Recent Posts - DAFNE Online

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 135 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 135 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 49 280 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 135 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 1,816 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 1,816 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 22, 2013

novorapidboi26 1,816 posts

Topic: General Discussion / drops in BG levels

If your BG fluctuates between 1-2mmol/l this is an acceptable observation for being 'held steady'.

There can also be scenarios where you have had a large carb loaded meal, that may also be high in fat. This could delay digestion and therefore effect your blood sugars long after your insulin has depleted. In these scenarios its quite common to split the QA dose; some before and the rest after etc.

When doing tests of BI insulin, make sure any previous meals are reasonably simple and digested normally..... Wink

Apr 22, 2013

mum2westiesGill 502 posts

Topic: Carbohydrate Counting / Carbohydrates on Packaging

Do you round the carbs on packets up/down to the nearest 5?

What would you round these to?

Warburtons White Medium Loaf (800g)
Carbohydrate - Per average slice 17.7g

Batchelors Cup a Soup Oxtail (78gr)
Carbohydrate - Per Portion as Prepared 12.8g

Apr 22, 2013

youone 102 posts

Topic: General Discussion / Dealing with large carb meals

Since the Dvla set the target to 5.8 before you can drive I've changed the way I look at things driving to me is too important to lose. Work etc.
I would have split the QA into 3 before 2011 now I find its made me just a little more careful not to drop below the Dvla figure
That's why I would drip smaller amounts until I am happy again to go back to 3 even splits its getting enough results so I'll be out again having a large CP meal.
Its full this experimenting Very Happy

Apr 22, 2013

Gari 17 posts

Topic: General Discussion / Dealing with large carb meals

Can i ask why you didnt split the 3 doses more evenly. I thought thats what u were doing. So you would have given 8iu 8iu then 7

Apr 22, 2013

youone 102 posts

Topic: General Discussion / Dealing with large carb meals

youone said:
Gari
just had a pizza express
large 500g (19 CP) pizza also a cheese cake which I estimated at 3CP
BG was 8 before meal
when the pizza arrived I injected 10 QA
1 hour later I injected 8 QA
41/2 hours after the meal my BG was 12 I finished off with a correction of 2 QA
according to the person at pizza express who to be honest had no idea what I was asking about, the carb contents, the app said 19 CPs for 550g pizza hut, if I had done this and took the full 23 CP match in QA I would have sailed close to a hypo.
doing this split especially with large meals of CPS you have less chance to take to much since you have a correction at the end of the 4 hours
the next morning I had a BG of 7
my target was 7 to 9

On closer examination I'm surprised with the maximum BG that I had after the meal.Because I've done my eating of large CP meals this way most of 20 years I never really gone deep into the BG readings, I saw when on was on the Dafne course some people in high 20's.
Now I'm in a more relaxed environment these are the BG readings
Before meal BG 8
Meal estimated CP = 23 Ratio is 1:1
10 QA taken at the start of meal 7pm
8 QA taken @ 8pm
At 12 pm BG was 12 took correction of 2 QA
Looking at the figure 12 this seems low for a meal of 23 + CP
Later I did a 5 hour reading the BG was 15.6, higher but still a low increase for meal amount
Corrected with 3 QA
Since I was watching this closely I did a 3am BG which was 10
This was a reasonable drop in the time from the meal
The BG at 8am was 7.3
As I've quoted above the rise of the BG to only 15.6 to me is as good as the end result
I felt good at the meal and the next day
Conclusion total estimate of CP was 23
Total QA taken in 3 + 1 split was 23

Apr 22, 2013

Warwick 430 posts

Topic: General Discussion / Dealing with large carb meals

That helped. I'm vegetarian ;-P

Apr 22, 2013

Warwick 430 posts

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

Saturday wasn't an option to try experiment 1 as I was having lunch with my diabetes support group and we didn't start eating until after 1, and I had a hypo at that time anyway. Just too messy.

Sunday, I managed to get the QA right with a 1/3 ratio - no hypos this week in the couple of hours after lunch, but BGs started high and just dropped over the course of the afternoon until the hypo.

Thursday is ANZAC Day, and I have Friday off this week, so will have a four day weekend which should allow me to get this right by the end of it. I will lower BI to 9 units on Wednesday evening/Thursday morning and keep it there over the weekend unless otherwise indicated.

