Recent Posts - DAFNE Online

Dec 19, 2012

Warwick 434 posts

What sort of basal insulin are you on? Do you know its profile? E.g, does it last for 12 hours, 18 hours, 24 hours? If it only lasts for 12 hours, then I would suggest that you could leave your night time BI at 9 or 10, but increase the daytime BI by 1 or 2. If it lasts 18 or 24 hours, then it would be more complicated and need someone else to answer your query.

Thanks,
Warwick.

Dec 18, 2012

Garry 328 posts

Topic: Carbohydrate Counting / Xmas pudding

What a good guide. You don't half pick out some belting info novarapidboi.
An early Merry Christmas to us all.
Regards
Garry

Dec 18, 2012

Elvie 6 posts

Topic: Questions ? / overnight BGs

Hi Warwick, you are right that my BI levels are too low during the day, I've been aware of this for a while, but whenever I try to raise them I end up going hypo overnight, so I end up taking a couple of extra units at lunchtime to compensate. The whole situation is really frustrating.

Dec 18, 2012

novorapidboi26 1,818 posts

Topic: Carbohydrate Counting / Xmas pudding

There is a link embedded in the word 'THIS

lol

Dec 18, 2012

DianeW 115 posts

Topic: Carbohydrate Counting / Xmas pudding

Have a look at what?

Dec 18, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Ratio - have I calculated this right?

Maybe the ratio should've been 2:10 (or 2:1). But then I'd be frightened of going hypo. I had 2 pieces of toast with 1 poached egg for breakfast when my BG was 14.1.

Dec 18, 2012

Carolin 83 posts

Topic: Questions ? / DAFNE Courses

Hi Alan,

One of the key projects within the DAFNE NIHR programme grant, was to evaluate the full DAFNE curriculum delivered 1 day per week over 5 weeks, compared with the standard 5 consecutive days.

There were 7 centres involved in this research programme which has only just completed the final 1-yr follow-up so results won't be available until next year. However, some of these centres have continued to offer 5-week courses to people who for whatever reason have not been able to attend a week-long course. To my knowledge this particular centre is not one that participated in the research so it may be a different programme that they are offering.

I don't know if there are any users online who did the 5-week DAFNE who wish to comment, but it seems that the feedback from both Educators and participants was positive and it's possible that in time you may be able to choose whether you do your course over 5 consecutive days, or 5 weeks.

Carolin

Dec 18, 2012

novorapidboi26 1,818 posts

Topic: Questions ? / DAFNE Courses

Interesting......

I would say the 5 consecutive days is more effective also but it would seem that there are a lot of type 1s that would fins the 5 week approach a lot more flexible, which is good as DAFNE can reach a lot more people that way......

The curriculum may need to be re jigged as it wouldn't be wise to send patients away without them having at least the basics on dose adjustment..

Also a lot of people finish the course still trying to pin down there doses, the 5 week approach might see people actually getting there dose right and also being able to share how they done it with fellow students.....

Just some of my thought though.......PROS and CONS...

Dec 18, 2012

novorapidboi26 1,818 posts

Topic: General Discussion / Ratio - have I calculated this right?

So what went wrong do you think:

Ratio?
Correction?

Dec 18, 2012

Alan 49 280 posts

Topic: Questions ? / DAFNE Courses

My niece (who is also a Type 1) is trying to get on a DAFNE course - she knows how well I got on after my course. Her local hospital (the Medway Maritime Hospital) runs DAFNE courses which are one day a week for five weeks, rather than the Monday to Friday course which I did. This doesn't seem to be a good way of learning to me - surely you lose the continuity of five consecutive days of instruction.

Is this the way DAFNE courses are being run now?

Dec 18, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Ratio - have I calculated this right?

BG - 11.2 - lunch

Dec 18, 2012

novorapidboi26 1,818 posts

Topic: Carbohydrate Counting / Xmas pudding

I assume your asking what 100g is if your eating out and dont have access to scales........

Have a look at THIS

Very Happy

Dec 18, 2012

novorapidboi26 1,818 posts

Topic: General Discussion / Ratio - have I calculated this right?

what was the next meal time BG, if its occurred yet?

Dec 18, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Ratio - have I calculated this right?

Phew! And thank you Carolin Smile

Dec 18, 2012

DianeW 115 posts

Topic: Carbohydrate Counting / Xmas pudding

I am not buying one but going out for xmas lunch. Perhaps i will look at a shop one. To get an idea. How can you tell what 100g of pud is? Hoping it will be plain and not full of extra fruit, nuts etc like some are.

Dec 18, 2012

Carolin 83 posts

Topic: General Discussion / Ratio - have I calculated this right?

Sounds right to me Gill.

Might be easier for you, if you're counting in CPs, to express your ratios the same, i.e. 1.5:1 (rather than 1.5:10)?

So yes, for 4 CPs on 1.5:1 = 6 units Smile

Dec 18, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Ratio - have I calculated this right?

