Recent Posts - DAFNE Online

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 ? / "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 6, 2013

JayBee 582 posts

Topic: Site Development / Date/Timestamp of posts

Additionally, it would be good to be able to remove diary entries from a post completely too. Once they're there, you can't do much apart from edit the dates down to a day to "take them off".

May 6, 2013

kid127 25 posts

Topic: General Discussion / Basal changes on pump

Hi everybody

I've been on an accu-check combo pump for 2 and a half years but recently i find that i have to adjust my basal rates every other week to stop myself either being high all the time or low all the time

I make very small adjustments, usually up or down 0.01 every hour for 24 hours = 0.24 units and this seems to work for a week then it will change again

Does anyone else have to make adjustments to basal rates as regularly as this? I saw a doctor about this recently who suggested changing sites but this doesnt seem to have made things any better

If these regular adjustments are normal then i can just carry on but it seems to be a constant battle to get my basal dose correct

Thanks

Lee

May 5, 2013

edwards002 2 posts

Topic: General Discussion / Exercise

No lack of data! Well done!
I have not had time to analyse rigorously, so plse excuse me.
As a Type 1 diabetic of 45 years, exercise has always been a tad of a mystery. I was given an excellent suggestion on a very recent visit to my dafne centre: reduce QA bolus insulin dosage by between 30-50% if anticipating exercise.
I used to race a bike when much younger and I was staggered at how much sugar can be burnt during bike riding: 125g glucose supplement in a single shot in 20K (12.5 miles in old money) at around 36Kph (23 mph). So your fitness level, the weight of your bike, your speed and the weather conditions will all impact these kinds of numbers dramatically.
On top of this so will your general mental condition.
What do I mean?
Well, are you stressed by exams or do you find you find your levels of anxiety changing?
I have found that stress associated with activities I do not want to do (like going out or shopping (!) depress my blood sugar equally strongly just as if I were exercising.
So what am I trying to get at?
First, you will have the answers so look closely at your data and add stress factors and extra exercise-related info.
Second, my experience is derived from pump use and not MDI so please treat my observations with caution as I have not altered my basal rates during my most recent experiences.
I have only dealt with reduction of my bolus doses associated with meals.
Third, I have found that a 30% reduction is necessary for "normal" exercise like walking into town and/or mowing the lawn!
This recent change has made a dramatic effect on my perceived levels of anxiety and the numbers of hypos I have with the associated problems of hyperglycemic rebound and then later correction doses. A real see-saw and not helpful to anyone who is trying to gain control of their life.
I suspect that I will need to decrease my bolus insulin dosages by 50% if I take my bike out and seriously exercise. I would then still expect to require 60-90g of fairly fast acting carbohydrate per hour to be able to sustain my exercise level.

I hope this is helpful.

May 4, 2013

Stew B 123 posts

Topic: General Discussion / Freestyle InsuLinx Meter

I've had problems when trying to change to new / different meters, where the new meter reads higher than my trusty One Touch Ultra. I agree that most of the time variation isn't a problem, and being within one or two units is OK. My problem is the confusion when I get early hypo symptoms, do a test and find the meter is giving me a reading of 4.5 - 5.5+. It's difficult when your body says one thing and your meter another! (Also, presumably a potential problem for trying to keep to the new driving "rules"?).

Stew

May 4, 2013

SA2010 69 posts

Topic: Site Development / Date/Timestamp of posts

Hi

At the moment the date and timestamp of a post and how long ago it was posted is based on the original entry of the post.

I am thinking that perhaps it would be more appropriate to switch to the latest date/time the post has been edited rather than the original time.

Please could you think about this. As example in General Discussion I have just updated the diary and the post text for a post I put 15 hours ago. It is still showing with that date/time even though it has information that is more recent.

May 3, 2013

nitaparmar 2 posts

Topic: General Discussion / New Graduate in DAFNE

thanks for the replies guys...

will keep you posted with progress

May 3, 2013

SA2010 69 posts

Topic: General Discussion / Exercise

This is my diary for last 7 days or so. Loads of hypos - only change is daily a bit of cycling to local park or shops or bank. Seem to have delayed effect hours afterwards. Surely I should not have to reduce BI just for daily 30-50 minutes of cycling. Am I burning sugar at faster rate now. Any comments would be appreciated.

Updated Saturday: After increasing CPs from 1 to 2 before cycling the BG went sky high 2.5 hours later pre lunch. So this tells me that it probably needs to be reducing the BI - the morning dose probably especially since there is a delayed prolonged effect

Is this the right conclusion?

