Recent Posts - DAFNE Online

Feb 7, 2013

Warwick 425 posts

Cool. Looks good. Thanks for that.

Feb 7, 2013

Warwick 425 posts

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

Out of interest, how much insulin did you take for that? You will go crazy if you try and work out the carb values of all of that. As you will learn on DAFNE, there are a lot of foods that you just don't need to worry about because the carb value is so low, and I think all of those foods that you mentioned come under that heading. I'm not sure about corgettes or the peas.

In general calculate carb values for the "carb portion" of a meal like potatoes, pasta, rice, cous cous, quinoa, weet bix, muesli, bread, dairy products etc. Also, look for the carb content of sauces (sweet chilli sauce has heaps), pasta sauces etc. Desserts obviously. Vegetables tend not to have much, but pretty much all fruit does. Biscuits, chocolate, crisps etc also have a high carb content.

Legumes - lentils, chick peas, beans etc do contain carb but it is very slow release. I love these foods but I find them a nightmare to dose for. If I give the correct amount of insulin, I will hypo as these release carbs too slowly. If I give only enough not to hypo, then my BGs will slowly rise later on and I will become too high. I only have these now for breakfast and sometimes lunch so I can correct for them at later meal times. Having them at dinner time will lead me to have very high BGs overnight.

My fellow DAFNE graduates swear by this website:

http://www.calorieking.com.au/

It is for Australians, but some of the foods will be similar to the UK. There is bound to be something similar for the UK diabetic population. You can always type carbohydrate and the name of the food into Google and you will probably get an answer pretty quickly.

Good work, and I look forward to seeing your diary.

Cheers,
Warwick.

Feb 7, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Lantus Questions

After learning that MDI is only 50% effective, this may explain why Lantus may tend to put weight on people more than Levemir, because your are stuck with one dose of Lantus, which probably means you will be taking too much at some point in the day.............where as Levemir can deliver a more accurate dose as its split am and pm........

Just a theory thought, no real evidence.........

Feb 7, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / ma diary

Oh, sorry about that............have they seen the results........?

Testing your background is exactly as your team has said, carb free, that way the only thing that will be effecting the blood glucose is the background, allowing you to put it up or down according to whether your blood sugar goes up or down.......

best starting overnight, you will be sleeping, which makes carb free easy........no carbs after dinner, take a bed time blood sugar, dont correct, then set alarm for 3 am to take another blood sugar..........repeat that for a few nights to confirm the pattern,,,,,,,,,,,,,,,,,if you hold steady from bed till 3 amm your dose is right........

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

Feb 7, 2013

Teanosugar 25 posts

Topic: General Discussion / Lantus Questions

I have been on Lantus for about six months; before this it was isophane for many years. I haven't noticed any weight increase or decrease since changing to Lantus. I only know that injecting way too much insulin makes people put weight on. I don't think it's insulin specific.

Feb 7, 2013

Joe Smith 4 posts

Topic: Questions for HCPs / ma diary

I appreciate your input, but I was trying to share the diary with the staff I was going to see on Wednesday. As you can probably tell, I don't know how to do that! Embarassed

They've told me to go carb free to try sort out my BI, which is proving difficult so far due to being a fussy eater and my BI levels are WAYYYY off! Mad

Feb 7, 2013

landylara 14 posts

Topic: Carbohydrate Counting / My Carb Guess Challenge!

I have a 1/2 unit pen so i would take 5.5 units Very Happy

Feb 7, 2013

landylara 14 posts

Topic: General Discussion / Nottingham.

Dr Gazis is also a DAFNE Dr at QMC campus. Excellent diabetes unit.

Feb 7, 2013

googs 6 posts

Topic: General Discussion / Diabulemia is becoming a growing problem

once again highlighting how important dafne is,The education it would bring to these ladies would be invaluable(exercise and insulin intake etc)Cant say how important dafne is no.more russian roulette and guessing,Spread the word folks...

