Recent Posts - DAFNE Online

Apr 6, 2013

Warwick 425 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 686 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 686 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 2, 2013

marke 686 posts

Topic: Questions for HCPs / ACCURATE BG READINGS

Jwo can you explain why you think Protein affects blood glucose ? Some references etc, I'm not sure I agree with your statement. The reason DAFNE ( not just the UK as far as I am aware) do not
count Protein is it is a very complex area that is not straightforward. This is why I am cautious about stating it as a 'fact'.

Apr 2, 2013

JayBee 587 posts

Topic: Questions for HCPs / ACCURATE BG READINGS

Yes, your understanding is correct. Snacking between meals and injecting for it will skew the results; and as you recognise, things like exercise, stress, etc can also effect the results - this is why testing needs to be done at least two days in a row.

If your BI is correct, it should hold you steady; if you were not eating for example. DAFNE in the UK does not count proteins which can effect sugar levels so not eating for a max of 5 hours would deem more reliable results than eating (if you do try the non-eating option, feel free to post your results on this Experiment 1 thread: http://www.dafneonline.co.uk/forums/1/topics/2098).

What you change first purely depends on what results you're getting under the circumstances you're testing your body's response under.

Apr 1, 2013

paulj 36 posts

Topic: Questions for HCPs / ACCURATE BG READINGS

i wonder if you could help me with a couple of queries.

1.does novo-rapid quick acting insulin when taking have a effect on my bg readings of up to 5 hours after a meal/snack?

2if that is the case to obtain a correct ratio of food to insulin if i say had a meal at 1.00pm and took lets say a 1/1 ratio of novo-rapid and relaxed for the next five hours if my bg reading at 6.00pm was within target then i would assume that my ratio was correct?

i do realise that a lot of factors can effect the result but in principle is yhe above the correct assumption?

3. is it better to adjust your background insulin to achieve the target result or to increase/decrease your q/a insulin ratio first?

i realise that we are looking for patterns over 2/3 days and that i would only adjust one thing at a time. i would appreciate your thoughts and comments

cheers

paulj Very Happy

Apr 1, 2013

paulj 36 posts

Topic: General Discussion / Ratios - mealtime

it might be worthwhile to check how long your fast acting insulin continues to work.i.e. i am on novo rapid and as far as i know it has a effect of up to 5 hours after eating so therefore if i was doing something similar to what you were doing to get a accurate picture i wouldnt test until round about five and a half hours later after my meal/snack
cheers

paulj Very Happy

Apr 1, 2013

mum2westiesGill 502 posts

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

So I've done the last seven days of this
https://www.accu-chek.com/us/data-management/testing-in-pairs.html

Any comments on this would be welcomed also how do you think my mealtime ratios are?

My current ratios are:
2:10 - breakfast
1:10 - lunch
1:10 - teatime

I changed the lunchtime ratio on Tue 26/03 from 1.5:10 to 1:10 as I was getting hypos before tea.

Apr 1, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

11.7 - bedtime
4.5 - this morning

- 21.47pm - tea & QA
- 23.51pm - bedtime was done
- no supper tonight because of late pasta (spaghetti) tea

had tea later than usual, spaghetti bake (homemade) for tea

40g cho/carbs (estimated)

Insulin 4u humalog, split into two doses, first 2u before eating, remaining 2u 1 hour later

Apr 1, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

Thank you! Smile

Mar 31, 2013

landylara 14 posts

Topic: General Discussion / 7-day waking average

You shouldn't of corrected till dinner if you needed to as the alcohol is still in your system till then so that is why you had the hypo around dinner time.

Mar 31, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

none - bedtime
15.7 - this morning

- 19.25pm - tea & QA - sandwich 2 slices with cheese before going out drinkink 2 pints of beer and 2 spirits with diet mixer - never again!
- 23.15pm - bedtime was not done
- supper was chippy pastie and a few chips, not too many
- this mornings test was @ 08.07am then @ 11.03am (breakfasttime) BS was 14.7 so did a correction with this dose then @ 13.59pm 3.6 treated with 4 jelly babies then 15 minutes later 6.0

Mar 30, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

6.5 - bedtime
12.1 - this morning

- 18.33pm - tea & QA - before tea no hypo & 4th day of reducing lunchtime ratio from 1.5:10 to 1:10
- 23.15pm - bedtime test was done
- supper was sandwich 2 slices
- this mornings test was @ 7.22am then @ 10.38am (breakfasttime) BS was 8.0

Apr 6, 2013 Warwick 425 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 686 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 686 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

Apr 2, 2013 marke 686 posts	Topic: Questions for HCPs / ACCURATE BG READINGS Jwo can you explain why you think Protein affects blood glucose ? Some references etc, I'm not sure I agree with your statement. The reason DAFNE ( not just the UK as far as I am aware) do not count Protein is it is a very complex area that is not straightforward. This is why I am cautious about stating it as a 'fact'.

