Recent Posts - DAFNE Online

May 9, 2013

Garry 328 posts

Topic: Carbohydrate Counting / Carb Counting

Jacobs good. You are right. If it is 15g or more - we normally 'round it up' to 20g CHO or 2 cp. If it is less than 15g - say 14.9g we normally 'round it down' to 10g CHO or 1 cp.

Treat biscuits...much nearer 3. If it is 25g or more - we normally 'round it up' to 30g CHO or 3 cp. If it is less than 25g - say 24.9g we normally 'round it down' to 20g CHO or 2 cp.

Regards
Garry

May 9, 2013

mum2westiesGill 502 posts

Topic: Carbohydrate Counting / Carb Counting

Have I counted these correctly?

Jacobs cornish wafers x4
- 4.8g cho ech = 19.2g = 2 cps

Treat size biscuits x2
- 13.7g cho ech = 27.4g = 2 cps (or maybe 3 cps?)

May 9, 2013

HelenP 218 posts

Topic: General Discussion / Basal changes on pump

I am lucky if I can go a week without some sort of tinkering. I have talked with both Diabetic Educator and Endocrinologist who both say for some it is never a set and forget system but one that varies all the time. I try not to change it reflexively but rather wait until I have several days' data before tinkering. I also find using temp basals (sometimes daily) to be useful. If I get to 4.2 I go onto -10% for an hour etc. It does require monitoring. Similarly if I get to 8.5 (with no carb/IOB left) I will +10% for an hour rather than "correct". They are not big changes but they are changes. Comment was "you have been on exogenous insulin for more than 35 years it will take a toll".
Helen

May 8, 2013

alturn 78 posts

Topic: General Discussion / Alternate Site Testing

Does anybody have any experience of alternate site testing Question

I am aware it's most suitable for routine testing which will reduce the usage on fingers, which can then be retained for hypo checks etc, and will also need to use a Clear Top cap (would like to retain my SoftClix if I can get a Clear Top cap).

Interested in most suitable locations (base of thumb and little finger and lower arm have been mentioned), whether there is much variation from testing at fingers, any preference for lancing device and any other points (good and bad).

May 8, 2013

SA2010 69 posts

Topic: General Discussion / Exercise

Sorry Diane - the subject of the thread was too good to keep the thread untouched. It was the obvious post/thread to add to ! So whenever anyone want to find out about exercise and BG and QA/BI etc... they can come to your thread !!

Hi Garry. Well spotted - it was a typo. Corrected it in the diary and now showing the correct dose of 3u BI at 11:05 on 3rd may.

I am now getting my BG levels almost right after regressing the BI morning dose to 3u from 2u which I only tried for 2 days and also did not cycle yesterday. Today I cycled to the supermarket - round trip with bit of shopping was 30 minutes, Took 1,5CPs of mini flapjack before cycling, BG was then 5,5. Was 9.0 pre dinner two hours later and now 6.2 3 hours after dinner. Might need a tiny bit of CP topup at bedtime as a fresh BI lantus dose coming in an hour.

Might stick with the extra CPs pre activity but would probably need a BG test to determine need and how much, Annoying to have to do that.

I too found the difference in BG test results after cleaning hands. Some months back I felt my BG was on the low side (I tend to feel it when it is about 5,0 or below) but when I tested it showed a reading of over 8.0 ! I did not believe it and repeated the test after washing hands and it was 4.9 ! I did not know wet or dry hands gave a difference too. I will bear it in mind. When you complain to manufacturers about false readings they send you the test kit but then the range for correct answers is quite wide for low and for high - range stretching 5.0 at the high end and 2.5 at the low end on my current strips (aviva). Similar ranges for freestyle. Just need to make sure dry clean hands every time.

May 8, 2013

DianeW 115 posts

Topic: General Discussion / Exercise

God what happened to my original post.

May 8, 2013

Garry 328 posts

Topic: General Discussion / Exercise

Personally speaking it takes me 3 days to see any impact of my Lantus BI dosage. Please take your time, particularly when changing this type of background insulin dose.
I'm insulin resistant and have QA ratios of 2 or 2.5:1...but rarely change more than + or - 2u BI and only when the need for change is firmly established in my mind.
Was your Friday 03/05 11:05 BI a typo?

Hypo rebound numbers seem to be a individual physiology thing, I've had 17s before.

