Recent Posts - DAFNE Online

Dec 7, 2012

mum2westiesGill 502 posts

Topic: General Discussion / CP Diary enteries

Pilau rice (the packet type - Asda) - 51.4g CHO
Mince pie - 38.0g CHO
Total CHO - 51.4 + 38.0 = 89.4

How would you enter this as CP's in the BG diary?

Also just a quick check please, how many units on a 1:10 (one unit to every 10g CHO?)

Gill Smile

Dec 7, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Lantus - decreasing rapidly

Just keep going until your blood sugar is held steady.....that the DAFNE approach........ Wink

Dec 7, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Lantus - decreasing rapidly

novorapidboi26 said:
I am going through similar changes to you, although I haven't had to drop as many as you, maybe 11 units dropped over the AM and PM BI dose...

It could be seasonal changes that are contributing. I thought BI would go up in winter though due to your body working harder behind the scenes to keep warm. But its not working out that way for me. I maybe thought activity levels were also contributing, but again, as the winter approached my levels decreased as I favored staying in the house to going out to exercise.....

So I am at a loss. It just has to be put down to changes that are unexplained..........

The good thing is your insulin levels are dropping, it may seem scary, but in the long term its good.......

Are you woken in the night with lows or is it just the morning when you normally wake.......?

Has your daytime levels been effected with the reduction of BI?

I've also not had any changes with food ie still eating the same things/amounts. Also no increased activity.

Daytime levels don't seem to have been effected.

Maybe like you say it could be seasonal changes.

I might decrease mine by just another 2u either tonight or tomorrow night.

Dec 7, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Lantus - decreasing rapidly

I am going through similar changes to you, although I haven't had to drop as many as you, maybe 11 units dropped over the AM and PM BI dose...

It could be seasonal changes that are contributing. I thought BI would go up in winter though due to your body working harder behind the scenes to keep warm. But its not working out that way for me. I maybe thought activity levels were also contributing, but again, as the winter approached my levels decreased as I favored staying in the house to going out to exercise.....

So I am at a loss. It just has to be put down to changes that are unexplained..........

The good thing is your insulin levels are dropping, it may seem scary, but in the long term its good.......

Are you woken in the night with lows or is it just the morning when you normally wake.......?

Has your daytime levels been effected with the reduction of BI?

Dec 7, 2012

Derek Brown 32 posts

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

Alan Constable said:
DAFNE gives you knowledge and knowledge is power - in this case the power to achieve good control.

Completely agree with this from Alan Smile

Dec 7, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Lantus - decreasing rapidly

Had to increase my lantus/BI in October due to lots of high (teens/20's/30's) BS levels.
During November have had to keep decreasing due to lots of hypos - how much longer can this carry on? At this rate I'll be taking no BI - frightening.com!

Oct
26u BI
8th 28u - increased
17th 30u
23rd 36u

Nov
1st 40u
2nd new BI pen?
5th 42u
12th 36u - decreased
19th 34u
20th 32u
23rd 30u
26th 26u
30th 22u

Dec
4th 18u - still waking up to hypos so guess I'll have to decrease again!

Dec 7, 2012

Alan 49 284 posts

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

DAFNE gives you knowledge and knowledge is power - in this case the power to achieve good control.

Dec 7, 2012

Ahmentep 99 posts

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

I second all of the above and would add that, because of the sensible, logical approach to the management of the condition, not only does it improves the lives of those who follow the principles but it also saves the NHS and the benefits system considerable sums of money over the years by reducing the incidence of complications and keeping people fit for work for longer.

Dec 6, 2012

Ati 2 posts

Topic: Questions for HCPs / sensitivity to exercise

Hi,

I need to some help with daily exercise and keeping my sugar levels stable. I was wondering what the rules are for exercise if only doing say a 20min walk morn and evening? as this drops my sugars alot and also for the next day?

Thankyou,

Dec 6, 2012

DianeW 115 posts

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

It has renewed my interest in taking care of myself and in that respect has hopefully prevented further problems. I went from being a diabetic of 30 years, coasting along, had complications so half thinking what's the point and not bothering to test to a diabetic who WANTS to know what her blood suger is, who WANTS to watch what she is eating and who WANTS to be healthy. DAFNE benefits everyone in some way but I think for long standing diabetics like me it gives you a good kick up the backside.

Dec 6, 2012

ruthhutchinson 39 posts

Topic: General Discussion / carb free day

I know - it definitely wasn't one of my better decisions. Not sure what I was thinking. Confused

Dec 6, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / carb free day

2 days carb free, that's madness........you would almost certainly be producing some ketones after that long.....

I dont even think pumpers would go that long when basal testing....

