Recent Posts - DAFNE Online

Feb 9, 2013

Simon 578 posts

Topic: DAFNE Online Mobile / Losing data betweene the iPhone app and the desktop version

Hi Elisa,

This is strange, do you have diary upload turned on in your iPad app? The settings don't sync between devices yet. Also can you try putting an incorrect username or password on the settings page? This should mean you see an invalid credentials message when you save an entry, which will at least demonstrate that the app is trying to start the upload.

Simon

Feb 9, 2013

Simon 578 posts

Topic: DAFNE Online Mobile / 1/2 units

Hi Karl,

Do you mean in the iPhone app? You can do this in the settings page, tap the Auto Calculate option and then set the Round Corrections To option to 1.

Simon

Feb 9, 2013

JayBee 587 posts

Topic: General Discussion / 7-day waking average

11BG this morning. Failed to do the eve meal finish/before bed test.... :/

Feb 9, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

18.9 - bedtime
2.6 - this morning

Bedtime
had supper - butter puffs x4 with cheese on but snacking during the evening on a bowl of doritos (DD fault Evil or Very Mad

)

maybe I should be doing a small correction at this bedtime level

Feb 9, 2013

HelenP 218 posts

Topic: General Discussion / Differing hBa1c results

I believe that a two week period can have a crucial and disproportionate effect on HbA1c's especially if it is immediately before a blood test and is radically different from what is usual (either up or down). the HbA1c's are guides. It is not a pure science!

Feb 9, 2013

Warwick 425 posts

Topic: General Discussion / Differing hBa1c results

Did you record your readings over the two periods? Is there a noticeable difference between the 90-day average for the first period and the 90-day average for the second period? That would probably tell you what you want to know.

Feb 8, 2013

Joe Smith 4 posts

Topic: Questions for HCPs / ma diary

Garry said:
Welcome Joe.
At the top of your diary:
Look to the right and see DAFNE TOOLS
Select Shared Diaries
and you are able to add your HCP...You need your HCPs User Name(s) though...or anyone else for that matter....to allow view access to your diary.
Regards
Garry

Cheers Garry, I found a slightly different way of sharing, but that way sounds like it'll work everytime!

Feb 8, 2013

Joe Smith 4 posts

Topic: Questions for HCPs / ma diary

novorapidboi26 said:
When did you graduate? and what hospital in lanarkshire you at..........?

In May 2008, but I've had three different BI types in that timescale, pain in the bum!

I'm at Monklands btw.

Feb 8, 2013

JayBee 587 posts

Topic: DAFNE Online Mobile / 1/2 units

LOL yes! Well spotted! Smile

1.5CP not 15CP lol

Feb 8, 2013

Karl 83 posts

Topic: DAFNE Online Mobile / 1/2 units

I have no issue with having to do this but the calculation already rounds it

eg 8.4 @1.9:1 (strange ratio but found 2:1 just too much)

will give 15.5 while if you do the maths its 15.96

It looks like it always rounds down

Will continue doing the maths myself

PS hope that's 1.5CP in your example Very Happy

Feb 8, 2013

JayBee 587 posts

Topic: DAFNE Online Mobile / 1/2 units

If you want to add the difference to your diary, just add a + or a - and round it accordingly.
I am on funny ratios myself and use a half unit pen due to insulin sensitivity, so I find myself doing the + and - thing all the time.

eg. say you take 0.5:1 ratio... you would input to round it to the nearest unit:

15CP
0.8+0.2 QA
so 1QA taken.

It does complicate it's appearance but it helps you realise you're taking a correction.. or not, depending on if you want to round up or down.
Is this explanation okay?
Best wishes! Smile

Feb 8, 2013

Karl 83 posts

Topic: DAFNE Online Mobile / 1/2 units

Is there a way of not having half units in the qa calculation as my pen is full units only

Feb 8, 2013

Garry 328 posts

Topic: Questions for HCPs / ma diary

Welcome Joe.
At the top of your diary:
Look to the right and see DAFNE TOOLS
Select Shared Diaries
and you are able to add your HCP...You need your HCPs User Name(s) though...or anyone else for that matter....to allow view access to your diary.
Regards
Garry

Feb 8, 2013

DianeW 115 posts

Topic: General Discussion / Differing hBa1c results

No it wasn't a finger prick test...and if anything after the op what with recovering my readings were up and down so weren't noticeably lower no...I actually saw 8.5 written down on my records plus the nurse mentioned to me that it was high....I mean I don't like to doubt the result from the hospital....