May 3, 2013

Apollo 45 posts

Topic: General Discussion / Freestyle InsuLinx Meter

I use a Bayer Contour USB (although it has been replaced by the contour next USB) it's great for logging, viewing trends etc but it has never suggested an insulin dose to me, this may be a new feature in the next though I've not bothered to check though as the only issues for me are is it reliable and is it compact and in this regard the next offers no change.

If you would like something to suggest a dose to you though then if you have a compatible smart phone I would get the DAFNE online app which when supplied with your ratios and your carb estimates will suggest the insulin dose you require.

May 3, 2013

Frank.M 5 posts

Topic: General Discussion / Freestyle InsuLinx Meter

Thank you for your responses. I assumed the default range of meters was between 5 - 10%. What attracted me to the InsuLix was having a suggested dose but now I'm looking at alternatives, such as the Bayer Contour USB, as I maybe coming to rely on a machine suggestion. Thank you again.

May 3, 2013

marke 655 posts

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

Hi, I can see in the logs that you ARE managing to login via the app fine, so that is not the problem....
Why do you say it doesn't do a lot ?

May 3, 2013

Simon 574 posts

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

Hi Catherine,

Are you getting an error message when trying to log in to the app? Also please note that the username and password are case sensitive.

Thanks,

Simon

May 3, 2013

catherinesouth 4 posts

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

Would love to be able to use this App on my Iphone but will not accept my user name or password. I've even gone into the settings which doesn't do a lot.
Have to say not impressed so far.

May 3, 2013

novorapidboi26 1,818 posts

Topic: General Discussion / New Graduate in DAFNE

warm welcome from me..... Wink

May 3, 2013

SA2010 69 posts

Topic: General Discussion / Exercise

That is very useful info Warwick. Thank you. Timing appears to be important. If it is soon after breakfast I would not take CPs either as my BG is probably at peak then. I will look at my diary for last week - I am cycling everyday. Spring is coming here at last. I just did not expect the delayed effect. A hypo 10 hours after the 40 minute cycling activity even with some reduction in QA after the activity.

May 3, 2013

Warwick 434 posts

Topic: General Discussion / Your Diabetes Science Experiment - Experiment 1

Agreed on the 2-hour thing. I am much more comfortable with a 3-hour window.

I tested last Thursday ( a holiday) and while not perfect, the results were encouraging. I'm lowering my BI from 13 x 2 to 10 x 2 this weekend and will see what eventuates. Also lowering my lunchtime QA from 1/2 to 1/3.

Cheers,
Warwick.

May 3, 2013

Warwick 434 posts

Topic: General Discussion / Freestyle InsuLinx Meter

I was alerted to this yesterday at my DAFNE 12-month review, although as you say, values of 50+ don't affect many of us.

I have the alternative smart meter from Aviva, and it is a replacement because the first one I had read values that were 2 units higher then my other 4 meters that I already owned. The replacement seems much better behaved. Manufacturers only have to provide a result that is with 20% of the true value. This is why you can get quite different readings within 40 seconds of taking the first reading.

I don't tend to stress much about it. All it does is give you a guide to where you are at. It does seem a little ridiculous that they read to point values when the accuracy is obviously not that good, but the reading should be within 1 or 2 units of the true result.

May 3, 2013

Warwick 434 posts

Topic: General Discussion / Exercise

Hello SA2010

I don't hypos during my 1 hour ride to work as it is too soon after breakfast, although I have occasional ones afterwards, but if I don't take carbs before my ride home, then I will hypo every time. I tend to need 3-4 CPs to keep the BGs steady on the way home.

If you have only just started cycling, then you may well find that you hypo more often until your body adjusts which can take 4-6 weeks. By that time you will have a very good idea of how exercise affects your insulin and carb needs.

May 2, 2013

SA2010 69 posts

Topic: General Discussion / Exercise

Hope it is ok to continue with this thread for my scenario today.

I am wondering how long the impact of just a 40 minute cycling activity to the local park would last.

I have had 3 occurrences of BG below 4.0 (3.3, 3.4, 3.7) since then and it was a short bike ride before lunch which was 40 minutes and i thought 1 CP of mini flapjack taken before the ride would be adequate for it - it was just over an hour before lunch. Just in case, i reduced the QA after the ride with lunch QA reduced by 1/2 (10%) and for dinner i reduced it by 1u (13%). I did not expect impact of activity to have an effect so long after.

I will try to put a diary for a few days online tomorrow.