Dec 5, 2012

ruthhutchinson 39 posts

Topic: General Discussion / carb free day

I tried it for 2 days but felt so rubbish that I gave up. I think that after 43 years of carb eating my poor body was in shock. However I learned enough from it to change my dose and now my BG is much better. Smile

Dec 5, 2012

DianeW 115 posts

Topic: General Discussion / BG readings

I would agree with what novorapidboi has said and not to beat yourself up about testing between meals.
I think testing at mealtimes becomes second nature, and therefore should not impact on your lifestyle or sense of freedom. Inbetween meals I would say is optional, if you feel like it, if you are ill/changed routine etc etc. Just my opinion.

Dec 5, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Diary Entries - correction help please

Not really much to effect you overnight BI needs I would of thought, but everyone is different..... Wink

Dec 5, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / BG readings

I do still test, occasionally, in between meals........more so between lunch and dinner, as I have the opportunity to do so at work, which is in an office currently........if I was to be in another job these testing opportunities may not be available.......

I had a good three months of blood sugars in the middle of last year, however my in between meal readings were quite high, mid teens high.......I expected a much lower HbA1c result but I never got it......this must of been down to my in between meal highs.....so although they may not stay high for long, I would say they do still effect you long term blood sugar reading, which has been connected to complications....

But overall, yeah, there is nothing you can actually do there and then with a mid meal test, maybe apart from adjusting your dose timing the next time you have a similar meal in order to match more closely that activity of your digestion to the activity of the insulin.......

My advice to you would be to not test if you feel its effecting your freedom and lifestyle, but dont totally dismiss the odd mid meal test.... Wink

Dec 5, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / hypos

I suppose in the short term I would agree with you........

Dec 5, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / carb free day

Beccy,

I was slightly confused by your statement - 'had never though of trying that to get BI right'

How were you taught in your DAFNE course to adjust your BI dose......?

In terms of carb free testing, it doesn't need to be all day as most people on MDI only have one or two dose of BI insulin, so you only need to test the day or day and night separately....

you can go carb free on Monday morning, then carb free Tuesday lunchtime, then Wednesday dinner......you can get a good picture of what is happening then...

Dec 5, 2012

BeccyB 50 posts

Topic: General Discussion / carb free day

Had never thought of trying that to get BI right - interesting idea Idea

. Did you get your dose right in the end Ruth?

Although I'm not sure I could go a whole day without any carbs - not from a diabetes point of view, just the will power and finding things to eat! Smile

Dec 5, 2012

paulj 36 posts

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

does exactly what it says on the tin.DAFNE-LESS GUESSW Very Happy

ORK-MORE FREEDOM-BETTER HEALTH/QUALITY OF LIFE

Dec 5, 2012

paulj 36 posts

Topic: General Discussion / hypos

obviously iwould rather experience niether.but i would rather in the short term have higher BG levels than low and experience to many HYPOS ands lose some of my hypo awareness.anytone have any different thoughts?

Dec 5, 2012

paulj 36 posts

Topic: General Discussion / BG readings

having recently completed a DAFNE course in october and attended a follow up meeting last week with advice from DAFNE SPECIALIST NURSES i have come to the following coinclusions

i now only concern myself with my BG readings at breakfast,lunch,evening meal,and at bedtime.even if i do test inbetween these times and they are high i onlt take notice of them at the 4 times listed above.
i have been told that if they are high inbetween these times that they have no effect on my long term health/complications.with being off work for 4 months i have had plenty of time to do numerous tests and i have learnt and am still learning how my body reracts to insulin doses.
however i do believe that as i now go bacjk into the working enviroment i believe it is unrealistic and also not the DAFNE principle to test more frequently unless i am doing something different i.e exercise, alcohol,sickness etc....
so i say to myself why worry.one of the main DAFNE principles is MORE FREEDOM and thats what i am trying to work towards.me controlling my diabetes not the other way round.

if you have any thoughts on the above iwould love to hear from you as i find your thoughts,comments,and suggestions very helpful

cheers

paulj Very Happy

.

Dec 5, 2012

vic demain 87 posts

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

Learnt more in one week about my condition and how to best deal with it, than I had in the previuos thirty years of living with the condition.
Completely changed my living and eating habits.

Dec 4, 2012

James Thurlow 1 post

Topic: Site Development / Auto calculate QA from BG - let's get it right

This is a great function but be great if it got inline with DAFNE and the corrective doses. It caught me out a few weeks ago when I followed the app and it suggested a corrective dose for a snack and then 90 mins later a corrective dose on top of my dinner. If I remember rightly should be no correction.

Dec 4, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Diary Entries - correction help please

novorapidboi26 said:
did you have alcohol on Saturday night........?

Yes 2 pints of lager!

