Recent Posts

Search the DAFNE Online Forums

15,751 posts found

May 15, 2013
kay70mea 6 posts

Topic: General Discussion / bosses

Hi Everyone,

Thanks for the support from everyone who has answered the above topic............ very much appreciated Very Happy if anyone else have any comments please feel free,

Kay70mea.
 
May 15, 2013
Warwick 434 posts

Topic: General Discussion / Exercise

I agree with edwards002 that getting fitter does tend to reduce the number of hypos after exercise. However, getting fitter also makes us more sensitive to insulin, so it can be a 2-edged sword.

I have absolutely no idea, sorry, on how the removal of a pancreas would affect insulin sensitivity.

The only thing I can suggest is more regular testing after exercise until you get an idea of when you are trending low, and can compensate with a couple of CPs.
 
May 14, 2013
Frank.M 5 posts

Topic: General Discussion / Freestyle InsuLinx Meter

This is useful information. Apparently Freestyle InsuLinx is not the only meter with a problem, Lifescan One-Touch Verio IQ meters in UK/Ireland are also being recalled. Until deciding I will use my old Freestyle Freedom and continue to be higher than some recommend when driving. Thank you.
Frank
 
May 14, 2013
kay70mea 6 posts

Topic: General Discussion / bosses

Hi novorapidboi26,
He said it to be undermining, he also said that we are prone to have mental illnesses and that they are well and truly deep in the brain and that we as diabetics wouldn't have a clue.............................................................
And YES it was said because I have reported the bully...........................................................
And he keeps on phoning me at home to make sure that I will turn up to meetings that no-one else knows about, this does not fill me with a good feeling as we well know we have a lot to deal with everyday as it is, it just seems that some have the wrong idea about us diabetics still............................................
 
May 14, 2013
edwards002 2 posts

Topic: General Discussion / Exercise

SA2010 said:
Thank you Edward and Thank you Warwick

In answer to your points: My cycling and exercise is never planned and so cannot really address by QA bolus changes, I know that whilst the weather is good I would try to cycle to local shops or local park. My cycling is not intense. Leisurely and other cyclists do pass me !

But I seem to be very sensitive to little activity and also very touchy with minute adjustments to lantus dose.

I have not cycled for a while because I had a number of operations over the last three years - the last of which in June to fix an incisional hernia caused by the other ops. I got the bike out a week or so ago as the weather turned round.

I am adding a few more days to the BG diary with this post to show my failed attempts to deal with it. Because the impact was delayed I decided reducing Lantus was the answer but then had very high BG level I have not had before as you can see for the entry on the 6th May. It followed a hypo but surely a rebound would not go that high - 17.1. I repeated the test and got 14.9. It shows the accuracy of the meters ! Today I went back to the previous level of Lantus as 1u reduction seemed to make such a difference - I suppose with my low BI dose (3+6 reduced to 2+6, a 1u is significant percentage).

Today no cycling and no other activity and BG level back to normal levels. I do not know how to tackle this. Very sensitive to insulin - maybe without a pancreas my diabetes behaves different from others - or is just very touchy and sensitive to insulin levels? Exercise impact could be because I am not fit. I used to go the gym before the operations in 2010.



Dear SA2010 and Garry,
sorry it has taken me a bit of time to get back to the forum and I see much water has passed under the bridge so to speak.
Garry makes some good points wrt hand cleanliness and dryness. I must confess to being somewhat "microbiologically-disgusting". So hand washing tends to get a raw deal when it comes to blood testing. Garry is correct, though, in so far as this factor could disturb the precision of your results. I got told not to squeeze my finger in order to encourage blood drop formation when last at my dafne refresher course.
So, many factors come in to play.
If your (SA2010) slow-acting insulin dosage (Lantus?) has been serving you well, then best not to mess with it.
Getting a secure base-line is the foundation for good treatment of Diabetes.
This would mean that your QA insulin with meal prior to exercise is the key to hypo-avoidance.
I had found -30%reduction of QA with meal good for everyday exercise.
I mentioned that I thought I might need -50% reduction of my QA for severe exercise.
Interestingly, the result of my first test showed that my adrenaline response (flight or fight) took over and my blood glucose values increased and ketones started to be generated with the severe exercise (Shock, horror!).
On the next occasion I shall have to try a -40% reduction of my QA instead, since -50% was clearly over-doing it a bit.
Dosage adjustment is touchy feely stuff.
You (SA2010) mentioned that you used to exercise but operations and recovery therefrom have held you back. It is perfectly understandable that you will be sensitive to the effects of exercise. This sensitivity will reduce as you get fitter. Keep working away at it and I am sure your initial reservations will melt away.
 
May 14, 2013
novorapidboi26 1,818 posts

Topic: DAFNE Online Mobile / Thinking of upgrading iphone 3GS to a Galaxy. Anyone got any views on this?

i have an iphone 4 and the app is great............

i think upgrading to either the s3 or s4 will be an extremely positive and noticeable difference..........

Smile
 
May 14, 2013
novorapidboi26 1,818 posts

Topic: General Discussion / bosses

no for me..........

in what context as this said to you..........?

was your boss trying to undermine your bullying claim by giving alternatives to why you are feeling this way..........? If yes, then he/she is a complete arseh0le........

it may just of been normal conversation if you have a good relationship with your boss........
 
May 14, 2013
Pepsi 8 posts

Topic: General Discussion / Travel Insurance

Hi
I used Carole Nash, i had to ring their medical cover team, but it was £197.00 for 2 of us for a year covering the states and touring on a motorbike.
 
May 14, 2013
carol 3 posts

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
 
May 14, 2013
Sam Lucas 2 posts

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
 
May 13, 2013
kay70mea 6 posts

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,
 
May 13, 2013
lmanyimo 4 posts

Topic: General Discussion / Freestyle glucose strips

Hi Sam
Thanks a lot but my meter is optium so I won't be able to use them
Lois
 
May 13, 2013
Sam Lucas 2 posts

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
 
May 12, 2013
youone 102 posts

Topic: DAFNE Online Mobile / iBGStar

Sorry bit off topic
The 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 Very Happy
 
May 12, 2013
youone 102 posts

Topic: DAFNE Online Mobile / Thinking of upgrading iphone 3GS to a Galaxy. Anyone got any views on this?

Vickyp said:
I havent upgraded but have a galaxy s3 and love the DAFNE app...works brilliantly!



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? Very Happy
 
May 12, 2013
youone 102 posts

Topic: Carbohydrate Counting / Scales

I got these recently seem ok

http://www.amazon.co.uk/gp/product/B00682KI4W
 
May 12, 2013
youone 102 posts

Topic: General Discussion / Dealing with large carb meals

taniahealy said:
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.



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
 
May 12, 2013
youone 102 posts

Topic: General Discussion / Dealing with large carb meals

Hi Gari
At 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 be”, 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.

 
May 12, 2013
taniahealy 9 posts

Topic: General Discussion / Dealing with large carb meals

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.
 
May 12, 2013
Gari 17 posts

Topic: General Discussion / Dealing with large carb meals

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
 
May 12, 2013
Gari 17 posts

Topic: General Discussion / Dealing with large carb meals

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
 
May 12, 2013
youone 102 posts

Topic: General Discussion / Dealing with large carb meals

taniahealy said:
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.



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 Laughing
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