Recent Posts - DAFNE Online

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 423 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 423 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.

Apr 14, 2013

Gari 17 posts

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

Hi all. I would like to know why we do not have to give a dose of QA insulin for snacks that are 1CP or less. As we are told that 1CP can raise blood glucose by 2 to 3mmols. Why should we not dose for snacks that are 1CP. Especially if your levels run to the higher end of the targets.

Apr 14, 2013

Gari 17 posts

Topic: General Discussion / Increased blood glucose after exercise

I am a very active person. Including doing a huge amount of walking throughout the week. Plus higher intensity exercises 2 to 3 times weekly. I however haven't done any cycling since my huge 6 stone weight loss and diagnosis. I however went cycling on the weekend just before lunch. This was for 30 minutes at a very high intensity. I normally reduce my next QA by about 40% for exercise which works for me. However I done this after my cycle and then my levels were very high for the rest of the day between 14mmols to 17mmols plus till about lunchtime the next day. Can anyone shine some light on this please. I know that all my QA doses and background are correct, and my carb counting was fine. I even gave corrective doses for dinner the same day and breakfast the next and my levels still didn't come into range.

Apr 13, 2013

marke 681 posts

Topic: General Discussion / Faulty meters

Hi, its not all lifescan meters just the verio models. I have a couple of life scan meters and neither are effected by this issue.

Apr 13, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

6.9 - bedtime
10.4 - this morning

- 19.23pm - tea & QA - @ 19.08 hypo 3.7
- 00.07am - bedtime test was done - @ 23.29 hypo 2.3 then @ 23.50 still hypo 3.9
- supper was 3 butter puffs with cheese - no QA

Apr 12, 2013

Apollo 45 posts

Topic: General Discussion / Injections

slow absorption is one of the reasons I give a slow shot so as not to oversaturate the fat I'm injecting into. I have had squirt back in the past and typically its been accompanied with a big lump as the insulin hadn't been injected deep enough under the skin either from the angle I put the needle in or because I'd lost focus and the needle had part come out causing a shallower injection site.

If you pull the needle out early you typically will see a few drops of insulin come out the needle as it's easier to come out in air than it is while under your skin. So by keeping it in you give it the time it needs to complete the full delivery.

I can't say I'd recommend it but one person in my DAFNE group who liked to just get it all over with as quick as possible always put "one for luck" on the end of every shot. By pulling out right away it's generally that last unit you miss out on so as they saw it if they put an extra unit in and missed out on one unit then it all balanced up. Worked for them but not something I'm keen on myself.

Apr 12, 2013

Apollo 45 posts

Topic: General Discussion / Control

Few follow up questions, I notice that sometimes your taking your breakfast at any time between 06:30-10:30 is the rest of your routine moving in the same way or are there some occasions where your having breakfast 4 hours after waking?

I ask as dawn phenomenon relates to hormones floating around for a while after you wake which as I understand it can hamper the effectiveness of the insulin which is why (like me) you have a 1:1.5 ration for breakfast but 1:1 for all other meals. If however your waking at the same time each day and having breakfast at different times then the levels of these hormones may vary quite significantly which in turn will impact your insulins efficiency to either a higher or lower effect and give you variable results.

There can be a number of factors that can impact how well or poorly insulin can work though. Are your activity levels quite constant? for example if you cycle to work some days and drive others then on the days you drive you'll need more insulin to get the same result as exercise can make a little insulin go a long way.

Do you have a hot bath/shower some days and not others? Your generally talking sauna levels to see a significant impact but like exercise heat can improve the efficiency of insulin.

As novorapidboi26 says though you need to verify your background insulin (BI) level is correct first. The idea is that if for some crazy reason you decided to fast for a day your BI should keep you level from morning to bed. To check it is fairly simple. Have your breakfast as normal but then come lunch if your levels are normal, just have a salad or something free from carbs or sugars (remember dressing for salads can have carbs so try to avoid them), if your levels low then skip it that day as you need to sugars to bring them back up, but if they are high but only by a little don't give a correction and have the carb free lunch. come dinner test again if you have only gone up or down by 2 or 3 units then your background is spot on, if there has been a big change one way or the other that will tell you that your background is either to high or to low.

When you know your background is right then you know that the QA insulin is dealing exclusively with your meals and not that it's picking up slack for a low BI or that a high BI isn't dealing with part of your meal sending your into hypos.