My experiments with my meter results taught me how the numbers generated were hugely affected by hand cleanliness and have in a past thread reported big variations in results pre- and post-washing. Even having damp hands had a big effect.
Meter manufacturers will tell you that their meter is precise......what they mean is that the results have statistical precision, or repeatability to a dope like me. Somewhat different to accurate, which is what we all imagine they mean.
Regards
Garry

May 8, 2013

Garry 328 posts

Topic: General Discussion / New Graduate in DAFNE

Welcome KarenMacInty Smile

Don't worry. We will all try to support by sharing our personal DAFNE experience gained with you.
Just use the box below this Post Reply field to enter your DAFNE online diary date range that you wish to share.
Regards
Garry

May 8, 2013

JamesW 24 posts

Topic: General Discussion / CareSens meters

Apologies for re-animating this thread but as the initial post received zero responses at the time and the question is still valid (for me, anyway) I thought I would throw caution to the wind and bump it up the list. It is the only returned entry when searching for CareSens too.

My GP has tentatively asked me if I would be happy with switching to a CareSens meter (model not stated at this point, the question was scrawled on the bottom of my repeat prescription). I believe it is all to do with the cost of the strips however if the functionality is on a par with my current meter (OneTouch Ultra2) then I can't really see an issue. Has anyone else moved to, or has had experience of, a CareSens BG meter?

May 8, 2013

lmanyimo 4 posts

Topic: Questions for HCPs / Cornmeal

Is there anyone who eat food prepared by cornmeal I am finding it very hard to count cp's in this type of food Please help

May 8, 2013

lmanyimo 4 posts

Topic: General Discussion / Freestyle glucose strips

My name is Lois Manyimo I live at 43 Neptune walk in Erith post code DA8 1NT I am so desperate for the Freestyle glucose sticks I just finished dafne course and I wasn't testing my levels as I am doing now and I am having problems getting them from my GP I would be so grateful if you can offload those sticks to me I thank so much. Lois

May 8, 2013

lmanyimo 4 posts

Topic: General Discussion / Freestyle glucose strips

My name is Lois Manyimo I live at 43 Neptune walk in Erith post code DA8 1NT I am so desperate for the Freestyle glucose sticks I just finished dafne course and I wasn't testing my levels as I am doing now and I am having problems getting them from my GP I would be so grateful if you can offload those sticks to me I thank so much. Lois

May 8, 2013

Anthony Murray 9 posts

Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss

Cheers Warwick,

For the moment my levels seem to have settled down a bit and I don't want to do anything to mess that up. If things change then I'll start splitting, I was the exact same when I first split my lantus with highs and lows, I originally split it 50:50 and gradually adjusted it to something like 30:70.

May 8, 2013

SA2010 69 posts

Topic: General Discussion / Exercise

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.

May 7, 2013

Warwick 425 posts

Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss

Hello Anthony,

Talk to your diabetes/DAFNE educator about how to split you BI - it needs to be done very gradually. If they don't know, then aks this forum as there are people here who have done it and can tell you how to do it. I did it without asking how and experienced more highs and hypos than normal so am not the best person to ask :-)

Warwick.

May 7, 2013

Warwick 425 posts

Topic: General Discussion / Exercise

Hey SA2010,

Yeah, delayed hypos can be funny. Are you just getting back into cycling or have you been doing it regularly for a while and only just seeing delayed hypos?

May 7, 2013

Sam 64 posts

Topic: General Discussion / Freestyle glucose strips

Hi folks. I've got 3 boxes of freestyle blood glucose strips that come in a tub of 50. My GP prescribed the wrong ones and they don't work in my optimum meter. If anyone wants these please send me a pm and your address and I'll forward them on. They will go in bin otherwise.

Sam

May 7, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Basal changes on pump

I will try to do a full basal test once a month.........sometimes I dont though.......

I think with the delivery of the basal being so accurate it means we are a lot more sensitive when there is a change in the livers output.......

Sometime this can be dealt with with bolus doses..........

What changes have you observed when doing your basal testing.....?

Is there much requirement for more or less........how much do you need to adjust it by?

In general though, your basal needs will change from time to time, everyone just hopes that the big changes come less often......

May 7, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / New Graduate in DAFNE

Welcome Karen..........

Please feel free to post your readings and ask for advice......

