Recent Posts - DAFNE Online

Jan 16, 2013

JayBee 582 posts

Topic: DAFNE Online Mobile / Android- CP Lists don't match?!

I was told back in August 2012 that an update was eventually coming... Nothing yet though. I've noticed other changes o the site that don't match up (even my ketones aren't being recorded correctly any more).

Is the android app going to get an update to accommodate the new changes?
Thread here: http://dafneonline.co.uk/forums/5/topics/1817

Jan 16, 2013

Phil Maskell 194 posts

Topic: General Discussion / exercise

Lows after exercise are caused by muscles taking sugar to replenish themselves (so I've read/been told). Its this replenshiment that helps them rebuild themselves slightly better each time you exercise.

If I'm going out on a proper ride (more than 20 miles) I will half my BI before and lower my meal before (usually breakfast) ratio to 05:1 from 1:1 for short rides (about 10 miles) to 1.5:1 for no ride. For long rides I will also lower the ratio for meal after (usually lunch) from 1.5:1 to 1:1 to stop after exercise lows.

I also find SIS energy bars are great as they are 40g carbs, but only 20 is sugar so they keep you up as well as bring you out of a hypo, pockects on the back of cycling tops are great for a handful of bars and my trusty Accu-chek mobile (no strips so can test while riding Very Happy

This is what I do, but never seem to get it completely right though, all trial and alot of error!

Hope some of the insulin/carb ideas help.

Phil

Jan 15, 2013

HelenP 218 posts

Topic: General Discussion / Ratio - Two Units QA to every 10g Carbs

Gill, You can put another row in your cheat card. The 2:1 is really just doubling your 1:1. Helen

Jan 15, 2013

mum2westiesGill 502 posts

Topic: General Discussion / Ratio - Two Units QA to every 10g Carbs

Thank you JWo! Smile

Jan 15, 2013

JayBee 582 posts

Topic: General Discussion / Ratio - Two Units QA to every 10g Carbs

Yes. That is correct.

Enjoy your food! Smile

Jan 15, 2013

mum2westiesGill 502 posts

Topic: General Discussion / Ratio - Two Units QA to every 10g Carbs

Have I calculated this one right please?

CP 4 (40g cho)
QA 8

(2:10 or 2:1 - I suppose it depends how you prefer to write this down)

Gill Smile

Jan 15, 2013

Warwick 434 posts

Topic: General Discussion / Insulin Docking

Some recent articles about how the key to how insulin binds to its receptors has been uncovered. Potentially very exciting as it may one day lead to taking insulin without injections or a pump.

http://www.sbs.com.au/news/article/1725780/Diabetics-may-be-closer-to-needle-free-cure

http://www.gizmag.com/insulin-receptor-docking-diabetes/25721/

https://asweetlife.org/news/diabetes-research-breakthrough-how-insulin-binds/

Jan 15, 2013

vic demain 87 posts

Topic: General Discussion / exercise

I do a bit of cycling and like Warwick, I don't eat meals before exercise. I regularly check blood sugars before during and after the ride and try to maintain around 8-10. If at the lower end before I start, then a couple of bisuits I find are fine.
When I joined a charity event which was 7 hrs during the night, I didn't take my BI that night and just controlled with QA, checking every 20km and found energy bars to be great.
Always have a bottle of cola (full fat) on the bike as well as water.
Never experienced hypos afterwards thankfully. Good luck with the exercise, with DAFNE training, exercise should be enjoyable for all.

Jan 14, 2013

Warwick 434 posts

Topic: General Discussion / exercise

I have been regularly running for ten years now, so I can generally eat whenever I like before a run, even during a run if necessary (bananas etc, not pizza). When I started though, if I had food before running, I would get a stitch, or feel nauseous. I'd recommend having some carbs like a banana, piece of bread etc about 90-120 minutes before you run. That way you shouldn't be troubled by the food during the run, and it should keep your blood sugars pretty stable during the run.

I also find that sipping sports drink at regular intervals during a run helps, but you probably need to get a running belt that holds a drink bottle for this.

All the best with it. Exercising with T1 diabetes is like everything else - needs experimentation, but you will be able to work out pretty quickly what works for you and what doesn't. Just check your BGs a little more often than you usually would and you will be able to build up a pattern of how your body responds to exercise.

Warwick.

