 4 times a day for the last 41 years, I guess its a lot 
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May 11, 2013
Vickyp
137 posts
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Topic: DAFNE Online Mobile / Thinking of upgrading iphone 3GS to a Galaxy. Anyone got any views on this? I havent upgraded but have a galaxy s3 and love the DAFNE app...works brilliantly! |
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May 11, 2013
Jude
4 posts
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Topic: DAFNE Online Mobile / Thinking of upgrading iphone 3GS to a Galaxy. Anyone got any views on this? I've had my iphone 3gs for about 3 years now and am a bit fed up with its relative slowness and the bizarre things that itunes makes me do. My better half has a Galaxy 3 which seems much better, and now the Galaxy 4 is out and very tempting. In relation to managing your diabetes using the DAFNE app (which is fantastic!) can anyone comment on their own experience making an upgrade? |
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May 11, 2013
taniahealy
9 posts
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I always use 4mm needles and weigh 9 stone at 5"4. |