We will all try our best to advise you...... Wink

May 7, 2013

Simon 578 posts

Topic: Site Development / DAFNE Online iPhone application - help with content/design needed

Hi Catherine,

When you say login page do you mean the Settings page? If you enter your details correctly on here, then turn Diary Upload to 'On', when you save a diary entry it will upload it to the diary on this site. From the Diary tab on the app you can also download entries from the site to your app diary.

Thanks,

Simon

May 7, 2013

bazz1027 2 posts

Topic: DAFNE Online Mobile / iBGStar

Hi Guys
I see the iBGStar meter is back on the market (was it ever off?)

OK the question is "Does anyone know if the results from this meter can be directly picked up by the DAFNE App on the iPhone?????

Cheers

Stephen

May 6, 2013

KarenMacInty... 1 post

Topic: General Discussion / New Graduate in DAFNE

I'm a three day old DAFNE Graduate - and though I may as well start as you mean to go on by posting something on here. My ratios are all to cock already...I'll input them tomorrow and post In the hope of finding help!?

May 6, 2013

Anthony Murray 9 posts

Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss

Cheers Warwick, sorry for the late reply. I think I will split my lantus, I'm still hit and miss at the moment. BUT I'm only really hit and miss on foods where I can't get a very accurate carb count. On Saturday night for instance I was 13.6, I had a beef chow mein with noodles and a few chips for dinner. I got the carb details from the "diabetics bible" the Carbs and Cals book, I think I even did a +1 as the chow mein and chips weren't full numbers. But of course not every restaurant makes food the exact same way.

And some other time last week, can't remember which day. I had McCain Chips (can't remember how many either) the bloody nutritional info on the back of the bag made things damn complicated: 100g frozen had 21g carbs, 100g oven baked had 28.5g carbs, 100g grilled had 26.6g carbs, I deep fried them, I either counted the chips as 25g per 100 or I just divided the weight by 38. Of course I was high that night.

I did a carb free dinner yesterday and again nothing appears to be wrong with my lantus: 17:03 - 8.6BG 21:54 - 5.4BG, I know I should do it for 2 more days but for reasons I'd rather not go into I'm not going to do it.

May 6, 2013

catherinesouth 4 posts

Topic: Site Development / DAFNE Online iPhone application - help with content/design needed

Hi

I don't get an error message. When I enter name and password it just takes me back to the login screen.

I have managed to get into my diary and update it, but it's getting onto the actual Dafne website that I cannot get access to. Can only get access from a PC.

Thanks

May 9, 2013 Garry 328 posts	Topic: Carbohydrate Counting / Carb Counting Jacobs good. You are right. If it is 15g or more - we normally 'round it up' to 20g CHO or 2 cp. If it is less than 15g - say 14.9g we normally 'round it down' to 10g CHO or 1 cp. Treat biscuits...much nearer 3. If it is 25g or more - we normally 'round it up' to 30g CHO or 3 cp. If it is less than 25g - say 24.9g we normally 'round it down' to 20g CHO or 2 cp. Regards Garry

May 9, 2013 mum2westiesGill 502 posts	Topic: Carbohydrate Counting / Carb Counting Have I counted these correctly? Jacobs cornish wafers x4 - 4.8g cho ech = 19.2g = 2 cps Treat size biscuits x2 - 13.7g cho ech = 27.4g = 2 cps (or maybe 3 cps?)

May 9, 2013 HelenP 218 posts	Topic: General Discussion / Basal changes on pump I am lucky if I can go a week without some sort of tinkering. I have talked with both Diabetic Educator and Endocrinologist who both say for some it is never a set and forget system but one that varies all the time. I try not to change it reflexively but rather wait until I have several days' data before tinkering. I also find using temp basals (sometimes daily) to be useful. If I get to 4.2 I go onto -10% for an hour etc. It does require monitoring. Similarly if I get to 8.5 (with no carb/IOB left) I will +10% for an hour rather than "correct". They are not big changes but they are changes. Comment was "you have been on exogenous insulin for more than 35 years it will take a toll". Helen

May 8, 2013 alturn 78 posts	Topic: General Discussion / Alternate Site Testing Does anybody have any experience of alternate site testing I am aware it's most suitable for routine testing which will reduce the usage on fingers, which can then be retained for hypo checks etc, and will also need to use a Clear Top cap (would like to retain my SoftClix if I can get a Clear Top cap). Interested in most suitable locations (base of thumb and little finger and lower arm have been mentioned), whether there is much variation from testing at fingers, any preference for lancing device and any other points (good and bad).

