Recent Posts

14.3 - bedtime
7.7 - this morning

- tea & QA @ 19.16pm - sandwich 2 slices with cheese before going for a night out
- BI done @ 21.59pm - 3rd night of splitting BI - 14u instead of 28u when on one dose
- bedtime test was done @ 00.47am & before having supper instead of after, also following a night out & having 2 pints of john smiths & one baileys
- supper was pizza 2 triangles

Feb 24, 2013

Warwick 434 posts

Topic: General Discussion / Diary

Hello,

I think you may be putting your correctins in the wrong row. From the above, it looks like some corrections have been done in the ratio row rather than the QA row.I've shared my diary, so you can see where the corrections go in the QA row - I've done it at 1315 and 1911 on the Saturday. The ratio row is for putting how much insulin you take per CP - e.g, from my diary you can see I am on 1/3 ratio for breakfast and 1/2 raitos the other times. So if I take 10 CPs, I take 5 units of insulin for that if it is not breakfast time.

What kind of basal insulin are you on? The fact that you appear to be correcting throughout the day indicates that both of your basal injections need to be increased. If you are on a shorter-acting basal like Levemir, then you may want to increase both at once. If you are on a split dose of a longer-acting insulin like Lantus, then you may just want to start with the evening BI and go from there.

The rule of thumb is about 10% for changing BI, so 28 is probably about right - 25 + 2.5 = 27.5 so you could try either 27 or 28. If you are nervous of overnight hypos, then you may want to start with 27. If you don't think they are likely then 28 should be fine.

Once you have decided your dose, leave it unchanged for three days and see how your body is responding. If you start having overnight hypos though, do cut back on the dose from the next evening onwards. Overnight hypos should be avoided if at all possible.

If you want to up your morning dose, then I would suggest increasing it by 1-2 units and seeing how that helps.

Cheers,
Warwick.

Feb 24, 2013

Garry 328 posts

Topic: General Discussion / Diary

Welcome Lisaraby Smile

Not sure what is happening with your diary input but your Ratio (QA:CP) should be 2:1 or whatever. If you are taking QA as a correction in the morning - make sure you enter it in the QA field and not in the Ratio field. Your diary does lots of good stuff in the background...such as add up your insulin intake for you..so need get data in the right place. Easy to go back and edit an entry...just click the time (underlined) for the entry you need to edit and you can quickly sort them out. If it is a correction only you don't need enter anything in Ratio..just leave it blank.

Agree about BI, try + 3u at night and see what happens. Depending on what BI you use will have an effect on your body reaction time.
I use Lantus BI and never see any change in BGs for 3 days. So if this is your poison too please make sure that you make changes progressively over a number of days so that you are sure of cause and effect. Stay in touch with your Health Care Professionals though so that they are informed. You could share your diary with them if they are prepared to do so.

You are doing fine. Difficult at first I know as it took me 5 months to get put straight, but as you say there is help available here.....24/7.
Regards
Garry

Feb 24, 2013

Lisaraby 15 posts

Topic: General Discussion / Diary

Im thinking maybe up my night BI to 28 any thoughts please

Feb 23, 2013

Lisaraby 15 posts

Thanks guys its good to know that not only can I get in touch with local tutors but having such a wide range of DAFNE graduates to also offer advice is so helpful, I think because of the support my motivation will keep going Laughing

Feb 23, 2013

Warwick 434 posts

Yes, I agree. Before bed BI dose appears to be good, but morning BI seems to be too low. But it does take a few days after a change to see the full extent to the change, so after each change to BI, leave it at that dose for 3 days and see what happens. If you need to correct further at the conclusion of the 3 days, then you can.

Feb 23, 2013

novorapidboi26 1,818 posts

you seem to be going in the right direction...........

just keep adjusting your daytime bi dose.......

