Recent Posts - DAFNE Online

Apr 30, 2013

nitaparmar 2 posts

Topic: General Discussion / New Graduate in DAFNE

Hi all,

I attended DAFNE last month. It was nice to be around other people who are in the same situation as me.

I was diagnosed three years ago so this is all new to me...

Just wanted to say hey Smile

Apr 30, 2013

Apollo 45 posts

Topic: General Discussion / Exercise

QA insulin tends to last about 4-5 hours although generally it's done most of it's work 3 hours after you take it so 2 hours after your shot is not a bad time to go, it will show you that exercise will have an impact on your sugars without it being to drastic.

It's better to be overly cautious than not cautious enough, just do what your comfortable with, as you learn what works for you'll become more confident with it and will be equipped to make better judgement calls.

You may find that you need a little less insulin for the meal after your exercise too. If when you test for that meal you find your high I'd give no correction for it and use is as a sort of buffer zone. If you want to decrease your insulin a little for your lunch you can however so long as you have a hypo treatment to hand and have a reliable hypo sense there is no real harm in going that way and treating the onset of the hypo if it happens.

Don't let this scare you but one thing to be aware of is that when exercising hypo awareness can be slightly masked. Cold sweats are easily missed when your dripping with sweat and if you have really been pushing yourself you muscles may be tired and shakey as a result of the exercise so that slight tingle can be harder to spot. If you find yourself in any doubt just do a quick finger prick test, and if you do find you were low don't think you have lost your hypo awareness it's a little like being walking round the house at night with the lights off, you may not be able to see to well but it doesn't mean you have gone blind. Once you cool down from your workout your hypo sense will be just as it was before.

There are some famous sports people out there with type 1 diabetes so while it's understandable that you would be scared by starting an exercise regime, diabetes it just a small obstical to overcome no an impassable barrier.

Apr 30, 2013

DianeW 115 posts

Topic: General Discussion / Exercise

OK thanks both of you, that's very helpful.

as I am intending to go in the morning I will reduce my QA at breakfast. If I go a couple of hours after breakfast, and I have reduced my dose, I have no idea what my reading will be when I test then, I mean if it is 5 or 6 I would panic a bit to be honest! If it was between 7 and say 10 I would feel ok. I know I am probably being over cautious and as long as I have glucose etc on me I will be ok.

Apr 30, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Exercise

You will have to carry out a bit of trial and error testing for your own personal needs, but the general advice as detailed by Apollo, is that for short periods of medium to intense levels of activity you should consider reducing your previous meals QA dose, keeping in mind that you may need extra CPs during and after. Whether you need CPs during your activity will be determined after you have tested and analyzed your results.....

Longer period of low to medium intensity activity is usually catered for with a reduction in BI, basically due to the slower effects the activity will have.......

The DAFNE handbook has quite a good basic guide but you will need to make your own personal observations to fine tune your reductions......

Apr 30, 2013

Apollo 45 posts

Topic: General Discussion / injection technequie and body deformation

I think that may be it, I was so skinny at the time that I needed to pinch to find something to get the needle into and no one has ever told me otherwise as they probably didn't realise I was doing it so it's just never been corrected. I'll give no pinching a go and see how I get on.

Apr 30, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / injection technequie and body deformation

I am pumping now, but have never pinched in all the 14 years I have been diabetic.......

My wee brother did back in the late eighties, but I believe that it was old ill informed advice, at least now with the newer more flexible needle lengths.......

if you were really skinny it may have helped though.....

Apr 30, 2013

Vickyp 137 posts

Topic: General Discussion / injection technequie and body deformation

I have a lot of fat to pinch ( although a lot less than last year)... but dont pinch I just insert needle and count to 10 before removing it and have no issues with injection sites

Apr 30, 2013

Apollo 45 posts

Topic: General Discussion / Exercise

For an hour down the gym I wouldn't reduce background insulin. I reduce my background if I'm going to do a days paintball or something where I'm going to be much more active all day long. If I'm just going to do a hours running though then I just change the quick acting (QA).

