Recent Posts - DAFNE Online

Apr 22, 2013

novorapidboi26 1,819 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 425 posts

Topic: General Discussion / Dealing with large carb meals

That helped. I'm vegetarian ;-P

Apr 22, 2013

Warwick 425 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 425 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 21, 2013

paulj 36 posts

Topic: General Discussion / drops in BG levels

is it just because i am diabetic that if i have a mealat say 12.00 o clock and take the correct insulin ratio for that meal that at 5.00 o clock when the insulin has worn off and my BG level is at a acceptable level that lets say an hour later my BG level is still falling unless i have something else to eat? does that make sense ?
is it something to do with my doses of background insulin and/or does this happen to everyone whether they are diabetic or not
this is all quite new to me with only being on insulin for 6 months but i would appreciate any thoughts and comments that you have to help me understand what goes on

cheers
paulj Very Happy

Apr 21, 2013

youone 102 posts

Topic: General Discussion / Double Hypos round meals.

If your hypoing before a meal, not good, look at your previous BG and the ratio of insulin you used
I don't know your BG for this advent so I'll use this example
Lunch BG was 8 had 8CP's matched with12 QA ratio 1.5:1
Dinner BG was low 4
If you stuck to the same ratio at Dinner you would be in a hypo

Next time reduce your ratio from 1.5:1 to 1:1 for lunch check your BG before Dinner
If its OK reduce the ratio for Dinner and check BG
Since this would be change to what your doing take more BG tests ,but only correct after the 4 hour one after your QA
Its always best to be a slightly higher BG that's constant than hypos
Once you've got the BG the same and constant you then start to bring it down to your target with the Dafne techniques
One more thing when do you take your BI insulin
Is your bed time BG the same as your before breakfast BG ?

Apr 21, 2013

Anthony Murray 9 posts

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

I did my Bl test yesterday:

At 4:56 my BG was 5.0
At 9:03 my BG was 5.5
At 9:31 my BG was 5.2
At 10:03 my BG was 5.4

I'm guessing this means that my Lantus isn't running out and that it's a ratio problem. I say "guessing" as this is the first Bl test I have ever done, I only started using QA and Bl a day or two before I did the dafne course less than a year ago.

Apr 20, 2013

mum2westiesGill 502 posts

Topic: General Discussion / BG Diary - CPs Entry?

novorapidboi26 said:
yeah 55 cps is 550g of carbs, and that a lot........

Lol! It was deffinately just 5.5 cps - it was a shops own brand of frozen rice where you get 4 sml pkts in one large pack

details copied & pasted from the pack:
Carbohydrate - (microwaved) Per sachet - 54.0g

Hope I'm correct with all this, still doubt myself Crying or Very sad

Apr 20, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

Fri 19/04
6.7 - bedtime
3.8 - this morning

- 17.47pm - tea & QA - BG was 7.3
- 23.01pm - bedtime test was done - hypo before bed @ 22.42pm 3.9 treated with 4 jelly babies

Sat 20/04
5.3 - bedtime
13.3 - this morning

- 19.20pm - tea & QA - BG was 6.2
- 23.14pm - bedtime test was done - hypo before bed @ 22.52pm 3.9 treated with 4 jelly babies
- supper was sandwich 2 slices / 2 treat size biscuits - probably about 5 cps - no QA

Apr 20, 2013

Anthony Murray 9 posts

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

I think I will try it again after I figure out the reason for the night highs and hopefully fix it.

Apr 20, 2013

novorapidboi26 1,819 posts

Topic: DAFNE Graduate Group (DGG) / ghdfjj

Hello........... Rolling Eyes

Apr 20, 2013

novorapidboi26 1,819 posts

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

So it seems you need more overnight than you do in the morning..........it would be good in my opinion to maybe try a split again when your ready, means you can deal with the two different parts of the day separately,....

Apr 20, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / BG Diary - CPs Entry?

yeah 55 cps is 550g of carbs, and that a lot........

Apr 20, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Double Hypos round meals.

Its not uncommon, I think I have experienced this before............

I suppose it all depends on why you had the first hypo, essentially you could be dropping even after you have given the 15g of quick acting carbs......which would mean your next meals dose would end up being too much........

what have your bg been like before the next meal, so after the hypo.........?

Apr 20, 2013

Anthony Murray 9 posts

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

novorapidboi26 said:
Welcome to the forum Anthony

There is 2 possible reasons for the high which I am sure your aware:

BI running out

Not enough QA at dinner

If you are reluctant to change the QA ratio, which in my opinion is good, then the next step is a BI test....

You should carry this out from dinner till bed time, so a carb free dinner......

This will tell you what your BI is doing between dinner and bed.......you may find that it holds steady till about 9 or 10 then goes up, this means that your BI dose is running out.....

Because its a single Lantus dose your only option would be to move the time of it or compensate with some extra QA at dinner..........if you don't want to split you will likely need to compensate somewhere for the lack of full coverage over the 24 hours....

When did you split it? What were the timings then?

Thank you very much, I'll try the carb free dinner today. I was splitting my lantus from the 17th of February till the 23rd of March, was getting the same kind of results (hit and miss... mostly miss). I started out at 4 units at breakfast and 4 units at dinner and by the time I stopped splitting it I was taking 3 units at breakfast and 7 units at dinner.