Feb 7, 2013

marke 686 posts

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

Hi, you can access everything except the online handbook, because we are not allowed to give access to this unless you are a graduate. If others give you advice that is outside of our control Wink

With regards to the online carb book , you can add your own entries and eventually they get verified and approved by Health Care Professionals. Again the 'verified' entries in the carb book come from the standard course carb book I'm afraid. If you want a bigger list of carb values there are books around usually aimed at people dieting however if the contain carb values then they are just as good. I have two at home but can't remember the names of them, will try to remember to dig them out and post the names and ISBN of them later.

Feb 7, 2013

marke 686 posts

Topic: Site Development / Figure 17

Gentlemen, thank you for spotting this. It was the Australian sick day rules that you were trying to access, however the image was not working. I have recently uploaded the 'new' Oz handbook and had not noticed that some of the images did not work. They are fixed now.
Novarapid boy the link that you should be looking at is http://dafneonline.co.uk/hbook_topics/188 these Australians have their own ideas
about DAFNE which are very similiar but not identical. I should probably block access to another countries handbook, once I work out a way of doing it of course Wink

Feb 7, 2013

BeccyB 50 posts

Topic: Carbohydrate Counting / Sandwich Wraps

Thanks for the tips - will check them out!

Feb 7, 2013

marke 686 posts

Topic: Carbohydrate Counting / Greggs baguette sandwiches

I have updated the link to Greggs on the carb links page in the carb counting section to reference the new PDF above. Please do add links to the links page as and when you find them

Feb 7, 2013

marke 686 posts

Topic: General Discussion / Diabulemia is becoming a growing problem

There is no definite answers to this I'm afraid. I know people who lost a lot of weight, people who lost no weight and people who put on weight. People often put on weight just after the course because their insulin is more effective by virtual of the fact its more accurate to what your body needs were before the course there was too much or too little. However once you get past that you then have the flexibility to eat less and exercise more with the tools to manage these things so in theory losing weight is easier. I say in theory because losing weight never seems that easy Very Happy

Feb 7, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / 7-day waking average

If you don't correct before bed I assume the cream puffs ere not counted......?

I thought your insulin for them contributed to the hypo....

If there was no QA insulin overnight, the low was your BI........

Feb 7, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

Hi NR,

Thanks for replying/helping.

How did that happen______
Absolutely no idea

Too much QA, was the count right______
At teatime I had bolognese (homemade) left from the night before and also rice (packet of) the sort which you cook in the microwave - 52.0g carbs per sachet - had it hundreds of times - did 5u QA as i usually would for this.

What was your correction dose before bed______
I never do a correction dose at bedtime for fear of going hypo during my sleep. Maybe at the level I could/should.

Feb 7, 2013

novorapidboi26 1,819 posts

Topic: Site Development / Figure 17

I just checked there and cant see it either........

Feb 7, 2013

novorapidboi26 1,819 posts

Topic: Questions for HCPs / ma diary

There seem to be a few hypos there, with no real pattern, they are common at night/morning I suppose........

How is your background doing...........?

When did you lat test......?

Feb 7, 2013

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Sandwich Wraps

I recommend the smartphone app MyFitnessPal........

you just scan the product barcode and it allows you to add it to your food diary where you can get the calories and nutritional information.......

Feb 7, 2013

Vikz2006 8 posts

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

Warwick that is excellent! This has really explained alot to me and I agree with your point about after a meal-its very hard to keep the BG down within the insulin's lag time as I call it-just nothing we can do about that but if overall I can 1) keep stable rather than yo-yo and 2) keep as close to the 6-7 range i'd be very happy

I've already begun my diary and it lets me fill it all in so thats great-I'll send it to you in a week's time

One question-I am on a very healthy eating plan so, for example I made a turkey stir-fry last night from scratch with diced turkey breast, 2 small courgettes, pack of mange tous peas, some garlic, onion, ginger and chilli with a splash of light soy and some herbs. To calculate carb CP where can I find values for things like lean turkey, different vegetables? Or do I look at the packaging then calculate from there? I've looked in the CP booklet on here but that seems to be all fast foods rather than lean and clean?!

Thanks once again for everything

Feb 7, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / Insulin:Carbohydrate ratio change on swith over to the pump

I have answered this at diabetessupport...... Very Happy

Feb 7, 2013

novorapidboi26 1,819 posts

Topic: General Discussion / 7-day waking average

whiskysmum said:
Bedtime - 21.7
This morning for me 2.8

Bedtime
had supper - butter puffs x4 with literally a scraping of jam - apart from that nothing else during the evening done differently.

