Recent Posts - DAFNE Online

Apr 16, 2013

DianeW 115 posts

Topic: Carbohydrate Counting / Tesco sandwich labelling

Something in the whole re-labelling process has gone wrong. Who "signed it off" as ok i wonder?

Apr 16, 2013

hollylouise 7 posts

Topic: General Discussion / feeling unnormal

Im alot better now I dont care wjonis watching but I was of the scale even the hospital coildnt record what my sugars were

Apr 16, 2013

Vickyp 137 posts

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

True...my general rule is above 5 to drive!

Apr 16, 2013

Apollo 45 posts

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

indeed you are correct, I should have said bellow target rather than hypoing.

Although it's worth noting that the police will consider you under the influence (in the same way as having drunk to much) if you drive with a BG of 4.0 or less which is why I tend to think of 4.5 or less as starting to hypo. Although I've never actually even heard of anyone being asked to take a blood glucose test by the police.

Apr 16, 2013

NuMo 28 posts

Topic: Carbohydrate Counting / Tesco sandwich labelling

This is all so true.

And then you get the manufacturers who brag about their labelling and print in nice big print "all" the important information for easy access, leaving out the carbs and only giving sugar. It's as if they think the only people who need this information will be dieters. People like us or celiacs, for example, with real dietary needs are not catered for.

Apr 16, 2013

Vickyp 137 posts

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

According to DAFNE rules a hypo is 3.5 or below. But agree that BI needs reducing.

Apr 16, 2013

Apollo 45 posts

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

Friday and staturday you appear to have had no carbs or QA in the morning and yet your BG has plummeted from high to hypo by lunch. Also as you're hypoing in the night why have you not lowered your BI shots from 10 to 8 both AM and PM? DAFNE guidelines say that if you hypo from BI you reduce it immediately.

Also on Sunday and Monday your breakfast corrections are 1 unit to high in each case. You want your Blood Glucose (BG) to be 6 and 1 unit of QA will drop you 3 BG units.

So on Sunday with a BG of 10.2 you gave a correction of 2 units of QA.

2QA x 3 = drop of 6BG

10.2 - 6 = 4.2 which is a hypo

So on Mondaywith a BG of 13.4 you gave a correction of 3 units of QA.

3QA x 3 = drop of 9BG

13.4 - 9 = 4.4 which is a hypo

That said I'm not sure your breakfast ratio is correct but until you get the background fixed you can't work that out.

My advice would be drop the BI from 10 to 8 for both shots. Repeat the fasting test and see what results you get. It may be that this is a little low and you will want 9 & 9 or one as a 9 & one as 8, but with the number of hypos you have exhibited in 5 days taking off 4 units of BI (2 AM + 2 PM) would seem a wise precaution as you can always bring it back up again if it's to low.

leave your meal ratios at they are for now as you can only change one thing at a time but when you take corrections do the maths to work out where that will put you if each unit drops you 3BG units, if you work out that a correctionwill put you under a BG level of 6 then make the correction smaller.

Apr 16, 2013

Apollo 45 posts

Topic: General Discussion / Coke or DIET Coke that is the question?

When I first saw that ad I also thought "what if I'd just had a hypo, that bloke could have killed me!", especially as my hypo cure of choice is a red can of cocacola. That said it's a very rare occasion I don't walk out the door with either a can of coke or some other hypo treatment on me as I don't want to be dependent on finding an open retailer to supply me with the sugary goods that I need.

The reality of the ad though is it's staged, the odds of even half the cinema having decided to buy a coke let alone everyone in there is so remote it would have taken them years of attempts to have filmed that ad. Also as good as they have got coke zero I would lay down Â£20 that in a blind taste test I could tell them apart without a problem. So while the situation itself is poorly thought out, even ignoring diabetics and just looking as you hinted at the recent horse meat scandal of miss selling & how the public is against that, it is advertisers poetic license and not something to be taken seriously or a deliberate maligned attempt to rail road diabetics as second class citizens.

If that were something they were doing in the real world then I'd agree with you but as it stands I'd just ignore it.