Apr 21, 2013

youone 102 posts

Topic: General Discussion / Dealing with large carb meals

Sorry about that, I won't mention pizza express again
http://i168.photobucket.com/albums/u176/youonebucket/menu2-romana-meatball-bolognese_zps6c37d5c2.jpg
next time I'll mention the thick-crust pizza from pizza hut
http://i168.photobucket.com/albums/u176/youonebucket/bbq_mega_meaty_zps086edf22.jpg
Laughing

Apr 21, 2013

Warwick 430 posts

Topic: General Discussion / Dealing with large carb meals

You have just ensured that you will never be on my Christmas card list Youone. I love Pizza Express, but my closest one is 16500 km away. I now have a craving for Pizza Express and I can't do a thing about it until my next visit to the UK which is years away. Any more of this nonsense and I am leaving this thread Laughing

Apr 21, 2013

youone 102 posts

Topic: General Discussion / Dealing with large carb meals

I know the feeling at work, Friday was supposed to be a watch the camera and take the rolls off the machine, but as usual the previous shift fell behind so it was me who had to speed up, more stress so a planed day was changed, had to correct at mid morning since by breakfast BG was 7.8 at 8 it was 7 to low I expected it to be around 10, took 1:50 CP no QA at 10 it was 8.
Type1 would be so easy without work, mores the pity I didn't change my job years ago

Apr 21, 2013

Gari 17 posts

Topic: General Discussion / Dealing with large carb meals

Thats really interesting thanks. I had a large spag bol for dinner last night. This is a meal i usually have problems with. I done the 3 dose split. But it wasnt that succesful. Thing is with me is that for my evening meal i am very sensitive. So take a 40% QA reduction. I think this is because i am very active during the day at work. And do a lot of walking to and from. Yesterday i did work but just for a few hours and drove there. So not very active day. But for dinner i still reduced. (Possible should have give the full dose) i have had the same dinner tonight and have not been very active today so gave the full dose split into three. In 30minutes will be 4 hours after i ate so i shall see what happens. I'll keep you posted. Your advice has been amazing and given me so much freedom. Something that the healthcare proffesionals were unable to do. Thankyou

Apr 21, 2013

youone 102 posts

Topic: General Discussion / Dealing with large carb meals

Gari
just had a pizza express
large 500g (19 CP) pizza also a cheese cake which I estimated at 3CP
BG was 8 before meal
when the pizza arrived I injected 10 QA
1 hour later I injected 8 QA
41/2 hours after the meal my BG was 12 I finished off with a correction of 2 QA
according to the person at pizza express who to be honest had no idea what I was asking about, the carb contents, the app said 19 CPs for 550g pizza hut, if I had done this and took the full 23 CP match in QA I would have sailed close to a hypo.
doing this split especially with large meals of CPS you have less chance to take to much since you have a correction at the end of the 4 hours
the next morning I had a BG of 7
my target was 7 to 9

Apr 21, 2013

youone 102 posts

Topic: General Discussion / drops in BG levels

paulj
if I understand your question correctly
been a type 1 means 99.9% of the time your body doesn't produce insulin or the processes needed to use the insulin to convert your carbs into energy
hence the glucose stays in your blood. very simple explanation I know.
you will use 2 insulin's
1 BI background
QA quick acting
if like you say your BG level is falling and your sure your CP count was correct and your Ratio is correct
removing inject sites etc.
that leaves your background BI
On your Dafne course you would have done a carb free meal too check your BI insulin
I do a carb free meal once a week I have a very large Spanish omelette, but this could be anything that you like.
always check your BG reading before the meal
don't take any QA and check your BG ever 2 and 4 hours the 2 hour is a safe period this gives you time to act if your BG has gone down
the 4 hour BG is the important 1 this will tell you if your BI is set at the right amount,
if your BG is too high your BI is not enough or your time of injection needs adjusting
if your BG is to low your taking to much BI insulin
if its near to the BG you took 4 hours previous you know your BI is set correctly and any changes for low or high BG is more pointing to the amount of QA your taking
to me the BI is as important if not more than the QA, if you had a BG of 6, didn't eat anything and just sat in a chair all day and didn't take any QA your BG should stay at 6 if its set correctly.
another way to check your BI is the BG before bed and BG before Breakfast they should be close to each other.
Best to speak to your Dafne nurse if your unsure on the BI insulin and the purpose of carb free meals

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 135 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 135 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 49 280 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 135 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 1,816 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 1,816 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......