If you took some insulin prior to exercise (QA generally last for 4 hours) and didn't reduce the dose in advance then you need to take on some carbs, if you're taking insulin after exercise though then you can just reduce your ratios for that meal. Do carry some quick carbs on you though should you get in distress and I'd advise testing your BG before exercise and apply the same rules you would do if you were going to drive, i.e. bring it up to 5.0 before starting.

You do need to be careful about being to high as well though as if your sugars are something mad like 15+ then that's not very good for you at the best of times, if you then start to put your body under physical stress it's only going to compound the problem.

Best advice is be progressive, it's good advice for anyone starting a new exercise regime but don't push yourself to far to fast. By easing in you'll see what impact a little exercise has and how increasing that load impacts you. Also if you're in a gym there are going to be other people around including staff, pick someone and tell them you're diabetic, show them how your test meter works, what hypo cures you have on you and what to do should you get in distress.

If you are still nervous about it though then test every 30 mins. That will give you a good idea of how your bloods are reacting to the exercise and after a while you won't need to do that any more because you'll be able to predict it from past experience.

You probably know this already but there is also a section on exercise in the DAFNE Course Handbook which is in the DAFNE tools on the right of the screen. Lots of advice in there too.

Apr 30, 2013

Apollo 45 posts

Topic: General Discussion / injection technequie and body deformation

When I was diagnosed I was taught pinch up some fat, stick in a needle (which I generally do slowly rather than a quick stab in). Now at the time I had a BMI of 16.1 so you could practically make out my skeleton. This wasn't due to an eating disorders it just took me a while to seek help and my body had burned off all my fat by the time I did. As such if I didn't pinch I wasn't going to get a lump of flesh thick enough to put a needle in.

I was just emptying a box of needles into the trays I use to help track what shots I've done that day (think of it like a pill box with meals marked out but for needles) and I did something I don't normally do these days. I glanced over the instructions, as a man we tend to ignore these even when we don't know what we are doing but when we do reading guidance is almost unheard of but it was a few lines of large type on the flaps of the box and one of them read:

Suggested injection technique: insert straight in, without pinch-up."

These are 4mm needles where as when I was diagnosed I was on 6mm needles so maybe not needing to pinch is something to do with that. Although I'm not flabby my belly is a little deformed and maybe all the pinching has a part to play as you pull the fat out 3 times a day then it's going to have a tendency to stay there after a while.

So my question is what do other people do and has anyone got any advice on how to tone up my abs a little without compromising my ability to inject there? I'm not looking to develop a 6 pack but I'd like to do something about the slight sag I've developed in the belly area as a result of my injecting insulin. My current BMI is 21.2 so I'm far from overweight but I guess it does bother me that my stomach area almost seems to contradict that statement.

So what do other people do and has anyone got any tips?

Apr 30, 2013

DianeW 115 posts

Topic: General Discussion / Exercise

Can anyone advise me as someone who has never used a gym before or done much exercise please. If I'm doing say an hour's exercise, DAFNE says to reduce insulin by 20-50% prior to the exercise. Does that mean short acting AND long acting? Do I also take extra cps? Or does that depend on my blood sugar? I also read that if you want to lose weight it is better to decrease the insulin. I am really nervious about going. I know I will have to work it out for myself as I go along but I wondered if anyone had any advice, thank you.

Apr 29, 2013

SA2010 69 posts

Topic: General Discussion / My current Diary

I have not seen BGs so high before and so consistently high and even with high doses with insulin ! If I get a BG of 15.0 I think of it as really serious and try not repeat what gave rise to it climbing to 15. Often for me it is eating out in restaurants where I seem to always underestimate CPs. I am on Novorapid and split Lantus. I guess your insulin is different?

