Recent Posts - DAFNE Online

Mar 4, 2013

Garry 328 posts

Try and enter everything..especially if you are taking QA with it. Did you mean you were thinking of upping your BI?
Regards
Garry

Mar 4, 2013

Lisaraby 15 posts

Topic: General Discussion / Diary

Hi guys
Yes I've just realised I've missed some of the cps will put that right, I do only tend to eat around tea time, sometimes I will have stuff during the day.
If I have a snack say apple should I put that in with the cp and qa I have been taking qa with snacks
Also at the moment I'm not overly concerned about the reds as this is only my third week so I'm still tweaking here and there I was thinking of upping my nighttime bg

Mar 4, 2013

Garry 328 posts

Topic: General Discussion / Diary

Please fill out all details Lisaraby. We are unable to help without the information needed.
Remember you can go back into each entry and edit it by hovering the cursor over the time and clicking it when underlined.
Some reds in there but nothing drastic.
Keep it going.
Regards
Garry

Mar 4, 2013

Warwick 423 posts

Topic: General Discussion / BACKGROUND INSULIN

Cool. That is interesting to know. :-)

Mar 4, 2013

Warwick 423 posts

Topic: General Discussion / Diary

Are you doing carb-free days? I'm not seeing much in the CP row. Going low or no-carb can be quite dangerous. You may or may not have been told on your DAFNE course that you ideally need at least 130 g of carb each day (13 CPs). It may just be that you have forgotten to record it, but if not, then I'd suggest having a chat with a dietician, because a certain amount of carbs are essential. Without them, you run a very real risk of ketoacidocis as the body will use protein for fuel rather than its preferred source of fuel - carbs.

Other than that, it looks quite good. You have a lot of stability there - they are running a bit high, but a couple of units of extra BI would probably solve that.

Cheers,
Warwick.

Mar 4, 2013

mum2westiesGill 502 posts

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

Any comments/thoughts please on the last 5 days results
Thu 28/02 - Mon (so far) 04/03

Mar 4, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

4.1 - bedtime
11.1 - this morning

- 18.39pm - tea & QA
- 22.16pm - BI taken
- 22.28pm - bedtime test was done & before having supper instead of after
- supper was sandwich 2 slices

Mar 4, 2013

Lisaraby 15 posts

Topic: General Discussion / Diary

Hi
Just an update on my diary
I think im going in the right direction

Mar 4, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / BACKGROUND INSULIN

I was always good at rotating sites when injecting, so my breakfast would be my right thigh, lunch my left, dinner my stomach, supper my bum....not always as strict as that I suppose.....

The science wasn't explained thoroughly but I understood it was down to the delivery, so instead of putting your dose straight in to one spot, the pump delivers it much slower, allowing for each unit to be absorbed before delivering the next one.....this is more so the case for the basal, as the total daily dose is split in to x amount of units an hour, which is then slit again by 6, so delivering a burst every 10 minutes......this kind of delivery can also be done with the bolus by using the dual and square wave functions.....but even when using a normal bolus, so all up front if you like it's still pumped in over 3-4 minutes.....

It's this delivery method which increases the efficiency from 50 odd percent to 90 odd....

Mar 3, 2013

Warwick 423 posts

Topic: General Discussion / BACKGROUND INSULIN

novorapidboi26 said:

Injecting is only 50% effective.....shocking...

Perhaps the rotation of sites wasn't as good as it is now that you are using the pump? Using a pump helps to rotate the site more effectively. It is very easy to inject into the same places without really noticing, and that does lead to reduced insulin absorption. I do find myself injecting into the same convenient places, especially when I need to inject in public and want to keep it fairly private.

I listened to a pump specialist over the weekend, and he demonstrated how when the infusion set is changed, the new one should be placed close to the old one while the old one is in place so that you don't reattach to the same point, and then the old one can be removed. You would then work up the abdomen/back until you run out of abdomen/back to attach to, and then start again at the beginning. No doubt you have been told all of this before though :-)

Mar 3, 2013

PNThompson 57 posts

Topic: General Discussion / SPLITTING Q/A INSULIN DOSES

Hi, I have not looked at the handbook for a while now and I may check this out myself.
I have found that I have to reduce the ratio for certain foods, and I also need to check the Carbohydrate values on foods for time to time as if you are used to one level and the recipe changes, the value may change.

Mar 3, 2013

marke 681 posts

Topic: General Discussion / SPLITTING Q/A INSULIN DOSES

Hi, the handbook has a section on what you are talking about i.e Glycaemic index you can find it here .
If you want more information on the GI of particular foods then just type 'Glycaemic index' into google and you will get loads of results. For us to put any kind of list on the website we would need to get it agreed by HCP's, since we are just graduates running the site and are not in a better position than you to advise on what are slow and what are fast GI foods.