Apr 16, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Coke or DIET Coke that is the question?

Welcome Brian,

I think the advert is simply trying to convey the fact that full fat drinkers don't need to sacrifice flavour if they are looking to cut back on their calorie intake.....

There wont be any thought to diabetic I would imagine, but there is no need in my opinion, as the scenario played out in the advert would never actually happen.. Wink

Apr 15, 2013

SimonC 78 posts

Topic: Carbohydrate Counting / Tesco sandwich labelling

I agree with you re labeling - there are so many different ways they label CHO's - its not just Tesgrots that tells you how much per 100g then doesn't give you that crucial bit of info - how much in total, I have found many different stores do this, although in my experience they do tend to on sandwiches.

My real fury is saved for the very lazy (cheap skates) ones who can't be bothered to put the info on their product - they just say - see our web site for nutritional information. Yes I know lots of us have phones capable of getting this info, but it is a pain, takes too long and dependent on having a fast signal - not always available even in London.

Apr 15, 2013

Anglia61 1 post

Topic: General Discussion / Coke or DIET Coke that is the question?

I have just seen, for the second time today,an advert by Coke about the benefits of Coke Zero and how the guy, who gave everybody their Coke drink, had substituted diet Coke or Coke Zero because the taste was "as good".
Imagine the scenario if myself or another insulin dependant diabetic needed an urgent "hit of sugar" to counter a hypo only to find the reason they were a heap on the floor of a cinema was due to a "twit" who hadn't thought it through or seen the bigger picture.
Just like beef if I buy and pay for something that is what I expect to get and not just because it tastes good but because it will save my life!!!
I have been a type 1 diabetic for over 55years and a competing circuit racing driver so I have a good idea what is needed to keep on the straight and narrow.
Should someone "advise" Coke to remove their advert or do we, as diabetics, have to be second class citizens because a world wide co-operation wants to sell product!
Brian Webb, 58, Kent. Confused

(This is my first post, What a doozie)

Apr 15, 2013

mum2westiesGill 502 posts

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

Help/comments needed please on the last 5 days results
Thu 11/04 - Mon 15/04(so far)

Apr 15, 2013

youone 102 posts

Topic: Carbohydrate Counting / Tesco sandwich labelling

Totally agree with the feeling here, I've worked in the print Labelling sector for 30 years, The amount of information that goes on a label you would think a simple This contains 4CP's wouldn't be to difficult, I've also noticed over the years the size of the typefaces have got smaller,
Letâ€™s shout not good enough!
put the CP amount on the label clearly stating itâ€™s for the whole serving and not for 100g etc.
Iâ€™m an Aldi man, well most of the time................. Laughing

Apr 15, 2013

youone 102 posts

Topic: Carbohydrate Counting / Cinema Popcorn.

If youâ€™ve got a smart phone download the app for dafne, itâ€™s got a CP guide on the home page, so if youâ€™re out thereâ€™s no need to trial foods, I personally wouldn.t aim to go low, always side on a higher reading and correct later.
Dafne has given you the information many Type 1â€™s lacked, I know I did, the amount of QA you need to take when matching your CP intake, use this information sensibly and you should enjoy a better life style (freedom).
If youâ€™re driving remember the DVLA limits, Your BG must be 5.8 or higher, always take your meter and make sure the time and date are set correctly.
This is the reason I would always side on a higher reading instead of a low one.
If you wish to trial unknown foods, I would do this at home and get comfortable with your response when you eat the example youâ€™ve quoted (Popcorn), then when youâ€™re out and about your more in control of your BG.
To be honest with the development of the smart phone tablet techno, you will almost 100% of the time have the information you need at your fingertips, weather you have one or donâ€™t someone in your group or party will have a smart phone device, like your own reference library, but of course you canâ€™t always count on this, hence a trial run at home first.
Pass that Pop corn Smile

Apr 15, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Lantus to Levimer

I would stick to the 21:00 BI time if its working for you......

