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Apr 23, 2013
Apollo
45 posts
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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. |
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Apr 23, 2013
mum2westiesGill
502 posts
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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. |
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Apr 22, 2013
Apollo
45 posts
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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. |
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Apr 22, 2013
mum2westiesGill
502 posts
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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 |
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Apr 22, 2013
Apollo
45 posts
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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. |
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Apr 22, 2013
Vickyp
135 posts
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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! |
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Apr 22, 2013
youone
102 posts
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Topic: General Discussion / Dealing with large carb meals I'll check the course notes,my course was in February of this year 2013I 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 |
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Apr 22, 2013
Vickyp
135 posts
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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. |
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Apr 22, 2013
Alan 49
280 posts
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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? |
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Apr 22, 2013
youone
102 posts
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Topic: General Discussion / Dealing with large carb meals HiThe 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 |
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Apr 22, 2013
Apollo
45 posts
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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. |
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Apr 22, 2013
Vickyp
135 posts
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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? |
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Apr 22, 2013
Garry
328 posts
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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 |
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Apr 22, 2013
Anthony Murray
9 posts
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Topic: Questions ? / "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.
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Apr 22, 2013
novorapidboi26
1,818 posts
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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....... |
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Apr 22, 2013
novorapidboi26
1,818 posts
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Topic: Questions ? / "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...... 
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Apr 22, 2013
novorapidboi26
1,818 posts
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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.....
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Apr 22, 2013
mum2westiesGill
502 posts
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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 |
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Apr 22, 2013
youone
102 posts
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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
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Apr 22, 2013
Gari
17 posts
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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 |
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Apr 22, 2013
youone
102 posts
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Topic: General Discussion / Dealing with large carb meals
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 |
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Apr 22, 2013
Warwick
434 posts
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That helped. I'm vegetarian ;-P |
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Apr 22, 2013
Warwick
434 posts
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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. |
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Apr 21, 2013
youone
102 posts
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Topic: General Discussion / Dealing with large carb meals Sorry about that, I won't mention pizza express againhttp://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 
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