Mar 3, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / BACKGROUND INSULIN

I used to be on 24 in the morning and 34 at night, now that I am pumping my total basal delivery is 26 units.....

So half pretty much, the same goes with the bolus doses.....

Injecting is only 50% effective.....shocking... Sad

Mar 3, 2013

JayBee 587 posts

Topic: General Discussion / BACKGROUND INSULIN

Never thought of it like that... Currently take 25 BI Levemir total if wondering...

Mar 3, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / BACKGROUND INSULIN

There is some guidance on how to work that out somewhere but it basically depends on your mass, maybe someone of perfect proportion in terms of fat an muscle and general health would see the kind of basal need your describing.....

Someone else could shed some light likely....

Mar 3, 2013

paulj 36 posts

Topic: General Discussion / SPLITTING Q/A INSULIN DOSES

interesting to read about splitting Q/A insulin doses to combat certain foods i.e nan bread. being a newbee to all this i find it interesting and sometimes frustrating that depending on what i eat after say 2 hours gives me a different BG level reading than other foods.i know the principle of DAFNE is to only test at meal times /bedtime but due to the above i get some varied bedtime readings..it would probably be very helpful if we could have a list on this website of slow digesting foods.i know eveyone is different but maybe some sort of general guide may be useful if one dosent exist already
cheers
paulj Very Happy

Mar 3, 2013

paulj 36 posts

Topic: General Discussion / BACKGROUND INSULIN

am i right in assuming that on average 1 unit of B/I should be relevant to 1 hour of the day.in other words you should be taking roughly 24 units of B/I PER DAY.i am on LEVIMIR at present and i take 9units for my daytime dose and 16 units at night. any thoughts or comments would be much appreciated
cheers
paulj Very Happy

Mar 3, 2013

paulj 36 posts

Topic: Site Development / Auto calculate QA from BG - let's get it right

being a newbee ti insulin i didnt realise or dont think about what my BGreading is to calculate what correction dosage to take if i am not within target.i just assume that one extra unit of q/a insulin will lower my BG levels between 2-3 mmol .hope thats what i should be doing? Very Happy

Mar 3, 2013

jlyall 8 posts

Topic: Carbohydrate Counting / nan bread

the blood sugars were high about 5hours after meal
had meal at 6pm and tested bg at 11pm
only had nan bread for carbs with meal

Mar 3, 2013

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / nan bread

when about are you observing the high blood sugars, 1 hour post meal, 2 hour?

As nans are usually high in carbs they can often take longer to digest, so splitting your dose can help, eg. 40% up front, 60% an hour later...........obviously the percentage split depends on your pre meal blood sugar and what your observations where on a similar occasion........

Mar 3, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

14.7 - bedtime
14.4 - this morning
Mad

- 20.19pm - tea & QA - out to Frankie & Benny's - Garlic & Cheese Mushrooms(Fresh garlic button mushrooms tossed in our rich cheese sauce, served over toasted garlic ciabatta bread) QA 2u should be more like 5u - looked at the wrong bread on cbs & cals app / Oven Baked Pesto Salmon(An oven baked salmon fillet brushed with nut pesto and topped with a citrus crust. Served with roasted cherry tomatoes on the vine and your choice of house fries, salad or a jacket. Fresh rocket and Grana Padano garnish served on the side) QA 3u / Chocolate Brownie Fudge cake(served with your choice of cream or vanilla ice cream) QA 4u, should've listened to hub & done at least 6u! / 2 bacardi breezer & 2 cocktails = note to self, never again!
- 22.25pm - BI taken
- 23.40pm - bedtime test - no supper - no correction. Don't really trust corrections when going to bed.
- 04.04am - 13.9
- 04.16am - QA 2u correction
- 07.22am - is this mornings reading
- 13.10pm - 2 hrs after breakfast = 8.8

Mar 2, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

5.9 - bedtime
5.8 - this morning
Smile

- 19.31pm - tea & QA
- 22.03pm - BI taken
- 22.53pm - bedtime test & done before having supper
- supper was sandwich 1 slice

Mar 2, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

novorapidboi26 said:

It seems as though you have cracked it over night, well done, you have really put a lot of hard work in to your management, inspirational......

whats your thought on the hypo? Dinner time insulin/carb ratio......?

Thank you

!

