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Dec 13, 2012
Warwick 425 posts

Topic: General Discussion / Lantus - decreasing rapidly

Hi novorapidboi26 ,

I cycle one hour to work and one hour back, and play basketball on Fridays, but weekends are the killer, looking after my 2 year old daughter :-)

Reducing basal does help. I am also experimenting with legumes such as baked beans for breakfast as they release sugar slowly, and having some success with that.

Cheers,
Warwick.
 
Dec 13, 2012
marke 686 posts

Topic: General Discussion / ignorance

I have to admit I would not expect my manager to know how to deal with Diabetes or any other condition, You didn't say if you work in a role that requires medical expertise. There are many many administration roles in the NHS that do not involve any medical training.
I would not necessarily call this ignorance more lack of sensitivity, I take an interest in my staff and their issues but doing this is just a personal thing not a requirement of my role. To get the best out of your team you need to understand them however other methods are available and work in different scenarios.
I don't think this is a diabetes issue more of a general issue and personally I always make sure people I am with understand my condition and what it means.
they don't always remember but at least some of it goes in. Maybe you have already tried and this person is a lost cause, some are. I don't think we need legal support to make people understand medical conditions we just need people who WANT to understand.
 
Dec 13, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Help and advice please

From what I can see you results are really quite good, so well done.......

I would agree that an overnight basal test should be done, but also maybe some basal tests at other times, as fine tuning the basal throughout the whole day could help lower the mid meal readings.......

Another tool in the fight against high mid meal spikes is to consider dose timing, so giving your bolus before you eat, specifically 15 minutes or more....

I am aware there are different bolus option on a pump like dual wave etc.....I am not completely familiar with them as I am not on a pump YET!!.....

I would have a play around with the timing first, then speak with your pump team in order to come up with some ways of fully using the pump features to help get your mid meal reading down....

I see you made a comment about eggs having carbs, I would say NO, DAFNE would say NO, but I have heard other pumpers saying that they need to count their eggs and some vegetables too......It was theorized that because pumpers dont have an engineered slower acting insulin on board to mop up the very slowly digested foods [proteins, fats] that these items can effect blood sugar, all be it small amounts........it makes sense to me, but as I say I dont know first hand.....

I would assume your basal may need tweaked here.........

Well done again, your BG is looking good, I hope another pregnancy comes soon for you, good luck..... Smile



 
Dec 13, 2012
Sweetpea 4 posts

Topic: General Discussion / Help and advice please

Hi Everybody
I completed DAFNE over a year ago now and have sort of gone onto autopilot so need a bit of support please.
I am on an insulin pump and planning for pregnancy.
My last HBA 1c was 7.4%/57 as things have gone off track the last 6 months due to having a miscarriage.
My pregnancy blood glucose targets are pre meal 3.5-5.5 and post meal less than 7.5 mmols.
I am finding the post meal targets difficult,
I can see that my morning readings are not in any sort of pattern and I am going to do an overnight basal check this weekend.
I would be really grateful for any advice you can all give me please. I have attached my readings for this week so far for comment.
Any advice or tips welcomed Idea
Many thanks
x
 
Dec 13, 2012
marke 686 posts

Topic: General Discussion / exercise

One point that neither of you have mentioned is that exercise can affect your BG's for at least 24 hours. Even though you have finnished the exercise your body still needs glucose to feed the muscles that have been used in the exercise. You need to consider this, however we cannot tell you exactly what the effect on you will be nor how long it will last sice we are all different.
You should still exercise however as this will mean your body has less insulin 'resistance' generally and so works more efficiently, even T1's can resist insulin remember the big difference is
we have to 'mainline' the insulin in Very Happy So keeping up the exercise will help your overall levels AND you will be able to work out the effects it is having on your BG since you will get more
practice at working it out !
 
Dec 13, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / exercise

Your absolutely right about exercise causing trouble with the blood sugars, one of the main reasons I am not as active as I should be..... Wink

I do martial arts a few times a week, sometimes this can be a low intensity, sometimes high intensity.........

I would always reduce my BI insulin for that evening by 2, and if it was more intense I would think about reducing it further.........if not I would be woken by a bad hypo in the early hours..........also if it was a more intense session I would consider reducing my AM BI also.......

As you may have guessed I am on a split Levemir dose.......you should really be on this if you intend to exercise regularly....

Have a good XMAS.......... Cool
 
Dec 13, 2012
Carolin 83 posts

Topic: General Discussion / ignorance

Trish Skidmore said:
I work for NHS and im going through a bad patch with hypos, today I asked my manager if instead of having a sick day, could I work my day off instead and she said cant you go to doctors and get some tablets to stop you having hypos, does she know something we dont.