Apr 22, 2013 novorapidboi26 1,816 posts	Topic: General Discussion / drops in BG levels If your BG fluctuates between 1-2mmol/l this is an acceptable observation for being 'held steady'. There can also be scenarios where you have had a large carb loaded meal, that may also be high in fat. This could delay digestion and therefore effect your blood sugars long after your insulin has depleted. In these scenarios its quite common to split the QA dose; some before and the rest after etc. When doing tests of BI insulin, make sure any previous meals are reasonably simple and digested normally.....

Apr 22, 2013 mum2westiesGill 502 posts	Topic: Carbohydrate Counting / Carbohydrates on Packaging Do you round the carbs on packets up/down to the nearest 5? What would you round these to? Warburtons White Medium Loaf (800g) Carbohydrate - Per average slice 17.7g Batchelors Cup a Soup Oxtail (78gr) Carbohydrate - Per Portion as Prepared 12.8g

Apr 22, 2013 youone 102 posts	Topic: General Discussion / Dealing with large carb meals Since the Dvla set the target to 5.8 before you can drive I've changed the way I look at things driving to me is too important to lose. Work etc. I would have split the QA into 3 before 2011 now I find its made me just a little more careful not to drop below the Dvla figure That's why I would drip smaller amounts until I am happy again to go back to 3 even splits its getting enough results so I'll be out again having a large CP meal. Its full this experimenting

Apr 22, 2013 Gari 17 posts	Topic: General Discussion / Dealing with large carb meals Can i ask why you didnt split the 3 doses more evenly. I thought thats what u were doing. So you would have given 8iu 8iu then 7

Apr 22, 2013 youone 102 posts	Topic: General Discussion / Dealing with large carb meals youone said: Gari just had a pizza express large 500g (19 CP) pizza also a cheese cake which I estimated at 3CP BG was 8 before meal when the pizza arrived I injected 10 QA 1 hour later I injected 8 QA 41/2 hours after the meal my BG was 12 I finished off with a correction of 2 QA according to the person at pizza express who to be honest had no idea what I was asking about, the carb contents, the app said 19 CPs for 550g pizza hut, if I had done this and took the full 23 CP match in QA I would have sailed close to a hypo. doing this split especially with large meals of CPS you have less chance to take to much since you have a correction at the end of the 4 hours the next morning I had a BG of 7 my target was 7 to 9 On closer examination I'm surprised with the maximum BG that I had after the meal.Because I've done my eating of large CP meals this way most of 20 years I never really gone deep into the BG readings, I saw when on was on the Dafne course some people in high 20's. Now I'm in a more relaxed environment these are the BG readings Before meal BG 8 Meal estimated CP = 23 Ratio is 1:1 10 QA taken at the start of meal 7pm 8 QA taken @ 8pm At 12 pm BG was 12 took correction of 2 QA Looking at the figure 12 this seems low for a meal of 23 + CP Later I did a 5 hour reading the BG was 15.6, higher but still a low increase for meal amount Corrected with 3 QA Since I was watching this closely I did a 3am BG which was 10 This was a reasonable drop in the time from the meal The BG at 8am was 7.3 As I've quoted above the rise of the BG to only 15.6 to me is as good as the end result I felt good at the meal and the next day Conclusion total estimate of CP was 23 Total QA taken in 3 + 1 split was 23

Apr 22, 2013 Warwick 430 posts	Topic: General Discussion / Dealing with large carb meals That helped. I'm vegetarian ;-P

Apr 22, 2013 Warwick 430 posts	Topic: General Discussion / Your Diabetes Science Experiment - Experiment 1 Saturday wasn't an option to try experiment 1 as I was having lunch with my diabetes support group and we didn't start eating until after 1, and I had a hypo at that time anyway. Just too messy. Sunday, I managed to get the QA right with a 1/3 ratio - no hypos this week in the couple of hours after lunch, but BGs started high and just dropped over the course of the afternoon until the hypo. Thursday is ANZAC Day, and I have Friday off this week, so will have a four day weekend which should allow me to get this right by the end of it. I will lower BI to 9 units on Wednesday evening/Thursday morning and keep it there over the weekend unless otherwise indicated.