One thing I did notice looking at your readings is your corrections, on one occasion you gave a +8 correction. DAFNE guidelines are (or were when I did the course 7 years ago) that you should never take a correction of more than 4 units no matter how high your BG level. If you find yourself needing to take corrections more than that then you have misjudged the carbs somewhere or if it's a regular thing, your ratios are off.

Also at lunch on the 3rd of April you took a +5 correction for a 14.1 reading. Assuming that 1 unit of QA will take you down 3 BG units then your correction would have potentially pulled your BG level down to 0. The fact it didn't and you regularly go up after lunch makes me wonder if your ratios should all be a little higher BUT you need to get your background right first before you start to play with ratios. But more importantly in the short term I'd say you need to be more careful with your corrections and think about if the correction your giving runs the risk of taking you into hypo figures.

Apr 12, 2013

GLS 12 posts

Topic: Questions for HCPs / Lantus to Levimer

A few says after changing things about and I am much happier. Thanks for the advice novorapidboi26. I have injected my evening levimer at 21:00 for the last few days and here are the results: Very Happy

9/4/13 - 10/4/13

22:30 BG 6.1
01:00 BG 3.4 (likley due to zumba class in earlier in evening)
03:00 BG 6.1
07:30 BG 9.9
08:15 BG 10.3

10/4/13 - 11/4/13

20:00 BG 6.9
21:00 BG 6.3
20:25 BG 8.4
00:00 BG 7.2
03:00 BG 6.4
05:00 BG 6.9
07:10 BG 8.3

11/4/13 - 12/4/13

20:12 BG 7.3
22:16 BG 9.7 (gave up the 1,3 and 5am tests and reduced BI to 14 as had been to zumba again in evening)
07:00 BG 7.7
08:22 BG 10.3

so all in all your advice has really helped me wake up at 7am with a good number. I dont usually eat breakfast till about 8, by which time it has usually gone up to nearly 10. Not sure whether to move my BI a bit later to maybe 22:00 - but then don't want to be in the same situation as I was to begin with, where I was taking it too late (and the morning does was running out!)

thanks again

Apr 12, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

4.1 - bedtime
11.8 - this morning

- 19.17pm - tea & QA
- 23.28pm - bedtime test was done
- supper was sandwich 2 slices - no QA

Apr 11, 2013

NuMo 28 posts

Topic: General Discussion / Injections

I understood from my Dafne course that it took the body 6 seconds to absorb the insulin. A slow count ensures that a full six seconds passes before withdrawing the needle.

Before I learnt this technique at Dafne, I did experience the insulin squirting out - somewhat disturbing! So now I do a slow count of 10 to be doubly sure

Apr 11, 2013

Stew B 125 posts

Topic: General Discussion / Injections

I hold for a slow-ish count of 10, which is probably less than 10 seconds, and then withdraw..

My supplementary question is why hold in the first place? Is it to allow the pen to deliver all the insulin (presumeably there's some kind of "back-up" since it's not going into a vein)? Is it to allow the body to absorb it? Is it to stop it squirting out under pressure? As Marke says what benefit is provided as against simply pressing the plunger and whipping it out? So many questions...

Stew

Apr 11, 2013

Alan 49 284 posts

Topic: General Discussion / Faulty meters

If you've got a One Touch meter you should read this: http://www.bbc.co.uk/news/health-22112565

Apr 11, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Control

Welcome to the forum

From your results above, your blood sugars go down after breakfast more than they go up, but I would agree it inst the same all the time, which is typical of Diabetes...... Very Happy

But because you are having the same thing for breakfast and same insulin dose it looks highly likely that the unpredictable fluctuations will be down to your background insulin......

You probably need more or less BI from breakfast onwards, your BI need could then change again from dinner on wards......

Because of this it would be wise to do a background check by doing some carb free testing between breakfast and lunch.....this will tell you whether or not you need more or less BI........

As you on a single dose, even if you do find that you need more or less, you probably wont be able to change it because it will effect the rest of your day and cause problems at other times.....

What background insulin are you on? I suspect Lantus!!

I would recommend splitting, however consulting with your diabetic team should be your first course of action, provided you are not confident enough on your own to make changes.....

Apr 11, 2013

Yvonne 1 post

Topic: General Discussion / Control

Van anybody explain why my blood sugars go up when i have exactly the same breakfast every day?