Trish, please let me know if you'd like any support with this. I do know the Trust is changing some policies which should positively support people attending or following DAFNE,
Carolin
 
Dec 12, 2012
paulj 36 posts

Topic: General Discussion / contour next usb blood glucose metre

does anyone use the above metre?

if so can anyone help me with using this in connection with the glucofacts software from bayer.
 
Dec 12, 2012
paulj 36 posts

Topic: General Discussion / exercise

just incase there are loads of health junkies out there i would be interested in your experiences around exercising after meals. i find that depending on what type of exercise i do it makes my BG levels lower at the end of it.that's not the problem.what seems to happen in my case is that if i don't reduce my next meal ratio to half of what it usually is i wind up experiencing hypo's later on during the day.it seems to have more of a effect on me afterwards rather than during the exercise itself i know everyone is different but do you have similar experiences?

i sometimes think that if i didn't exercise that i would have better long term control over BG'S .i know that is a negative way of thinking and it is something that i would not consider but it would make the risk of having to many HYPOS a lot less and i suppose increase my hypo awareness and with being a bus driver and just having recently just got my licence back for 12 months is a priority for me to maintain high hypo awareness

look forward to hearing from you

cheers and merry xmas

Very Happy
 
Dec 12, 2012
Bryan W 3 posts

Topic: General Discussion / Lantus - decreasing rapidly

Have you thought about changing to Levemir? This is licensed to be injected twice a day. Lantus is not. It has a 24hr (ish) profile so arguably you could end up having more hypos after taking a dose, as you would still have the previous injection in your system (possibly peaking). Any changes with Lantus need to be monitored over 2/3 days before the next change is made.

Looking at your BG readings - Are you definately a 1u:1CP for all meals? You may wish to consider changing your ratios. My experience is that I am more resistant at breakfast (and dawn phenomenon to boot) and I have to take 2u:1CP but at e/meal I can drop that to 1u:1CP.

Are you counting ALL CPs? I thought I was however, when I was testing and getting BGs of 12.3 I decided to start calculating EVERYTHING - sauces, gravy, vegetables..... etc, they all contain a little bit of carb and add up. It helped me.

I hope you manage to sort it out. I know how frustrating it is when you think you have 'nailed' it and then you test Sad
 
Dec 12, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Lantus - decreasing rapidly

Warwick,

Dropping your Lantus for the following day theoretically shouldn't have an effect as it takes a few days for the dose change to settle in.....

How intense would the activity be and how has your decrease of dose worked out.....?
 
Dec 12, 2012
Ariane 14 posts

Topic: General Discussion / ignorance

I can also confirm having worked for the general medical council, several schools and organisations that provide healthcare training for businesses and the NHS, that legal support systems are in place for employers and managers are required to know how to deal with employees with medical conditions. As far as diabetes is concerned there are specifically designed medical and first aid courses designed for employers. Because whilst no one is denying that a diabetics health is their own responsibility , not only do things go wrong sometimes but they can be made worse as a result of a lack of knowledge, understanding or compassion on behalf of senior management. Wink
 
Dec 12, 2012
Warwick 425 posts

Topic: General Discussion / Lantus - decreasing rapidly

If you are going to split doses, you will want to talk to your DAFNE coordinator as there is a process to do that gradually. I'm thinking of doing the same, but it isn't just a case of doing half and half as that could lead to some unpredictable BG readings.

My regular BI is 24 Lantus, but I often drop it down to 18 if I am going to have a high activity day the following day. I know of other DAFNE grads on less BI, so don't worry too much. Certainly getting the Basal correct is the most important, and it appears that you are getting close to that. You can then review your QA ratios and see if they need increasing.

All the best with it.

Warwick.
 
Dec 11, 2012
Trish Skidmore 18 posts

Topic: General Discussion / ignorance

I agree with you ariane, it is ignorance and as a manager managing someone with diabetes they should be supportive, and if they dont understand they should get their facts right before saying what she did, after all they get paid for managing and should know there stuff, she dhould have took advice.
 
Dec 11, 2012
Ariane 14 posts

Topic: General Discussion / ignorance

I agree with the fact that you can't know everything about every condition.
What I am saying is that it is ignorance, there is no running away from the fact that many many people, whether they are working within our healthcare system or not are completely unaware of how having diabetes affects someone.
The fact that people still think stuff like you can take a pill for hypos is shocking because it proves my point education within employment about diabetes is not upto scratch and there are lots of diabetics out there...
 