Apr 2, 2013 JayBee 587 posts	Topic: Questions for HCPs / ACCURATE BG READINGS Yes, your understanding is correct. Snacking between meals and injecting for it will skew the results; and as you recognise, things like exercise, stress, etc can also effect the results - this is why testing needs to be done at least two days in a row. If your BI is correct, it should hold you steady; if you were not eating for example. DAFNE in the UK does not count proteins which can effect sugar levels so not eating for a max of 5 hours would deem more reliable results than eating (if you do try the non-eating option, feel free to post your results on this Experiment 1 thread: http://www.dafneonline.co.uk/forums/1/topics/2098). What you change first purely depends on what results you're getting under the circumstances you're testing your body's response under.

Apr 1, 2013 paulj 36 posts	Topic: Questions for HCPs / ACCURATE BG READINGS i wonder if you could help me with a couple of queries. 1.does novo-rapid quick acting insulin when taking have a effect on my bg readings of up to 5 hours after a meal/snack? 2if that is the case to obtain a correct ratio of food to insulin if i say had a meal at 1.00pm and took lets say a 1/1 ratio of novo-rapid and relaxed for the next five hours if my bg reading at 6.00pm was within target then i would assume that my ratio was correct? i do realise that a lot of factors can effect the result but in principle is yhe above the correct assumption? 3. is it better to adjust your background insulin to achieve the target result or to increase/decrease your q/a insulin ratio first? i realise that we are looking for patterns over 2/3 days and that i would only adjust one thing at a time. i would appreciate your thoughts and comments cheers paulj

Apr 1, 2013 paulj 36 posts	Topic: General Discussion / Ratios - mealtime it might be worthwhile to check how long your fast acting insulin continues to work.i.e. i am on novo rapid and as far as i know it has a effect of up to 5 hours after eating so therefore if i was doing something similar to what you were doing to get a accurate picture i wouldnt test until round about five and a half hours later after my meal/snack cheers paulj

Apr 1, 2013 mum2westiesGill 502 posts	Topic: General Discussion / My 7 days Before-and-After testing So I've done the last seven days of this https://www.accu-chek.com/us/data-management/testing-in-pairs.html Any comments on this would be welcomed also how do you think my mealtime ratios are? My current ratios are: 2:10 - breakfast 1:10 - lunch 1:10 - teatime I changed the lunchtime ratio on Tue 26/03 from 1.5:10 to 1:10 as I was getting hypos before tea.

Apr 1, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 11.7 - bedtime 4.5 - this morning - 21.47pm - tea & QA - 23.51pm - bedtime was done - no supper tonight because of late pasta (spaghetti) tea had tea later than usual, spaghetti bake (homemade) for tea 40g cho/carbs (estimated) Insulin 4u humalog, split into two doses, first 2u before eating, remaining 2u 1 hour later

Apr 1, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average Thank you!

Mar 31, 2013 landylara 14 posts	Topic: General Discussion / 7-day waking average You shouldn't of corrected till dinner if you needed to as the alcohol is still in your system till then so that is why you had the hypo around dinner time.

Mar 31, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average none - bedtime 15.7 - this morning - 19.25pm - tea & QA - sandwich 2 slices with cheese before going out drinkink 2 pints of beer and 2 spirits with diet mixer - never again! - 23.15pm - bedtime was not done - supper was chippy pastie and a few chips, not too many - this mornings test was @ 08.07am then @ 11.03am (breakfasttime) BS was 14.7 so did a correction with this dose then @ 13.59pm 3.6 treated with 4 jelly babies then 15 minutes later 6.0

Mar 30, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 6.5 - bedtime 12.1 - this morning - 18.33pm - tea & QA - before tea no hypo & 4th day of reducing lunchtime ratio from 1.5:10 to 1:10 - 23.15pm - bedtime test was done - supper was sandwich 2 slices - this mornings test was @ 7.22am then @ 10.38am (breakfasttime) BS was 8.0