Recent Posts - DAFNE Online

Dec 12, 2012

Ariane 14 posts

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 434 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 Â£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 1,818 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........

Dec 10, 2012

Simon 574 posts

Topic: General Discussion / Diary Graphs

Hi Gill,

Not sure - what are you looking to see?

Simon

Dec 10, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Diary Graphs

Is there a way of viewing just the basal patterns/trends in the diary graphs?

Thanks for any replies/help

Gill Smile

Dec 10, 2012

Garry 328 posts

Topic: General Discussion / Pat on the back for Lilly

Returned two Humapen Memoir pens to Lilly for investigation of failures and received their written report on both.
Old pen battery was failing - which I knew about.
New pen, which I had requested from Lilly as a replacement for the unreliable old pen, had been sent out from the factory without completing it's memory reader test. This led to the screen being blank when I first tried to use it as it had been left in the wrong mode for normal use.
So a big pat on the back for Lilly who admitted a manufacturing error.
Their service provision has always been first class. I can't praise them highly enough.
What a great team Cool

Regards
Garry

Dec 9, 2012

mum2westiesGill 502 posts

Topic: Carbohydrate Counting / Chinese - Fried Rice

novorapidboi26 said:
I am sure a full tray is 300g in weight.....and its 7.5CPs, or 75g of Carbohydrate........

This information is in the DAFNE carb counting database you find on the right hand side of the website....

Thank you! It's in the takeaway section.

Dec 9, 2012

Flipper 3 posts

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

I attended a DAFNE course in May. I was dubious what it would do for me & was prepared for the usual lectures on what I was doing wrong. How wrong I was!! No one judged or lectured just provided information, interesting discussions and choices. It has changed my view of my diabetes. I feel more empowered and am now requesting blood tests rather than being chased by my practise nurse!! One of the best bits was meeting other diabetics and sharing experiences.

Dec 9, 2012

jenna a 1 post

Topic: General Discussion / Lantus - decreasing rapidly

have you tried splitting your dose so that you have some bi in in the morning to combat the higher levels and some in the evening to stop the lower levels try having half in am and half pm

Dec 9, 2012

novorapidboi26 1,818 posts

Topic: Carbohydrate Counting / Chinese - Fried Rice

I am sure a full tray is 300g in weight.....and its 7.5CPs, or 75g of Carbohydrate........

This information is in the DAFNE carb counting database you find on the right hand side of the website....

Dec 9, 2012

NuMo 28 posts

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

I looked forward to attending the DAFNE course as soon as it was offered to me. It did not let me down. After more than 6 years of struggling, I finally feel I have the opportunity to be in control of my life again. This feeling of loss of control of one's life is something that cannot be fully appreciated until it happens to you. Before DAFNE I was a "diabetic"; now I am a normal person who just happens to need insulin. Thank you DAFNE

Dec 8, 2012

mum2westiesGill 502 posts

Topic: Carbohydrate Counting / Chinese - Fried Rice

Hi,

Does anyone know how many grams of CHO there are in:
- a half tray of chinese takeaway fried rice
- a full tray of chinese takeaway fried rice

Gill Smile

Dec 8, 2012

novorapidboi26 1,818 posts

Topic: General Discussion / Missed meal problem

I don't know if I understand the situation............

You have missed a meal? Is that your lunch at 2-3PM or dinner at 7-8PM?

Either way, on the insulin regime you are on, MDI, its OK to miss a meal, as you just don't take QA insulin for it............

Your BG should be held steady by your Lantus............if its not, as I think you have stated above then your BI dose is out, or in other words, not enough.............however you have been needing less recently in order to avoid hypos in the morning.......

This is a typical scenario where a split of BI is needed........

Have I understood you correctly.......?

Very Happy

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.

Dec 12, 2012 Warwick 434 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.... 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 Â£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) '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? 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 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 1,818 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........

Dec 10, 2012 Simon 574 posts	Topic: General Discussion / Diary Graphs Hi Gill, Not sure - what are you looking to see? Simon

Dec 10, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Diary Graphs Is there a way of viewing just the basal patterns/trends in the diary graphs? Thanks for any replies/help Gill

Dec 10, 2012 Garry 328 posts	Topic: General Discussion / Pat on the back for Lilly Returned two Humapen Memoir pens to Lilly for investigation of failures and received their written report on both. Old pen battery was failing - which I knew about. New pen, which I had requested from Lilly as a replacement for the unreliable old pen, had been sent out from the factory without completing it's memory reader test. This led to the screen being blank when I first tried to use it as it had been left in the wrong mode for normal use. So a big pat on the back for Lilly who admitted a manufacturing error. Their service provision has always been first class. I can't praise them highly enough. What a great team Regards Garry

Dec 9, 2012 mum2westiesGill 502 posts	Topic: Carbohydrate Counting / Chinese - Fried Rice novorapidboi26 said: I am sure a full tray is 300g in weight.....and its 7.5CPs, or 75g of Carbohydrate........ This information is in the DAFNE carb counting database you find on the right hand side of the website.... Thank you! It's in the takeaway section.

Dec 9, 2012 Flipper 3 posts	Topic: General Discussion / What would you say about DAFNE :?: I attended a DAFNE course in May. I was dubious what it would do for me & was prepared for the usual lectures on what I was doing wrong. How wrong I was!! No one judged or lectured just provided information, interesting discussions and choices. It has changed my view of my diabetes. I feel more empowered and am now requesting blood tests rather than being chased by my practise nurse!! One of the best bits was meeting other diabetics and sharing experiences.

Dec 9, 2012 jenna a 1 post	Topic: General Discussion / Lantus - decreasing rapidly have you tried splitting your dose so that you have some bi in in the morning to combat the higher levels and some in the evening to stop the lower levels try having half in am and half pm

Dec 9, 2012 novorapidboi26 1,818 posts	Topic: Carbohydrate Counting / Chinese - Fried Rice I am sure a full tray is 300g in weight.....and its 7.5CPs, or 75g of Carbohydrate........ This information is in the DAFNE carb counting database you find on the right hand side of the website....

Dec 9, 2012 NuMo 28 posts	Topic: General Discussion / What would you say about DAFNE :?: I looked forward to attending the DAFNE course as soon as it was offered to me. It did not let me down. After more than 6 years of struggling, I finally feel I have the opportunity to be in control of my life again. This feeling of loss of control of one's life is something that cannot be fully appreciated until it happens to you. Before DAFNE I was a "diabetic"; now I am a normal person who just happens to need insulin. Thank you DAFNE

Dec 8, 2012 mum2westiesGill 502 posts	Topic: Carbohydrate Counting / Chinese - Fried Rice Hi, Does anyone know how many grams of CHO there are in: - a half tray of chinese takeaway fried rice - a full tray of chinese takeaway fried rice Gill

Dec 8, 2012 novorapidboi26 1,818 posts	Topic: General Discussion / Missed meal problem I don't know if I understand the situation............ You have missed a meal? Is that your lunch at 2-3PM or dinner at 7-8PM? Either way, on the insulin regime you are on, MDI, its OK to miss a meal, as you just don't take QA insulin for it............ Your BG should be held steady by your Lantus............if its not, as I think you have stated above then your BI dose is out, or in other words, not enough.............however you have been needing less recently in order to avoid hypos in the morning....... This is a typical scenario where a split of BI is needed........ Have I understood you correctly.......?