Jan 14, 2013

ruthhutchinson 39 posts

Topic: General Discussion / exercise

Perhaps some of you experts can help out a novice. I am going running tonight for the first time with a group. We will be running (slowly I hope) from 6.15 to 7.15. I intend to eat dinner when I get home. I will change my ratio at that time as you have advised above but I wondered when is the best time to eat beforehand and how many Carbs should I take. Confused

Jan 14, 2013

BeccyB 50 posts

Topic: General Discussion / Ratios

Gill, I think Helen's idea is great for you - it will build your confidence every time you check your calculation against the card and have got it right, which will most likely be all the time! We all need a bit of reassurance sometimes though Smile

Beccy

Jan 13, 2013

marke 655 posts

Topic: Questions ? / DAFNE Courses

Alan, seems it is called MIMINT1E ( boy do they need a new marketing person Very Happy

) but is as you describe. So what happened to choice in the NHS ? you can choose a hospital for an operation (supposedly ) but not your Diabetes education. A real shame but hopefully any Diabetes education is better than none. I hope the course goes well and your niece gets some real benefit out of it.

Jan 13, 2013

JayBee 582 posts

Topic: General Discussion / High Morning readings

I hear you... Pre-illness I was on something like 0:5:1, 0.5:1, 1:1 and split dose 15/13... now after a long time of being ill on and off my ratios are similar but my BI doses are now 16/16.

Good grief illness sure makes things bloody confusing. Definitely check for hypos in the night to add to novo's comment - I found I had been hypo'ing in the night in response to getting 14-16s in the morning after putting it up a few times - hit 18/22 at one point!

Stay safe and hope it all stabilises again soon!

Jan 13, 2013

JayBee 582 posts

Topic: Questions ? / Ratios VS Time Of Day/Having a lie in!

If I get up late like that, I tend to take the ratio for the meal I would normally have at that time of day (so in this case, I'd take my lunchtime ratio). Not too many problems with that... though saying that, I can't just lie-in straight through like you can, I have to jab my first BI dose as close to 7am as I can... then I can sleep again. ^_^

I do wonder about the timing window too... I mean, heck, I also keep in mind about the 18 hour working time and overlap period I get with my split dose Levemir! So many things to factor in!

Yup, yup, can't generalise with your condition! Your diabetic needs are unique to you so you need to work it out for success! ;)
Best wishes!

Jan 13, 2013

JayBee 582 posts

Topic: Questions ? / sensitivity to exercise

This is helpful to read. I will look more into this too... Smile

Hope it works out!

Jan 13, 2013

JayBee 582 posts

Topic: Questions ? / Information on menstrual cycle

I'm just trying to think how to compile this information considering I don't think I've had a consistent pattern yet... I will look into it more though and see if I can pin point anything from my data so far.

Glad to know that they are taking this seriously. Thank you. Smile

Jan 13, 2013

Warwick 434 posts

Topic: Carbohydrate Counting / Poppadoms - really?

I have heard that about Basmati, but for me it spikes BGs as badly as white rice so I avoid it. Brown rice is brilliant though.

Jan 13, 2013

Adrienne 14 posts

Topic: Carbohydrate Counting / Poppadoms - really?

It's interesting that you find brown rice better because I thought white basmati had the lowest GI rating. Perhaps it has to do with the added fibre in brown rice (?) Might give that a try Smile

Jan 13, 2013

Warwick 434 posts

Topic: Carbohydrate Counting / Poppadoms - really?

I love Indian food, but I find it is really hard on my BGs. I now only do take-away as I just can't eat white rice without an enormous spike in BGLs and I have yet to find an Indian restaurant that does brown rice. I cook brown rice at home and then add the dish I buy to it. I generally give myself more QA than I think I will need, and it is rare that I have a hypo as a result. I have to watch out for Naan bread too.

Jan 13, 2013

HelenP 218 posts

Topic: Carbohydrate Counting / cps in a pomehranate?

I personally love the juice it is rich and has a distinctive flavour and CHOs! In my experience there is very little "flesh" and taking the seeds out to weigh separately would probably be unnecessary. Margin of error and all. I personally cut them in half and turn them over and bang them with a wooden spoon over a salad or icecream to get the seeds and juice out. The juice is a bonus.

