Recent Posts - DAFNE Online

Hi all. I wanted to know if anyone else has two hypos round a meal time. If I have a hypo within 1 hour of a main meal, I tend to have another about 1 to 2 hours after I have eaten my meal. I wondered if anyone finds that they have to reduce their QA for the meal they eat after experiencing a hypo. This does seem to be a pattern for me. Please help.

Apr 19, 2013

novorapidboi26 1,819 posts

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

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?

Apr 19, 2013

Anthony Murray 9 posts

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

I was wondering if someone could help me with my night time highs.

I'm currently using Humalog (1:1) and Lantus (10 units a night)

What time should I do my "bed time" test?
I take my dinner at 5 and do my test at either 9, 10 or 10:30, take my lantus and then go to sleep at around 1 or 2. If my BG is good or close to good at 9 then I take that as a win, if it's quite high then I will probably wait till later to check again just in case I have some insulin still working away.

When I had my last check-up in February the DSN thought that I should change my dinner ratio to 1.5:1. I haven't tried it because surely if I was supposed to be on 1.5:1 and I'm only doing 1:1 then my "bed time" BG would be in the 20+ range.

I've tried splitting my lantus but it didn't make any difference. I know people say lantus is a 24 hour insulin but I read in the dafne book that it's 18-24 hours and can be split.

Apr 19, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / DIARY

Your numbers look really good, well done.......

You do seem to be on the lower side as you approach bed time....that may justify a carb free test from dinner on wards, just to see what your BI is doing at that time........your on Lantus, I assume, so you may have to reduce your dinner time ratio to avoid making changes to your BI because of its inflexibility......

Do you feel low at 4.2 - 5.0? Officially this isn't actually a hypo and so you don't need to take anything for it.......obviously if you fear going low overnight then you should take something........would be interesting to see what your BG does without extra CPs........

Good job though......welcome to the forum...... Very Happy

Apr 18, 2013

Stephen Will... 3 posts

Topic: General Discussion / DIARY

Things going well so far

Apr 18, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

6.3 - bedtime
10.5 - this morning

- 19.22pm - tea & QA - BG was 6.3
- 22.23pm - bedtime test was done

Apr 17, 2013

youone 102 posts

Topic: General Discussion / Dealing with large carb meals

youone said:
paulj said:
be careful to bear in mind that some q/a insulin you take i.e. novo-rapid can have a effect on your bg levels for up to 5 hours after intially taken. i think! so therfore if you take a reading after say 2 hours this may be giving you a false picture.but everyone is different i guess

cheers

paulj is correct for reminding all us that if taking a BG the 4 to 5 hour after a meal is the important one to base a correction on
Gari and I where trying a method of coping with high CP meals,
Gari had a meal of 23 CP's Gari split the matching QA into 2 small amounts.
It seems its worked, I added test every 2 hours after because this was a new method for Gari leaving it to 4 to 5 hours might have missed a early sign that Gari had took to much QA and enter the hypo spiral.
Bye the way gari what was your ratio?
When I try something new I'm always on the side of precaution the 40 years I've had type 1 have made me like this

QA: Humalog
BI: Lantus

Apr 17, 2013

youone 102 posts

Topic: Carbohydrate Counting / Carbohydrates help needed - ASDA Ready Sliced Tiger Chest

whiskysmum said:
How (without weighing) would you work out how many carbs are in each slice? The packet is one of those clear ones so does not have nutritional values on. I've got the carbs and cals book but it dosen't seem to have any bread like this in it

When your at home weighting is the easy option if you know the gram value
The method I used before the smart phone apps appeared is this ,it might be of use to you
If your BI is set right and your used to carb free meals try this
Cut a slice of the tiger bread which you would normally eat
Take BG retain the reading done't take any QA re test 2 hours later that should be the highest reading and cross check after 4 hours if its constant compare the two readings what ever the correction is to bring it back to the reading 4 hours previous is the amount of CP the tiger bread was
If you weighted the bread you now have a value you can use.
Seems along about way of doing it but it worked for be.I still do this if I come across a food which isn't listed anywhere
Especially my mothers baking Very Happy

Apr 17, 2013

paulj 36 posts

Topic: General Discussion / Dealing with large carb meals

be careful to bear in mind that some q/a insulin you take i.e. novo-rapid can have a effect on your bg levels for up to 5 hours after intially taken. i think! so therfore if you take a reading after say 2 hours this may be giving you a false picture.but everyone is different i guess

cheers Very Happy

Apr 17, 2013

youone 102 posts

Topic: General Discussion / Dealing with large carb meals

That's great news Gari, just test every 2 hours until after a 8 hour period has passed, since this is a new method for you, where all different keep passing the info on

Apr 17, 2013

Gari 17 posts

Topic: General Discussion / Dealing with large carb meals

Youone thankyou thankyou thankyou. Thanks so much for your advice. I tried today. Had 23cps worth gave 8iu and then 7iu 2 hours after and now 7pm and my levels have been stable around 5mmols for the last hour. Once again thankyou so much.