Apr 11, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

8.8 - bedtime
2.9 - this morning

- 19.41pm - tea & QA
- 22.34pm - bedtime test was done
- supper was sandwich 2 slices - 3 cps - 1u QA (using 0.5:10 ratio) (bit of a trial as never do QA at bedtime)
- but also last night had a treat size biscuit to finish off so should've been 4 cps but.........ended up with a chocolate hunger on me so took 2 more treat size biscuits upto bed!
- treated this morning's hypo with 4 jelly babies then BS was 3.5 so treated with 4 more jelly babies then BS was 8.8

Apr 10, 2013

GLS 12 posts

Topic: Questions for HCPs / Lantus to Levimer

Thanks for replies.

I switched from Lantus to Levimer for reasons mentioned in last post. Although the steady 24hr action of the Lantus was good for me, I got so frustrated that I couldn't make changes in my BI for things like exercise (as on lantus the effect of changing dose isn't immediate).

So thought id give it a go, as wasn't too worried about an extra injection! And hoping to try for a baby soon, So thought the more flexibity I have the better.

Last night went well so fingers crossed I have another night of good bloods!

Apr 10, 2013

Footgirl 1 post

Topic: General Discussion / Injections

I read the info with my insulin! which states that the needle should be left for a count of 5. I count it as 5 seconds. I give the insulin reasonably slowly but I don't leave the needle in for very long - anyway sometimes it stings if I do!!

Apr 10, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / Lantus to Levimer

Basically Levemir is much more effective and flexible than Lantus because any changes that you make to the dose of it can be witnessed the next day, and so is ideal for folk who exercise etc as they can cut there Levemir dose and it will accommodate the extra activity.......

So for example, someone could be going out hill walking all day, they could then drop their AM BI dose to account for this so they don't go low.....on Lantus you would not see the effect from the cut in dose till days later.........

Its also good for people who like a drink..........its wise to drop your BI dose on the night of drinking and on the next day for some, like me......... Wink

Levemir is much more flexible that Lantus that way and so that's why the 'manufacturers' suggest not to split it.....

But as SimonC says, everyone needs something different when it comes to insulin and if Lantus works for you better whether its split or not you should use it.......

The DAFNE handbook version of onset, peak and duration of the insulins is quite useful also....................found HERE - [Only Graduates can view currently........ Crying or Very sad

]

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

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

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 423 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 423 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.

Apr 14, 2013 Gari 17 posts	Topic: General Discussion / Noinsulin for snacks less than 1CP Hi all. I would like to know why we do not have to give a dose of QA insulin for snacks that are 1CP or less. As we are told that 1CP can raise blood glucose by 2 to 3mmols. Why should we not dose for snacks that are 1CP. Especially if your levels run to the higher end of the targets.

Apr 14, 2013 Gari 17 posts	Topic: General Discussion / Increased blood glucose after exercise I am a very active person. Including doing a huge amount of walking throughout the week. Plus higher intensity exercises 2 to 3 times weekly. I however haven't done any cycling since my huge 6 stone weight loss and diagnosis. I however went cycling on the weekend just before lunch. This was for 30 minutes at a very high intensity. I normally reduce my next QA by about 40% for exercise which works for me. However I done this after my cycle and then my levels were very high for the rest of the day between 14mmols to 17mmols plus till about lunchtime the next day. Can anyone shine some light on this please. I know that all my QA doses and background are correct, and my carb counting was fine. I even gave corrective doses for dinner the same day and breakfast the next and my levels still didn't come into range.

Apr 13, 2013 marke 681 posts	Topic: General Discussion / Faulty meters Hi, its not all lifescan meters just the verio models. I have a couple of life scan meters and neither are effected by this issue.

Apr 13, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 6.9 - bedtime 10.4 - this morning - 19.23pm - tea & QA - @ 19.08 hypo 3.7 - 00.07am - bedtime test was done - @ 23.29 hypo 2.3 then @ 23.50 still hypo 3.9 - supper was 3 butter puffs with cheese - no QA

Apr 12, 2013 Apollo 45 posts	Topic: General Discussion / Injections slow absorption is one of the reasons I give a slow shot so as not to oversaturate the fat I'm injecting into. I have had squirt back in the past and typically its been accompanied with a big lump as the insulin hadn't been injected deep enough under the skin either from the angle I put the needle in or because I'd lost focus and the needle had part come out causing a shallower injection site. If you pull the needle out early you typically will see a few drops of insulin come out the needle as it's easier to come out in air than it is while under your skin. So by keeping it in you give it the time it needs to complete the full delivery. I can't say I'd recommend it but one person in my DAFNE group who liked to just get it all over with as quick as possible always put "one for luck" on the end of every shot. By pulling out right away it's generally that last unit you miss out on so as they saw it if they put an extra unit in and missed out on one unit then it all balanced up. Worked for them but not something I'm keen on myself.