What's my thought on the hypo? No idea at all. Dinner time insulin/carb ratio ratio was
- QA 4u/1:10
- cottage pie (homemade) - maybe had a bit more potato than usual
- always do 1:10 at teatime
- other ratios are always - 2:10 @ breakfast & 1.5:10 @ lunchtime

Mar 2, 2013

jlyall 8 posts

Topic: Carbohydrate Counting / nan bread

does any else have trouble with nan bread pushing blood sugar up high
even though the carbs have been counted properly for it

Mar 4, 2013 Garry 328 posts	Topic: General Discussion / Diary Try and enter everything..especially if you are taking QA with it. Did you mean you were thinking of upping your BI? Regards Garry

Mar 4, 2013 Lisaraby 15 posts	Topic: General Discussion / Diary Hi guys Yes I've just realised I've missed some of the cps will put that right, I do only tend to eat around tea time, sometimes I will have stuff during the day. If I have a snack say apple should I put that in with the cp and qa I have been taking qa with snacks Also at the moment I'm not overly concerned about the reds as this is only my third week so I'm still tweaking here and there I was thinking of upping my nighttime bg

Mar 4, 2013 Garry 328 posts	Topic: General Discussion / Diary Please fill out all details Lisaraby. We are unable to help without the information needed. Remember you can go back into each entry and edit it by hovering the cursor over the time and clicking it when underlined. Some reds in there but nothing drastic. Keep it going. Regards Garry

Mar 4, 2013 Warwick 423 posts	Topic: General Discussion / BACKGROUND INSULIN Cool. That is interesting to know. :-)

Mar 4, 2013 Warwick 423 posts	Topic: General Discussion / Diary Are you doing carb-free days? I'm not seeing much in the CP row. Going low or no-carb can be quite dangerous. You may or may not have been told on your DAFNE course that you ideally need at least 130 g of carb each day (13 CPs). It may just be that you have forgotten to record it, but if not, then I'd suggest having a chat with a dietician, because a certain amount of carbs are essential. Without them, you run a very real risk of ketoacidocis as the body will use protein for fuel rather than its preferred source of fuel - carbs. Other than that, it looks quite good. You have a lot of stability there - they are running a bit high, but a couple of units of extra BI would probably solve that. Cheers, Warwick.

Mar 4, 2013 mum2westiesGill 502 posts	Topic: General Discussion / My Blood Glucose Diary - all comments welcomed! Any comments/thoughts please on the last 5 days results Thu 28/02 - Mon (so far) 04/03

Mar 4, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 4.1 - bedtime 11.1 - this morning - 18.39pm - tea & QA - 22.16pm - BI taken - 22.28pm - bedtime test was done & before having supper instead of after - supper was sandwich 2 slices

Mar 4, 2013 Lisaraby 15 posts	Topic: General Discussion / Diary Hi Just an update on my diary I think im going in the right direction

Mar 4, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / BACKGROUND INSULIN I was always good at rotating sites when injecting, so my breakfast would be my right thigh, lunch my left, dinner my stomach, supper my bum....not always as strict as that I suppose..... The science wasn't explained thoroughly but I understood it was down to the delivery, so instead of putting your dose straight in to one spot, the pump delivers it much slower, allowing for each unit to be absorbed before delivering the next one.....this is more so the case for the basal, as the total daily dose is split in to x amount of units an hour, which is then slit again by 6, so delivering a burst every 10 minutes......this kind of delivery can also be done with the bolus by using the dual and square wave functions.....but even when using a normal bolus, so all up front if you like it's still pumped in over 3-4 minutes..... It's this delivery method which increases the efficiency from 50 odd percent to 90 odd....

Mar 3, 2013 Warwick 423 posts	Topic: General Discussion / BACKGROUND INSULIN novorapidboi26 said: Injecting is only 50% effective.....shocking... Perhaps the rotation of sites wasn't as good as it is now that you are using the pump? Using a pump helps to rotate the site more effectively. It is very easy to inject into the same places without really noticing, and that does lead to reduced insulin absorption. I do find myself injecting into the same convenient places, especially when I need to inject in public and want to keep it fairly private. I listened to a pump specialist over the weekend, and he demonstrated how when the infusion set is changed, the new one should be placed close to the old one while the old one is in place so that you don't reattach to the same point, and then the old one can be removed. You would then work up the abdomen/back until you run out of abdomen/back to attach to, and then start again at the beginning. No doubt you have been told all of this before though :-)

Mar 3, 2013 PNThompson 57 posts	Topic: General Discussion / SPLITTING Q/A INSULIN DOSES Hi, I have not looked at the handbook for a while now and I may check this out myself. I have found that I have to reduce the ratio for certain foods, and I also need to check the Carbohydrate values on foods for time to time as if you are used to one level and the recipe changes, the value may change.

Mar 3, 2013 marke 681 posts	Topic: General Discussion / SPLITTING Q/A INSULIN DOSES Hi, the handbook has a section on what you are talking about i.e Glycaemic index you can find it here . If you want more information on the GI of particular foods then just type 'Glycaemic index' into google and you will get loads of results. For us to put any kind of list on the website we would need to get it agreed by HCP's, since we are just graduates running the site and are not in a better position than you to advise on what are slow and what are fast GI foods.