Apr 17, 2013

Apollo 45 posts

Topic: Questions for HCPs / novo-rapid insulin duration

Hmm sounds impressive.

I'll pass on trying it out myself as I've got meters coming out of my ears. Last time I asked Bayer for a contour USB they sent me two of them plus a non USB model so I could almost have a different meter for every room in the house & they are asking me if I want the new latest model now. But it sounds like it has had a lot more thought put into it than I initially gave it credit for.

I'll add it to my reading to do list Smile

Apr 17, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / novo-rapid insulin duration

Obviously these meters, and all the insulin pumps that provide on board insulin calculations, require an initial set up where you input the duration of your bolus/QA insulin......so they are real world tools in that sense, they are used and with a high reliability......have a look online at these meters.....you could probably get one free to try out...... Wink

You would need to work out the insulin duration for each individual by testing, but I personally was put on a 4 hour duration when beginning with the pump, I have now increased that to 4:30 hours.....

its pretty reliable, but as I mentioned before, if the carb count is correct and the duration has been fine tuned, you shouldn't ever need to give additional correction when eating in between the usual meal times....

Apr 17, 2013

Apollo 45 posts

Topic: Site Development / Figure 17

Sorry Marke,

No offense meant, a really good friend of mine is an Aussie and we often make light hearted digs at eachothers expense so it was intended as friendly banter rather than an offensive remark. I take the point that its not always easy to tell the difference between sarcastic humour and abuse with a text based forum though so I'll be sure to be more mindful of it in the future.

If it's any consolation I have been beaten into accepting that the fruit from a pepper plant is called a capsicum rather than a pepper ;)

Apr 17, 2013

marke 686 posts

Topic: Site Development / Figure 17

Hi, can we avoid stuff like the last post please or I will just delete offending posts. This is a diabetes website not a bash other users website. Last time I walked down an english high street at night, there were plenty of people with a strange approach to class and sophistication Sad

Apr 17, 2013

Apollo 45 posts

Topic: Questions for HCPs / novo-rapid insulin duration

Interesting, I didn't know that there were meters that did that, I'd personally take what they say with a little suspicion though as the real world data compared to the graph I posted is roughly similar but no where near as smooth and perfectly predictable. It's the kind of feature I'd expect to come with a massive disclaimer and be more intended as a gimmicky little feature than real world tool.

If in doubt (especially when operating a car, bike or bus) always safer to run high. I imaginr it was hard getting the ok to drive a bus as it is so you don't want to be giving anyone any reason to want to revoke your license by start hypoing

Apr 17, 2013

Apollo 45 posts

Topic: Site Development / Figure 17

Aussies think a lot of odd things, for example drinking Stella is considered a sign of class and sophistication rather than domestic violance.

Apr 17, 2013

novorapidboi26 1,819 posts

Topic: Site Development / Insulins

great idea....... Wink

Apr 17, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / novo-rapid insulin duration

Great explanation by travler there.......

If you do have to eat within the 4 - 5 hours you would simply take insulin for the meal without considering a correction, so you don't really need to test your blood sugar at this intermediate meal/snack....

however, there are now several meters on the market: Accu Check combo, InsulinX, which have a bolus wizard and on board insulin calculator on them.......these can tell you how much insulin is actually left in your system and whether or not you need some correction or not......

provided your carb count is correct and the insulin action is behaving as you would expect, there will never be a need to correct mid meal, as the wizard should work out that the correction you need for the 'mid meal' snack is in fact what is left in your system at that time......

Apr 17, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

Tue 16/04
8.9 - bedtime
3.6 - this morning

- 18.11pm - tea & QA
- 22.41pm - bedtime test was done
- treated this mornings hypo with 4 jelly babies then 15 mins later BS was 5.0

Wed 17/04
14.5 - bedtime
10.2 - this morning

- 18.58pm - tea & QA
- 22.42pm - bedtime test was done


Apr 19, 2013 mum2westiesGill 502 posts	Topic: General Discussion / BG Diary - CPs Entry? Vickyp said: 55g is 5.5cps Thank you Vickyp

Apr 19, 2013 Vickyp 137 posts	Topic: General Discussion / BG Diary - CPs Entry? 55g is 5.5cps

Apr 19, 2013 mum2westiesGill 502 posts	Topic: General Discussion / BG Diary - CPs Entry? If something was 55 cps how would this be written into the diary. Would it be 5.5?