There is also the possible difference...I live in Australia and the pomegranates we get maybe "different". I know in Australia I can eat a few strawberries and not count them, they are large, all water and no flavour but when I go to Korea (usually in strawberry season) the same quantity would demand probably 8-10 units of insulin. The strawberries are small and amazingly sweet and flavourful.
Helen

Jan 12, 2013

Adrienne 14 posts

Topic: Carbohydrate Counting / Poppadoms - really?

vaughanie, I've had similar problems with bought curries and I've concluded it must be sugar added to the sauce as Garry mentioned. Sometimes I do a carb-free(ish) curry using cauliflower rice instead of basmati and my sugars have still gone right up.
As for poppadoms, my dafne book says a large one means 15cm (6") diameter and that's 1/2 a CP for one. I think that has worked ok in the past for me.

Jan 12, 2013

Adrienne 14 posts

Topic: Carbohydrate Counting / cps in a pomehranate?

I was wondering about this recently and looked it up; I found that 1/2 cup of the seeds is 16g carbs. I don't normally take insulin for other seeds but I think I need it for pomegranate. I thought the seeds were the only part eaten so weighing the whole fruit would be pointless.
http://nutritiondata.self.com/facts/fruits-and-fruit-juices/2038/2 (I find this website quite useful)

Jan 12, 2013

Adrienne 14 posts

Topic: Carbohydrate Counting / Sandwich Wraps

I've heard a 23cm (8") wrap is 3CPs

Jan 12, 2013

Alan 49 280 posts

Topic: Questions ? / DAFNE Courses

It seems that my niece's GP wouldn't refer her to Maidstone for the DAFNE course. He told her that there is a suitable course at the Medway called MINTE, which she has been referred to. It's 4 one day courses spread over 4 weeks.

We've no idea what MINTE stands for - my best guess is Medway INTernal Education - a sort of cover-all for all their courses..
My first guess was Medway Is Near the Thames Estuary.

Jan 12, 2013

HelenP 218 posts

Topic: General Discussion / Ratios

Gill, it may help to have a little cheat card made up. Say with 1CP to whatever your maximum is likely to be with the corresponding number of units for your ratio. It will probably fit on a business card you could keep multiple copies and use it until you become confident with the calculations. I was on fractional ratios and fractional CPs so the cheat card worked well. Calculate it in your head and then check.

Helen

Jan 16, 2013 JayBee 582 posts	Topic: DAFNE Online Mobile / Android- CP Lists don't match?! I was told back in August 2012 that an update was eventually coming... Nothing yet though. I've noticed other changes o the site that don't match up (even my ketones aren't being recorded correctly any more). Is the android app going to get an update to accommodate the new changes? Thread here: http://dafneonline.co.uk/forums/5/topics/1817

Jan 16, 2013 Phil Maskell 194 posts	Topic: General Discussion / exercise Lows after exercise are caused by muscles taking sugar to replenish themselves (so I've read/been told). Its this replenshiment that helps them rebuild themselves slightly better each time you exercise. If I'm going out on a proper ride (more than 20 miles) I will half my BI before and lower my meal before (usually breakfast) ratio to 05:1 from 1:1 for short rides (about 10 miles) to 1.5:1 for no ride. For long rides I will also lower the ratio for meal after (usually lunch) from 1.5:1 to 1:1 to stop after exercise lows. I also find SIS energy bars are great as they are 40g carbs, but only 20 is sugar so they keep you up as well as bring you out of a hypo, pockects on the back of cycling tops are great for a handful of bars and my trusty Accu-chek mobile (no strips so can test while riding This is what I do, but never seem to get it completely right though, all trial and alot of error! Hope some of the insulin/carb ideas help. Phil

Jan 15, 2013 HelenP 218 posts	Topic: General Discussion / Ratio - Two Units QA to every 10g Carbs Gill, You can put another row in your cheat card. The 2:1 is really just doubling your 1:1. Helen

Jan 15, 2013 mum2westiesGill 502 posts	Topic: General Discussion / Ratio - Two Units QA to every 10g Carbs Thank you JWo!

Jan 15, 2013 JayBee 582 posts	Topic: General Discussion / Ratio - Two Units QA to every 10g Carbs Yes. That is correct. Enjoy your food!