Observations:
There is not always a Bedtime BG test. Need to have good Bedtime BGs to establish BI level for good fasting BG in the morning. In my case with Novorapid which acts for 4-4.5 hours, i always make sure bedtime is 5 hours after dinner - it is hard but I have achieved so far (3 years into diabetes) and try to have my BG between 7 and 8. Guidelines say 6-8. If bedtime BG is high then next morning BG tends to be high. So I would say, try to get good bedtime BG for a couple of days by increasing evening meal ratio and then look at the BI and probably find it needs increasing. We are all different obviously as i only need 9 units of lantus a day (6 at 11pm and 3 at 11am) - It does look that the BI needs to be increased or probably split. The QA:CP ratios increases for lunch and dinner have helped but not enough. The Sunday 9pm high BG after no CPs for a while and good BG reading before does indicate that BI ran out. So need to concentrate on getting BI right first

Apr 29, 2013

Apollo 45 posts

Topic: General Discussion / My current Diary

I'm a firm believing in making someone work at it themselves so they gain an understanding, so what patterns are you seeing and what is it that you think you need to do next? Even if you don't know how to correct the pattern, being able to spot it is an important skill.

So what do you see?

Also what insulins are you on? I would guess your background is Levimir.

The one thing I will say before I hear your thoughts though is your corrections are to high. DAFNE says you should never give yourself a correction of more than 4, if you feel the need to give more than that then your ratios of background must be out.

Apr 29, 2013

Apollo 45 posts

Topic: General Discussion / Rapid-acting Insulin - Overstacking

Same as Vickyp

Although this was discussed in another thread and someone pointed out that there are meters which will calculate how much of the insulin will still be active in your system from your earlier shot. They take some calibration and setting up though apparently.

Apr 29, 2013

Warwick 425 posts

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

I'm coming to this thread late, and you appear to be on top of it anyway, but thought I'd share my experience.

Like you, I am on Humalog and Lantus. And like you, I was getting highs in the evenings before bed. In January I switched to twice a day, and the issue disappeared. Before the switch I was taking 23-24 units of Lantus at night. After the switch, I found that I needed 13 units morning and night - an increase of 2-3 units overall.

The alternative was to up my dinner QA, but I kept hypoing when I did that. So if you do need to split again, then keep in mind that you may need to slightly increase your BI.

Cheers,
Warwick.

Apr 29, 2013

Anthony Murray 9 posts

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

Thanks

Apr 29, 2013

Leighton84 3 posts

Topic: General Discussion / My current Diary

I will upload my Diary every week so that other people can comment on it and see if there are any patterns i am missing. Very Happy

Apr 29, 2013

novorapidboi26 1,819 posts

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

impressive...... Wink

Apr 29, 2013

Anthony Murray 9 posts

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

Just a little update on how my sugars have been the past week. I've only had 1 high that I had to do an adjustment for. I know my BED results are mostly in the red but I like to be between 6 and 8.5 at night. I don't know what caused those hypos on Friday morning but it seems to have been a one off.

I was able to get my "bed time" BG lower by changing how I counted cps that weren't full numbers i.e.
Before last week if I had two items for dinner and both were say 5.7 cps each I would usually count it as 11.5 and would only take 11 units as my pen only gives single units and then make any necessary adjustments for high/low BG. Now I would count it as 12 cps and then make adjustments.

Apr 28, 2013

Vickyp 137 posts

Topic: General Discussion / Rapid-acting Insulin - Overstacking

I would inject qa for what I am eating but wouldnt do a correction

Apr 28, 2013

mum2westiesGill 502 posts

Topic: General Discussion / Rapid-acting Insulin - Overstacking

Wondering what others would do if you had eaten a meal but wanted to eat your next meal before the insulin duration (3 - 5 hrs) is over?

Apr 28, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

no test - bedtime
21.8 - this morning

BG 5.1 - teatime

Apr 27, 2013

GLS 12 posts

Topic: Questions for HCPs / Lantus to Levimer

Hey everyone.

Thanks for the info on insulin Warwick. That makes sense to me and explains why I am needing more Levimer compared to lantus. Although I am struggling slightly with the fasting BIs over night, I have found the Levimer really useful after exercise. Reducing it by 1u really helps stop those post exercise lows. So definitely work considering if you are quite active.