Apr 19, 2013 Gari 17 posts	Topic: General Discussion / Double Hypos round meals. Hi all. I wanted to know if anyone else has two hypos round a meal time. If I have a hypo within 1 hour of a main meal, I tend to have another about 1 to 2 hours after I have eaten my meal. I wondered if anyone finds that they have to reduce their QA for the meal they eat after experiencing a hypo. This does seem to be a pattern for me. Please help.

Apr 19, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss 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?

Apr 19, 2013 Anthony Murray 9 posts	Topic: Questions for HCPs / "Bed time" testing time & BG hit and miss I was wondering if someone could help me with my night time highs. I'm currently using Humalog (1:1) and Lantus (10 units a night) What time should I do my "bed time" test? I take my dinner at 5 and do my test at either 9, 10 or 10:30, take my lantus and then go to sleep at around 1 or 2. If my BG is good or close to good at 9 then I take that as a win, if it's quite high then I will probably wait till later to check again just in case I have some insulin still working away. When I had my last check-up in February the DSN thought that I should change my dinner ratio to 1.5:1. I haven't tried it because surely if I was supposed to be on 1.5:1 and I'm only doing 1:1 then my "bed time" BG would be in the 20+ range. I've tried splitting my lantus but it didn't make any difference. I know people say lantus is a 24 hour insulin but I read in the dafne book that it's 18-24 hours and can be split.

Apr 19, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / DIARY Your numbers look really good, well done....... You do seem to be on the lower side as you approach bed time....that may justify a carb free test from dinner on wards, just to see what your BI is doing at that time........your on Lantus, I assume, so you may have to reduce your dinner time ratio to avoid making changes to your BI because of its inflexibility...... Do you feel low at 4.2 - 5.0? Officially this isn't actually a hypo and so you don't need to take anything for it.......obviously if you fear going low overnight then you should take something........would be interesting to see what your BG does without extra CPs........ Good job though......welcome to the forum......

Apr 18, 2013 Stephen Will... 3 posts	Topic: General Discussion / DIARY Things going well so far

Apr 18, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 6.3 - bedtime 10.5 - this morning - 19.22pm - tea & QA - BG was 6.3 - 22.23pm - bedtime test was done

Apr 17, 2013 youone 102 posts	Topic: General Discussion / Dealing with large carb meals youone said: paulj said: be careful to bear in mind that some q/a insulin you take i.e. novo-rapid can have a effect on your bg levels for up to 5 hours after intially taken. i think! so therfore if you take a reading after say 2 hours this may be giving you a false picture.but everyone is different i guess cheers paulj is correct for reminding all us that if taking a BG the 4 to 5 hour after a meal is the important one to base a correction on Gari and I where trying a method of coping with high CP meals, Gari had a meal of 23 CP's Gari split the matching QA into 2 small amounts. It seems its worked, I added test every 2 hours after because this was a new method for Gari leaving it to 4 to 5 hours might have missed a early sign that Gari had took to much QA and enter the hypo spiral. Bye the way gari what was your ratio? When I try something new I'm always on the side of precaution the 40 years I've had type 1 have made me like this QA: Humalog BI: Lantus

Apr 17, 2013 youone 102 posts	Topic: Carbohydrate Counting / Carbohydrates help needed - ASDA Ready Sliced Tiger Chest whiskysmum said: How (without weighing) would you work out how many carbs are in each slice? The packet is one of those clear ones so does not have nutritional values on. I've got the carbs and cals book but it dosen't seem to have any bread like this in it When your at home weighting is the easy option if you know the gram value The method I used before the smart phone apps appeared is this ,it might be of use to you If your BI is set right and your used to carb free meals try this Cut a slice of the tiger bread which you would normally eat Take BG retain the reading done't take any QA re test 2 hours later that should be the highest reading and cross check after 4 hours if its constant compare the two readings what ever the correction is to bring it back to the reading 4 hours previous is the amount of CP the tiger bread was If you weighted the bread you now have a value you can use. Seems along about way of doing it but it worked for be.I still do this if I come across a food which isn't listed anywhere Especially my mothers baking

