Recent Posts - DAFNE Online

Apr 8, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

10.9 - bedtime
7.7 - this morning

- 19.20pm - tea & QA
- 22.48pm - bedtime was done
- supper was 2 treat size bscts - 2 cps

Apr 8, 2013

Vickyp 137 posts

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

If you know your bs before supper then the qa you take would work with the cps you are taking. I do wonder if this is why you are high on am, as supper will raise you bs by 4-6mmol with nothing to lower them. .may be worth trying a 0.5:1 ratio at supper and see how that goes if you dont want to do a 1:1. I do understand where coming from about taking qa at bedtime, but if you are having cps then you will need some qa.

Apr 8, 2013

mum2westiesGill 502 posts

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

Here are the cps for the last few days. However I can't record the amount of qa as I would never trust doing this when going to bed to sleep. Any comments on this or what to do would be very helpful.

Mon 01/04
buttr pffs 3 - 6.2g ech = 18.6g/2 CP

Tue 02/04
trt sze bscts 2 - 13.7g ech = 27.4g / 2/3 CP

Wed 03/04
trt sze bscts 2 - ditto

Thu 04/04
trt sze bscts 2 - ditto

Fri 05/04
sndwch 2 rnds/bsct

also sometimes I have a sandwich:
1 slice bread - 17.7g - 2CP
2 slices bread - 17.7g ech = 35.4g/3/4 CP

Thanks I will start to record supper cps in my BG diary

Apr 8, 2013

Warwick 423 posts

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

Attempt number 1 = epic fail.

I am happy that I have my BI reasonably correct during the week, but have issues with multiple hypos during the weekends. So I actually broke the rules a bit for this experiment and reduced BI by 2 units the night before (Saturday night, and 3 units on the Sunday morning to avoid hypos. 90 minutes after having my lunch and 30 minutes before I was due to test for the first set of readings I had my worst hypo for a while and therefore aborted the experiment.

I expect that this was likely due to spending a couple of hours on Sunday morning helping my 2yo daughter to swim, which given her tendency to clutch my neck and hold on tight wasn't as restful as planned :-)

Attempt number 2 will be this Saturday. I'll drop BI by 3 units the night before and again on Saturday morning and hope for the best. If unsuccessful, I'll try again on Sunday afternoon.

Apr 7, 2013

Vickyp 137 posts

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

I notice you have supper every day but havent recorded the cps or the amount of qa you take, as thia could be impacting on morning bs!

Apr 7, 2013

mum2westiesGill 502 posts

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

Help needed please on the last 7 days results
Mon 01/04 - Sun 07/04

What do you think of my BS?

Wondering whether to up my BI. At the moment I take 10u @ 10pm & 10u @ 10am. Really want to keep it at a 50/50 split so wondering to up it by 2u am & pm.

Apr 7, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

20.8 - bedtime
14.2 - this morning

-20.18pm - tea & QA
- 00.03am - bedtime was done
- no supper as went out for meal

Apr 6, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

4.7 - bedtime
14.8 - this morning

- 19.28pm - tea & QA
- 23.04pm - bedtime was done
- supper was sandwich 2 slices 30g cho + 1 treat size bsct 12g cho
- maybe I should've had QA with supper but don't trust having QA when going to bed

Apr 6, 2013

JayBee 587 posts

Topic: Questions for HCPs / Information on menstrual cycle

I'm making a bit of progress on my personal thread involving my period shifts and everything else. If I come to a conclusion, I will send it through. At the moment there's still a good deal of uncertainty, but I do feel like I'm getting somewhere, especially since joining in on that Your Diabetes Science Experiment discussion stuff. That has been helpful in that I've learnt some more about my body - particularly what it does to protein and what happens when you exercise. I recommend it even for getting some idea towards the period problem.

If interested:

Personal thread (last page): http://www.dafneonline.co.uk/forums/4/topics/2026?page=15
Book Experiment 1 discussion (for BI testing): http://www.dafneonline.co.uk/forums/1/topics/2098

Apr 6, 2013

bettythomas 2 posts

Topic: General Discussion / High BG

Thanks for the replies so far.