BG - 14.1
CP - 4
Ratio - 1.5:10
QA - 6+2

Ps if not I'd better get the jelly babies out eek!!

Gill Smile

Dec 18, 2012

Sweetpea 4 posts

Topic: General Discussion / Help and advice please

Oh yes, I had forgotten that I can still eat the carb free things! That will make it easier.
That's good that you are getting the pump, I think you will adjust to it really quickly, yes enjoy your Christmas! I got mine just before a holiday and could only swim (well bob about in the water Laughing

) for an hour a day, that was a shock!
I have 15 basal rates at the minute.
For the past 6 months I have not made any adjustments, I have just carried on using my bolus wizard as it was set and left the basal as it was. The past few weeks where I have tried to get back on track I have already added an extra basal rate and adjusted 6 times so it clearly shows why my hba1c has been rising.

Dec 17, 2012

Bryan W 3 posts

Topic: Carbohydrate Counting / Xmas pudding

5u for 100g it is then. I will bear this in mind next Tuesday when I have dinner. Merry Christmas.

Dec 17, 2012

Elvie 6 posts

Topic: Questions ? / overnight BGs

I reduced my BI's due to overnight hypos, tried BIs of 9 and 10 last night which seemed to work, but I'll give it a few days and do another overnight profile at the weekend.

Dec 17, 2012

novorapidboi26 1,818 posts

Topic: General Discussion / Help and advice please

You can have carb free meals, like meat, cheese, eggs etc for basal test during the day remember, even on the pump it should give good enough results to make a dose adjustment decision....

I am going live with the pump on the 21st of January, so not on one yet, but very soon, good timing I say, lets me go mental st Christmas.....

How many basal rates do you have out of curiosity.......?

Dec 17, 2012

jonmac 6 posts

Topic: Carbohydrate Counting / UK carb counters

Thanks Marke. I will download it now!

Dec 17, 2012

marke 655 posts

Topic: Carbohydrate Counting / UK carb counters

try here https://play.google.com/store/search?q=DAFNE&c=apps and select the first in the list....

Dec 17, 2012

marke 655 posts

Topic: Questions ? / overnight BGs

I don't think there is any problem with Graduates replying to threads in this forum if they give sensible answers like yours. I susepct a HCP response would be along the same lines. Although I would ask why you reduced your BI in the first place ?

Dec 17, 2012

jonmac 6 posts

Topic: Carbohydrate Counting / UK carb counters

Thanks! Where can I download the Android App?

Dec 19, 2012 Warwick 434 posts	Topic: Questions ? / overnight BGs What sort of basal insulin are you on? Do you know its profile? E.g, does it last for 12 hours, 18 hours, 24 hours? If it only lasts for 12 hours, then I would suggest that you could leave your night time BI at 9 or 10, but increase the daytime BI by 1 or 2. If it lasts 18 or 24 hours, then it would be more complicated and need someone else to answer your query. Thanks, Warwick.

Dec 18, 2012 Garry 328 posts	Topic: Carbohydrate Counting / Xmas pudding What a good guide. You don't half pick out some belting info novarapidboi. An early Merry Christmas to us all. Regards Garry

Dec 18, 2012 Elvie 6 posts	Topic: Questions ? / overnight BGs Hi Warwick, you are right that my BI levels are too low during the day, I've been aware of this for a while, but whenever I try to raise them I end up going hypo overnight, so I end up taking a couple of extra units at lunchtime to compensate. The whole situation is really frustrating.

Dec 18, 2012 novorapidboi26 1,818 posts	Topic: Carbohydrate Counting / Xmas pudding There is a link embedded in the word 'THIS lol

Dec 18, 2012 DianeW 115 posts	Topic: Carbohydrate Counting / Xmas pudding Have a look at what?

Dec 18, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Ratio - have I calculated this right? Maybe the ratio should've been 2:10 (or 2:1). But then I'd be frightened of going hypo. I had 2 pieces of toast with 1 poached egg for breakfast when my BG was 14.1.

Dec 18, 2012 Carolin 83 posts	Topic: Questions ? / DAFNE Courses Hi Alan, One of the key projects within the DAFNE NIHR programme grant, was to evaluate the full DAFNE curriculum delivered 1 day per week over 5 weeks, compared with the standard 5 consecutive days. There were 7 centres involved in this research programme which has only just completed the final 1-yr follow-up so results won't be available until next year. However, some of these centres have continued to offer 5-week courses to people who for whatever reason have not been able to attend a week-long course. To my knowledge this particular centre is not one that participated in the research so it may be a different programme that they are offering. I don't know if there are any users online who did the 5-week DAFNE who wish to comment, but it seems that the feedback from both Educators and participants was positive and it's possible that in time you may be able to choose whether you do your course over 5 consecutive days, or 5 weeks. Carolin

Dec 18, 2012 novorapidboi26 1,818 posts	Topic: Questions ? / DAFNE Courses Interesting...... I would say the 5 consecutive days is more effective also but it would seem that there are a lot of type 1s that would fins the 5 week approach a lot more flexible, which is good as DAFNE can reach a lot more people that way...... The curriculum may need to be re jigged as it wouldn't be wise to send patients away without them having at least the basics on dose adjustment.. Also a lot of people finish the course still trying to pin down there doses, the 5 week approach might see people actually getting there dose right and also being able to share how they done it with fellow students..... Just some of my thought though.......PROS and CONS...