The likely cause of the rise from waking to when you do have breakfast is the Dawn Phenomenon.........

In order for your liver to stop releasing the load of glucose it has supplied to help you get going after hours of fasting, the best solution is to eat something with some insulin, this will let your body now, by digestion I assume that fuel has been given and the livers help is no longer needed.

This is obviously the best option, at least in my opinion........another option, which didn't really work for me is to have a carb free, high fat snack at bed time, so cheese, or peanut butter etc... This means that the you will have something in your stomach digesting for longer and therefore you may minimize or possibly avoid the effect of the Dawn Phenomenon.......

I have heard success stories, but I personally don't think its that reliable, definitely worth a go though.......

Apr 15, 2013

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Cinema Popcorn.

I think with any unknown foods you should just take some insulin and be prepared to go low.......trial and error.......

I think that pop corn can cause a moderate to high increase in blood sugar anyway, according to the GI, so I would personally question the sources you used to determine not to take for it....

I know nuts, some vegetables, baked beans, and other pulses can avoid insulin in small amounts...... Wink

Apr 15, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Noinsulin for snacks less than 1CP

I think its more of a convenience thing......but as everyone is different its not a rule set in stone.......

I used to get away with it.....but now on the pump I seem to be much more sensitive to carbs.......

Apr 15, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

5.4 - bedtime
9.2 - this morning

- 18.20pm - tea & QA
- 23.08pm - bedtime test was done
- supper was 3 butter puffs with cheese/2 treat size biscuits - no QA

Apr 15, 2013

Warwick 423 posts

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

Attempts number 2 and 3 crashed and burned.

Saturday, I found BGLs were 4.6 about 15 minutes before I wanted to drive (need to be above 5 to drive), so I aborted the experiment and took more carbs, and Sunday I watched until my BGLs hit 4.2 and then decided that I couldn't avoid having a hypo without taking some carbs.

Still, on the positive side, I didn't hypo on Sunday which is a major achievement for me - first weekend day I haven't experienced a hypo for a very long time.

The plan for next week is to stick with the same BI reduction (morning and evening basal each drop from 13 to 10), but will look at reducing my insulin to carb ratio at lunchtime from 1/2 to 1/3, then will see if that helps as my BGLs seem to drop too fast in the couple of hours after lunch.

Apr 15, 2013

Warwick 423 posts

Topic: General Discussion / Increased blood glucose after exercise

OK, so after rereading the relevant section again, the science goes like this:

Anaerobic exercise uses a lot of energy but can't use oxygen efficiently. Your muscles need energy, but can't get it only from the blood stream as this supply gets exhausted quickly during anaerobic exercise.

Glycogen from the muscles and liver gets released to provide the required energy, but needs insulin to transfer the resulting glucose into the muscles. If you don't have enough insulin for this extra glucose, then your BGLs will rise.

As you continue to exercise anaerobically, you can experience lactic acid build up. This is a result of muscle breakdown and glycogen and glucose forming Lactic acid. The body doesn't like having the lactic acid around (hence the reason your muscles start to burn of you exercise really hard). When you stop, the lactic acid gets converted to glucose, and again if there isn't enough on-board insulin, then your BGLs will rise.

Aerobic exercise is different in that there is much less muscle break down, and the glycogen gets released at a slower rate without the lactic acid buildup. When the glycogen store is depleted (after about 45-60 minutes of aerobic exercise, the BGLs will begin to drop unless extra carb is taken in.

After exercise, the body prefers to use fat as a fuel source, but first the muscles and glycogen stores need to be replenished. If you don't take in enough carb and protein to achieve the refuelling of the glycogen stores, then the body will break down muscle (which is much more expensive than fat in terms of energy requirements) and this will cause the BGLs to rise as the muscle is broken down with a byproduct being glucose.

So the important things to note for anaerobic exercise is that you need some insulin beforehand to cover the increase in BGLs from lactic acid and glycogen production, and eat well (carbs and protein) after the exercise to replenish the glycogen stores.

Hope this helps.
Warwick.