How did that happen.......

Too much QA, was the count right.......

What was your correction dose before bed........?

I was 9.2 this morning, carb free morning to work out basal rates.... Smile

Feb 7, 2013

mum2westiesGill 502 posts

Topic: General Discussion / 7-day waking average

Bedtime - 21.7 Evil or Very Mad

This morning for me 2.8

Bedtime
had supper - butter puffs x4 with literally a scraping of jam - apart from that nothing else during the evening done differently.

Feb 7, 2013

Warwick 425 posts

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

Oh, and you can use subtraction too. You can see on Wednesday that before breakfast I deducted 0.5 from my usual 3 units of QA because my BG was only 4.2 and I prefer it to be between 5.5-6.5. Taking my usual amount might have led to a hypo later on.

I should have also mentioned that the target BG range varies depending on type of day:

Before breakfast 5.5 â€“ 7.5 mmol/L
Before other meals 4.5 â€“ 7.5 mmol/L
Before bed 6.5 â€“ 8.0 mmol/L
At 3am 4.5 mmol/L or above
Before driving Above 5 mmol/L

In practice, I find it is just easier to aim for 6.0 at all times and that works better for me. Aiming for that usually gets me in the right range.

Oh, and read the fine print on your QA insulin and find out what its duration is. Most are about 3-4 hours. Don't bother testing within that duration unless you feel hypo symptoms. Your BGs tend to stay elevated during that period and there isn't anything that can really be done about that, but 3-4 hours after a meal, you will be wanting to be in the 4.0-8.0 range, preferably around 6.0.

Let me know if you have any questions.

Cheers,
Warwick.

Feb 7, 2013

Warwick 425 posts

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

Your ratio will be 0.5:1 - half ratio. You were correct with you 1:2, but I think the DAFNE diary like the second number to be a 1, so 0.5:1.

Cheers,
Warwick.

Feb 7, 2013 Warwick 425 posts	Topic: Site Development / Figure 17 Cool. Looks good. Thanks for that.

Feb 7, 2013 Warwick 425 posts	Topic: Questions for HCPs / Until I start a DAFNE course Out of interest, how much insulin did you take for that? You will go crazy if you try and work out the carb values of all of that. As you will learn on DAFNE, there are a lot of foods that you just don't need to worry about because the carb value is so low, and I think all of those foods that you mentioned come under that heading. I'm not sure about corgettes or the peas. In general calculate carb values for the "carb portion" of a meal like potatoes, pasta, rice, cous cous, quinoa, weet bix, muesli, bread, dairy products etc. Also, look for the carb content of sauces (sweet chilli sauce has heaps), pasta sauces etc. Desserts obviously. Vegetables tend not to have much, but pretty much all fruit does. Biscuits, chocolate, crisps etc also have a high carb content. Legumes - lentils, chick peas, beans etc do contain carb but it is very slow release. I love these foods but I find them a nightmare to dose for. If I give the correct amount of insulin, I will hypo as these release carbs too slowly. If I give only enough not to hypo, then my BGs will slowly rise later on and I will become too high. I only have these now for breakfast and sometimes lunch so I can correct for them at later meal times. Having them at dinner time will lead me to have very high BGs overnight. My fellow DAFNE graduates swear by this website: http://www.calorieking.com.au/ It is for Australians, but some of the foods will be similar to the UK. There is bound to be something similar for the UK diabetic population. You can always type carbohydrate and the name of the food into Google and you will probably get an answer pretty quickly. Good work, and I look forward to seeing your diary. Cheers, Warwick.

Feb 7, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Lantus Questions After learning that MDI is only 50% effective, this may explain why Lantus may tend to put weight on people more than Levemir, because your are stuck with one dose of Lantus, which probably means you will be taking too much at some point in the day.............where as Levemir can deliver a more accurate dose as its split am and pm........ Just a theory thought, no real evidence.........