Insulin Regimen: Novorapid QA:CP 1.3:1 (Breakfast) @07:30-08:30am, 0.6:1 (Lunch) @13:00-14:00, 0.8:1 (Dinner) @19:00-20:00.
Split Lantus 3.0 @ 11:00am, 6.0 @ 23:00
Bedtime about 1am

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 ? / "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 6, 2013 JayBee 582 posts	Topic: Site Development / Date/Timestamp of posts Additionally, it would be good to be able to remove diary entries from a post completely too. Once they're there, you can't do much apart from edit the dates down to a day to "take them off".

May 6, 2013 kid127 25 posts	Topic: General Discussion / Basal changes on pump Hi everybody I've been on an accu-check combo pump for 2 and a half years but recently i find that i have to adjust my basal rates every other week to stop myself either being high all the time or low all the time I make very small adjustments, usually up or down 0.01 every hour for 24 hours = 0.24 units and this seems to work for a week then it will change again Does anyone else have to make adjustments to basal rates as regularly as this? I saw a doctor about this recently who suggested changing sites but this doesnt seem to have made things any better If these regular adjustments are normal then i can just carry on but it seems to be a constant battle to get my basal dose correct Thanks Lee

May 5, 2013 edwards002 2 posts	Topic: General Discussion / Exercise No lack of data! Well done! I have not had time to analyse rigorously, so plse excuse me. As a Type 1 diabetic of 45 years, exercise has always been a tad of a mystery. I was given an excellent suggestion on a very recent visit to my dafne centre: reduce QA bolus insulin dosage by between 30-50% if anticipating exercise. I used to race a bike when much younger and I was staggered at how much sugar can be burnt during bike riding: 125g glucose supplement in a single shot in 20K (12.5 miles in old money) at around 36Kph (23 mph). So your fitness level, the weight of your bike, your speed and the weather conditions will all impact these kinds of numbers dramatically. On top of this so will your general mental condition. What do I mean? Well, are you stressed by exams or do you find you find your levels of anxiety changing? I have found that stress associated with activities I do not want to do (like going out or shopping (!) depress my blood sugar equally strongly just as if I were exercising. So what am I trying to get at? First, you will have the answers so look closely at your data and add stress factors and extra exercise-related info. Second, my experience is derived from pump use and not MDI so please treat my observations with caution as I have not altered my basal rates during my most recent experiences. I have only dealt with reduction of my bolus doses associated with meals. Third, I have found that a 30% reduction is necessary for "normal" exercise like walking into town and/or mowing the lawn! This recent change has made a dramatic effect on my perceived levels of anxiety and the numbers of hypos I have with the associated problems of hyperglycemic rebound and then later correction doses. A real see-saw and not helpful to anyone who is trying to gain control of their life. I suspect that I will need to decrease my bolus insulin dosages by 50% if I take my bike out and seriously exercise. I would then still expect to require 60-90g of fairly fast acting carbohydrate per hour to be able to sustain my exercise level. I hope this is helpful.

May 4, 2013 Stew B 123 posts	Topic: General Discussion / Freestyle InsuLinx Meter I've had problems when trying to change to new / different meters, where the new meter reads higher than my trusty One Touch Ultra. I agree that most of the time variation isn't a problem, and being within one or two units is OK. My problem is the confusion when I get early hypo symptoms, do a test and find the meter is giving me a reading of 4.5 - 5.5+. It's difficult when your body says one thing and your meter another! (Also, presumably a potential problem for trying to keep to the new driving "rules"?). Stew

May 4, 2013 SA2010 69 posts	Topic: Site Development / Date/Timestamp of posts Hi At the moment the date and timestamp of a post and how long ago it was posted is based on the original entry of the post. I am thinking that perhaps it would be more appropriate to switch to the latest date/time the post has been edited rather than the original time. Please could you think about this. As example in General Discussion I have just updated the diary and the post text for a post I put 15 hours ago. It is still showing with that date/time even though it has information that is more recent.

May 3, 2013 nitaparmar 2 posts	Topic: General Discussion / New Graduate in DAFNE thanks for the replies guys... will keep you posted with progress

May 3, 2013 SA2010 69 posts	Topic: General Discussion / Exercise This is my diary for last 7 days or so. Loads of hypos - only change is daily a bit of cycling to local park or shops or bank. Seem to have delayed effect hours afterwards. Surely I should not have to reduce BI just for daily 30-50 minutes of cycling. Am I burning sugar at faster rate now. Any comments would be appreciated. Updated Saturday: After increasing CPs from 1 to 2 before cycling the BG went sky high 2.5 hours later pre lunch. So this tells me that it probably needs to be reducing the BI - the morning dose probably especially since there is a delayed prolonged effect Is this the right conclusion?

