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15,864 posts found
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Mar 3, 2013
PNThompson
57 posts
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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. |
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Mar 3, 2013
marke
686 posts
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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. |
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Mar 3, 2013
novorapidboi26
1,819 posts
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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... 
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Mar 3, 2013
JayBee
587 posts
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Topic: General Discussion / BACKGROUND INSULIN Never thought of it like that... Currently take 25 BI Levemir total if wondering... |
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Mar 3, 2013
novorapidboi26
1,819 posts
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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.... |
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Mar 3, 2013
paulj
36 posts
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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 alreadycheers paulj 
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Mar 3, 2013
paulj
36 posts
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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 appreciatedcheers paulj
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Mar 3, 2013
paulj
36 posts
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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?
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Mar 3, 2013
jlyall
8 posts
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Topic: Carbohydrate Counting / nan bread the blood sugars were high about 5hours after mealhad meal at 6pm and tested bg at 11pm only had nan bread for carbs with meal |
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Mar 3, 2013
novorapidboi26
1,819 posts
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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........ |
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Mar 3, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / 7-day waking average 14.7 - bedtime14.4 - 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 |
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Mar 2, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / 7-day waking average 5.9 - bedtime5.8 - this morning  - 19.31pm - tea & QA - 22.03pm - BI taken - 22.53pm - bedtime test & done before having supper - supper was sandwich 1 slice |
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Mar 2, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / 7-day waking average
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 |
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Mar 2, 2013
jlyall
8 posts
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Topic: Carbohydrate Counting / nan bread does any else have trouble with nan bread pushing blood sugar up higheven though the carbs have been counted properly for it |
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Mar 1, 2013
marke
686 posts
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Topic: Carbohydrate Counting / iPhone app carbs list Annette, the current carb book (which is Version 9 and was issued in 2010) was changed from 7 to 10. It was previously 7 in older versions. We can only publish the information we are given and that is the current published value. The app doesn't need serious updating, the source information may do !There will be yet another update to the course material this year I think so maybe they will change it then. If you would like it updated sooner then raise it at a DUAG meeting so that we can get the DAFNE Programme Team to look into why updates are not being provided if they are being 'provided' to DAFNE Educators to advise Graduates. |
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Mar 1, 2013
DianeW
115 posts
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Topic: General Discussion / Advised to not have basal insulin I totally agree that each diabetic knows his own body better than anyone. It's the BASIC knowledge that they lack that annoys me. Surely they should know that a hypo is a very low blood sugar and you know, someone should have checked on me, let alone considering my BS was unstalbe because of an operation Not trying to be a drama queen, but I was just a bit shocked in my case that they knew I had gone hypo but never came back to check on me, to see if I was basically ok let alone what my blood sugar was. Nurse had gone off shift without telling anyone or recording it. Hey ho will just put it down to experience |
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Mar 1, 2013
novorapidboi26
1,819 posts
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Topic: General Discussion / 7-day waking average
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......? |
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Mar 1, 2013
novorapidboi26
1,819 posts
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Topic: General Discussion / Advised to not have basal insulin My understanding of insulin delivery is that you always need your background, this will still apply in hospital, unless they are feeding your insulin in by some other means......The concept is simple and should have been no problem to understand by any medical professional...... Warwick, I feel the same as you, I am the expert about my diabetes, I even feel my knowledge is superior to that of my diabetes team, at least about my care personally.....  hypos happen all the time, sometimes for no known reason, especially so when you are on a fixed dose of background once or twice a day, as your background needs change by the hour..... you were right to take your insulin, and were also prepared to treat the hypo.....just a normal day in the life of a diabetic.... well done...... |
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Mar 1, 2013
novorapidboi26
1,819 posts
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Topic: Carbohydrate Counting / iPhone app carbs list I would say the something needs updating to be honest, although the carb book is just a guide.For me personally, a few weeks in and I wasn't using the book, as you get to know how much carbs are in specific food items as well as the size of them. But never the less, the facility should be corrected for the folk who do rely on the book...... The icon has appeared because the text version of that icon is represented by an 8 followed by a bracket, the bracket being the smile, and the 8 being the sunglasses......
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Mar 1, 2013
mum2westiesGill
502 posts
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Topic: General Discussion / 7-day waking average 5.8 - bedtime4.5 - this morning - 19.13pm - tea - 21.57pm - BI taken - 22.49pm - hypo - 3.7 - had jelly babies 4 x - 23.07pm - bedtime test & done before having supper - supper was sandwich 1 slice |
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Feb 28, 2013
Annette Bell
72 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right I'm STILL getting -ve QA when not having any carbs &, therefore, no QA. I thought this had been fixed, or has it not reached the iPhone app yet? Not had an update for ages. I have an iPhone 5 using iOS 6.1.2. |
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Feb 28, 2013
Annette Bell
72 posts
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Topic: Site Development / Injection site list Hi Simon - I assume this is still in your "to do" list as it doesn't seem to have reached the iPhone app yet? |
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Feb 28, 2013
Annette Bell
72 posts
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Topic: Carbohydrate Counting / iPhone app carbs list I was checking my DAFNE carb counting book I was given when I did the course against the app list, and found that some of the changes they gave us (this was back in Jan 200 have not been entered in the app list. For example, we were told that the count for Jacket potatoes was wrong - specifically, a large 330g potato is not 10 CP's as it says in the book, but in fact only 7 CP's. This is a big difference and could lead to someone giving themselves 3 units too much (assuming they're on a 1:1 ratio). The numbers for small and medium potatoes are also not in agreement with the changes we were given. There are one or two other discrepancies also. Have they changed their minds again, or does this app need serious updating?(For some reason I have a cool icon where it should say Jan 2008!) |