Feb 7, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / ma diary Oh, sorry about that............have they seen the results........? Testing your background is exactly as your team has said, carb free, that way the only thing that will be effecting the blood glucose is the background, allowing you to put it up or down according to whether your blood sugar goes up or down....... best starting overnight, you will be sleeping, which makes carb free easy........no carbs after dinner, take a bed time blood sugar, dont correct, then set alarm for 3 am to take another blood sugar..........repeat that for a few nights to confirm the pattern,,,,,,,,,,,,,,,,,if you hold steady from bed till 3 amm your dose is right........ When did you graduate? and what hospital in lanarkshire you at..........?

Feb 7, 2013 Teanosugar 25 posts	Topic: General Discussion / Lantus Questions I have been on Lantus for about six months; before this it was isophane for many years. I haven't noticed any weight increase or decrease since changing to Lantus. I only know that injecting way too much insulin makes people put weight on. I don't think it's insulin specific.

Feb 7, 2013 Joe Smith 4 posts	Topic: Questions for HCPs / ma diary I appreciate your input, but I was trying to share the diary with the staff I was going to see on Wednesday. As you can probably tell, I don't know how to do that! They've told me to go carb free to try sort out my BI, which is proving difficult so far due to being a fussy eater and my BI levels are WAYYYY off!

Feb 7, 2013 landylara 14 posts	Topic: Carbohydrate Counting / My Carb Guess Challenge! I have a 1/2 unit pen so i would take 5.5 units

Feb 7, 2013 landylara 14 posts	Topic: General Discussion / Nottingham. Dr Gazis is also a DAFNE Dr at QMC campus. Excellent diabetes unit.

Feb 7, 2013 googs 6 posts	Topic: General Discussion / Diabulemia is becoming a growing problem once again highlighting how important dafne is,The education it would bring to these ladies would be invaluable(exercise and insulin intake etc)Cant say how important dafne is no.more russian roulette and guessing,Spread the word folks...

Feb 7, 2013 marke 686 posts	Topic: Questions for HCPs / Until I start a DAFNE course Hi, you can access everything except the online handbook, because we are not allowed to give access to this unless you are a graduate. If others give you advice that is outside of our control With regards to the online carb book , you can add your own entries and eventually they get verified and approved by Health Care Professionals. Again the 'verified' entries in the carb book come from the standard course carb book I'm afraid. If you want a bigger list of carb values there are books around usually aimed at people dieting however if the contain carb values then they are just as good. I have two at home but can't remember the names of them, will try to remember to dig them out and post the names and ISBN of them later.

Feb 7, 2013 marke 686 posts	Topic: Site Development / Figure 17 Gentlemen, thank you for spotting this. It was the Australian sick day rules that you were trying to access, however the image was not working. I have recently uploaded the 'new' Oz handbook and had not noticed that some of the images did not work. They are fixed now. Novarapid boy the link that you should be looking at is http://dafneonline.co.uk/hbook_topics/188 these Australians have their own ideas about DAFNE which are very similiar but not identical. I should probably block access to another countries handbook, once I work out a way of doing it of course

Feb 7, 2013 BeccyB 50 posts	Topic: Carbohydrate Counting / Sandwich Wraps Thanks for the tips - will check them out!

Feb 7, 2013 marke 686 posts	Topic: Carbohydrate Counting / Greggs baguette sandwiches I have updated the link to Greggs on the carb links page in the carb counting section to reference the new PDF above. Please do add links to the links page as and when you find them

Feb 7, 2013 marke 686 posts	Topic: General Discussion / Diabulemia is becoming a growing problem There is no definite answers to this I'm afraid. I know people who lost a lot of weight, people who lost no weight and people who put on weight. People often put on weight just after the course because their insulin is more effective by virtual of the fact its more accurate to what your body needs were before the course there was too much or too little. However once you get past that you then have the flexibility to eat less and exercise more with the tools to manage these things so in theory losing weight is easier. I say in theory because losing weight never seems that easy

Feb 7, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / 7-day waking average If you don't correct before bed I assume the cream puffs ere not counted......? I thought your insulin for them contributed to the hypo.... If there was no QA insulin overnight, the low was your BI........