Apr 15, 2013

youone 102 posts

Topic: Carbohydrate Counting / Cinema Popcorn.

I had salted popcorn the last time I was at the pictures, I asked the chap at the till if he would weight the empty carton then the full large one, he did this with no face pulling and was really helpful
the empty carton was 26 grams
the full carton (large was 210 grams)
quick sum the popcorn was 184grams
a quick look on my phone app showed me 20g (savoury) popcorn is 1 CP
I counted the large popcorn to 9 CP's
the 1st time in a long time that I could actually match my QA closely Thanks Dafne
did a test 4 hours later BG hadn't gone up
and the film was good as well Very Happy

Apr 14, 2013

youone 102 posts

Topic: General Discussion / My 7 days Before-and-After testing

Hi
I won't comment on your readings at this stage, have you tried Using the auto calculate QA tool on the Dafne app home page, you can turn it on in settings.
Its only a guide but along with the entries page it can prevent mistakes in how much QA you take
I found it very useful
On your chart its very important to take your BI injections at the same time to give no cross overs of dosage depending on your insulin some work for the full 12 hours others don't but that depends on the patient speak to your Dafne nurse if your unsure
Your diary has missing entries. To see a pattern to act on the more information the better
The entries you make for bed time and breakfast are used for the BI during that period remembering the BI will last for 12 hour
A carb free meal will determine if your BI is correct for the day time again check with your Dafne nurse
The QA is determined on what you estimate your cp amounts are, this is always a tricky one over and under estimating can throw your BG readings which can cause confusion.
I use a controlled period to get me back on track if I drift out of target' ie use known weights of cp amounts.
This removes the confusion and makes the calculation of QA much easier. When your target is back on track you can revert back to estimating.
I do this every 3 or 4 months for a week may not work for you, but it keeps me in control of my condition

Apr 14, 2013

youone 102 posts

Topic: General Discussion / Faulty meters

I've experienced and still are I use a freestyle freedom lite with another metre which I cross check readings at work etc.
The freestyle has a tendency to suffer an intrusion of moisture under the screen even when I don't work in a over moist atmosphere this leads to two errors on the metre
Just wondering if anyone else has experienced this?

Apr 16, 2013 DianeW 115 posts	Topic: Carbohydrate Counting / Tesco sandwich labelling Something in the whole re-labelling process has gone wrong. Who "signed it off" as ok i wonder?

Apr 16, 2013 hollylouise 7 posts	Topic: General Discussion / feeling unnormal Im alot better now I dont care wjonis watching but I was of the scale even the hospital coildnt record what my sugars were

Apr 16, 2013 Vickyp 137 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! True...my general rule is above 5 to drive!

Apr 16, 2013 Apollo 45 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! indeed you are correct, I should have said bellow target rather than hypoing. Although it's worth noting that the police will consider you under the influence (in the same way as having drunk to much) if you drive with a BG of 4.0 or less which is why I tend to think of 4.5 or less as starting to hypo. Although I've never actually even heard of anyone being asked to take a blood glucose test by the police.

Apr 16, 2013 NuMo 28 posts	Topic: Carbohydrate Counting / Tesco sandwich labelling This is all so true. And then you get the manufacturers who brag about their labelling and print in nice big print "all" the important information for easy access, leaving out the carbs and only giving sugar. It's as if they think the only people who need this information will be dieters. People like us or celiacs, for example, with real dietary needs are not catered for.

Apr 16, 2013 Vickyp 137 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! According to DAFNE rules a hypo is 3.5 or below. But agree that BI needs reducing.