I could forget it but if the 8.5 WAS incorrect it's not very good is it!

Feb 8, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / 7-day waking average

12.3 this morning, with a 15.2 before bed........

I just randomly made pancakes last night for me, the wife and the boy and probably had more carbs than I accounted for........they were good though..... Smile

Feb 8, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Differing hBa1c results

I suppose its perfectly possible to have that kind of change within a 2 week period.........

Did you record noticeably lower readings in the 2 weeks prior to the latest test.....

The 8.6 may have been a finger blood test...who took that one after your operation...... Question

Feb 8, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

5.8 - bedtime
2.9 - this morning

Last 5 days 04/02 - 08/02

Mon 04/02
2.7

Tue 05/02
Bedtime - forgot to test
Am - 7.8

Wed 06/02
Bedtime - 9.3
Am - 7.4

Thur 07/02
Bedtime - 21.7
Am - 2.8

Fri 08/02
Bedtime - 5.8
Am - 2.9

Feb 8, 2013

DianeW 115 posts

Topic: General Discussion / Differing hBa1c results

When I had a blood test as a matter of routine on 11 January for an operation they told me it was 8.5 (69). I was pretty horrified as since DAFNE a year ago it has been coming down and it had been 7.6 before that.

Had another blood test on 30 January, so 2-3 wks later, and it was 7.6!!

Something doesn't seem right, but I tend to believe the latest result given my daily readings more than the one before. And also it can't be possible to improve that much in 2 weeks?!

Anyone any ideas please?

Feb 8, 2013

JayBee 587 posts

Topic: General Discussion / 7-day waking average

12.7 BG today. Caused by overnight hypo at 3am.
High waking BGs might be common for a while.. I seem to have Dawn based on my current problem discussion.

Great fun.

Feb 8, 2013

Carolin 83 posts

Topic: General Discussion / Lantus Questions

Hi all,

It's great that people are thinking about and actually trying out Background Insulin twice daily as this is how the whole DAFNE regimen was originally developed; it's only with the advent of these newer insulin like Lantus that health professionals have started to use once daily Background Insulin in DAFNE, which is sad in some ways because as some of you have rightly identified, it does potentially reduce flexibility and may not be apporpriate if you do lots of exercise.

The usual recommendation when you first start a split BI is to do it 50/50, so half your dose as you go to bed and the other half as you get up (need to be 7hrs apart); this does mean that the doses overlap during the morning but this is considered to be beneficial to help control the Dawn Phenomenon.

Then you need to follow the Step-Wise Approach to adjust your doses as required, addressing each BI dose independently, i.e. the morning dose to maintain stable BG through the day; the bedtime dose to maintain stable BG during the night. It is not uncommon to end up needing totally different levels night and morning - they won't always necessarily stay equal.

Carolin

Feb 8, 2013

Carolin 83 posts

Topic: Questions for HCPs / Until I start a DAFNE course

Vikz2006 said:
...I am not sure of my ratios though for QA I use Novorapid and beleive its 1 unit to reduce BG by 2 does that mean its a 1:2? Sorry thats the only bit I dont know about /quote]

Just to clarify, your ratio is the amount of QA you need to cover your CPs, so if you use 1u of Novorapid for each 1CP (10g) then that's a 1:1 ratio.

The additoinal QA you need to bring down high BG is just known as your correction (or correction factor), and 1u to bring you down 2mmol/l sounds relevant; we usually say 1u can bring you down by between 2-3mmol/l so you need to be cautious.

Carolin

Feb 8, 2013

JayBee 587 posts

Topic: Site Development / Figure 17

Oooo I wonder what the main differences are? :-. I thought we all worked from the same book!

Feb 8, 2013

vic demain 87 posts

Topic: General Discussion / Nottingham.

Seems the QMC is the place then. Thanks landylara for your help. Very Happy

Feb 7, 2013

Warwick 425 posts

Topic: General Discussion / Lantus Questions

I split my Lantus a couple of weeks ago and I'm finding the change much better. Previously I was going high between dinner and bed because Lantus had run out, but taking extra QA would give me a hypo. With a 13/13 split, I am finding that everything stays pretty stable.