Regarding the lantus effects, Apollo, to be Honest I didn't adjust my lantus dose at all, as just took hospital advice, that the changes take a few days to take effect. So didnt really give it a go as took their word for it!

As for my troubles- I got one good week of morning blood sugars but back to being a bit Stuck now. Fasting tests for me through tonight!

Apr 27, 2013

Apollo 45 posts

Topic: General Discussion / 7-day waking average

Hi Becky,

Is have started a new topic of I were you as this is a question in its own right.

When you took the 12.9 reading how long had it been since you last took any quick acting (QA) insulin? If it was less than 4 hours prior then you will likely still have had some QA in your system and it may be that which caused your sugar levels to drop.

If it was over 4 hours since your last dose of QA then it would be worth dropping your back ground a few units and keeping an eye on it for the next few days.

Apr 27, 2013

beckyshaw 1 post

Topic: General Discussion / 7-day waking average

Hiya

I was 8.4 waking up this morning which had dropped from 12.9... I didmt do a correction as this happened the night before so I am seeing if my bi needs changing... what do people think? Smile

Apr 27, 2013

SA2010 69 posts

Topic: Carbohydrate Counting / Carbohydrates on Packaging

novorapidboi26 said:
You would be suited to a pump due to your sensitivity...................there are many DAFNE grads that use the half unit pen, its very useful for most, in fact all pens should have it........

Thanks James - may be. But I worry about all the things that might go wrong with the pump and leaving this decision until I really have to have one, I remember my hospital days with canulars and how they leak sometimes and need to be checked all the time and moved and replaced and repositioned. My conerns about pumps are :
* risk of infection at the site
* risk of knocking it of its place - I am sometimes clumsy with hardware ! Seat Belts when driving? seat belt on airplane. Knocking and bumping into things that might dislodge the positioning of the pump and when dressing/undressing or when cycling or moving my arms or whatever.......
* need to reposition it every few days
* impact on pump when taking shower or bath.
* always worrying if it is making good contact and primed or has moved

There may be answers to all these and I may be wrong worrying about these ! There is also probably a psychological element - getting wired to a pump permanently - a realisation that i have a serious problem. It is, but at least i think of it as just a few injections a day. Anyway - probably this is more suitable for a thread on pumps.

Apr 30, 2013 nitaparmar 2 posts	Topic: General Discussion / New Graduate in DAFNE Hi all, I attended DAFNE last month. It was nice to be around other people who are in the same situation as me. I was diagnosed three years ago so this is all new to me... Just wanted to say hey

Apr 30, 2013 Apollo 45 posts	Topic: General Discussion / Exercise QA insulin tends to last about 4-5 hours although generally it's done most of it's work 3 hours after you take it so 2 hours after your shot is not a bad time to go, it will show you that exercise will have an impact on your sugars without it being to drastic. It's better to be overly cautious than not cautious enough, just do what your comfortable with, as you learn what works for you'll become more confident with it and will be equipped to make better judgement calls. You may find that you need a little less insulin for the meal after your exercise too. If when you test for that meal you find your high I'd give no correction for it and use is as a sort of buffer zone. If you want to decrease your insulin a little for your lunch you can however so long as you have a hypo treatment to hand and have a reliable hypo sense there is no real harm in going that way and treating the onset of the hypo if it happens. Don't let this scare you but one thing to be aware of is that when exercising hypo awareness can be slightly masked. Cold sweats are easily missed when your dripping with sweat and if you have really been pushing yourself you muscles may be tired and shakey as a result of the exercise so that slight tingle can be harder to spot. If you find yourself in any doubt just do a quick finger prick test, and if you do find you were low don't think you have lost your hypo awareness it's a little like being walking round the house at night with the lights off, you may not be able to see to well but it doesn't mean you have gone blind. Once you cool down from your workout your hypo sense will be just as it was before. There are some famous sports people out there with type 1 diabetes so while it's understandable that you would be scared by starting an exercise regime, diabetes it just a small obstical to overcome no an impassable barrier.