May 8, 2013 SA2010 69 posts	Topic: General Discussion / Exercise Sorry Diane - the subject of the thread was too good to keep the thread untouched. It was the obvious post/thread to add to ! So whenever anyone want to find out about exercise and BG and QA/BI etc... they can come to your thread !! Hi Garry. Well spotted - it was a typo. Corrected it in the diary and now showing the correct dose of 3u BI at 11:05 on 3rd may. I am now getting my BG levels almost right after regressing the BI morning dose to 3u from 2u which I only tried for 2 days and also did not cycle yesterday. Today I cycled to the supermarket - round trip with bit of shopping was 30 minutes, Took 1,5CPs of mini flapjack before cycling, BG was then 5,5. Was 9.0 pre dinner two hours later and now 6.2 3 hours after dinner. Might need a tiny bit of CP topup at bedtime as a fresh BI lantus dose coming in an hour. Might stick with the extra CPs pre activity but would probably need a BG test to determine need and how much, Annoying to have to do that. I too found the difference in BG test results after cleaning hands. Some months back I felt my BG was on the low side (I tend to feel it when it is about 5,0 or below) but when I tested it showed a reading of over 8.0 ! I did not believe it and repeated the test after washing hands and it was 4.9 ! I did not know wet or dry hands gave a difference too. I will bear it in mind. When you complain to manufacturers about false readings they send you the test kit but then the range for correct answers is quite wide for low and for high - range stretching 5.0 at the high end and 2.5 at the low end on my current strips (aviva). Similar ranges for freestyle. Just need to make sure dry clean hands every time.

May 8, 2013 DianeW 115 posts	Topic: General Discussion / Exercise God what happened to my original post.

May 8, 2013 Garry 328 posts	Topic: General Discussion / Exercise Personally speaking it takes me 3 days to see any impact of my Lantus BI dosage. Please take your time, particularly when changing this type of background insulin dose. I'm insulin resistant and have QA ratios of 2 or 2.5:1...but rarely change more than + or - 2u BI and only when the need for change is firmly established in my mind. Was your Friday 03/05 11:05 BI a typo? Hypo rebound numbers seem to be a individual physiology thing, I've had 17s before. My experiments with my meter results taught me how the numbers generated were hugely affected by hand cleanliness and have in a past thread reported big variations in results pre- and post-washing. Even having damp hands had a big effect. Meter manufacturers will tell you that their meter is precise......what they mean is that the results have statistical precision, or repeatability to a dope like me. Somewhat different to accurate, which is what we all imagine they mean. Regards Garry

May 8, 2013 Garry 328 posts	Topic: General Discussion / New Graduate in DAFNE Welcome KarenMacInty Don't worry. We will all try to support by sharing our personal DAFNE experience gained with you. Just use the box below this Post Reply field to enter your DAFNE online diary date range that you wish to share. Regards Garry

May 8, 2013 JamesW 24 posts	Topic: General Discussion / CareSens meters Apologies for re-animating this thread but as the initial post received zero responses at the time and the question is still valid (for me, anyway) I thought I would throw caution to the wind and bump it up the list. It is the only returned entry when searching for CareSens too. My GP has tentatively asked me if I would be happy with switching to a CareSens meter (model not stated at this point, the question was scrawled on the bottom of my repeat prescription). I believe it is all to do with the cost of the strips however if the functionality is on a par with my current meter (OneTouch Ultra2) then I can't really see an issue. Has anyone else moved to, or has had experience of, a CareSens BG meter?

May 8, 2013 lmanyimo 4 posts	Topic: Questions for HCPs / Cornmeal Is there anyone who eat food prepared by cornmeal I am finding it very hard to count cp's in this type of food Please help

May 8, 2013 lmanyimo 4 posts	Topic: General Discussion / Freestyle glucose strips My name is Lois Manyimo I live at 43 Neptune walk in Erith post code DA8 1NT I am so desperate for the Freestyle glucose sticks I just finished dafne course and I wasn't testing my levels as I am doing now and I am having problems getting them from my GP I would be so grateful if you can offload those sticks to me I thank so much. Lois

May 8, 2013 lmanyimo 4 posts	Topic: General Discussion / Freestyle glucose strips My name is Lois Manyimo I live at 43 Neptune walk in Erith post code DA8 1NT I am so desperate for the Freestyle glucose sticks I just finished dafne course and I wasn't testing my levels as I am doing now and I am having problems getting them from my GP I would be so grateful if you can offload those sticks to me I thank so much. Lois

May 8, 2013 Anthony Murray 9 posts	Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss Cheers Warwick, For the moment my levels seem to have settled down a bit and I don't want to do anything to mess that up. If things change then I'll start splitting, I was the exact same when I first split my lantus with highs and lows, I originally split it 50:50 and gradually adjusted it to something like 30:70.