Feb 23, 2013

mum2westiesGill 502 posts

3.1 - bedtime
11.3 - this morning

- tea & QA 18.56pm
- BI done at 21.58pm - second night of splitting BI - had 14u instead of 28u
- after 3.1 hypo at bedtime had 4 jelly babies, did 15 minute check and BS was then 5.7
- supper was a sandwich, 1 slice of bread (15g or could be 17g?) with tuna & mayo
- bedtime test was done 23.07pm & before having supper instead of after, also no snacks during the evening.

Feb 22, 2013

Lisaraby 15 posts

Just finished the course and now to keep motivated
Hope I can Very Happy

Feb 22, 2013

mum2westiesGill 502 posts

8.2 - bedtime
6.2 - this morning

- tea & QA 18.49pm
- BI done at 22.00pm - first night of splitting BI - had 14u instead of 28u
- supper was a sandwich, 1 slice of bread (15g or could be 17g?) with corned beef
- bedtime test done 22.56pm & before having supper instead of after, also no snacks during the evening.

Feb 22, 2013

mum2westiesGill 502 posts

Is anyone else joining in on this topic? The more the merrier! Would love to see everyone else's BS Smile

Feb 21, 2013

victorri 12 posts

You can use the carb and cals book which has pictures so you can estimate by that

Feb 21, 2013

marke 655 posts

Hi, the carb entries are taken from what your respective carb book ( each country has its own) says. This is the information checked and approved by DAFNE Dieticians. You can of course add your own entries to the carb counting pages and put things like spoon etc. I'm afraid the site is run by DAFNE Graduates who have no more idea than you about 100 grams verses cup,spoon etc. We just work with what we are given, sorry Embarassed

Feb 21, 2013

mum2westiesGill 502 posts

14.2 - bedtime
2.8 - this morning
( Crying or Very sad

so different to the night before, why?? can you see things that I can't?)

- tea & QA 18.57
- BI done at 22.40pm - slightly later than 22.00pm but no real reason.
- supper was a little bit of tuna mixed with a slice of corned beef so just protein just carbs - same as the night before and same amount
- bedtime test done 23.11 & before having supper instead of after, also no snacks during the evening.
- 03.14am during night - 7.8

Feb 21, 2013

Warwick 434 posts

The nutrition panel on the side of a food will give you carbs per serving with a description of the serving size. This might be a weight, but sometimes it will be a measure too, and if it tells you how many serves per packet, then you can estimate by dividing a packet into that number of serves. Does that help at all?

Feb 21, 2013

JennyNZ 29 posts

this could have been asked before but is there any way to have measures rather than weights? 100grams means nothing to me if I haven't weighed the food before hand. if i'm out i check my CP list but the weights aren't helpful. Can they be in measures e.g. cup, serving spoon etc - then its easier to visualise it

Feb 21, 2013

Warwick 434 posts

Topic: Carbohydrate Counting / Beans and lentils

I'm vegetarian too, and I've had to cut out lentils and beans at dinner time. The sugars are released far too slowly to allow me to correct overnight. A meal without these will usually see me have BGs within target before bed and on waking, but if I have these for dinner, I go to bed with normal BGs and wake up with BGs above 15.

I was told on DAFNE to halve the amount of CPs that was recorded on the nutrition panel for pulses, and I do find this is necessary to avoid a hypo, but correctional doses need to be given for up to 10 hours after the meal to handle the gradual glucose release.

On weekends when I am more active than during the week I have beans for breakfast, and that has worked well in reducing the hypos I have been having on weekends. I can then correct at lunch time and dinner time where required. Possibly, I could also have beans and lentils at lunchtime with corrections at dinner time and before bed, but I haven't really experimented with that.

Feb 20, 2013

Warwick 434 posts

Nice one. :-)

Feb 20, 2013

mum2westiesGill 502 posts

whiskysmum said:
Was going to ask DSN about apidra QA instead of humalog, I've heard that this is faster in, faster out

Current dose of Lantus/BI is 28u

Asked the DSN about apidra, she checked it out in her book and said it's the same action as humalog.

Feb 20, 2013

mum2westiesGill 502 posts