May 3, 2013 Apollo 45 posts	Topic: General Discussion / Freestyle InsuLinx Meter I use a Bayer Contour USB (although it has been replaced by the contour next USB) it's great for logging, viewing trends etc but it has never suggested an insulin dose to me, this may be a new feature in the next though I've not bothered to check though as the only issues for me are is it reliable and is it compact and in this regard the next offers no change. If you would like something to suggest a dose to you though then if you have a compatible smart phone I would get the DAFNE online app which when supplied with your ratios and your carb estimates will suggest the insulin dose you require.

May 3, 2013 Frank.M 5 posts	Topic: General Discussion / Freestyle InsuLinx Meter Thank you for your responses. I assumed the default range of meters was between 5 - 10%. What attracted me to the InsuLix was having a suggested dose but now I'm looking at alternatives, such as the Bayer Contour USB, as I maybe coming to rely on a machine suggestion. Thank you again.

May 3, 2013 marke 655 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Hi, I can see in the logs that you ARE managing to login via the app fine, so that is not the problem.... Why do you say it doesn't do a lot ?

May 3, 2013 Simon 574 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Hi Catherine, Are you getting an error message when trying to log in to the app? Also please note that the username and password are case sensitive. Thanks, Simon

May 3, 2013 catherinesouth 4 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Would love to be able to use this App on my Iphone but will not accept my user name or password. I've even gone into the settings which doesn't do a lot. Have to say not impressed so far.

May 3, 2013 novorapidboi26 1,818 posts	Topic: General Discussion / New Graduate in DAFNE warm welcome from me.....

May 3, 2013 SA2010 69 posts	Topic: General Discussion / Exercise That is very useful info Warwick. Thank you. Timing appears to be important. If it is soon after breakfast I would not take CPs either as my BG is probably at peak then. I will look at my diary for last week - I am cycling everyday. Spring is coming here at last. I just did not expect the delayed effect. A hypo 10 hours after the 40 minute cycling activity even with some reduction in QA after the activity.

May 3, 2013 Warwick 434 posts	Topic: General Discussion / Your Diabetes Science Experiment - Experiment 1 Agreed on the 2-hour thing. I am much more comfortable with a 3-hour window. I tested last Thursday ( a holiday) and while not perfect, the results were encouraging. I'm lowering my BI from 13 x 2 to 10 x 2 this weekend and will see what eventuates. Also lowering my lunchtime QA from 1/2 to 1/3. Cheers, Warwick.

May 3, 2013 Warwick 434 posts	Topic: General Discussion / Freestyle InsuLinx Meter I was alerted to this yesterday at my DAFNE 12-month review, although as you say, values of 50+ don't affect many of us. I have the alternative smart meter from Aviva, and it is a replacement because the first one I had read values that were 2 units higher then my other 4 meters that I already owned. The replacement seems much better behaved. Manufacturers only have to provide a result that is with 20% of the true value. This is why you can get quite different readings within 40 seconds of taking the first reading. I don't tend to stress much about it. All it does is give you a guide to where you are at. It does seem a little ridiculous that they read to point values when the accuracy is obviously not that good, but the reading should be within 1 or 2 units of the true result.

May 3, 2013 Warwick 434 posts	Topic: General Discussion / Exercise Hello SA2010 I don't hypos during my 1 hour ride to work as it is too soon after breakfast, although I have occasional ones afterwards, but if I don't take carbs before my ride home, then I will hypo every time. I tend to need 3-4 CPs to keep the BGs steady on the way home. If you have only just started cycling, then you may well find that you hypo more often until your body adjusts which can take 4-6 weeks. By that time you will have a very good idea of how exercise affects your insulin and carb needs.

May 2, 2013 SA2010 69 posts	Topic: General Discussion / Exercise Hope it is ok to continue with this thread for my scenario today. I am wondering how long the impact of just a 40 minute cycling activity to the local park would last. I have had 3 occurrences of BG below 4.0 (3.3, 3.4, 3.7) since then and it was a short bike ride before lunch which was 40 minutes and i thought 1 CP of mini flapjack taken before the ride would be adequate for it - it was just over an hour before lunch. Just in case, i reduced the QA after the ride with lunch QA reduced by 1/2 (10%) and for dinner i reduced it by 1u (13%). I did not expect impact of activity to have an effect so long after. I will try to put a diary for a few days online tomorrow. Insulin Regimen: Novorapid QA:CP 1.3:1 (Breakfast) @07:30-08:30am, 0.6:1 (Lunch) @13:00-14:00, 0.8:1 (Dinner) @19:00-20:00. Split Lantus 3.0 @ 11:00am, 6.0 @ 23:00 Bedtime about 1am