Recent Posts - DAFNE Online

Apr 23, 2013

Warwick 425 posts

Topic: General Discussion / Increased blood glucose after exercise

Hi James,

The book is self-published by Ginger and the only place I have seen it for sale is on Amazon. It is well worth the money though. It certainly cleared a lot of my thinking about type 1 diabetes. Competitive exercise usually raises BGLs too as adrenaline produced blunts the effects of insulin.

Cheers,
Warwick.

Apr 23, 2013

fishnetsboi 10 posts

Topic: Questions for HCPs / insulin pump

I'm on a Medtronic which has a bolus wizard option, it calculated CP's and insulin from your BG readings and automatically works it out for you depending on what correction you program into your pump.

Apr 23, 2013

JamesW 24 posts

Topic: General Discussion / Increased blood glucose after exercise

Some very interesting findings. I always thought that there was a significant difference between anaerobic and aerobic activity on my levels and this reinforces my belief. The science element coincides with my thinking too, which is encouraging. My view was built around what I had read about non-diabetics and their consumption of carbohydrates for cycling although this is for events that last over three hours and will be a mixture of efforts. I will have to see if I can get hold of a copy of the book mentioned to read further in to the subject. I am looking to improve my cycling so hopefully now armed with a bit more knowledge and resources I may yet be able to see some advancement.

Apr 23, 2013

mum2westiesGill 502 posts

Topic: General Discussion / My Blood Glucose Diary - all comments welcomed!

Hi,

Staying away from home wouldn't be possible as I have a lot of family commitments. I am however currently doing a similar course in my local area.

Apr 23, 2013

Apollo 45 posts

Topic: General Discussion / My Blood Glucose Diary - all comments welcomed!

If they do one near a friend you can stay with it would be well worth your while trying to arrange it. I went on the course with some scepticism about how much I would really get out of it but I'm self employed and work was slow so I did it. When things picked up a bit a few days before the course was due to start I almost pulled out but I'm so glad I didn't as I learned so much.

We can tell you what we have been told and how personal experience has born it out, but (and I may just be speaking for myself ) it will be a shadow of what you would get out of the course itself as they use interactive learning look at all the topics in a structured way that forums just don't seem to be able to replicate.

But my point with the previoud post was you will have some high results while you find your feet. It's normal and part of the process but don't let it get you down. It is the same as when some one starts to exercise after having been lazy for a while. At first they get shocked by how little they can do, how easy they get out of breath, but they need to work through that and then they become better. The same will happen for your BG levels. It may get a little worse for a few weeks msybe even s monyh or two but you will get to a point where you're better than ever before.

Apr 23, 2013

mum2westiesGill 502 posts

Topic: General Discussion / My Blood Glucose Diary - all comments welcomed!

Hi travler,

Yes you are correct I'm not a dafne graduate & can't be because there are no dafne courses in my immediate area.

Apr 23, 2013

Apollo 45 posts

Topic: General Discussion / My Blood Glucose Diary - all comments welcomed!

As it doesn't show you as a dafne graduate I'm guessing you have yet to do the course. A lot of the stuff we do to work our BI and ratios means we start with a lot of high reads. There was one guy in my group who didn't go under 15 for a single reading all week which frustrated the life out of him but when we came back for our review it was a different story as he had worked out how to balance his insulin to his food in take.

You are going to have to go through some high readings but we all do it is part of the process, but there are good times ahead. Just make one change at a time and evaluate it. In the case of your BI this will have to be done fasting as if you take QA you won't know which insulin is responsible for putting you off target. Then once you know you BI is correct and keeping you level then you can evaluate how your QA is effecting you.

Apr 23, 2013

mum2westiesGill 502 posts

Topic: General Discussion / My Blood Glucose Diary - all comments welcomed!

Hi,

I'm going to reduce my BI from 10u am & pm to 8u am & pm and see what happens for the next few days, also basing it on some of the fasting readings. I'm just a bit worried about seeing all the red numbers in there during the day, but obviously we have to deal with one thing at a time.

Apr 22, 2013

Apollo 45 posts

Topic: General Discussion / My Blood Glucose Diary - all comments welcomed!

You are consistently dropping over night when you have only BI in your system or when you do take QA the cp intake is drasticly higher so you should have been much higher by morning if your BI was spot on. Both I and vickyp agreed you should have lowered your BI based on your fasting test in the last batch of test data so I really can't understand why you are even contemplating increasing it. Increasing it will harm your control and increase your chance of hypos, you need to drop it down to 8 not increase it.

Your corrections are also still too high. Really I'm just telling you the same the things I told you last time so please reread what I said then.