Dec 11, 2012
Ariane 14 posts

Topic: General Discussion / ignorance

Oh Good Lord.
Is she serious? Unless she is thinking of glucose tablets.
That's so shocking, its the second story like this I have come across form within the NHS... And they wonder why people lose faith... Unless of course I am completely wrong and some miracle cure for hypos exists.... Rolling Eyes

Ax
 
Dec 11, 2012
Nick_G 6 posts

Topic: General Discussion / Insulin Pump approval

I've been to a meeting at the hospital to look At the pumps available, which at UHSM is Medtronic, Animas 2020 and the Roche Combo.

The vibe supersedes the 2020 if I remember rightly and their big selling angle was that

A) it was waterproof whereas the Medtronic was 'Splashproof'

B) it works with a CGMS

What they often fail to tell you is that the CGMS is only available on the NHS in extreme circumstances and has to be funded privately, costing £60 p/w for the sensor equipment.
 
Dec 11, 2012
Derek Brown 32 posts

Topic: General Discussion / Insulin Pump approval

Novorapidboi26,

I've been bombarding my DSN at Monklands with lots of random questions on insulin pumps and been told the models available in Lanarkshire are the Medtronic and Animas. Not sure which model the Animas is as I see there is a 2020 and Vibe version, does anyone on here know if one supersedes the other of if there is an advantage of one over the other?

I have to say that Katrina at Monklands has been very helpful coming back to me when I ask the questions and taking the time to do it through messaging here on dafneonline.

Derek
 
Dec 11, 2012
Garry 328 posts

Topic: General Discussion / Diary Graphs

You can change the date range to just one or only a few days if you wish by using the date fields on your diary. It is at the top of your diary. Remember to press the update button to carry out the reselection.
The graph, when you call it up, will then only show those results.
Quit out when finished and it will have returned to the normal date spread when you come back to it.

Regards
Garry
 
Dec 10, 2012
Ariane 14 posts

Topic: General Discussion / What would you say about DAFNE :?:

Given the chance, what would you like to be able to say about DAFNE to your diabetes team or local health service commissioners (the people responsible for deciding how NHS money should be spent)? (especially if it's not available in your area)

Idea 'DAFNE provides invaluable skills and help to manage diabetes on a daily basis, it should be available to GP Surgeries and Diabetic teams worldwide.Whether you are fed-up with living with diabetes or newly diagnosed it will provide you with the tools to make a positive change, no diabetic should have to wait for years to get on a course or be denied the chance to help themselves and avoid complications and gain much needed knowledge on their own condition.
Roll it out people... it will only make your lives easier and ours better.'

How could you grab their attention and give them the 'patient' perspective of what DAFNE means?
Idea DAFNE simply means that you are back in the driving seat.
No more wondering why you suddenly had a hypo or why you were sky high when you lead a fit and healthy life style, no more relying on doctors to demystify your daily routine.
Learn to get to know your own body and how it works, learn to deal with it, cope and move on so that you feel better in a supportive environment with people who understand what it means to be a diabetic.

Ax
 
Dec 10, 2012
Ariane 14 posts

Topic: Carbohydrate Counting / Chinese - Fried Rice

Hi Whiskymum
Just as a word of caution, not all trays are in fact 300g, so I would not assume its 7.5 without doing the maths at least once for the weight you intend to eat. e.g 180/300 x7.5
I am sure this had occurred to you already but I just know when I get my 'tray' from the chinese, its much more than 300g.
It may not be a huge difference in CPs but if you are sensitive like me it might mean the difference between being in range later and dropping suddenly at your next B.G Cool

Ax

Ax
 
Dec 10, 2012
Faulty Headl... 18 posts

Topic: General Discussion / What would you say about DAFNE :?:

22 years diabetic, it only took one day of doing DAFNE to start and turn my life around. Don't understand why all this wasn't explained to me years ago. Lost my sight 6 years ago but won't stop me looking forward now i've finally got the hang of it.
Should be offered to everyone, I had to ask after hearing about it through my sister and she attends the same clinic.
 
Dec 10, 2012
Trish Skidmore 18 posts

Topic: General Discussion / ignorance

I work for NHS and im going through a bad patch with hypos, today I asked my manager if instead of having a sick day, could I work my day off instead and she said cant you go to doctors and get some tablets to stop you having hypos, does she know something we dont.
 
Dec 10, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Diary Graphs

the diary graphs show blood sugar levels, so if one of those days was a day where you only had BI insulin, the yeah you could see how the blood sugar went...........

Even still with QA on board the graphs cant actually show you patterns as such, you still need the DAFNE principals, which require blood sugar readings, carb portions, insulin/carb ratios and TIME........