Apr 6, 2013

Warwick 423 posts

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

Hello Dean,

It uses many of the same methods - it doesn't contradict DAFNE principles at all. It does use American values, so it helps to have a bit of paper handy with the equivalents in mmol/L for when she starts talking about going into the 300s (Basic rule, just divide the American value by 18 to get the mmol/L value).

I have found it excellent, and I know that JWo has similarly found it extremely helpful. It has explained many things that I just was not understanding, even after DAFNE. For example, it explains why some types of exercise will lower BGLs while other types raise it. This was not covered on my DAFNE course.

Cheers,
Warwick.

Apr 5, 2013

Dean123 7 posts

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

Hi i am on about buying this book, is it worth getting? And does it use the same methods as dafne, thanks dean

Apr 5, 2013

addie 13 posts

Topic: Site Development / DAFNE Online iPhone application - help with content/design needed

Phil, I not been on the site for ages and only just started using the iPhone app again after probs 2 years.

Just a quick not to say well impressed with how you have developed the user interface tools. Ace!! Keep up the good work.

Apr 5, 2013

addie 13 posts

Topic: Site Development / DAFNE Online iPhone application - help with content/design needed

Phil, I not been on the site for ages and only just started using the iPhone app again after probs 2 years.

Just a quick not to say well impressed with how you have developed the user interface tools. Ace!! Keep up the good work.

Apr 5, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / High BG

Carb free background testing is what you need as mentioned by marke.

Results from carb free testing will confirm what your BI dose should be for the AM and PM separately....

When this is at the right dose, you can be confidant in your approach to your insulin/carb adjustment.

It would seem you are quite resistant to the insulin with your ratios being so high, these may go down if you find your BI dose needs increased.

So get some carb free periods under your belt and see what your blood sugars do with no influence from food or QA....

Apr 5, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

4.9 - bedtime
10.0 - this morning

- 19.24pm - tea & QA
- 22.52pm - bedtime was done - @ 22.33pm was hypo 2.9 & treated with jelly babies
- supper was 2 treat size biscuits

Apr 4, 2013

marke 681 posts

Topic: General Discussion / High BG

Hi, We probably need a bit more info to give sensible advice. What are your BG's normally in the morning and at lunchtime ? Have you tried a carb-free day ?
The idea is if you don't eat anything then your BI should hold your BG at roughly the same level. I appreciate a carb free day is not always easy but it will help to identify what the issue is. Given that all your ratio's are the same at 3:1 it does suggest your BI in the morning might not be enough for you, although this is not definately the case. Generally people find their insulin requirements are higher in the morning rather than the evening. It seems you are going high in the evening which is the opposite.
The alternative to carb free is to keep increasing your BI as you are i.e 2 units every 3 days, which allows the change to have an effect. Don't worry too much that you haven't got it just right yet. It can take a while even with all the extra knowledge DAFNE gives you, just keep at it and let people on this site know how you are doing. You will always get plenty of advice if you ask for it Very Happy

Apr 4, 2013

bettythomas 2 posts

Topic: General Discussion / High BG

I am 66 years old and have had type 1 diabetes for 49 years. I recently attended a DAFNE course and I am having a few problems regarding what to do. I am now on BI Lantus both in the morning and at bed time. My BG at evening meal and bed time are both high averaging about 15. I have been slowly increasing my morning BI dose by about 2 units every 3 days and am now on 12 units am and 20 units bed time. My BG in the mornings have been ok. I am using ratio of QA to CP of 3:1 at all meals. I have no ketones with the high readings.

Do I continue to slowly increase my morning BI until the BG levels drop? Will they eventually drop by doing this?