If you think I'm wrong then talk to your diabetic care team as I'm quite sure they are going to tell you the same thing and until you take that on board your not going to have the control you want.

Apr 22, 2013

mum2westiesGill 502 posts

Topic: General Discussion / My Blood Glucose Diary - all comments welcomed!

Hi,

Thank you to everyone who comments on my BG diary and although I may not always reply straight away I do always read through & take all comments on board.

Please can I have comments for the last 7 days
Tue 16/04/2013 - Mon 22/04/2013

I was wondering whether I might increase my BI from 10u am & pm to 12u am & pm. I like to have a 50/50 split if I can. The last time I made adjustments/tweaked my BI was March 9th

Apr 22, 2013

Apollo 45 posts

Topic: General Discussion / Dealing with large carb meals

Just to be clear I'm not recommending that anyone drive at 4.0, in the same way I wouldn't tell anyone they should try to get their breath alcohol up to 34micrograms (35 being the legal limit). What I'm trying to say is this is the line the law says you're endangering yourself and others and you need to take all necessary measures to be above this. Starting at 5+ when you enter the car is obviously a good first step as it gives you atleast 1 unit of comfort. I'm just putting the distinction between DVLA guidelines (which is advice to help you stay on the right side of the law) and the law (which will get your license pulled if you cross it)

HOWEVER if you are pulled over and (although I've never heard of it happening as unless you have a diabetic officer I'm not sure the police would even think of checking it) and you find you're say 4.2mmols then I'm just trying to make sure that you realise that as far as driving under the influence is concerned you are no more breaking the law than someone whos breath alcohol is under 35 micrograms. You may be cutting it close but you're not actually illegal.

When I started to ride a motorcycle I kept my levels foolishly high, if I was under 9 I'd have a 2CPs before I got on a bike. If someone had told me I needed to legally be 6 or over I'd have spent half the day with a BG level of 20 as I couldn't depend on my hypo awareness at all to pick up I was nearing a 6.

Again not recommending you drive at 4.0 just saying that's the line as far as the law is concerned and you need to take all reasonable measures to be above it.

Apr 22, 2013

Vickyp 137 posts

Topic: General Discussion / Dealing with large carb meals

I have tight targets of 3.5-5.9 before meals and less than 7.5 after!!! Was feb this year I did my course too.
Ii would dream of driving if at 4, so on days I am driving lots tend to snack a lot without taking QA!
Generally we seem to have the same message!

Apr 22, 2013

youone 102 posts

Topic: General Discussion / Dealing with large carb meals

I'll check the course notes,my course was in February of this year 2013
I also test at 2 hour intervals
above 5 to me is safer than 4 I wouldn't work machinery at that.
The Dafne target I was given had a low of 4.5 to 7.5

Apr 22, 2013

Vickyp 137 posts

Topic: General Discussion / Dealing with large carb meals

The course I was on...again in February the nurses said above 5 to drive, which is the same as the DVLA guidance I got, weird how your info from nurses is different! I did a 7hr drive in November with a stop every 2 and kept levels above 5.5 (through snacking) which with my understanding is well within limits.

Apr 22, 2013

Alan 49 284 posts

Topic: General Discussion / Flu Virus?

I am just recovering from two weeks of hell. On the 6th of April I woke up with a cough. Then throughout the day I felt worse and worse, and then in the evening I was sick and went to bed without any dinner. The next day I sneezed all day and I had a terrible sick feeling in my stomach. The GP came, said I had a virus and prescribed Penicillin tablets. I knew that antibiotics have no effect on viruses, so can only assume that they were internded to ward off secondary infection. I was bed-bound for two weeks, feeling absolutely awful. The cough resumed and kept me awake at night and I had diarrhoea. My BS levels were in the high teens and I applied the DAFNE "sick day rules" and did not get Ketones (thank-you DAFNE).

After over two weeks of this, I thankfully began to recover and am now feeling my old self. I reckon that this was a form of the flu virus not covered by the flu jab I had in October.

Has anybody else been similarly effected?

Apr 22, 2013

youone 102 posts

Topic: General Discussion / Dealing with large carb meals

Hi
The Dafne course I was on in February of this year the nurse said your BG had to be above 5.8 to drive also if stopped you had to produce a meter reading to back this up. stating make sure the date and time where set correctly. I'm at work so I can't check the form I had to sign stating the nurse had informed me of this.
I'll double check when I finish my shift
Like you I drive a lot so this was a bit of a shock especially regarding if you have a hypo and need assistance.
Even the law change in how you dispose of disposables that we use.
If it wasn't, for the Dafne course I wouldn't have known.
I remember the discussion we had as a group a person on the course had been suspended for 12 months, maybe incorrect with the 5.8,but still a surprise

Apr 22, 2013

Apollo 45 posts

Topic: General Discussion / Dealing with large carb meals

The law is 4.0 or less and you are classed as driving under the influence and will be treated the same as if you were over the drink drive limit.