Apr 17, 2013 paulj 36 posts	Topic: General Discussion / Dealing with large carb meals be careful to bear in mind that some q/a insulin you take i.e. novo-rapid can have a effect on your bg levels for up to 5 hours after intially taken. i think! so therfore if you take a reading after say 2 hours this may be giving you a false picture.but everyone is different i guess cheers

Apr 17, 2013 youone 102 posts	Topic: General Discussion / Dealing with large carb meals That's great news Gari, just test every 2 hours until after a 8 hour period has passed, since this is a new method for you, where all different keep passing the info on

Apr 17, 2013 Gari 17 posts	Topic: General Discussion / Dealing with large carb meals Youone thankyou thankyou thankyou. Thanks so much for your advice. I tried today. Had 23cps worth gave 8iu and then 7iu 2 hours after and now 7pm and my levels have been stable around 5mmols for the last hour. Once again thankyou so much.

Apr 17, 2013 Apollo 45 posts	Topic: Questions for HCPs / novo-rapid insulin duration Hmm sounds impressive. I'll pass on trying it out myself as I've got meters coming out of my ears. Last time I asked Bayer for a contour USB they sent me two of them plus a non USB model so I could almost have a different meter for every room in the house & they are asking me if I want the new latest model now. But it sounds like it has had a lot more thought put into it than I initially gave it credit for. I'll add it to my reading to do list

Apr 17, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / novo-rapid insulin duration Obviously these meters, and all the insulin pumps that provide on board insulin calculations, require an initial set up where you input the duration of your bolus/QA insulin......so they are real world tools in that sense, they are used and with a high reliability......have a look online at these meters.....you could probably get one free to try out...... You would need to work out the insulin duration for each individual by testing, but I personally was put on a 4 hour duration when beginning with the pump, I have now increased that to 4:30 hours..... its pretty reliable, but as I mentioned before, if the carb count is correct and the duration has been fine tuned, you shouldn't ever need to give additional correction when eating in between the usual meal times....

Apr 17, 2013 Apollo 45 posts	Topic: Site Development / Figure 17 Sorry Marke, No offense meant, a really good friend of mine is an Aussie and we often make light hearted digs at eachothers expense so it was intended as friendly banter rather than an offensive remark. I take the point that its not always easy to tell the difference between sarcastic humour and abuse with a text based forum though so I'll be sure to be more mindful of it in the future. If it's any consolation I have been beaten into accepting that the fruit from a pepper plant is called a capsicum rather than a pepper ;)

Apr 17, 2013 marke 686 posts	Topic: Site Development / Figure 17 Hi, can we avoid stuff like the last post please or I will just delete offending posts. This is a diabetes website not a bash other users website. Last time I walked down an english high street at night, there were plenty of people with a strange approach to class and sophistication

Apr 17, 2013 Apollo 45 posts	Topic: Questions for HCPs / novo-rapid insulin duration Interesting, I didn't know that there were meters that did that, I'd personally take what they say with a little suspicion though as the real world data compared to the graph I posted is roughly similar but no where near as smooth and perfectly predictable. It's the kind of feature I'd expect to come with a massive disclaimer and be more intended as a gimmicky little feature than real world tool. If in doubt (especially when operating a car, bike or bus) always safer to run high. I imaginr it was hard getting the ok to drive a bus as it is so you don't want to be giving anyone any reason to want to revoke your license by start hypoing

Apr 17, 2013 Apollo 45 posts	Topic: Site Development / Figure 17 Aussies think a lot of odd things, for example drinking Stella is considered a sign of class and sophistication rather than domestic violance.

Apr 17, 2013 novorapidboi26 1,819 posts	Topic: Site Development / Insulins great idea.......

Apr 17, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / novo-rapid insulin duration Great explanation by travler there....... If you do have to eat within the 4 - 5 hours you would simply take insulin for the meal without considering a correction, so you don't really need to test your blood sugar at this intermediate meal/snack.... however, there are now several meters on the market: Accu Check combo, InsulinX, which have a bolus wizard and on board insulin calculator on them.......these can tell you how much insulin is actually left in your system and whether or not you need some correction or not...... provided your carb count is correct and the insulin action is behaving as you would expect, there will never be a need to correct mid meal, as the wizard should work out that the correction you need for the 'mid meal' snack is in fact what is left in your system at that time......

Apr 17, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average Tue 16/04 8.9 - bedtime 3.6 - this morning - 18.11pm - tea & QA - 22.41pm - bedtime test was done - treated this mornings hypo with 4 jelly babies then 15 mins later BS was 5.0 Wed 17/04 14.5 - bedtime 10.2 - this morning - 18.58pm - tea & QA - 22.42pm - bedtime test was done