Apr 30, 2013 DianeW 115 posts	Topic: General Discussion / Exercise OK thanks both of you, that's very helpful. as I am intending to go in the morning I will reduce my QA at breakfast. If I go a couple of hours after breakfast, and I have reduced my dose, I have no idea what my reading will be when I test then, I mean if it is 5 or 6 I would panic a bit to be honest! If it was between 7 and say 10 I would feel ok. I know I am probably being over cautious and as long as I have glucose etc on me I will be ok.

Apr 30, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Exercise You will have to carry out a bit of trial and error testing for your own personal needs, but the general advice as detailed by Apollo, is that for short periods of medium to intense levels of activity you should consider reducing your previous meals QA dose, keeping in mind that you may need extra CPs during and after. Whether you need CPs during your activity will be determined after you have tested and analyzed your results..... Longer period of low to medium intensity activity is usually catered for with a reduction in BI, basically due to the slower effects the activity will have....... The DAFNE handbook has quite a good basic guide but you will need to make your own personal observations to fine tune your reductions......

Apr 30, 2013 Apollo 45 posts	Topic: General Discussion / injection technequie and body deformation I think that may be it, I was so skinny at the time that I needed to pinch to find something to get the needle into and no one has ever told me otherwise as they probably didn't realise I was doing it so it's just never been corrected. I'll give no pinching a go and see how I get on.

Apr 30, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / injection technequie and body deformation I am pumping now, but have never pinched in all the 14 years I have been diabetic....... My wee brother did back in the late eighties, but I believe that it was old ill informed advice, at least now with the newer more flexible needle lengths....... if you were really skinny it may have helped though.....

Apr 30, 2013 Vickyp 137 posts	Topic: General Discussion / injection technequie and body deformation I have a lot of fat to pinch ( although a lot less than last year)... but dont pinch I just insert needle and count to 10 before removing it and have no issues with injection sites

Apr 30, 2013 Apollo 45 posts	Topic: General Discussion / Exercise For an hour down the gym I wouldn't reduce background insulin. I reduce my background if I'm going to do a days paintball or something where I'm going to be much more active all day long. If I'm just going to do a hours running though then I just change the quick acting (QA). If you took some insulin prior to exercise (QA generally last for 4 hours) and didn't reduce the dose in advance then you need to take on some carbs, if you're taking insulin after exercise though then you can just reduce your ratios for that meal. Do carry some quick carbs on you though should you get in distress and I'd advise testing your BG before exercise and apply the same rules you would do if you were going to drive, i.e. bring it up to 5.0 before starting. You do need to be careful about being to high as well though as if your sugars are something mad like 15+ then that's not very good for you at the best of times, if you then start to put your body under physical stress it's only going to compound the problem. Best advice is be progressive, it's good advice for anyone starting a new exercise regime but don't push yourself to far to fast. By easing in you'll see what impact a little exercise has and how increasing that load impacts you. Also if you're in a gym there are going to be other people around including staff, pick someone and tell them you're diabetic, show them how your test meter works, what hypo cures you have on you and what to do should you get in distress. If you are still nervous about it though then test every 30 mins. That will give you a good idea of how your bloods are reacting to the exercise and after a while you won't need to do that any more because you'll be able to predict it from past experience. You probably know this already but there is also a section on exercise in the DAFNE Course Handbook which is in the DAFNE tools on the right of the screen. Lots of advice in there too.