I can well below the dvla recommendation is 5+ though as it doesn't always take much to curb of 1 mmol. You need to apply some of what you know about how you react and judge your levels from that as the dvla guidelines are just that a rough guide to apply to all that most of the time will be a fair fit but not always for everyone. Do what you need to so you can stay above 4 at all times and on long drives I belive they also recommend to test every 2 hours.

Apr 22, 2013

Vickyp 137 posts

Topic: General Discussion / Dealing with large carb meals

Youone...none of the information that the DVLA sent me 9mnths ago said 5.8 to drive...says 5 or below eat a snack, 4 or below don't drive until sugars above 5! Where did you get the information for above 5.8 from as I do a lot of driving with my job?

Apr 22, 2013

Garry 328 posts

Topic: General Discussion / Dealing with large carb meals

Personally I find it necessary to up my QA:CP ratio when eating more than 10CPs at a meal.
My dinner time 2:1 changes to 2.2:1 for instance.
Generally it seems that the majority of us become more insulin resistant with larger meals.
Pizza has always been a problem for me. Pizza Express.....just adding those words in...sorry Warwick Rolling Eyes

Don't know what it is but even home made pizza with everything diligently weighed out sends my BGs awry.
Have to admit that I would not consider splitting QA doses. I like to keep things simple.......and coping with overlapping QAs would be beyond my ken.
Regards
Garry

Apr 22, 2013

Anthony Murray 9 posts

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

Cheers

knowing my night levels it could have been a fluke so I'll definitely try again for 2 or 3 days and hope for a pattern.

Apr 22, 2013

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Carbohydrates on Packaging

On injections, and in my case, single unit disposable pens:

Bread - 20g (2CPs)

Cup a Soup - 10g (1CPs)

If there were multiple items that had the odd decimal place in there, I would usually add them all up first, so for the above items:

17.7 + 12.8 = 30.5, therefore 30g (3CPs)

So all those spare decimal grams would be used somewhere, but would be rounding up or down after they have all been added up together....

Now that I am on a pump, I can deliver my units to 1 decimal point.............yay.......

Apr 22, 2013

novorapidboi26 1,819 posts

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

That's a great overnight test.......but remember you really need 2 -3 days of results just be sure the results are accurate.....

Looking good though...... Wink

Apr 23, 2013 Warwick 425 posts	Topic: General Discussion / Increased blood glucose after exercise Hi James, The book is self-published by Ginger and the only place I have seen it for sale is on Amazon. It is well worth the money though. It certainly cleared a lot of my thinking about type 1 diabetes. Competitive exercise usually raises BGLs too as adrenaline produced blunts the effects of insulin. Cheers, Warwick.

Apr 23, 2013 fishnetsboi 10 posts	Topic: Questions for HCPs / insulin pump I'm on a Medtronic which has a bolus wizard option, it calculated CP's and insulin from your BG readings and automatically works it out for you depending on what correction you program into your pump.

Apr 23, 2013 JamesW 24 posts	Topic: General Discussion / Increased blood glucose after exercise Some very interesting findings. I always thought that there was a significant difference between anaerobic and aerobic activity on my levels and this reinforces my belief. The science element coincides with my thinking too, which is encouraging. My view was built around what I had read about non-diabetics and their consumption of carbohydrates for cycling although this is for events that last over three hours and will be a mixture of efforts. I will have to see if I can get hold of a copy of the book mentioned to read further in to the subject. I am looking to improve my cycling so hopefully now armed with a bit more knowledge and resources I may yet be able to see some advancement.

Apr 23, 2013 mum2westiesGill 502 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! Hi, Staying away from home wouldn't be possible as I have a lot of family commitments. I am however currently doing a similar course in my local area.