Apr 16, 2013 Apollo 45 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! Friday and staturday you appear to have had no carbs or QA in the morning and yet your BG has plummeted from high to hypo by lunch. Also as you're hypoing in the night why have you not lowered your BI shots from 10 to 8 both AM and PM? DAFNE guidelines say that if you hypo from BI you reduce it immediately. Also on Sunday and Monday your breakfast corrections are 1 unit to high in each case. You want your Blood Glucose (BG) to be 6 and 1 unit of QA will drop you 3 BG units. So on Sunday with a BG of 10.2 you gave a correction of 2 units of QA. 2QA x 3 = drop of 6BG 10.2 - 6 = 4.2 which is a hypo So on Mondaywith a BG of 13.4 you gave a correction of 3 units of QA. 3QA x 3 = drop of 9BG 13.4 - 9 = 4.4 which is a hypo That said I'm not sure your breakfast ratio is correct but until you get the background fixed you can't work that out. My advice would be drop the BI from 10 to 8 for both shots. Repeat the fasting test and see what results you get. It may be that this is a little low and you will want 9 & 9 or one as a 9 & one as 8, but with the number of hypos you have exhibited in 5 days taking off 4 units of BI (2 AM + 2 PM) would seem a wise precaution as you can always bring it back up again if it's to low. leave your meal ratios at they are for now as you can only change one thing at a time but when you take corrections do the maths to work out where that will put you if each unit drops you 3BG units, if you work out that a correctionwill put you under a BG level of 6 then make the correction smaller.

Apr 16, 2013 Apollo 45 posts	Topic: General Discussion / Coke or DIET Coke that is the question? When I first saw that ad I also thought "what if I'd just had a hypo, that bloke could have killed me!", especially as my hypo cure of choice is a red can of cocacola. That said it's a very rare occasion I don't walk out the door with either a can of coke or some other hypo treatment on me as I don't want to be dependent on finding an open retailer to supply me with the sugary goods that I need. The reality of the ad though is it's staged, the odds of even half the cinema having decided to buy a coke let alone everyone in there is so remote it would have taken them years of attempts to have filmed that ad. Also as good as they have got coke zero I would lay down Â£20 that in a blind taste test I could tell them apart without a problem. So while the situation itself is poorly thought out, even ignoring diabetics and just looking as you hinted at the recent horse meat scandal of miss selling & how the public is against that, it is advertisers poetic license and not something to be taken seriously or a deliberate maligned attempt to rail road diabetics as second class citizens. If that were something they were doing in the real world then I'd agree with you but as it stands I'd just ignore it.

Apr 16, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Coke or DIET Coke that is the question? Welcome Brian, I think the advert is simply trying to convey the fact that full fat drinkers don't need to sacrifice flavour if they are looking to cut back on their calorie intake..... There wont be any thought to diabetic I would imagine, but there is no need in my opinion, as the scenario played out in the advert would never actually happen..

Apr 15, 2013 SimonC 78 posts	Topic: Carbohydrate Counting / Tesco sandwich labelling I agree with you re labeling - there are so many different ways they label CHO's - its not just Tesgrots that tells you how much per 100g then doesn't give you that crucial bit of info - how much in total, I have found many different stores do this, although in my experience they do tend to on sandwiches. My real fury is saved for the very lazy (cheap skates) ones who can't be bothered to put the info on their product - they just say - see our web site for nutritional information. Yes I know lots of us have phones capable of getting this info, but it is a pain, takes too long and dependent on having a fast signal - not always available even in London.

Apr 15, 2013 Anglia61 1 post	Topic: General Discussion / Coke or DIET Coke that is the question? I have just seen, for the second time today,an advert by Coke about the benefits of Coke Zero and how the guy, who gave everybody their Coke drink, had substituted diet Coke or Coke Zero because the taste was "as good". Imagine the scenario if myself or another insulin dependant diabetic needed an urgent "hit of sugar" to counter a hypo only to find the reason they were a heap on the floor of a cinema was due to a "twit" who hadn't thought it through or seen the bigger picture. Just like beef if I buy and pay for something that is what I expect to get and not just because it tastes good but because it will save my life!!! I have been a type 1 diabetic for over 55years and a competing circuit racing driver so I have a good idea what is needed to keep on the straight and narrow. Should someone "advise" Coke to remove their advert or do we, as diabetics, have to be second class citizens because a world wide co-operation wants to sell product! Brian Webb, 58, Kent. (This is my first post, What a doozie)