Apr 30, 2013 Apollo 45 posts	Topic: General Discussion / injection technequie and body deformation When I was diagnosed I was taught pinch up some fat, stick in a needle (which I generally do slowly rather than a quick stab in). Now at the time I had a BMI of 16.1 so you could practically make out my skeleton. This wasn't due to an eating disorders it just took me a while to seek help and my body had burned off all my fat by the time I did. As such if I didn't pinch I wasn't going to get a lump of flesh thick enough to put a needle in. I was just emptying a box of needles into the trays I use to help track what shots I've done that day (think of it like a pill box with meals marked out but for needles) and I did something I don't normally do these days. I glanced over the instructions, as a man we tend to ignore these even when we don't know what we are doing but when we do reading guidance is almost unheard of but it was a few lines of large type on the flaps of the box and one of them read: Suggested injection technique: insert straight in, without pinch-up." These are 4mm needles where as when I was diagnosed I was on 6mm needles so maybe not needing to pinch is something to do with that. Although I'm not flabby my belly is a little deformed and maybe all the pinching has a part to play as you pull the fat out 3 times a day then it's going to have a tendency to stay there after a while. So my question is what do other people do and has anyone got any advice on how to tone up my abs a little without compromising my ability to inject there? I'm not looking to develop a 6 pack but I'd like to do something about the slight sag I've developed in the belly area as a result of my injecting insulin. My current BMI is 21.2 so I'm far from overweight but I guess it does bother me that my stomach area almost seems to contradict that statement. So what do other people do and has anyone got any tips?

Apr 30, 2013 DianeW 115 posts	Topic: General Discussion / Exercise Can anyone advise me as someone who has never used a gym before or done much exercise please. If I'm doing say an hour's exercise, DAFNE says to reduce insulin by 20-50% prior to the exercise. Does that mean short acting AND long acting? Do I also take extra cps? Or does that depend on my blood sugar? I also read that if you want to lose weight it is better to decrease the insulin. I am really nervious about going. I know I will have to work it out for myself as I go along but I wondered if anyone had any advice, thank you.

Apr 29, 2013 SA2010 69 posts	Topic: General Discussion / My current Diary I have not seen BGs so high before and so consistently high and even with high doses with insulin ! If I get a BG of 15.0 I think of it as really serious and try not repeat what gave rise to it climbing to 15. Often for me it is eating out in restaurants where I seem to always underestimate CPs. I am on Novorapid and split Lantus. I guess your insulin is different? Observations: There is not always a Bedtime BG test. Need to have good Bedtime BGs to establish BI level for good fasting BG in the morning. In my case with Novorapid which acts for 4-4.5 hours, i always make sure bedtime is 5 hours after dinner - it is hard but I have achieved so far (3 years into diabetes) and try to have my BG between 7 and 8. Guidelines say 6-8. If bedtime BG is high then next morning BG tends to be high. So I would say, try to get good bedtime BG for a couple of days by increasing evening meal ratio and then look at the BI and probably find it needs increasing. We are all different obviously as i only need 9 units of lantus a day (6 at 11pm and 3 at 11am) - It does look that the BI needs to be increased or probably split. The QA:CP ratios increases for lunch and dinner have helped but not enough. The Sunday 9pm high BG after no CPs for a while and good BG reading before does indicate that BI ran out. So need to concentrate on getting BI right first

Apr 29, 2013 Apollo 45 posts	Topic: General Discussion / My current Diary I'm a firm believing in making someone work at it themselves so they gain an understanding, so what patterns are you seeing and what is it that you think you need to do next? Even if you don't know how to correct the pattern, being able to spot it is an important skill. So what do you see? Also what insulins are you on? I would guess your background is Levimir. The one thing I will say before I hear your thoughts though is your corrections are to high. DAFNE says you should never give yourself a correction of more than 4, if you feel the need to give more than that then your ratios of background must be out.

Apr 29, 2013 Apollo 45 posts	Topic: General Discussion / Rapid-acting Insulin - Overstacking Same as Vickyp Although this was discussed in another thread and someone pointed out that there are meters which will calculate how much of the insulin will still be active in your system from your earlier shot. They take some calibration and setting up though apparently.

Apr 29, 2013 Warwick 425 posts	Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss I'm coming to this thread late, and you appear to be on top of it anyway, but thought I'd share my experience. Like you, I am on Humalog and Lantus. And like you, I was getting highs in the evenings before bed. In January I switched to twice a day, and the issue disappeared. Before the switch I was taking 23-24 units of Lantus at night. After the switch, I found that I needed 13 units morning and night - an increase of 2-3 units overall. The alternative was to up my dinner QA, but I kept hypoing when I did that. So if you do need to split again, then keep in mind that you may need to slightly increase your BI. Cheers, Warwick.