Apr 23, 2013 Apollo 45 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! If they do one near a friend you can stay with it would be well worth your while trying to arrange it. I went on the course with some scepticism about how much I would really get out of it but I'm self employed and work was slow so I did it. When things picked up a bit a few days before the course was due to start I almost pulled out but I'm so glad I didn't as I learned so much. We can tell you what we have been told and how personal experience has born it out, but (and I may just be speaking for myself ) it will be a shadow of what you would get out of the course itself as they use interactive learning look at all the topics in a structured way that forums just don't seem to be able to replicate. But my point with the previoud post was you will have some high results while you find your feet. It's normal and part of the process but don't let it get you down. It is the same as when some one starts to exercise after having been lazy for a while. At first they get shocked by how little they can do, how easy they get out of breath, but they need to work through that and then they become better. The same will happen for your BG levels. It may get a little worse for a few weeks msybe even s monyh or two but you will get to a point where you're better than ever before.

Apr 23, 2013 mum2westiesGill 502 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! Hi travler, Yes you are correct I'm not a dafne graduate & can't be because there are no dafne courses in my immediate area.

Apr 23, 2013 Apollo 45 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! As it doesn't show you as a dafne graduate I'm guessing you have yet to do the course. A lot of the stuff we do to work our BI and ratios means we start with a lot of high reads. There was one guy in my group who didn't go under 15 for a single reading all week which frustrated the life out of him but when we came back for our review it was a different story as he had worked out how to balance his insulin to his food in take. You are going to have to go through some high readings but we all do it is part of the process, but there are good times ahead. Just make one change at a time and evaluate it. In the case of your BI this will have to be done fasting as if you take QA you won't know which insulin is responsible for putting you off target. Then once you know you BI is correct and keeping you level then you can evaluate how your QA is effecting you.

Apr 23, 2013 mum2westiesGill 502 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! Hi, I'm going to reduce my BI from 10u am & pm to 8u am & pm and see what happens for the next few days, also basing it on some of the fasting readings. I'm just a bit worried about seeing all the red numbers in there during the day, but obviously we have to deal with one thing at a time.

Apr 22, 2013 Apollo 45 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! You are consistently dropping over night when you have only BI in your system or when you do take QA the cp intake is drasticly higher so you should have been much higher by morning if your BI was spot on. Both I and vickyp agreed you should have lowered your BI based on your fasting test in the last batch of test data so I really can't understand why you are even contemplating increasing it. Increasing it will harm your control and increase your chance of hypos, you need to drop it down to 8 not increase it. Your corrections are also still too high. Really I'm just telling you the same the things I told you last time so please reread what I said then. If you think I'm wrong then talk to your diabetic care team as I'm quite sure they are going to tell you the same thing and until you take that on board your not going to have the control you want.

Apr 22, 2013 mum2westiesGill 502 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! Hi, Thank you to everyone who comments on my BG diary and although I may not always reply straight away I do always read through & take all comments on board. Please can I have comments for the last 7 days Tue 16/04/2013 - Mon 22/04/2013 I was wondering whether I might increase my BI from 10u am & pm to 12u am & pm. I like to have a 50/50 split if I can. The last time I made adjustments/tweaked my BI was March 9th

Apr 22, 2013 Apollo 45 posts	Topic: General Discussion / Dealing with large carb meals Just to be clear I'm not recommending that anyone drive at 4.0, in the same way I wouldn't tell anyone they should try to get their breath alcohol up to 34micrograms (35 being the legal limit). What I'm trying to say is this is the line the law says you're endangering yourself and others and you need to take all necessary measures to be above this. Starting at 5+ when you enter the car is obviously a good first step as it gives you atleast 1 unit of comfort. I'm just putting the distinction between DVLA guidelines (which is advice to help you stay on the right side of the law) and the law (which will get your license pulled if you cross it) HOWEVER if you are pulled over and (although I've never heard of it happening as unless you have a diabetic officer I'm not sure the police would even think of checking it) and you find you're say 4.2mmols then I'm just trying to make sure that you realise that as far as driving under the influence is concerned you are no more breaking the law than someone whos breath alcohol is under 35 micrograms. You may be cutting it close but you're not actually illegal. When I started to ride a motorcycle I kept my levels foolishly high, if I was under 9 I'd have a 2CPs before I got on a bike. If someone had told me I needed to legally be 6 or over I'd have spent half the day with a BG level of 20 as I couldn't depend on my hypo awareness at all to pick up I was nearing a 6. Again not recommending you drive at 4.0 just saying that's the line as far as the law is concerned and you need to take all reasonable measures to be above it.

Apr 22, 2013 Vickyp 137 posts	Topic: General Discussion / Dealing with large carb meals I have tight targets of 3.5-5.9 before meals and less than 7.5 after!!! Was feb this year I did my course too. Ii would dream of driving if at 4, so on days I am driving lots tend to snack a lot without taking QA! Generally we seem to have the same message!