May 8, 2013 SA2010 69 posts	Topic: General Discussion / Exercise 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.

May 7, 2013 Warwick 425 posts	Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss Hello Anthony, Talk to your diabetes/DAFNE educator about how to split you BI - it needs to be done very gradually. If they don't know, then aks this forum as there are people here who have done it and can tell you how to do it. I did it without asking how and experienced more highs and hypos than normal so am not the best person to ask :-) Warwick.

May 7, 2013 Warwick 425 posts	Topic: General Discussion / Exercise Hey SA2010, Yeah, delayed hypos can be funny. Are you just getting back into cycling or have you been doing it regularly for a while and only just seeing delayed hypos?

May 7, 2013 Sam 64 posts	Topic: General Discussion / Freestyle glucose strips Hi folks. I've got 3 boxes of freestyle blood glucose strips that come in a tub of 50. My GP prescribed the wrong ones and they don't work in my optimum meter. If anyone wants these please send me a pm and your address and I'll forward them on. They will go in bin otherwise. Sam

May 7, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Basal changes on pump I will try to do a full basal test once a month.........sometimes I dont though....... I think with the delivery of the basal being so accurate it means we are a lot more sensitive when there is a change in the livers output....... Sometime this can be dealt with with bolus doses.......... What changes have you observed when doing your basal testing.....? Is there much requirement for more or less........how much do you need to adjust it by? In general though, your basal needs will change from time to time, everyone just hopes that the big changes come less often......

May 7, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / New Graduate in DAFNE Welcome Karen.......... Please feel free to post your readings and ask for advice...... We will all try our best to advise you......

May 7, 2013 Simon 578 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Hi Catherine, When you say login page do you mean the Settings page? If you enter your details correctly on here, then turn Diary Upload to 'On', when you save a diary entry it will upload it to the diary on this site. From the Diary tab on the app you can also download entries from the site to your app diary. Thanks, Simon

May 7, 2013 bazz1027 2 posts	Topic: DAFNE Online Mobile / iBGStar Hi Guys I see the iBGStar meter is back on the market (was it ever off?) OK the question is "Does anyone know if the results from this meter can be directly picked up by the DAFNE App on the iPhone????? Cheers Stephen

May 6, 2013 KarenMacInty... 1 post	Topic: General Discussion / New Graduate in DAFNE I'm a three day old DAFNE Graduate - and though I may as well start as you mean to go on by posting something on here. My ratios are all to cock already...I'll input them tomorrow and post In the hope of finding help!?

May 6, 2013 Anthony Murray 9 posts	Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss Cheers Warwick, sorry for the late reply. I think I will split my lantus, I'm still hit and miss at the moment. BUT I'm only really hit and miss on foods where I can't get a very accurate carb count. On Saturday night for instance I was 13.6, I had a beef chow mein with noodles and a few chips for dinner. I got the carb details from the "diabetics bible" the Carbs and Cals book, I think I even did a +1 as the chow mein and chips weren't full numbers. But of course not every restaurant makes food the exact same way. And some other time last week, can't remember which day. I had McCain Chips (can't remember how many either) the bloody nutritional info on the back of the bag made things damn complicated: 100g frozen had 21g carbs, 100g oven baked had 28.5g carbs, 100g grilled had 26.6g carbs, I deep fried them, I either counted the chips as 25g per 100 or I just divided the weight by 38. Of course I was high that night. I did a carb free dinner yesterday and again nothing appears to be wrong with my lantus: 17:03 - 8.6BG 21:54 - 5.4BG, I know I should do it for 2 more days but for reasons I'd rather not go into I'm not going to do it.

May 6, 2013 catherinesouth 4 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Hi I don't get an error message. When I enter name and password it just takes me back to the login screen. I have managed to get into my diary and update it, but it's getting onto the actual Dafne website that I cannot get access to. Can only get access from a PC. Thanks