Dec 7, 2012 mum2westiesGill 502 posts	Topic: General Discussion / CP Diary enteries Pilau rice (the packet type - Asda) - 51.4g CHO Mince pie - 38.0g CHO Total CHO - 51.4 + 38.0 = 89.4 How would you enter this as CP's in the BG diary? Also just a quick check please, how many units on a 1:10 (one unit to every 10g CHO?) Gill

Dec 7, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Lantus - decreasing rapidly Just keep going until your blood sugar is held steady.....that the DAFNE approach........

Dec 7, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Lantus - decreasing rapidly novorapidboi26 said: I am going through similar changes to you, although I haven't had to drop as many as you, maybe 11 units dropped over the AM and PM BI dose... It could be seasonal changes that are contributing. I thought BI would go up in winter though due to your body working harder behind the scenes to keep warm. But its not working out that way for me. I maybe thought activity levels were also contributing, but again, as the winter approached my levels decreased as I favored staying in the house to going out to exercise..... So I am at a loss. It just has to be put down to changes that are unexplained.......... The good thing is your insulin levels are dropping, it may seem scary, but in the long term its good....... Are you woken in the night with lows or is it just the morning when you normally wake.......? Has your daytime levels been effected with the reduction of BI? I've also not had any changes with food ie still eating the same things/amounts. Also no increased activity. Daytime levels don't seem to have been effected. Maybe like you say it could be seasonal changes. I might decrease mine by just another 2u either tonight or tomorrow night.

Dec 7, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Lantus - decreasing rapidly I am going through similar changes to you, although I haven't had to drop as many as you, maybe 11 units dropped over the AM and PM BI dose... It could be seasonal changes that are contributing. I thought BI would go up in winter though due to your body working harder behind the scenes to keep warm. But its not working out that way for me. I maybe thought activity levels were also contributing, but again, as the winter approached my levels decreased as I favored staying in the house to going out to exercise..... So I am at a loss. It just has to be put down to changes that are unexplained.......... The good thing is your insulin levels are dropping, it may seem scary, but in the long term its good....... Are you woken in the night with lows or is it just the morning when you normally wake.......? Has your daytime levels been effected with the reduction of BI?

Dec 7, 2012 Derek Brown 32 posts	Topic: General Discussion / What would you say about DAFNE :?: Alan Constable said: DAFNE gives you knowledge and knowledge is power - in this case the power to achieve good control. Completely agree with this from Alan

Dec 7, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Lantus - decreasing rapidly Had to increase my lantus/BI in October due to lots of high (teens/20's/30's) BS levels. During November have had to keep decreasing due to lots of hypos - how much longer can this carry on? At this rate I'll be taking no BI - frightening.com! Oct 26u BI 8th 28u - increased 17th 30u 23rd 36u Nov 1st 40u 2nd new BI pen? 5th 42u 12th 36u - decreased 19th 34u 20th 32u 23rd 30u 26th 26u 30th 22u Dec 4th 18u - still waking up to hypos so guess I'll have to decrease again!

Dec 7, 2012 Alan 49 284 posts	Topic: General Discussion / What would you say about DAFNE :?: DAFNE gives you knowledge and knowledge is power - in this case the power to achieve good control.

Dec 7, 2012 Ahmentep 99 posts	Topic: General Discussion / What would you say about DAFNE :?: I second all of the above and would add that, because of the sensible, logical approach to the management of the condition, not only does it improves the lives of those who follow the principles but it also saves the NHS and the benefits system considerable sums of money over the years by reducing the incidence of complications and keeping people fit for work for longer.

Dec 6, 2012 Ati 2 posts	Topic: Questions for HCPs / sensitivity to exercise Hi, I need to some help with daily exercise and keeping my sugar levels stable. I was wondering what the rules are for exercise if only doing say a 20min walk morn and evening? as this drops my sugars alot and also for the next day? Thankyou,

Dec 6, 2012 DianeW 115 posts	Topic: General Discussion / What would you say about DAFNE :?: It has renewed my interest in taking care of myself and in that respect has hopefully prevented further problems. I went from being a diabetic of 30 years, coasting along, had complications so half thinking what's the point and not bothering to test to a diabetic who WANTS to know what her blood suger is, who WANTS to watch what she is eating and who WANTS to be healthy. DAFNE benefits everyone in some way but I think for long standing diabetics like me it gives you a good kick up the backside.

Dec 6, 2012 ruthhutchinson 39 posts	Topic: General Discussion / carb free day I know - it definitely wasn't one of my better decisions. Not sure what I was thinking.

Dec 6, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / carb free day 2 days carb free, that's madness........you would almost certainly be producing some ketones after that long..... I dont even think pumpers would go that long when basal testing....