Feb 7, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average Hi NR, Thanks for replying/helping. How did that happen______ Absolutely no idea Too much QA, was the count right______ At teatime I had bolognese (homemade) left from the night before and also rice (packet of) the sort which you cook in the microwave - 52.0g carbs per sachet - had it hundreds of times - did 5u QA as i usually would for this. What was your correction dose before bed______ I never do a correction dose at bedtime for fear of going hypo during my sleep. Maybe at the level I could/should.

Feb 7, 2013 novorapidboi26 1,819 posts	Topic: Site Development / Figure 17 I just checked there and cant see it either........

Feb 7, 2013 novorapidboi26 1,819 posts	Topic: Questions for HCPs / ma diary There seem to be a few hypos there, with no real pattern, they are common at night/morning I suppose........ How is your background doing...........? When did you lat test......?

Feb 7, 2013 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Sandwich Wraps I recommend the smartphone app MyFitnessPal........ you just scan the product barcode and it allows you to add it to your food diary where you can get the calories and nutritional information.......

Feb 7, 2013 Vikz2006 8 posts	Topic: Questions for HCPs / Until I start a DAFNE course Warwick that is excellent! This has really explained alot to me and I agree with your point about after a meal-its very hard to keep the BG down within the insulin's lag time as I call it-just nothing we can do about that but if overall I can 1) keep stable rather than yo-yo and 2) keep as close to the 6-7 range i'd be very happy I've already begun my diary and it lets me fill it all in so thats great-I'll send it to you in a week's time One question-I am on a very healthy eating plan so, for example I made a turkey stir-fry last night from scratch with diced turkey breast, 2 small courgettes, pack of mange tous peas, some garlic, onion, ginger and chilli with a splash of light soy and some herbs. To calculate carb CP where can I find values for things like lean turkey, different vegetables? Or do I look at the packaging then calculate from there? I've looked in the CP booklet on here but that seems to be all fast foods rather than lean and clean?! Thanks once again for everything

Feb 7, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / Insulin:Carbohydrate ratio change on swith over to the pump I have answered this at diabetessupport......

Feb 7, 2013 novorapidboi26 1,819 posts	Topic: General Discussion / 7-day waking average whiskysmum said: Bedtime - 21.7 This morning for me 2.8 Bedtime had supper - butter puffs x4 with literally a scraping of jam - apart from that nothing else during the evening done differently. How did that happen....... Too much QA, was the count right....... What was your correction dose before bed........? I was 9.2 this morning, carb free morning to work out basal rates....

Feb 7, 2013 mum2westiesGill 502 posts	Topic: General Discussion / 7-day waking average Bedtime - 21.7 This morning for me 2.8 Bedtime had supper - butter puffs x4 with literally a scraping of jam - apart from that nothing else during the evening done differently.

Feb 7, 2013 Warwick 425 posts	Topic: Questions for HCPs / Until I start a DAFNE course Oh, and you can use subtraction too. You can see on Wednesday that before breakfast I deducted 0.5 from my usual 3 units of QA because my BG was only 4.2 and I prefer it to be between 5.5-6.5. Taking my usual amount might have led to a hypo later on. I should have also mentioned that the target BG range varies depending on type of day: Before breakfast 5.5 â€“ 7.5 mmol/L Before other meals 4.5 â€“ 7.5 mmol/L Before bed 6.5 â€“ 8.0 mmol/L At 3am 4.5 mmol/L or above Before driving Above 5 mmol/L In practice, I find it is just easier to aim for 6.0 at all times and that works better for me. Aiming for that usually gets me in the right range. Oh, and read the fine print on your QA insulin and find out what its duration is. Most are about 3-4 hours. Don't bother testing within that duration unless you feel hypo symptoms. Your BGs tend to stay elevated during that period and there isn't anything that can really be done about that, but 3-4 hours after a meal, you will be wanting to be in the 4.0-8.0 range, preferably around 6.0. Let me know if you have any questions. Cheers, Warwick.

Feb 7, 2013 Warwick 425 posts	Topic: Questions for HCPs / Until I start a DAFNE course Your ratio will be 0.5:1 - half ratio. You were correct with you 1:2, but I think the DAFNE diary like the second number to be a 1, so 0.5:1. Cheers, Warwick.