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Mar 1, 2013
marke 681 posts

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.
 
Mar 1, 2013
DianeW 115 posts

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
 
Mar 1, 2013
novorapidboi26 1,819 posts

Topic: General Discussion / 7-day waking average

whiskysmum said:
5.8 - bedtime
4.5 - 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



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......?
 
Mar 1, 2013
novorapidboi26 1,819 posts

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..... Wink

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......
 
Mar 1, 2013
novorapidboi26 1,819 posts

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......

Smile

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...... Wink
 
Mar 1, 2013
mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

5.8 - bedtime
4.5 - 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
 
Feb 28, 2013
Annette Bell 72 posts

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.
 
Feb 28, 2013
Annette Bell 72 posts

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?
 
Feb 28, 2013
Annette Bell 72 posts

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 200Cool 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!)
 
Feb 28, 2013
Annette Bell 72 posts

Topic: DAFNE Online Mobile / iPhone App - Comments & Custom Carb Items

RichFreed said:
From time to time lateley the app refuses to save any comments I try to add. Not always but often enough to be a pain in the neck when reviewing or printing my diary & noticing that some comments I thought I had entered aren't there.

Today I managed to capture an entry that would not save the comments no matter what I did..
http:\\members.iinet.net.au\~richfreed\xml\ZGOPR3058.mpg

Also I have never had any luck figuring out how to easily add a custom Carb Item to my list. Basically I have to add it, then edit it at least 3 times before any of the data including it's title is actually saved properly. Is there some trick or is just bugged.

I am using an iPhone 3gs iOS6 these days


I use an iPhone 5 iOS 6.1.2 and have also noticed some comments disappearing. Annoying when you want to check when you did or didn't do something.
 
Feb 28, 2013
Annette Bell 72 posts

Topic: DAFNE Online Mobile / iPhone App - Comments & Custom Carb Items

Yes, I also have problems entering my own carb items. It seems to lose all data once you enter a category, or just put it in the list as "carb item" rather than whatever you've called it. This is a bit of a pain as you have to keep repeating yourself. I find it works best if you do it backwards, starting at the bottom - "category" and add the name of the item last. It definitely needs tweaking! Rolling Eyes
 
Feb 28, 2013
mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

4.7 - bedtime
9.5 - this morning



- 19.17pm - tea & QA so just finishing tea @ 19.44pm
- 21.58pm - BI done 7th night of splitting BI - 2nd evening of reducing from 14u to 12u
- 22.44pm - bedtime test was done & before having supper instead of after
- supper was sandwich & bit pear shaped because had 2 slices instead of 1
 
Feb 27, 2013
mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

4.4 - bedtime
5.8 - this morning
Smile


- 18.40pm - tea & QA
- 21.54pm - BI done 6th night of splitting BI - also this evening reduced from 14u to 12u
- 23.11pm - bedtime test was done & before having supper instead of after
- supper was sandwich 1 slice
 
Feb 26, 2013
Warwick 423 posts

Topic: General Discussion / Advised to not have basal insulin

My personal feeling is that I am an expert on my own body and its needs and requirements. Unless I am given an excellent reason for changing what I know works for me, then I will not change it. If I am being attended to by an endocrinologist, then I will happily listen, but a GP or hospital doctor has to be a jack of all trades, and there is only so much they can know about each condition and disease. Unless they can back up what they are saying with facts and excellent reasoning, then I'll be in charge of my insulin intake. That is not to belittle GPs and doctors - they do an excellent and very difficult job - but they have their limitations.
 
Feb 26, 2013
DianeW 115 posts

Topic: General Discussion / Advised to not have basal insulin

To not have your basal insulin it just wrong surely! I sympathise with you because I've experienced unfortunately several times the ignorance general nursing staff have about diabetes. It amazes me. I know they have a hard job and I don't expect them to have an in depth knowledge of diabetes, but you would think that they understood the principle of having two different insulins, one to counteract food and one to keep you going, like as you say oil in a car.

I had an op recently and spent one night in hospital and the nurse said to me "can you do your own blood tests and injections?" and I said yes. OK that is good that they let me do it myself but it also meant they seemed to relinquish ANY interest. I did my tests, sometimes they asked about them, sometimes they didn't. They didn't ask if I had injected or eaten.

I think that blood sugar goes up and down due to the mere fact that you've had an operation. So even MORE reason to take basal to try and keep things steady. I had my op about 6pm and my sugar rose all evening, but at 6am I was hypo, 3.1. I had biscuits and glucose tablets. I must have fallen asleep again practically straight away. I woke up and hour later realising that no one came to check on me - the nurse that I had told had finished her shift and gone home and not recorded it, told anyone.. That is wrong.

So it seems even though you are ill/having an op and not totally with it all the time obviously, you have to be, otherwise god knows what could happen. I want to put my faith and trust in them, but sadly from my experiences I don't
 
Feb 26, 2013
Plumcious 11 posts

Topic: General Discussion / Advised to not have basal insulin

Hi

I recently spent a night in hospital - GP thought I might have pneumonia but fortunately I was just being knocked for six by a cough/cold/near flu and was home the next day with instructions to rest properly and get better.

I'd had a few hypos (caused by an antibiotic) and had reduced my background by more than 20% - from 9 units twice a day to 7.

I was admitted to the ward at 8pm and my blood sugar then was 7.1. At 10.15 I said the the night nurse that I was going to have my Background Insulin (in case he needed to record this). He said that my BS at 7.1 was too low to be having a dose of insulin. Shocked I said it's OK, it's my Background which just keeps me going, like oil in a car, it won't make me hypo. I thought he agreed and accepted this but if he hadn't I felt too ill to get wound up and argue - but didn't think there was a need to argue anyway - so I had my insulin. The 7.1 test had been 2.5 hours earlier anyway and at 9.30pm it was 6.8, and then 7.8 at 23.00.

At 1.30 I was hypo; not a bad one and I had juice and he got me a sandwich, saying it was my own fault for having my insulin!!! I said I hadn't had any tea which might have had more to do with it!!!

Was I wrong? I felt terrible but think I would have felt a whole lot worse without insulin. I'm absolutely sure that a basic rule is don't stop your insulin when ill. Now I think I should probably have reduced it again maybe to 6 units or maybe asked for a bedtime snack, but I didn't think.

Thank goodness I wasn't more poorly; I did feel able to make my own reasoned decisions but sometimes it's hard to be sure whether I'm right.
 
Feb 26, 2013
JayBee 587 posts

Topic: General Discussion / 7-day waking average

Hypo before bed.
9.9 this morning.
 
Feb 26, 2013
novorapidboi26 1,819 posts

Topic: General Discussion / 7-day waking average

Just shows you how different your night and day BI needs are.......

You should go carb free supper tonight and do night time tests....
 
Feb 26, 2013
mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

6.1 - bedtime
3.7 - this morning


- 18.54pm - tea & QA
- 22.04pm - BI done 5th night of splitting BI - 14u instead of 28u when on one dose
- 23.09pm - bedtime test was done & before having supper instead of after
- supper was butter puffs 4x
- after hypo & 4 jelly babies this morning was then 6.7