Dec 5, 2012 ruthhutchinson 39 posts	Topic: General Discussion / carb free day I tried it for 2 days but felt so rubbish that I gave up. I think that after 43 years of carb eating my poor body was in shock. However I learned enough from it to change my dose and now my BG is much better.

Dec 5, 2012 DianeW 115 posts	Topic: General Discussion / BG readings I would agree with what novorapidboi has said and not to beat yourself up about testing between meals. I think testing at mealtimes becomes second nature, and therefore should not impact on your lifestyle or sense of freedom. Inbetween meals I would say is optional, if you feel like it, if you are ill/changed routine etc etc. Just my opinion.

Dec 5, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Diary Entries - correction help please Not really much to effect you overnight BI needs I would of thought, but everyone is different.....

Dec 5, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / BG readings I do still test, occasionally, in between meals........more so between lunch and dinner, as I have the opportunity to do so at work, which is in an office currently........if I was to be in another job these testing opportunities may not be available....... I had a good three months of blood sugars in the middle of last year, however my in between meal readings were quite high, mid teens high.......I expected a much lower HbA1c result but I never got it......this must of been down to my in between meal highs.....so although they may not stay high for long, I would say they do still effect you long term blood sugar reading, which has been connected to complications.... But overall, yeah, there is nothing you can actually do there and then with a mid meal test, maybe apart from adjusting your dose timing the next time you have a similar meal in order to match more closely that activity of your digestion to the activity of the insulin....... My advice to you would be to not test if you feel its effecting your freedom and lifestyle, but dont totally dismiss the odd mid meal test....

Dec 5, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / hypos I suppose in the short term I would agree with you........

Dec 5, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / carb free day Beccy, I was slightly confused by your statement - 'had never though of trying that to get BI right' How were you taught in your DAFNE course to adjust your BI dose......? In terms of carb free testing, it doesn't need to be all day as most people on MDI only have one or two dose of BI insulin, so you only need to test the day or day and night separately.... you can go carb free on Monday morning, then carb free Tuesday lunchtime, then Wednesday dinner......you can get a good picture of what is happening then...

Dec 5, 2012 BeccyB 50 posts	Topic: General Discussion / carb free day Had never thought of trying that to get BI right - interesting idea . Did you get your dose right in the end Ruth? Although I'm not sure I could go a whole day without any carbs - not from a diabetes point of view, just the will power and finding things to eat!

Dec 5, 2012 paulj 36 posts	Topic: General Discussion / What would you say about DAFNE :?: does exactly what it says on the tin.DAFNE-LESS GUESSW ORK-MORE FREEDOM-BETTER HEALTH/QUALITY OF LIFE

Dec 5, 2012 paulj 36 posts	Topic: General Discussion / hypos obviously iwould rather experience niether.but i would rather in the short term have higher BG levels than low and experience to many HYPOS ands lose some of my hypo awareness.anytone have any different thoughts?

Dec 5, 2012 paulj 36 posts	Topic: General Discussion / BG readings having recently completed a DAFNE course in october and attended a follow up meeting last week with advice from DAFNE SPECIALIST NURSES i have come to the following coinclusions i now only concern myself with my BG readings at breakfast,lunch,evening meal,and at bedtime.even if i do test inbetween these times and they are high i onlt take notice of them at the 4 times listed above. i have been told that if they are high inbetween these times that they have no effect on my long term health/complications.with being off work for 4 months i have had plenty of time to do numerous tests and i have learnt and am still learning how my body reracts to insulin doses. however i do believe that as i now go bacjk into the working enviroment i believe it is unrealistic and also not the DAFNE principle to test more frequently unless i am doing something different i.e exercise, alcohol,sickness etc.... so i say to myself why worry.one of the main DAFNE principles is MORE FREEDOM and thats what i am trying to work towards.me controlling my diabetes not the other way round. if you have any thoughts on the above iwould love to hear from you as i find your thoughts,comments,and suggestions very helpful cheers paulj .

Dec 5, 2012 vic demain 87 posts	Topic: General Discussion / What would you say about DAFNE :?: Learnt more in one week about my condition and how to best deal with it, than I had in the previuos thirty years of living with the condition. Completely changed my living and eating habits.

Dec 4, 2012 James Thurlow 1 post	Topic: Site Development / Auto calculate QA from BG - let's get it right This is a great function but be great if it got inline with DAFNE and the corrective doses. It caught me out a few weeks ago when I followed the app and it suggested a corrective dose for a snack and then 90 mins later a corrective dose on top of my dinner. If I remember rightly should be no correction.

Dec 4, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Diary Entries - correction help please novorapidboi26 said: did you have alcohol on Saturday night........? Yes 2 pints of lager!