Jan 15, 2013 mum2westiesGill 502 posts	Topic: General Discussion / Ratio - Two Units QA to every 10g Carbs Have I calculated this one right please? CP 4 (40g cho) QA 8 (2:10 or 2:1 - I suppose it depends how you prefer to write this down) Gill

Jan 15, 2013 Warwick 434 posts	Topic: General Discussion / Insulin Docking Some recent articles about how the key to how insulin binds to its receptors has been uncovered. Potentially very exciting as it may one day lead to taking insulin without injections or a pump. http://www.sbs.com.au/news/article/1725780/Diabetics-may-be-closer-to-needle-free-cure http://www.gizmag.com/insulin-receptor-docking-diabetes/25721/ https://asweetlife.org/news/diabetes-research-breakthrough-how-insulin-binds/

Jan 15, 2013 vic demain 87 posts	Topic: General Discussion / exercise I do a bit of cycling and like Warwick, I don't eat meals before exercise. I regularly check blood sugars before during and after the ride and try to maintain around 8-10. If at the lower end before I start, then a couple of bisuits I find are fine. When I joined a charity event which was 7 hrs during the night, I didn't take my BI that night and just controlled with QA, checking every 20km and found energy bars to be great. Always have a bottle of cola (full fat) on the bike as well as water. Never experienced hypos afterwards thankfully. Good luck with the exercise, with DAFNE training, exercise should be enjoyable for all.

Jan 14, 2013 Warwick 434 posts	Topic: General Discussion / exercise I have been regularly running for ten years now, so I can generally eat whenever I like before a run, even during a run if necessary (bananas etc, not pizza). When I started though, if I had food before running, I would get a stitch, or feel nauseous. I'd recommend having some carbs like a banana, piece of bread etc about 90-120 minutes before you run. That way you shouldn't be troubled by the food during the run, and it should keep your blood sugars pretty stable during the run. I also find that sipping sports drink at regular intervals during a run helps, but you probably need to get a running belt that holds a drink bottle for this. All the best with it. Exercising with T1 diabetes is like everything else - needs experimentation, but you will be able to work out pretty quickly what works for you and what doesn't. Just check your BGs a little more often than you usually would and you will be able to build up a pattern of how your body responds to exercise. Warwick.

Jan 14, 2013 ruthhutchinson 39 posts	Topic: General Discussion / exercise Perhaps some of you experts can help out a novice. I am going running tonight for the first time with a group. We will be running (slowly I hope) from 6.15 to 7.15. I intend to eat dinner when I get home. I will change my ratio at that time as you have advised above but I wondered when is the best time to eat beforehand and how many Carbs should I take.

Jan 14, 2013 BeccyB 50 posts	Topic: General Discussion / Ratios Gill, I think Helen's idea is great for you - it will build your confidence every time you check your calculation against the card and have got it right, which will most likely be all the time! We all need a bit of reassurance sometimes though Beccy

Jan 13, 2013 marke 655 posts	Topic: Questions ? / DAFNE Courses Alan, seems it is called MIMINT1E ( boy do they need a new marketing person ) but is as you describe. So what happened to choice in the NHS ? you can choose a hospital for an operation (supposedly ) but not your Diabetes education. A real shame but hopefully any Diabetes education is better than none. I hope the course goes well and your niece gets some real benefit out of it.

Jan 13, 2013 JayBee 582 posts	Topic: General Discussion / High Morning readings I hear you... Pre-illness I was on something like 0:5:1, 0.5:1, 1:1 and split dose 15/13... now after a long time of being ill on and off my ratios are similar but my BI doses are now 16/16. Good grief illness sure makes things bloody confusing. Definitely check for hypos in the night to add to novo's comment - I found I had been hypo'ing in the night in response to getting 14-16s in the morning after putting it up a few times - hit 18/22 at one point! Stay safe and hope it all stabilises again soon!

Jan 13, 2013 JayBee 582 posts	Topic: Questions ? / Ratios VS Time Of Day/Having a lie in! If I get up late like that, I tend to take the ratio for the meal I would normally have at that time of day (so in this case, I'd take my lunchtime ratio). Not too many problems with that... though saying that, I can't just lie-in straight through like you can, I have to jab my first BI dose as close to 7am as I can... then I can sleep again. ^_^ I do wonder about the timing window too... I mean, heck, I also keep in mind about the 18 hour working time and overlap period I get with my split dose Levemir! So many things to factor in! Yup, yup, can't generalise with your condition! Your diabetic needs are unique to you so you need to work it out for success! ;) Best wishes!