Apr 15, 2013 mum2westiesGill 502 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! Help/comments needed please on the last 5 days results Thu 11/04 - Mon 15/04(so far)

Apr 15, 2013 youone 102 posts	Topic: Carbohydrate Counting / Tesco sandwich labelling Totally agree with the feeling here, I've worked in the print Labelling sector for 30 years, The amount of information that goes on a label you would think a simple This contains 4CP's wouldn't be to difficult, I've also noticed over the years the size of the typefaces have got smaller, Letâ€™s shout not good enough! put the CP amount on the label clearly stating itâ€™s for the whole serving and not for 100g etc. Iâ€™m an Aldi man, well most of the time.................

Apr 15, 2013 youone 102 posts	Topic: Carbohydrate Counting / Cinema Popcorn. If youâ€™ve got a smart phone download the app for dafne, itâ€™s got a CP guide on the home page, so if youâ€™re out thereâ€™s no need to trial foods, I personally wouldn.t aim to go low, always side on a higher reading and correct later. Dafne has given you the information many Type 1â€™s lacked, I know I did, the amount of QA you need to take when matching your CP intake, use this information sensibly and you should enjoy a better life style (freedom). If youâ€™re driving remember the DVLA limits, Your BG must be 5.8 or higher, always take your meter and make sure the time and date are set correctly. This is the reason I would always side on a higher reading instead of a low one. If you wish to trial unknown foods, I would do this at home and get comfortable with your response when you eat the example youâ€™ve quoted (Popcorn), then when youâ€™re out and about your more in control of your BG. To be honest with the development of the smart phone tablet techno, you will almost 100% of the time have the information you need at your fingertips, weather you have one or donâ€™t someone in your group or party will have a smart phone device, like your own reference library, but of course you canâ€™t always count on this, hence a trial run at home first. Pass that Pop corn

Apr 15, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Lantus to Levimer I would stick to the 21:00 BI time if its working for you...... The likely cause of the rise from waking to when you do have breakfast is the Dawn Phenomenon......... In order for your liver to stop releasing the load of glucose it has supplied to help you get going after hours of fasting, the best solution is to eat something with some insulin, this will let your body now, by digestion I assume that fuel has been given and the livers help is no longer needed. This is obviously the best option, at least in my opinion........another option, which didn't really work for me is to have a carb free, high fat snack at bed time, so cheese, or peanut butter etc... This means that the you will have something in your stomach digesting for longer and therefore you may minimize or possibly avoid the effect of the Dawn Phenomenon....... I have heard success stories, but I personally don't think its that reliable, definitely worth a go though.......

Apr 15, 2013 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Cinema Popcorn. I think with any unknown foods you should just take some insulin and be prepared to go low.......trial and error....... I think that pop corn can cause a moderate to high increase in blood sugar anyway, according to the GI, so I would personally question the sources you used to determine not to take for it.... I know nuts, some vegetables, baked beans, and other pulses can avoid insulin in small amounts......

Apr 15, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Noinsulin for snacks less than 1CP I think its more of a convenience thing......but as everyone is different its not a rule set in stone....... I used to get away with it.....but now on the pump I seem to be much more sensitive to carbs.......

Apr 15, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 5.4 - bedtime 9.2 - this morning - 18.20pm - tea & QA - 23.08pm - bedtime test was done - supper was 3 butter puffs with cheese/2 treat size biscuits - no QA

Apr 15, 2013 Warwick 423 posts	Topic: General Discussion / Your Diabetes Science Experiment - Experiment 1 Attempts number 2 and 3 crashed and burned. Saturday, I found BGLs were 4.6 about 15 minutes before I wanted to drive (need to be above 5 to drive), so I aborted the experiment and took more carbs, and Sunday I watched until my BGLs hit 4.2 and then decided that I couldn't avoid having a hypo without taking some carbs. Still, on the positive side, I didn't hypo on Sunday which is a major achievement for me - first weekend day I haven't experienced a hypo for a very long time. The plan for next week is to stick with the same BI reduction (morning and evening basal each drop from 13 to 10), but will look at reducing my insulin to carb ratio at lunchtime from 1/2 to 1/3, then will see if that helps as my BGLs seem to drop too fast in the couple of hours after lunch.