Apr 29, 2013 Anthony Murray 9 posts	Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss Thanks

Apr 29, 2013 Leighton84 3 posts	Topic: General Discussion / My current Diary I will upload my Diary every week so that other people can comment on it and see if there are any patterns i am missing.

Apr 29, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss impressive......

Apr 29, 2013 Anthony Murray 9 posts	Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss Just a little update on how my sugars have been the past week. I've only had 1 high that I had to do an adjustment for. I know my BED results are mostly in the red but I like to be between 6 and 8.5 at night. I don't know what caused those hypos on Friday morning but it seems to have been a one off. I was able to get my "bed time" BG lower by changing how I counted cps that weren't full numbers i.e. Before last week if I had two items for dinner and both were say 5.7 cps each I would usually count it as 11.5 and would only take 11 units as my pen only gives single units and then make any necessary adjustments for high/low BG. Now I would count it as 12 cps and then make adjustments.

Apr 28, 2013 Vickyp 137 posts	Topic: General Discussion / Rapid-acting Insulin - Overstacking I would inject qa for what I am eating but wouldnt do a correction

Apr 28, 2013 mum2westiesGill 502 posts	Topic: General Discussion / Rapid-acting Insulin - Overstacking Wondering what others would do if you had eaten a meal but wanted to eat your next meal before the insulin duration (3 - 5 hrs) is over?

Apr 28, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average no test - bedtime 21.8 - this morning BG 5.1 - teatime

Apr 27, 2013 GLS 12 posts	Topic: Questions for HCPs / Lantus to Levimer Hey everyone. Thanks for the info on insulin Warwick. That makes sense to me and explains why I am needing more Levimer compared to lantus. Although I am struggling slightly with the fasting BIs over night, I have found the Levimer really useful after exercise. Reducing it by 1u really helps stop those post exercise lows. So definitely work considering if you are quite active. Regarding the lantus effects, Apollo, to be Honest I didn't adjust my lantus dose at all, as just took hospital advice, that the changes take a few days to take effect. So didnt really give it a go as took their word for it! As for my troubles- I got one good week of morning blood sugars but back to being a bit Stuck now. Fasting tests for me through tonight!

Apr 27, 2013 Apollo 45 posts	Topic: General Discussion / 7-day waking average Hi Becky, Is have started a new topic of I were you as this is a question in its own right. When you took the 12.9 reading how long had it been since you last took any quick acting (QA) insulin? If it was less than 4 hours prior then you will likely still have had some QA in your system and it may be that which caused your sugar levels to drop. If it was over 4 hours since your last dose of QA then it would be worth dropping your back ground a few units and keeping an eye on it for the next few days.

Apr 27, 2013 beckyshaw 1 post	Topic: General Discussion / 7-day waking average Hiya I was 8.4 waking up this morning which had dropped from 12.9... I didmt do a correction as this happened the night before so I am seeing if my bi needs changing... what do people think?

Apr 27, 2013 SA2010 69 posts	Topic: Carbohydrate Counting / Carbohydrates on Packaging novorapidboi26 said: You would be suited to a pump due to your sensitivity...................there are many DAFNE grads that use the half unit pen, its very useful for most, in fact all pens should have it........ Thanks James - may be. But I worry about all the things that might go wrong with the pump and leaving this decision until I really have to have one, I remember my hospital days with canulars and how they leak sometimes and need to be checked all the time and moved and replaced and repositioned. My conerns about pumps are : * risk of infection at the site * risk of knocking it of its place - I am sometimes clumsy with hardware ! Seat Belts when driving? seat belt on airplane. Knocking and bumping into things that might dislodge the positioning of the pump and when dressing/undressing or when cycling or moving my arms or whatever....... * need to reposition it every few days * impact on pump when taking shower or bath. * always worrying if it is making good contact and primed or has moved There may be answers to all these and I may be wrong worrying about these ! There is also probably a psychological element - getting wired to a pump permanently - a realisation that i have a serious problem. It is, but at least i think of it as just a few injections a day. Anyway - probably this is more suitable for a thread on pumps.