Jan 13, 2013 JayBee 582 posts	Topic: Questions ? / sensitivity to exercise This is helpful to read. I will look more into this too... Hope it works out!

Jan 13, 2013 JayBee 582 posts	Topic: Questions ? / Information on menstrual cycle I'm just trying to think how to compile this information considering I don't think I've had a consistent pattern yet... I will look into it more though and see if I can pin point anything from my data so far. Glad to know that they are taking this seriously. Thank you.

Jan 13, 2013 Warwick 434 posts	Topic: Carbohydrate Counting / Poppadoms - really? I have heard that about Basmati, but for me it spikes BGs as badly as white rice so I avoid it. Brown rice is brilliant though.

Jan 13, 2013 Adrienne 14 posts	Topic: Carbohydrate Counting / Poppadoms - really? It's interesting that you find brown rice better because I thought white basmati had the lowest GI rating. Perhaps it has to do with the added fibre in brown rice (?) Might give that a try

Jan 13, 2013 Warwick 434 posts	Topic: Carbohydrate Counting / Poppadoms - really? I love Indian food, but I find it is really hard on my BGs. I now only do take-away as I just can't eat white rice without an enormous spike in BGLs and I have yet to find an Indian restaurant that does brown rice. I cook brown rice at home and then add the dish I buy to it. I generally give myself more QA than I think I will need, and it is rare that I have a hypo as a result. I have to watch out for Naan bread too.

Jan 13, 2013 HelenP 218 posts	Topic: Carbohydrate Counting / cps in a pomehranate? I personally love the juice it is rich and has a distinctive flavour and CHOs! In my experience there is very little "flesh" and taking the seeds out to weigh separately would probably be unnecessary. Margin of error and all. I personally cut them in half and turn them over and bang them with a wooden spoon over a salad or icecream to get the seeds and juice out. The juice is a bonus. There is also the possible difference...I live in Australia and the pomegranates we get maybe "different". I know in Australia I can eat a few strawberries and not count them, they are large, all water and no flavour but when I go to Korea (usually in strawberry season) the same quantity would demand probably 8-10 units of insulin. The strawberries are small and amazingly sweet and flavourful. Helen

Jan 12, 2013 Adrienne 14 posts	Topic: Carbohydrate Counting / Poppadoms - really? vaughanie, I've had similar problems with bought curries and I've concluded it must be sugar added to the sauce as Garry mentioned. Sometimes I do a carb-free(ish) curry using cauliflower rice instead of basmati and my sugars have still gone right up. As for poppadoms, my dafne book says a large one means 15cm (6") diameter and that's 1/2 a CP for one. I think that has worked ok in the past for me.

Jan 12, 2013 Adrienne 14 posts	Topic: Carbohydrate Counting / cps in a pomehranate? I was wondering about this recently and looked it up; I found that 1/2 cup of the seeds is 16g carbs. I don't normally take insulin for other seeds but I think I need it for pomegranate. I thought the seeds were the only part eaten so weighing the whole fruit would be pointless. http://nutritiondata.self.com/facts/fruits-and-fruit-juices/2038/2 (I find this website quite useful)

Jan 12, 2013 Adrienne 14 posts	Topic: Carbohydrate Counting / Sandwich Wraps I've heard a 23cm (8") wrap is 3CPs

Jan 12, 2013 Alan 49 280 posts	Topic: Questions ? / DAFNE Courses It seems that my niece's GP wouldn't refer her to Maidstone for the DAFNE course. He told her that there is a suitable course at the Medway called MINTE, which she has been referred to. It's 4 one day courses spread over 4 weeks. We've no idea what MINTE stands for - my best guess is Medway INTernal Education - a sort of cover-all for all their courses.. My first guess was Medway Is Near the Thames Estuary.

Jan 12, 2013 HelenP 218 posts	Topic: General Discussion / Ratios Gill, it may help to have a little cheat card made up. Say with 1CP to whatever your maximum is likely to be with the corresponding number of units for your ratio. It will probably fit on a business card you could keep multiple copies and use it until you become confident with the calculations. I was on fractional ratios and fractional CPs so the cheat card worked well. Calculate it in your head and then check. Helen