Apr 22, 2013 youone 102 posts	Topic: General Discussion / Dealing with large carb meals I'll check the course notes,my course was in February of this year 2013 I also test at 2 hour intervals above 5 to me is safer than 4 I wouldn't work machinery at that. The Dafne target I was given had a low of 4.5 to 7.5

Apr 22, 2013 Vickyp 137 posts	Topic: General Discussion / Dealing with large carb meals The course I was on...again in February the nurses said above 5 to drive, which is the same as the DVLA guidance I got, weird how your info from nurses is different! I did a 7hr drive in November with a stop every 2 and kept levels above 5.5 (through snacking) which with my understanding is well within limits.

Apr 22, 2013 Alan 49 284 posts	Topic: General Discussion / Flu Virus? I am just recovering from two weeks of hell. On the 6th of April I woke up with a cough. Then throughout the day I felt worse and worse, and then in the evening I was sick and went to bed without any dinner. The next day I sneezed all day and I had a terrible sick feeling in my stomach. The GP came, said I had a virus and prescribed Penicillin tablets. I knew that antibiotics have no effect on viruses, so can only assume that they were internded to ward off secondary infection. I was bed-bound for two weeks, feeling absolutely awful. The cough resumed and kept me awake at night and I had diarrhoea. My BS levels were in the high teens and I applied the DAFNE "sick day rules" and did not get Ketones (thank-you DAFNE). After over two weeks of this, I thankfully began to recover and am now feeling my old self. I reckon that this was a form of the flu virus not covered by the flu jab I had in October. Has anybody else been similarly effected?

Apr 22, 2013 youone 102 posts	Topic: General Discussion / Dealing with large carb meals Hi The Dafne course I was on in February of this year the nurse said your BG had to be above 5.8 to drive also if stopped you had to produce a meter reading to back this up. stating make sure the date and time where set correctly. I'm at work so I can't check the form I had to sign stating the nurse had informed me of this. I'll double check when I finish my shift Like you I drive a lot so this was a bit of a shock especially regarding if you have a hypo and need assistance. Even the law change in how you dispose of disposables that we use. If it wasn't, for the Dafne course I wouldn't have known. I remember the discussion we had as a group a person on the course had been suspended for 12 months, maybe incorrect with the 5.8,but still a surprise

Apr 22, 2013 Apollo 45 posts	Topic: General Discussion / Dealing with large carb meals The law is 4.0 or less and you are classed as driving under the influence and will be treated the same as if you were over the drink drive limit. I can well below the dvla recommendation is 5+ though as it doesn't always take much to curb of 1 mmol. You need to apply some of what you know about how you react and judge your levels from that as the dvla guidelines are just that a rough guide to apply to all that most of the time will be a fair fit but not always for everyone. Do what you need to so you can stay above 4 at all times and on long drives I belive they also recommend to test every 2 hours.

Apr 22, 2013 Vickyp 137 posts	Topic: General Discussion / Dealing with large carb meals Youone...none of the information that the DVLA sent me 9mnths ago said 5.8 to drive...says 5 or below eat a snack, 4 or below don't drive until sugars above 5! Where did you get the information for above 5.8 from as I do a lot of driving with my job?

Apr 22, 2013 Garry 328 posts	Topic: General Discussion / Dealing with large carb meals Personally I find it necessary to up my QA:CP ratio when eating more than 10CPs at a meal. My dinner time 2:1 changes to 2.2:1 for instance. Generally it seems that the majority of us become more insulin resistant with larger meals. Pizza has always been a problem for me. Pizza Express.....just adding those words in...sorry Warwick Don't know what it is but even home made pizza with everything diligently weighed out sends my BGs awry. Have to admit that I would not consider splitting QA doses. I like to keep things simple.......and coping with overlapping QAs would be beyond my ken. Regards Garry

Apr 22, 2013 Anthony Murray 9 posts	Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss Cheers knowing my night levels it could have been a fluke so I'll definitely try again for 2 or 3 days and hope for a pattern.

Apr 22, 2013 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Carbohydrates on Packaging On injections, and in my case, single unit disposable pens: Bread - 20g (2CPs) Cup a Soup - 10g (1CPs) If there were multiple items that had the odd decimal place in there, I would usually add them all up first, so for the above items: 17.7 + 12.8 = 30.5, therefore 30g (3CPs) So all those spare decimal grams would be used somewhere, but would be rounding up or down after they have all been added up together.... Now that I am on a pump, I can deliver my units to 1 decimal point.............yay.......

Apr 22, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss That's a great overnight test.......but remember you really need 2 -3 days of results just be sure the results are accurate..... Looking good though......