Apr 4, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

5.6 - bedtime
12.2 - this morning

- 19.25pm - tea & QA
- 23.10pm - bedtime was done
- supper was 2 treat size biscuits
- no am dose of BI taken yesterday just pm dose

Apr 3, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

6.7 - bedtime
5.0 - this morning

- 19.20pm - tea & QA
- 23.23pm - bedtime was done
- supper was 2 treat size biscuits

Apr 3, 2013

marke 681 posts

Topic: Questions for HCPs / ACCURATE BG READINGS

I think that sums it up nicely, 'we have all got to master our own particular version of it'. DAFNE gives you a set of guidelines NOT a set of rules that work in the same way for everyone. Protein is one of those areas where it is just not a simple case of X = Y, which is why it is not covered in the Course in believe. Most of the medical stuff I have read on the subject relates to the levels of insulin available and how these 'interact' with protein. However like the rest of us, I am not an expert in the theories and research I'm just a lab rat running round and round the wheel Laughing

Apr 2, 2013

HelenP 218 posts

Topic: Questions for HCPs / ACCURATE BG READINGS

We had this discussion at the Dafne course and followup meetings we had...it appears that some people do "count" protein but usually only in higher amounts. For example I can have one chicken drumstick and a salad (which I count as 10g CHO) but if I have two (with same amount of salad) then the BGs are higher. Similarly with scrambled eggs...one is fine but I count the second as 6-8g CHO (I also weigh the bread). If I keep the protein to <100g weight then it appears as if I am OK. I think it is a matter of testing for a couple of days and working out what is working for you. I have found that counting carbs and believing, in Dafne speak, that you can eat anything is really not very helpful as there are too many complicating issues. I have reverted to a much more regular eating pattern and I experience more success with "flatter" BGs. I believe that Dafne is great as a guideline but diabetes is a very idiosyncratic condition and we have all got to master our own particular version of it.

Apr 2, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

5.6 - bedtime
12.4 - this morning

- 18.48pm - tea & QA
- 22.59pm - bedtime was done
- supper was butter puffs 3 with cheese

Apr 2, 2013

Garry 328 posts

Topic: General Discussion / Ratios - mealtime

We all talk DAFNE ratios. DAFNE uses 10 g carbohydrate as 1 carbohydrate measure and we are all used to talking in 10 g 'lumps' of carbohydrate
So your ratios under DAFNE are:
2:1 - breakfast
1:1 - lunch
1:1 - teatime
You are able to delete unwanted ratios from the drop down boxes and create new ones when using your Online Diary.
Regards
Garry

Apr 8, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 10.9 - bedtime 7.7 - this morning - 19.20pm - tea & QA - 22.48pm - bedtime was done - supper was 2 treat size bscts - 2 cps

Apr 8, 2013 Vickyp 137 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! If you know your bs before supper then the qa you take would work with the cps you are taking. I do wonder if this is why you are high on am, as supper will raise you bs by 4-6mmol with nothing to lower them. .may be worth trying a 0.5:1 ratio at supper and see how that goes if you dont want to do a 1:1. I do understand where coming from about taking qa at bedtime, but if you are having cps then you will need some qa.

Apr 8, 2013 mum2westiesGill 502 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! Here are the cps for the last few days. However I can't record the amount of qa as I would never trust doing this when going to bed to sleep. Any comments on this or what to do would be very helpful. Mon 01/04 buttr pffs 3 - 6.2g ech = 18.6g/2 CP Tue 02/04 trt sze bscts 2 - 13.7g ech = 27.4g / 2/3 CP Wed 03/04 trt sze bscts 2 - ditto Thu 04/04 trt sze bscts 2 - ditto Fri 05/04 sndwch 2 rnds/bsct also sometimes I have a sandwich: 1 slice bread - 17.7g - 2CP 2 slices bread - 17.7g ech = 35.4g/3/4 CP Thanks I will start to record supper cps in my BG diary

Apr 8, 2013 Warwick 423 posts	Topic: General Discussion / Your Diabetes Science Experiment - Experiment 1 Attempt number 1 = epic fail. I am happy that I have my BI reasonably correct during the week, but have issues with multiple hypos during the weekends. So I actually broke the rules a bit for this experiment and reduced BI by 2 units the night before (Saturday night, and 3 units on the Sunday morning to avoid hypos. 90 minutes after having my lunch and 30 minutes before I was due to test for the first set of readings I had my worst hypo for a while and therefore aborted the experiment. I expect that this was likely due to spending a couple of hours on Sunday morning helping my 2yo daughter to swim, which given her tendency to clutch my neck and hold on tight wasn't as restful as planned :-) Attempt number 2 will be this Saturday. I'll drop BI by 3 units the night before and again on Saturday morning and hope for the best. If unsuccessful, I'll try again on Sunday afternoon.

