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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,
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................. Laughing
 
Apr 15, 2013
youone 102 posts

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 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 425 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 425 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 14, 2013
youone 102 posts

Topic: General Discussion / BS Corrections Levels/Numbers

I think 9 is a good number to start a correction, of course no more than 1. Since it takes it down 2 to 3 BG
Also it depends how long after you've taken your last QA dose
If your going to do exercises that means driving walking and working and gardening
2hours is to soon your QA will still be working I use the rule
Calculate your QA dose after 4 hours using the BG at that time
When I was a lot younger with little help available I made the mistake of correcting to soon after my QA injections I learnt the hard way
Much better now with dafne Very Happy
 
Apr 14, 2013
youone 102 posts

Topic: General Discussion / SPLITTING Q/A INSULIN DOSES

Many smart phone apps now that cover this, great now all I have to do is turn on the phone.
Even in a restaurant you look like everyone else Very Happy
 
Apr 14, 2013
youone 102 posts

Topic: General Discussion / High BG

Hi
You are approaching this in the correct way. You are methodically going through what you've learnt on the course and your 49 years of own experience you've collated.
I in these situations try to remove all the confusing items such as estimating the cp's you take
Maybe take the next week as a trial period only use known cp amounts ie Known weight or you've weighed taking the matching Qa to your chosen ratio to match.
If after day three (since lantus IMO takes some time to adjust ) and your happy with your BG readings being constant make an adjustment if needed.
I was talking 40 units of lantus once a day before I went on the course, now I,m on 32 'but I went down to 25 at one point' doing a carb free meal showned my BG was not constant by going up hence I'm now taking 32 once a day.
It took about 3 weeks of controlling my cp Weights for it to settle to a constant level.(BG) then I could adjust my ratio of QA humanalog.
I,m now within my set range of 6.5 to 8, since I drive I always ensure I'm above 6.
off topic I have always enjoyed a carb free meal mainly a very large Spanish omelette
I'he been a type 1 for 41 years age 52
I'm confident that you will reach your target. Since like me we have both managed for over 40 years take your time record your tests, look for a pattern and adjust if needed.
I try to think QA insulin is in response to what I eat and how much exercise I done
BI insulin is for how my body is working.
Hope you have a good week
 
Apr 14, 2013
Gari 17 posts

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

Thanks warick nice to know i'm not the only one
 
Apr 14, 2013
Gari 17 posts

Topic: General Discussion / Increased blood glucose after exercise

That's great thanks for getting back so quickly. I'm going to go for a cycle now we shall see what happens. If you could send through some info from your book that would be great.
Thanks a lot. Gari
 
Apr 14, 2013
Warwick 425 posts

Topic: General Discussion / Increased blood glucose after exercise

Hello,

30 minutes of high intensity exercise would be far more likely to raise your BGLs than to lower them. Aerobic cardiovascular exercise for longer than 45 minutes will usually lower them, but high intensity exercise for 30 minutes will be mostly anaerobic exercise and that has the effect of raising your BGLs.

The science behind it is extremely well covered in the book "Your Diabetes Science Experiment" by Ginger Vieira available on Amazon - ISBN 978-1481062008. I have left my copy at work, but can reread the relevant section again tomorrow and give you the basics then. Raising for 24 hours afterwards is a little unusual though, trending downwards in the 24 hours afterwards is usually the expected outcome, even for anaerobic exercise. It would be interesting to know if this is repeatable, or just a one-off. One-offs do happen, especially when you are trying something you haven't done for a while.

Cheers,
Warwick.
 
Apr 14, 2013
mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

no test done - bedtime
12.5 - this morning

- 19.06pm - teatime test 7.3
 
Apr 14, 2013
Warwick 425 posts

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

Hello,

Everyone is different. Personally I find if I have a CP, then my BGs will go up (although I usually find it hard to stop at just one CP anyway ;-) ) I ignore this piece if DAFNE for myself because it doesn't work for me, and I like to be able to look back on my diary and know that the reason my BGLs were higher at lunchtime than expected is because I snacked at 10 am rather than wondering if my BI is incorrect. I imagine that others may well be able to take 1-1.5 CPs without noticing much of an increase though, so each to their own.

Cheers,
Warwick.