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Apr 16, 2013
Gari
17 posts
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Topic: General Discussion / Increased blood glucose after exercise Hi Warrick i went for a 30 minute cycle in to london and then walked round for about 30 mins then cycled back again about 30 minutes. I was hovering around 4.5 for a few hours after. I gave a 40% reduction for my dinner and had a hypo. So i suppose wYour theory about eating extra carbs for aerobic exercise is right. What i worry about is finding the right balance of knowong when i am doing aerobic or anaerobic this could e a fine line. So the taking of QA before exercise sounds a little scary incase when i start it turns out that it will be aerobic. Any thoughts |
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Apr 16, 2013
Gari
17 posts
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Topic: General Discussion / Dealing with large carb meals Hi all.I seem to be generally well controlled with my blood glucose levels. Except when it comes to eating very large carb meals. I have a huge appetite. Generally my meals are never huge in carbs probably no more than 10cp's worth. But when i seem to approach the 15cp size meal or over i do seem to have trouble. This is especially an issue if i want to have a dessert. (Which is not that often). I know that high fat and carb meals can take longer to process, and have been advised to split my QA dose e.g take half the dose at normal time and half 1 hour later. Having attempt this on a few occasions and had hypos, i have tried taking the first half of the dose and then kept an eye on my blood glucose levels. What i have noticed is that it isn't until the first QA dose has worn off e.g 4 hours that my blood glucose seems to then rise and therefore need the rest of the dose. So obviously this is an issue if it is an evening meal. Also if i give the full second dose just as my levels start to rise that also seems to send me into hypo. If i don't give the second dose i wake up with the very high levels that obviously needed the second dose of QA. Has anyone had any issues with large carb and fat meals, and have any advice on how to manage. This is also a major issue when eating out with friends. |
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Apr 16, 2013
paulj
36 posts
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Topic: Questions ? / novo-rapid insulin duration by my understanding the above quick-acting insulin has onset period of less than 15 minutes. a peak between 50 and 90 minutes and a duration of up to 5 hours. not trying to be to technical is it known in percentage terms how this time period is broken down ie how much insulin is still to be used after a meal which was consumed say 4 hours ago and 10 units of the above insulin was used in total? why i ask is that as a bus driver i work various shift patterns and on some occassions will have another meal break within the total effective period of this insulin which in turn would i suspect have a bearing on my next insulin dosage to combat my next meal/snack.obviously if i take to much and go to low i.e below 4mll i would be unable to drive.iam curious if anyone could shed any light on this matter or whether i am looking to deeply into the above.any thoughts would be much appreciatedcheers paulj |
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Apr 16, 2013
hollylouise
7 posts
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Topic: General Discussion / feeling unnormal I dont care now because at the end of the day thatbisnkeeping me alive so if people wont to be narrow minded then let them after going into a coma andnmy parents being told to ring faimlynand freinds to come up and say their last goodbyes was a reall eye opener im me I think diabitse has made me the person I am todaynive had it since I was 5 yearsnold andnim now 19 going to be 20 in october asni said at the end of the daynim taking my insulin to keep me alive so if you dont like it dontnlook why shouldni hide away if people wont to be so dam rude |
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Apr 16, 2013
Apollo
45 posts
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Topic: General Discussion / feeling unnormal bit late to the party but incase anyone else is reading over this here is my two cents.When I was diagnosed I felt like I was defective and it was something to be ashamed of, I didn't want to eat out or have anyone see me taking a blood glucose reading let alone a shot. When I did go to eat out some months later I went to a restaurant run by a family friend largely because it meant I could use their office to take the shot. As has been said the longer you have had it the more you get used to it and the less you care. It's something a lot of people don't really understand so they see you taking a shot and they wonder if your doing drugs. My way of dealing with it is now rather than trying to shy away and be embarrassed about it I try to be as open as I can. I do try to be discrete but I won't suspiciously slink away to a secluded corner. Then every so often I'll make a bit of a show of it, for example I was in the comedy store a while back, the show had ended & most people were leaving. It's a very narrow exit and my date had decided to use the toilet while the crowds cleared. I then realised I'd not taken a shot for the meal I'd had before the show so I preped a shot up. I saw some of the people in the crowd giving me odd looks but rather than hide away I carried on and as I started to inject the insulin allowed this euphoric look to appear on my face and then gave them the old "crazy eyes" smile You do have off days though and sometimes it may not even be diabetes that is the reason. You may be upset with a loved one, work may be getting you down or what ever else but then you have to go take a shot and it will be the straw that breaks the camels back and an easy one to vent on because there is no fix, there is no reason it's just something you have to manage. But by getting upset about that is saves you having to deal with the other things that are bothering you that maybe you can fix but just don't feel like dealing with. |
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Apr 16, 2013
DianeW
115 posts
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Something in the whole re-labelling process has gone wrong. Who "signed it off" as ok i wonder? |
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Apr 16, 2013
hollylouise
7 posts
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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 |
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Apr 16, 2013
Vickyp
135 posts
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Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! True...my general rule is above 5 to drive! |
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Apr 16, 2013
Apollo
45 posts
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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. |
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Apr 16, 2013
NuMo
28 posts
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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. |
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Apr 16, 2013
Vickyp
135 posts
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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. |
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Apr 16, 2013
Apollo
45 posts
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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. |
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Apr 16, 2013
Apollo
45 posts
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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 £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. |
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Apr 16, 2013
novorapidboi26
1,818 posts
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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.. |
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Apr 15, 2013
SimonC
78 posts
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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. |
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Apr 15, 2013
Anglia61
1 post
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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) |
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Apr 15, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! Help/comments needed please on the last 5 days resultsThu 11/04 - Mon 15/04(so far) |
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Apr 15, 2013
youone
102 posts
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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,Let’s shout not good enough! put the CP amount on the label clearly stating it’s for the whole serving and not for 100g etc. I’m an Aldi man, well most of the time................. |
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Apr 15, 2013
youone
102 posts
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Topic: Carbohydrate Counting / Cinema Popcorn. If you’ve got a smart phone download the app for dafne, it’s got a CP guide on the home page, so if you’re out there’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 1’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 you’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 you’ve quoted (Popcorn), then when you’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 don’t someone in your group or party will have a smart phone device, like your own reference library, but of course you can’t always count on this, hence a trial run at home first. Pass that Pop corn |
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Apr 15, 2013
novorapidboi26
1,818 posts
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Topic: Questions ? / 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....... |
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Apr 15, 2013
novorapidboi26
1,818 posts
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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...... |
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Apr 15, 2013
novorapidboi26
1,818 posts
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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....... |