Apr 7, 2013 Vickyp 137 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! I notice you have supper every day but havent recorded the cps or the amount of qa you take, as thia could be impacting on morning bs!

Apr 7, 2013 mum2westiesGill 502 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! Help needed please on the last 7 days results Mon 01/04 - Sun 07/04 What do you think of my BS? Wondering whether to up my BI. At the moment I take 10u @ 10pm & 10u @ 10am. Really want to keep it at a 50/50 split so wondering to up it by 2u am & pm.

Apr 7, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 20.8 - bedtime 14.2 - this morning -20.18pm - tea & QA - 00.03am - bedtime was done - no supper as went out for meal

Apr 6, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 4.7 - bedtime 14.8 - this morning - 19.28pm - tea & QA - 23.04pm - bedtime was done - supper was sandwich 2 slices 30g cho + 1 treat size bsct 12g cho - maybe I should've had QA with supper but don't trust having QA when going to bed

Apr 6, 2013 JayBee 587 posts	Topic: Questions for HCPs / Information on menstrual cycle I'm making a bit of progress on my personal thread involving my period shifts and everything else. If I come to a conclusion, I will send it through. At the moment there's still a good deal of uncertainty, but I do feel like I'm getting somewhere, especially since joining in on that Your Diabetes Science Experiment discussion stuff. That has been helpful in that I've learnt some more about my body - particularly what it does to protein and what happens when you exercise. I recommend it even for getting some idea towards the period problem. If interested: Personal thread (last page): http://www.dafneonline.co.uk/forums/4/topics/2026?page=15 Book Experiment 1 discussion (for BI testing): http://www.dafneonline.co.uk/forums/1/topics/2098

Apr 6, 2013 bettythomas 2 posts	Topic: General Discussion / High BG Thanks for the replies so far.

Apr 6, 2013 Warwick 423 posts	Topic: General Discussion / Your Diabetes Science Experiment - Experiment 1 Hello Dean, It uses many of the same methods - it doesn't contradict DAFNE principles at all. It does use American values, so it helps to have a bit of paper handy with the equivalents in mmol/L for when she starts talking about going into the 300s (Basic rule, just divide the American value by 18 to get the mmol/L value). I have found it excellent, and I know that JWo has similarly found it extremely helpful. It has explained many things that I just was not understanding, even after DAFNE. For example, it explains why some types of exercise will lower BGLs while other types raise it. This was not covered on my DAFNE course. Cheers, Warwick.

Apr 5, 2013 Dean123 7 posts	Topic: General Discussion / Your Diabetes Science Experiment - Experiment 1 Hi i am on about buying this book, is it worth getting? And does it use the same methods as dafne, thanks dean

Apr 5, 2013 addie 13 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Phil, I not been on the site for ages and only just started using the iPhone app again after probs 2 years. Just a quick not to say well impressed with how you have developed the user interface tools. Ace!! Keep up the good work.

Apr 5, 2013 addie 13 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Phil, I not been on the site for ages and only just started using the iPhone app again after probs 2 years. Just a quick not to say well impressed with how you have developed the user interface tools. Ace!! Keep up the good work.

Apr 5, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / High BG Carb free background testing is what you need as mentioned by marke. Results from carb free testing will confirm what your BI dose should be for the AM and PM separately.... When this is at the right dose, you can be confidant in your approach to your insulin/carb adjustment. It would seem you are quite resistant to the insulin with your ratios being so high, these may go down if you find your BI dose needs increased. So get some carb free periods under your belt and see what your blood sugars do with no influence from food or QA....