Apr 12, 2013 Apollo 45 posts	Topic: General Discussion / Control Few follow up questions, I notice that sometimes your taking your breakfast at any time between 06:30-10:30 is the rest of your routine moving in the same way or are there some occasions where your having breakfast 4 hours after waking? I ask as dawn phenomenon relates to hormones floating around for a while after you wake which as I understand it can hamper the effectiveness of the insulin which is why (like me) you have a 1:1.5 ration for breakfast but 1:1 for all other meals. If however your waking at the same time each day and having breakfast at different times then the levels of these hormones may vary quite significantly which in turn will impact your insulins efficiency to either a higher or lower effect and give you variable results. There can be a number of factors that can impact how well or poorly insulin can work though. Are your activity levels quite constant? for example if you cycle to work some days and drive others then on the days you drive you'll need more insulin to get the same result as exercise can make a little insulin go a long way. Do you have a hot bath/shower some days and not others? Your generally talking sauna levels to see a significant impact but like exercise heat can improve the efficiency of insulin. As novorapidboi26 says though you need to verify your background insulin (BI) level is correct first. The idea is that if for some crazy reason you decided to fast for a day your BI should keep you level from morning to bed. To check it is fairly simple. Have your breakfast as normal but then come lunch if your levels are normal, just have a salad or something free from carbs or sugars (remember dressing for salads can have carbs so try to avoid them), if your levels low then skip it that day as you need to sugars to bring them back up, but if they are high but only by a little don't give a correction and have the carb free lunch. come dinner test again if you have only gone up or down by 2 or 3 units then your background is spot on, if there has been a big change one way or the other that will tell you that your background is either to high or to low. When you know your background is right then you know that the QA insulin is dealing exclusively with your meals and not that it's picking up slack for a low BI or that a high BI isn't dealing with part of your meal sending your into hypos. One thing I did notice looking at your readings is your corrections, on one occasion you gave a +8 correction. DAFNE guidelines are (or were when I did the course 7 years ago) that you should never take a correction of more than 4 units no matter how high your BG level. If you find yourself needing to take corrections more than that then you have misjudged the carbs somewhere or if it's a regular thing, your ratios are off. Also at lunch on the 3rd of April you took a +5 correction for a 14.1 reading. Assuming that 1 unit of QA will take you down 3 BG units then your correction would have potentially pulled your BG level down to 0. The fact it didn't and you regularly go up after lunch makes me wonder if your ratios should all be a little higher BUT you need to get your background right first before you start to play with ratios. But more importantly in the short term I'd say you need to be more careful with your corrections and think about if the correction your giving runs the risk of taking you into hypo figures.

Apr 12, 2013 GLS 12 posts	Topic: Questions for HCPs / Lantus to Levimer A few says after changing things about and I am much happier. Thanks for the advice novorapidboi26. I have injected my evening levimer at 21:00 for the last few days and here are the results: 9/4/13 - 10/4/13 22:30 BG 6.1 01:00 BG 3.4 (likley due to zumba class in earlier in evening) 03:00 BG 6.1 07:30 BG 9.9 08:15 BG 10.3 10/4/13 - 11/4/13 20:00 BG 6.9 21:00 BG 6.3 20:25 BG 8.4 00:00 BG 7.2 03:00 BG 6.4 05:00 BG 6.9 07:10 BG 8.3 11/4/13 - 12/4/13 20:12 BG 7.3 22:16 BG 9.7 (gave up the 1,3 and 5am tests and reduced BI to 14 as had been to zumba again in evening) 07:00 BG 7.7 08:22 BG 10.3 so all in all your advice has really helped me wake up at 7am with a good number. I dont usually eat breakfast till about 8, by which time it has usually gone up to nearly 10. Not sure whether to move my BI a bit later to maybe 22:00 - but then don't want to be in the same situation as I was to begin with, where I was taking it too late (and the morning does was running out!) thanks again