Dec 18, 2012 novorapidboi26 1,818 posts	Topic: General Discussion / Ratio - have I calculated this right? So what went wrong do you think: Ratio? Correction?

Dec 18, 2012 Alan 49 280 posts	Topic: Questions ? / DAFNE Courses My niece (who is also a Type 1) is trying to get on a DAFNE course - she knows how well I got on after my course. Her local hospital (the Medway Maritime Hospital) runs DAFNE courses which are one day a week for five weeks, rather than the Monday to Friday course which I did. This doesn't seem to be a good way of learning to me - surely you lose the continuity of five consecutive days of instruction. Is this the way DAFNE courses are being run now?

Dec 18, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Ratio - have I calculated this right? BG - 11.2 - lunch

Dec 18, 2012 novorapidboi26 1,818 posts	Topic: Carbohydrate Counting / Xmas pudding I assume your asking what 100g is if your eating out and dont have access to scales........ Have a look at THIS

Dec 18, 2012 novorapidboi26 1,818 posts	Topic: General Discussion / Ratio - have I calculated this right? what was the next meal time BG, if its occurred yet?

Dec 18, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Ratio - have I calculated this right? Phew! And thank you Carolin

Dec 18, 2012 DianeW 115 posts	Topic: Carbohydrate Counting / Xmas pudding I am not buying one but going out for xmas lunch. Perhaps i will look at a shop one. To get an idea. How can you tell what 100g of pud is? Hoping it will be plain and not full of extra fruit, nuts etc like some are.

Dec 18, 2012 Carolin 83 posts	Topic: General Discussion / Ratio - have I calculated this right? Sounds right to me Gill. Might be easier for you, if you're counting in CPs, to express your ratios the same, i.e. 1.5:1 (rather than 1.5:10)? So yes, for 4 CPs on 1.5:1 = 6 units

Dec 18, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Ratio - have I calculated this right? BG - 14.1 CP - 4 Ratio - 1.5:10 QA - 6+2 Ps if not I'd better get the jelly babies out eek!! Gill

Dec 18, 2012 Sweetpea 4 posts	Topic: General Discussion / Help and advice please Oh yes, I had forgotten that I can still eat the carb free things! That will make it easier. That's good that you are getting the pump, I think you will adjust to it really quickly, yes enjoy your Christmas! I got mine just before a holiday and could only swim (well bob about in the water ) for an hour a day, that was a shock! I have 15 basal rates at the minute. For the past 6 months I have not made any adjustments, I have just carried on using my bolus wizard as it was set and left the basal as it was. The past few weeks where I have tried to get back on track I have already added an extra basal rate and adjusted 6 times so it clearly shows why my hba1c has been rising.

Dec 17, 2012 Bryan W 3 posts	Topic: Carbohydrate Counting / Xmas pudding 5u for 100g it is then. I will bear this in mind next Tuesday when I have dinner. Merry Christmas.

Dec 17, 2012 Elvie 6 posts	Topic: Questions ? / overnight BGs I reduced my BI's due to overnight hypos, tried BIs of 9 and 10 last night which seemed to work, but I'll give it a few days and do another overnight profile at the weekend.

Dec 17, 2012 novorapidboi26 1,818 posts	Topic: General Discussion / Help and advice please You can have carb free meals, like meat, cheese, eggs etc for basal test during the day remember, even on the pump it should give good enough results to make a dose adjustment decision.... I am going live with the pump on the 21st of January, so not on one yet, but very soon, good timing I say, lets me go mental st Christmas..... How many basal rates do you have out of curiosity.......?

Dec 17, 2012 jonmac 6 posts	Topic: Carbohydrate Counting / UK carb counters Thanks Marke. I will download it now!

Dec 17, 2012 marke 655 posts	Topic: Carbohydrate Counting / UK carb counters try here https://play.google.com/store/search?q=DAFNE&c=apps and select the first in the list....

Dec 17, 2012 marke 655 posts	Topic: Questions ? / overnight BGs I don't think there is any problem with Graduates replying to threads in this forum if they give sensible answers like yours. I susepct a HCP response would be along the same lines. Although I would ask why you reduced your BI in the first place ?

Dec 17, 2012 jonmac 6 posts	Topic: Carbohydrate Counting / UK carb counters Thanks! Where can I download the Android App?