Apr 21, 2013 youone 102 posts	Topic: General Discussion / Dealing with large carb meals Sorry about that, I won't mention pizza express again http://i168.photobucket.com/albums/u176/youonebucket/menu2-romana-meatball-bolognese_zps6c37d5c2.jpg next time I'll mention the thick-crust pizza from pizza hut http://i168.photobucket.com/albums/u176/youonebucket/bbq_mega_meaty_zps086edf22.jpg

Apr 21, 2013 Warwick 430 posts	Topic: General Discussion / Dealing with large carb meals You have just ensured that you will never be on my Christmas card list Youone. I love Pizza Express, but my closest one is 16500 km away. I now have a craving for Pizza Express and I can't do a thing about it until my next visit to the UK which is years away. Any more of this nonsense and I am leaving this thread

Apr 21, 2013 youone 102 posts	Topic: General Discussion / Dealing with large carb meals I know the feeling at work, Friday was supposed to be a watch the camera and take the rolls off the machine, but as usual the previous shift fell behind so it was me who had to speed up, more stress so a planed day was changed, had to correct at mid morning since by breakfast BG was 7.8 at 8 it was 7 to low I expected it to be around 10, took 1:50 CP no QA at 10 it was 8. Type1 would be so easy without work, mores the pity I didn't change my job years ago

Apr 21, 2013 Gari 17 posts	Topic: General Discussion / Dealing with large carb meals Thats really interesting thanks. I had a large spag bol for dinner last night. This is a meal i usually have problems with. I done the 3 dose split. But it wasnt that succesful. Thing is with me is that for my evening meal i am very sensitive. So take a 40% QA reduction. I think this is because i am very active during the day at work. And do a lot of walking to and from. Yesterday i did work but just for a few hours and drove there. So not very active day. But for dinner i still reduced. (Possible should have give the full dose) i have had the same dinner tonight and have not been very active today so gave the full dose split into three. In 30minutes will be 4 hours after i ate so i shall see what happens. I'll keep you posted. Your advice has been amazing and given me so much freedom. Something that the healthcare proffesionals were unable to do. Thankyou

Apr 21, 2013 youone 102 posts	Topic: General Discussion / Dealing with large carb meals Gari just had a pizza express large 500g (19 CP) pizza also a cheese cake which I estimated at 3CP BG was 8 before meal when the pizza arrived I injected 10 QA 1 hour later I injected 8 QA 41/2 hours after the meal my BG was 12 I finished off with a correction of 2 QA according to the person at pizza express who to be honest had no idea what I was asking about, the carb contents, the app said 19 CPs for 550g pizza hut, if I had done this and took the full 23 CP match in QA I would have sailed close to a hypo. doing this split especially with large meals of CPS you have less chance to take to much since you have a correction at the end of the 4 hours the next morning I had a BG of 7 my target was 7 to 9

Apr 21, 2013 youone 102 posts	Topic: General Discussion / drops in BG levels paulj if I understand your question correctly been a type 1 means 99.9% of the time your body doesn't produce insulin or the processes needed to use the insulin to convert your carbs into energy hence the glucose stays in your blood. very simple explanation I know. you will use 2 insulin's 1 BI background QA quick acting if like you say your BG level is falling and your sure your CP count was correct and your Ratio is correct removing inject sites etc. that leaves your background BI On your Dafne course you would have done a carb free meal too check your BI insulin I do a carb free meal once a week I have a very large Spanish omelette, but this could be anything that you like. always check your BG reading before the meal don't take any QA and check your BG ever 2 and 4 hours the 2 hour is a safe period this gives you time to act if your BG has gone down the 4 hour BG is the important 1 this will tell you if your BI is set at the right amount, if your BG is too high your BI is not enough or your time of injection needs adjusting if your BG is to low your taking to much BI insulin if its near to the BG you took 4 hours previous you know your BI is set correctly and any changes for low or high BG is more pointing to the amount of QA your taking to me the BI is as important if not more than the QA, if you had a BG of 6, didn't eat anything and just sat in a chair all day and didn't take any QA your BG should stay at 6 if its set correctly. another way to check your BI is the BG before bed and BG before Breakfast they should be close to each other. Best to speak to your Dafne nurse if your unsure on the BI insulin and the purpose of carb free meals