Apr 5, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 4.9 - bedtime 10.0 - this morning - 19.24pm - tea & QA - 22.52pm - bedtime was done - @ 22.33pm was hypo 2.9 & treated with jelly babies - supper was 2 treat size biscuits

Apr 4, 2013 marke 681 posts	Topic: General Discussion / High BG Hi, We probably need a bit more info to give sensible advice. What are your BG's normally in the morning and at lunchtime ? Have you tried a carb-free day ? The idea is if you don't eat anything then your BI should hold your BG at roughly the same level. I appreciate a carb free day is not always easy but it will help to identify what the issue is. Given that all your ratio's are the same at 3:1 it does suggest your BI in the morning might not be enough for you, although this is not definately the case. Generally people find their insulin requirements are higher in the morning rather than the evening. It seems you are going high in the evening which is the opposite. The alternative to carb free is to keep increasing your BI as you are i.e 2 units every 3 days, which allows the change to have an effect. Don't worry too much that you haven't got it just right yet. It can take a while even with all the extra knowledge DAFNE gives you, just keep at it and let people on this site know how you are doing. You will always get plenty of advice if you ask for it

Apr 4, 2013 bettythomas 2 posts	Topic: General Discussion / High BG I am 66 years old and have had type 1 diabetes for 49 years. I recently attended a DAFNE course and I am having a few problems regarding what to do. I am now on BI Lantus both in the morning and at bed time. My BG at evening meal and bed time are both high averaging about 15. I have been slowly increasing my morning BI dose by about 2 units every 3 days and am now on 12 units am and 20 units bed time. My BG in the mornings have been ok. I am using ratio of QA to CP of 3:1 at all meals. I have no ketones with the high readings. Do I continue to slowly increase my morning BI until the BG levels drop? Will they eventually drop by doing this?

Apr 4, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 5.6 - bedtime 12.2 - this morning - 19.25pm - tea & QA - 23.10pm - bedtime was done - supper was 2 treat size biscuits - no am dose of BI taken yesterday just pm dose

Apr 3, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 6.7 - bedtime 5.0 - this morning - 19.20pm - tea & QA - 23.23pm - bedtime was done - supper was 2 treat size biscuits

Apr 3, 2013 marke 681 posts	Topic: Questions for HCPs / ACCURATE BG READINGS I think that sums it up nicely, 'we have all got to master our own particular version of it'. DAFNE gives you a set of guidelines NOT a set of rules that work in the same way for everyone. Protein is one of those areas where it is just not a simple case of X = Y, which is why it is not covered in the Course in believe. Most of the medical stuff I have read on the subject relates to the levels of insulin available and how these 'interact' with protein. However like the rest of us, I am not an expert in the theories and research I'm just a lab rat running round and round the wheel

Apr 2, 2013 HelenP 218 posts	Topic: Questions for HCPs / ACCURATE BG READINGS We had this discussion at the Dafne course and followup meetings we had...it appears that some people do "count" protein but usually only in higher amounts. For example I can have one chicken drumstick and a salad (which I count as 10g CHO) but if I have two (with same amount of salad) then the BGs are higher. Similarly with scrambled eggs...one is fine but I count the second as 6-8g CHO (I also weigh the bread). If I keep the protein to <100g weight then it appears as if I am OK. I think it is a matter of testing for a couple of days and working out what is working for you. I have found that counting carbs and believing, in Dafne speak, that you can eat anything is really not very helpful as there are too many complicating issues. I have reverted to a much more regular eating pattern and I experience more success with "flatter" BGs. I believe that Dafne is great as a guideline but diabetes is a very idiosyncratic condition and we have all got to master our own particular version of it.

Apr 2, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 5.6 - bedtime 12.4 - this morning - 18.48pm - tea & QA - 22.59pm - bedtime was done - supper was butter puffs 3 with cheese

Apr 2, 2013 Garry 328 posts	Topic: General Discussion / Ratios - mealtime We all talk DAFNE ratios. DAFNE uses 10 g carbohydrate as 1 carbohydrate measure and we are all used to talking in 10 g 'lumps' of carbohydrate So your ratios under DAFNE are: 2:1 - breakfast 1:1 - lunch 1:1 - teatime You are able to delete unwanted ratios from the drop down boxes and create new ones when using your Online Diary. Regards Garry