I didn't get professional advice on how to do it. I just subtracted 3 in the evening and added 3 in the morning, until I had an even split. Had a few hypos along the way, so there are probably better methods as per above.

Cheers,
Warwick.

Feb 9, 2013 Simon 578 posts	Topic: DAFNE Online Mobile / Losing data betweene the iPhone app and the desktop version Hi Elisa, This is strange, do you have diary upload turned on in your iPad app? The settings don't sync between devices yet. Also can you try putting an incorrect username or password on the settings page? This should mean you see an invalid credentials message when you save an entry, which will at least demonstrate that the app is trying to start the upload. Simon

Feb 9, 2013 Simon 578 posts	Topic: DAFNE Online Mobile / 1/2 units Hi Karl, Do you mean in the iPhone app? You can do this in the settings page, tap the Auto Calculate option and then set the Round Corrections To option to 1. Simon

Feb 9, 2013 JayBee 587 posts	Topic: General Discussion / 7-day waking average 11BG this morning. Failed to do the eve meal finish/before bed test.... :/

Feb 9, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 18.9 - bedtime 2.6 - this morning Bedtime had supper - butter puffs x4 with cheese on but snacking during the evening on a bowl of doritos (DD fault ) maybe I should be doing a small correction at this bedtime level

Feb 9, 2013 HelenP 218 posts	Topic: General Discussion / Differing hBa1c results I believe that a two week period can have a crucial and disproportionate effect on HbA1c's especially if it is immediately before a blood test and is radically different from what is usual (either up or down). the HbA1c's are guides. It is not a pure science!

Feb 9, 2013 Warwick 425 posts	Topic: General Discussion / Differing hBa1c results Did you record your readings over the two periods? Is there a noticeable difference between the 90-day average for the first period and the 90-day average for the second period? That would probably tell you what you want to know.

Feb 8, 2013 Joe Smith 4 posts	Topic: Questions for HCPs / ma diary Garry said: Welcome Joe. At the top of your diary: Look to the right and see DAFNE TOOLS Select Shared Diaries and you are able to add your HCP...You need your HCPs User Name(s) though...or anyone else for that matter....to allow view access to your diary. Regards Garry Cheers Garry, I found a slightly different way of sharing, but that way sounds like it'll work everytime!

Feb 8, 2013 Joe Smith 4 posts	Topic: Questions for HCPs / ma diary novorapidboi26 said: When did you graduate? and what hospital in lanarkshire you at..........? In May 2008, but I've had three different BI types in that timescale, pain in the bum! I'm at Monklands btw.

Feb 8, 2013 JayBee 587 posts	Topic: DAFNE Online Mobile / 1/2 units LOL yes! Well spotted! 1.5CP not 15CP lol

Feb 8, 2013 Karl 83 posts	Topic: DAFNE Online Mobile / 1/2 units I have no issue with having to do this but the calculation already rounds it eg 8.4 @1.9:1 (strange ratio but found 2:1 just too much) will give 15.5 while if you do the maths its 15.96 It looks like it always rounds down Will continue doing the maths myself PS hope that's 1.5CP in your example

Feb 8, 2013 JayBee 587 posts	Topic: DAFNE Online Mobile / 1/2 units If you want to add the difference to your diary, just add a + or a - and round it accordingly. I am on funny ratios myself and use a half unit pen due to insulin sensitivity, so I find myself doing the + and - thing all the time. eg. say you take 0.5:1 ratio... you would input to round it to the nearest unit: 15CP 0.8+0.2 QA so 1QA taken. It does complicate it's appearance but it helps you realise you're taking a correction.. or not, depending on if you want to round up or down. Is this explanation okay? Best wishes!

Feb 8, 2013 Karl 83 posts	Topic: DAFNE Online Mobile / 1/2 units Is there a way of not having half units in the qa calculation as my pen is full units only

Feb 8, 2013 Garry 328 posts	Topic: Questions for HCPs / ma diary Welcome Joe. At the top of your diary: Look to the right and see DAFNE TOOLS Select Shared Diaries and you are able to add your HCP...You need your HCPs User Name(s) though...or anyone else for that matter....to allow view access to your diary. Regards Garry

Feb 8, 2013 DianeW 115 posts	Topic: General Discussion / Differing hBa1c results No it wasn't a finger prick test...and if anything after the op what with recovering my readings were up and down so weren't noticeably lower no...I actually saw 8.5 written down on my records plus the nurse mentioned to me that it was high....I mean I don't like to doubt the result from the hospital.... I could forget it but if the 8.5 WAS incorrect it's not very good is it!