Apr 20, 2013

Afric 1 post

Topic: DAFNE Graduate Group (DGG) / ghdfjj

Cvnjggn

Apr 22, 2013 novorapidboi26 1,819 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 425 posts	Topic: General Discussion / Dealing with large carb meals That helped. I'm vegetarian ;-P

Apr 22, 2013 Warwick 425 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 425 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

Apr 21, 2013 paulj 36 posts	Topic: General Discussion / drops in BG levels is it just because i am diabetic that if i have a mealat say 12.00 o clock and take the correct insulin ratio for that meal that at 5.00 o clock when the insulin has worn off and my BG level is at a acceptable level that lets say an hour later my BG level is still falling unless i have something else to eat? does that make sense ? is it something to do with my doses of background insulin and/or does this happen to everyone whether they are diabetic or not this is all quite new to me with only being on insulin for 6 months but i would appreciate any thoughts and comments that you have to help me understand what goes on cheers paulj

Apr 21, 2013 youone 102 posts	Topic: General Discussion / Double Hypos round meals. If your hypoing before a meal, not good, look at your previous BG and the ratio of insulin you used I don't know your BG for this advent so I'll use this example Lunch BG was 8 had 8CP's matched with12 QA ratio 1.5:1 Dinner BG was low 4 If you stuck to the same ratio at Dinner you would be in a hypo Next time reduce your ratio from 1.5:1 to 1:1 for lunch check your BG before Dinner If its OK reduce the ratio for Dinner and check BG Since this would be change to what your doing take more BG tests ,but only correct after the 4 hour one after your QA Its always best to be a slightly higher BG that's constant than hypos Once you've got the BG the same and constant you then start to bring it down to your target with the Dafne techniques One more thing when do you take your BI insulin Is your bed time BG the same as your before breakfast BG ?

Apr 21, 2013 Anthony Murray 9 posts	Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss I did my Bl test yesterday: At 4:56 my BG was 5.0 At 9:03 my BG was 5.5 At 9:31 my BG was 5.2 At 10:03 my BG was 5.4 I'm guessing this means that my Lantus isn't running out and that it's a ratio problem. I say "guessing" as this is the first Bl test I have ever done, I only started using QA and Bl a day or two before I did the dafne course less than a year ago.

Apr 20, 2013 mum2westiesGill 502 posts	Topic: General Discussion / BG Diary - CPs Entry? novorapidboi26 said: yeah 55 cps is 550g of carbs, and that a lot........ Lol! It was deffinately just 5.5 cps - it was a shops own brand of frozen rice where you get 4 sml pkts in one large pack details copied & pasted from the pack: Carbohydrate - (microwaved) Per sachet - 54.0g Hope I'm correct with all this, still doubt myself

Apr 20, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average Fri 19/04 6.7 - bedtime 3.8 - this morning - 17.47pm - tea & QA - BG was 7.3 - 23.01pm - bedtime test was done - hypo before bed @ 22.42pm 3.9 treated with 4 jelly babies Sat 20/04 5.3 - bedtime 13.3 - this morning - 19.20pm - tea & QA - BG was 6.2 - 23.14pm - bedtime test was done - hypo before bed @ 22.52pm 3.9 treated with 4 jelly babies - supper was sandwich 2 slices / 2 treat size biscuits - probably about 5 cps - no QA

Apr 20, 2013 Anthony Murray 9 posts	Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss I think I will try it again after I figure out the reason for the night highs and hopefully fix it.

Apr 20, 2013 novorapidboi26 1,819 posts	Topic: DAFNE Graduate Group (DGG) / ghdfjj Hello...........

Apr 20, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss So it seems you need more overnight than you do in the morning..........it would be good in my opinion to maybe try a split again when your ready, means you can deal with the two different parts of the day separately,....

Apr 20, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / BG Diary - CPs Entry? yeah 55 cps is 550g of carbs, and that a lot........

Apr 20, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Double Hypos round meals. Its not uncommon, I think I have experienced this before............ I suppose it all depends on why you had the first hypo, essentially you could be dropping even after you have given the 15g of quick acting carbs......which would mean your next meals dose would end up being too much........ what have your bg been like before the next meal, so after the hypo.........?

Apr 20, 2013 Anthony Murray 9 posts	Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss novorapidboi26 said: Welcome to the forum Anthony There is 2 possible reasons for the high which I am sure your aware: BI running out Not enough QA at dinner If you are reluctant to change the QA ratio, which in my opinion is good, then the next step is a BI test.... You should carry this out from dinner till bed time, so a carb free dinner...... This will tell you what your BI is doing between dinner and bed.......you may find that it holds steady till about 9 or 10 then goes up, this means that your BI dose is running out..... Because its a single Lantus dose your only option would be to move the time of it or compensate with some extra QA at dinner..........if you don't want to split you will likely need to compensate somewhere for the lack of full coverage over the 24 hours.... When did you split it? What were the timings then? Thank you very much, I'll try the carb free dinner today. I was splitting my lantus from the 17th of February till the 23rd of March, was getting the same kind of results (hit and miss... mostly miss). I started out at 4 units at breakfast and 4 units at dinner and by the time I stopped splitting it I was taking 3 units at breakfast and 7 units at dinner.

Apr 20, 2013 Afric 1 post	Topic: DAFNE Graduate Group (DGG) / ghdfjj Cvnjggn