Apr 15, 2013 Warwick 423 posts	Topic: General Discussion / Increased blood glucose after exercise OK, so after rereading the relevant section again, the science goes like this: Anaerobic exercise uses a lot of energy but can't use oxygen efficiently. Your muscles need energy, but can't get it only from the blood stream as this supply gets exhausted quickly during anaerobic exercise. Glycogen from the muscles and liver gets released to provide the required energy, but needs insulin to transfer the resulting glucose into the muscles. If you don't have enough insulin for this extra glucose, then your BGLs will rise. As you continue to exercise anaerobically, you can experience lactic acid build up. This is a result of muscle breakdown and glycogen and glucose forming Lactic acid. The body doesn't like having the lactic acid around (hence the reason your muscles start to burn of you exercise really hard). When you stop, the lactic acid gets converted to glucose, and again if there isn't enough on-board insulin, then your BGLs will rise. Aerobic exercise is different in that there is much less muscle break down, and the glycogen gets released at a slower rate without the lactic acid buildup. When the glycogen store is depleted (after about 45-60 minutes of aerobic exercise, the BGLs will begin to drop unless extra carb is taken in. After exercise, the body prefers to use fat as a fuel source, but first the muscles and glycogen stores need to be replenished. If you don't take in enough carb and protein to achieve the refuelling of the glycogen stores, then the body will break down muscle (which is much more expensive than fat in terms of energy requirements) and this will cause the BGLs to rise as the muscle is broken down with a byproduct being glucose. So the important things to note for anaerobic exercise is that you need some insulin beforehand to cover the increase in BGLs from lactic acid and glycogen production, and eat well (carbs and protein) after the exercise to replenish the glycogen stores. Hope this helps. Warwick.

Apr 15, 2013 youone 102 posts	Topic: Carbohydrate Counting / Cinema Popcorn. I had salted popcorn the last time I was at the pictures, I asked the chap at the till if he would weight the empty carton then the full large one, he did this with no face pulling and was really helpful the empty carton was 26 grams the full carton (large was 210 grams) quick sum the popcorn was 184grams a quick look on my phone app showed me 20g (savoury) popcorn is 1 CP I counted the large popcorn to 9 CP's the 1st time in a long time that I could actually match my QA closely Thanks Dafne did a test 4 hours later BG hadn't gone up and the film was good as well

Apr 14, 2013 youone 102 posts	Topic: General Discussion / My 7 days Before-and-After testing Hi I won't comment on your readings at this stage, have you tried Using the auto calculate QA tool on the Dafne app home page, you can turn it on in settings. Its only a guide but along with the entries page it can prevent mistakes in how much QA you take I found it very useful On your chart its very important to take your BI injections at the same time to give no cross overs of dosage depending on your insulin some work for the full 12 hours others don't but that depends on the patient speak to your Dafne nurse if your unsure Your diary has missing entries. To see a pattern to act on the more information the better The entries you make for bed time and breakfast are used for the BI during that period remembering the BI will last for 12 hour A carb free meal will determine if your BI is correct for the day time again check with your Dafne nurse The QA is determined on what you estimate your cp amounts are, this is always a tricky one over and under estimating can throw your BG readings which can cause confusion. I use a controlled period to get me back on track if I drift out of target' ie use known weights of cp amounts. This removes the confusion and makes the calculation of QA much easier. When your target is back on track you can revert back to estimating. I do this every 3 or 4 months for a week may not work for you, but it keeps me in control of my condition

Apr 14, 2013 youone 102 posts	Topic: General Discussion / Faulty meters I've experienced and still are I use a freestyle freedom lite with another metre which I cross check readings at work etc. The freestyle has a tendency to suffer an intrusion of moisture under the screen even when I don't work in a over moist atmosphere this leads to two errors on the metre Just wondering if anyone else has experienced this?