Mar 3, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / BACKGROUND INSULIN I used to be on 24 in the morning and 34 at night, now that I am pumping my total basal delivery is 26 units..... So half pretty much, the same goes with the bolus doses..... Injecting is only 50% effective.....shocking...

Mar 3, 2013 JayBee 587 posts	Topic: General Discussion / BACKGROUND INSULIN Never thought of it like that... Currently take 25 BI Levemir total if wondering...

Mar 3, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / BACKGROUND INSULIN There is some guidance on how to work that out somewhere but it basically depends on your mass, maybe someone of perfect proportion in terms of fat an muscle and general health would see the kind of basal need your describing..... Someone else could shed some light likely....

Mar 3, 2013 paulj 36 posts	Topic: General Discussion / SPLITTING Q/A INSULIN DOSES interesting to read about splitting Q/A insulin doses to combat certain foods i.e nan bread. being a newbee to all this i find it interesting and sometimes frustrating that depending on what i eat after say 2 hours gives me a different BG level reading than other foods.i know the principle of DAFNE is to only test at meal times /bedtime but due to the above i get some varied bedtime readings..it would probably be very helpful if we could have a list on this website of slow digesting foods.i know eveyone is different but maybe some sort of general guide may be useful if one dosent exist already cheers paulj

Mar 3, 2013 paulj 36 posts	Topic: General Discussion / BACKGROUND INSULIN am i right in assuming that on average 1 unit of B/I should be relevant to 1 hour of the day.in other words you should be taking roughly 24 units of B/I PER DAY.i am on LEVIMIR at present and i take 9units for my daytime dose and 16 units at night. any thoughts or comments would be much appreciated cheers paulj

Mar 3, 2013 paulj 36 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right being a newbee ti insulin i didnt realise or dont think about what my BGreading is to calculate what correction dosage to take if i am not within target.i just assume that one extra unit of q/a insulin will lower my BG levels between 2-3 mmol .hope thats what i should be doing?

Mar 3, 2013 jlyall 8 posts	Topic: Carbohydrate Counting / nan bread the blood sugars were high about 5hours after meal had meal at 6pm and tested bg at 11pm only had nan bread for carbs with meal

Mar 3, 2013 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / nan bread when about are you observing the high blood sugars, 1 hour post meal, 2 hour? As nans are usually high in carbs they can often take longer to digest, so splitting your dose can help, eg. 40% up front, 60% an hour later...........obviously the percentage split depends on your pre meal blood sugar and what your observations where on a similar occasion........

Mar 3, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 14.7 - bedtime 14.4 - this morning - 20.19pm - tea & QA - out to Frankie & Benny's - Garlic & Cheese Mushrooms(Fresh garlic button mushrooms tossed in our rich cheese sauce, served over toasted garlic ciabatta bread) QA 2u should be more like 5u - looked at the wrong bread on cbs & cals app / Oven Baked Pesto Salmon(An oven baked salmon fillet brushed with nut pesto and topped with a citrus crust. Served with roasted cherry tomatoes on the vine and your choice of house fries, salad or a jacket. Fresh rocket and Grana Padano garnish served on the side) QA 3u / Chocolate Brownie Fudge cake(served with your choice of cream or vanilla ice cream) QA 4u, should've listened to hub & done at least 6u! / 2 bacardi breezer & 2 cocktails = note to self, never again! - 22.25pm - BI taken - 23.40pm - bedtime test - no supper - no correction. Don't really trust corrections when going to bed. - 04.04am - 13.9 - 04.16am - QA 2u correction - 07.22am - is this mornings reading - 13.10pm - 2 hrs after breakfast = 8.8

Mar 2, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 5.9 - bedtime 5.8 - this morning - 19.31pm - tea & QA - 22.03pm - BI taken - 22.53pm - bedtime test & done before having supper - supper was sandwich 1 slice

Mar 2, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average novorapidboi26 said: It seems as though you have cracked it over night, well done, you have really put a lot of hard work in to your management, inspirational...... whats your thought on the hypo? Dinner time insulin/carb ratio......? Thank you ! What's my thought on the hypo? No idea at all. Dinner time insulin/carb ratio ratio was - QA 4u/1:10 - cottage pie (homemade) - maybe had a bit more potato than usual - always do 1:10 at teatime - other ratios are always - 2:10 @ breakfast & 1.5:10 @ lunchtime

Mar 2, 2013 jlyall 8 posts	Topic: Carbohydrate Counting / nan bread does any else have trouble with nan bread pushing blood sugar up high even though the carbs have been counted properly for it