Feb 8, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / 7-day waking average 12.3 this morning, with a 15.2 before bed........ I just randomly made pancakes last night for me, the wife and the boy and probably had more carbs than I accounted for........they were good though.....

Feb 8, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Differing hBa1c results I suppose its perfectly possible to have that kind of change within a 2 week period......... Did you record noticeably lower readings in the 2 weeks prior to the latest test..... The 8.6 may have been a finger blood test...who took that one after your operation......

Feb 8, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average 5.8 - bedtime 2.9 - this morning Last 5 days 04/02 - 08/02 Mon 04/02 2.7 Tue 05/02 Bedtime - forgot to test Am - 7.8 Wed 06/02 Bedtime - 9.3 Am - 7.4 Thur 07/02 Bedtime - 21.7 Am - 2.8 Fri 08/02 Bedtime - 5.8 Am - 2.9

Feb 8, 2013 DianeW 115 posts	Topic: General Discussion / Differing hBa1c results When I had a blood test as a matter of routine on 11 January for an operation they told me it was 8.5 (69). I was pretty horrified as since DAFNE a year ago it has been coming down and it had been 7.6 before that. Had another blood test on 30 January, so 2-3 wks later, and it was 7.6!! Something doesn't seem right, but I tend to believe the latest result given my daily readings more than the one before. And also it can't be possible to improve that much in 2 weeks?! Anyone any ideas please?

Feb 8, 2013 JayBee 587 posts	Topic: General Discussion / 7-day waking average 12.7 BG today. Caused by overnight hypo at 3am. High waking BGs might be common for a while.. I seem to have Dawn based on my current problem discussion. Great fun.

Feb 8, 2013 Carolin 83 posts	Topic: General Discussion / Lantus Questions Hi all, It's great that people are thinking about and actually trying out Background Insulin twice daily as this is how the whole DAFNE regimen was originally developed; it's only with the advent of these newer insulin like Lantus that health professionals have started to use once daily Background Insulin in DAFNE, which is sad in some ways because as some of you have rightly identified, it does potentially reduce flexibility and may not be apporpriate if you do lots of exercise. The usual recommendation when you first start a split BI is to do it 50/50, so half your dose as you go to bed and the other half as you get up (need to be 7hrs apart); this does mean that the doses overlap during the morning but this is considered to be beneficial to help control the Dawn Phenomenon. Then you need to follow the Step-Wise Approach to adjust your doses as required, addressing each BI dose independently, i.e. the morning dose to maintain stable BG through the day; the bedtime dose to maintain stable BG during the night. It is not uncommon to end up needing totally different levels night and morning - they won't always necessarily stay equal. Carolin

Feb 8, 2013 Carolin 83 posts	Topic: Questions for HCPs / Until I start a DAFNE course Vikz2006 said: ...I am not sure of my ratios though for QA I use Novorapid and beleive its 1 unit to reduce BG by 2 does that mean its a 1:2? Sorry thats the only bit I dont know about /quote] Just to clarify, your ratio is the amount of QA you need to cover your CPs, so if you use 1u of Novorapid for each 1CP (10g) then that's a 1:1 ratio. The additoinal QA you need to bring down high BG is just known as your correction (or correction factor), and 1u to bring you down 2mmol/l sounds relevant; we usually say 1u can bring you down by between 2-3mmol/l so you need to be cautious. Carolin

Feb 8, 2013 JayBee 587 posts	Topic: Site Development / Figure 17 Oooo I wonder what the main differences are? :-. I thought we all worked from the same book!

Feb 8, 2013 vic demain 87 posts	Topic: General Discussion / Nottingham. Seems the QMC is the place then. Thanks landylara for your help.

Feb 7, 2013 Warwick 425 posts	Topic: General Discussion / Lantus Questions I split my Lantus a couple of weeks ago and I'm finding the change much better. Previously I was going high between dinner and bed because Lantus had run out, but taking extra QA would give me a hypo. With a 13/13 split, I am finding that everything stays pretty stable. I didn't get professional advice on how to do it. I just subtracted 3 in the evening and added 3 in the morning, until I had an even split. Had a few hypos along the way, so there are probably better methods as per above. Cheers, Warwick.