Apr 12, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 4.1 - bedtime 11.8 - this morning - 19.17pm - tea & QA - 23.28pm - bedtime test was done - supper was sandwich 2 slices - no QA

Apr 11, 2013 NuMo 28 posts	Topic: General Discussion / Injections I understood from my Dafne course that it took the body 6 seconds to absorb the insulin. A slow count ensures that a full six seconds passes before withdrawing the needle. Before I learnt this technique at Dafne, I did experience the insulin squirting out - somewhat disturbing! So now I do a slow count of 10 to be doubly sure

Apr 11, 2013 Stew B 125 posts	Topic: General Discussion / Injections I hold for a slow-ish count of 10, which is probably less than 10 seconds, and then withdraw.. My supplementary question is why hold in the first place? Is it to allow the pen to deliver all the insulin (presumeably there's some kind of "back-up" since it's not going into a vein)? Is it to allow the body to absorb it? Is it to stop it squirting out under pressure? As Marke says what benefit is provided as against simply pressing the plunger and whipping it out? So many questions... Stew

Apr 11, 2013 Alan 49 284 posts	Topic: General Discussion / Faulty meters If you've got a One Touch meter you should read this: http://www.bbc.co.uk/news/health-22112565

Apr 11, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Control Welcome to the forum From your results above, your blood sugars go down after breakfast more than they go up, but I would agree it inst the same all the time, which is typical of Diabetes...... But because you are having the same thing for breakfast and same insulin dose it looks highly likely that the unpredictable fluctuations will be down to your background insulin...... You probably need more or less BI from breakfast onwards, your BI need could then change again from dinner on wards...... Because of this it would be wise to do a background check by doing some carb free testing between breakfast and lunch.....this will tell you whether or not you need more or less BI........ As you on a single dose, even if you do find that you need more or less, you probably wont be able to change it because it will effect the rest of your day and cause problems at other times..... What background insulin are you on? I suspect Lantus!! I would recommend splitting, however consulting with your diabetic team should be your first course of action, provided you are not confident enough on your own to make changes.....

Apr 11, 2013 Yvonne 1 post	Topic: General Discussion / Control Van anybody explain why my blood sugars go up when i have exactly the same breakfast every day?

Apr 11, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 8.8 - bedtime 2.9 - this morning - 19.41pm - tea & QA - 22.34pm - bedtime test was done - supper was sandwich 2 slices - 3 cps - 1u QA (using 0.5:10 ratio) (bit of a trial as never do QA at bedtime) - but also last night had a treat size biscuit to finish off so should've been 4 cps but.........ended up with a chocolate hunger on me so took 2 more treat size biscuits upto bed! - treated this morning's hypo with 4 jelly babies then BS was 3.5 so treated with 4 more jelly babies then BS was 8.8

Apr 10, 2013 GLS 12 posts	Topic: Questions for HCPs / Lantus to Levimer Thanks for replies. I switched from Lantus to Levimer for reasons mentioned in last post. Although the steady 24hr action of the Lantus was good for me, I got so frustrated that I couldn't make changes in my BI for things like exercise (as on lantus the effect of changing dose isn't immediate). So thought id give it a go, as wasn't too worried about an extra injection! And hoping to try for a baby soon, So thought the more flexibity I have the better. Last night went well so fingers crossed I have another night of good bloods!

Apr 10, 2013 Footgirl 1 post	Topic: General Discussion / Injections I read the info with my insulin! which states that the needle should be left for a count of 5. I count it as 5 seconds. I give the insulin reasonably slowly but I don't leave the needle in for very long - anyway sometimes it stings if I do!!

Apr 10, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / Lantus to Levimer Basically Levemir is much more effective and flexible than Lantus because any changes that you make to the dose of it can be witnessed the next day, and so is ideal for folk who exercise etc as they can cut there Levemir dose and it will accommodate the extra activity....... So for example, someone could be going out hill walking all day, they could then drop their AM BI dose to account for this so they don't go low.....on Lantus you would not see the effect from the cut in dose till days later......... Its also good for people who like a drink..........its wise to drop your BI dose on the night of drinking and on the next day for some, like me......... Levemir is much more flexible that Lantus that way and so that's why the 'manufacturers' suggest not to split it..... But as SimonC says, everyone needs something different when it comes to insulin and if Lantus works for you better whether its split or not you should use it....... The DAFNE handbook version of onset, peak and duration of the insulins is quite useful also....................found HERE - [Only Graduates can view currently........ ]