Recent Posts - DAFNE Online

Aug 31, 2020

Warwick 430 posts

Topic: Carbohydrate Counting / extremely high blood first thing in the morning

Something worth considering for those with dawn phenomenon is the possibility of supplementing your basal insulin with NPH insulin. NPH has a peak between 6-8 hours after injecting, so injecting it between dinner and bedtime can lead to the peak action coinciding with the DP rise around 3-5 am, and help lower that. I'm not suggesting replacing basal insulin with NPH, but adding it to the insulins being used. I have found that it works quite well for me.

Aug 30, 2020

James Bee 1 post

Topic: Carbohydrate Counting / extremely high blood first thing in the morning

Hello,

Like you I used to have severe dawn phenomenon since I was a teenager (now 40), so I haven’t been able to eat breakfast in all that time as I’ve spent most mornings wrestling my glucose down. Your HCP may have not been convinced about splitting the dose as you’re on a relatively low dose but my DAFNE team recently suggested splitting mine (which I’ve never previously had suggested since starting a basal and bolus regime about 25 years ago) and it’s done wonders.

I was previously on 46u Lantus at night but have now been able to decrease it down due to the splitting and am on 20u PM and 15u AM and am waking up with it fine for the first time in more than half my life.

As it’s been a few months I hope you’re still doing well. I thought I’d share my experience as I wonder how many others are having similar issues and thought us sharing these experiences is exactly what this forum is for, so if anyone is having similar issues discuss this with your HCP.

Aug 20, 2020

sl0042 2 posts

Topic: Questions for HCPs / slow acting insulin

thanks michaelj I will try that

Aug 19, 2020

michaelj 45 posts

Topic: Questions for HCPs / slow acting insulin

I'm 78 and also sometimes have problems with insulin absorption especially in the tummy area. Unfortunately as we get older we tend to build a layer of fat around our middle and this interferes with insulin absorption. If you are injecting in the tummy area that could explain why you are having a struggle. You may have to use the thighs or the buttocks which is what I do. Not so hard as it sounds. I'm lucky as my missus is also happy to stick the needle in to my upper arms. Best of luck.

Aug 8, 2020

sl0042 2 posts

Topic: Questions for HCPs / slow acting insulin

I have had type 1 diabetes for 6 1/2 years; I am 75 years of age.
My big problem is the fast acting insulin acts slowly; I started on Apidra & it was taking 3 hours to have an effect; I moved on to FIASP & on the instructions it said it had to be taken 0 - 1 minute before eating;
it still took 3 hours; I am now back on Apidra.
What am I doing wrong because my because my blood sugar levels are higher than they should be.
Thanks

Jul 5, 2020

Kalps 3 posts

Topic: DAFNE Online Mobile / Dafne app on android

JayBee said:
It's been an issue for years. I moved to a different app with proper support in the end.

Hi Jay

Please can you tell me what app you use

Thanks pal
Kalps

Jul 5, 2020

Kalps 3 posts

Topic: General Discussion / Anyone out there ?

Hi all good here also in Essex. Had a telephone review without the bloods. I was going off track without using a diary however it gave me an incentive to get back in track again.

What I cannot find is an app for Android phones.

DAFNE really did change my life to get back on track

Jul 5, 2020

Kalps 3 posts

Topic: General Discussion / Quick Reference Guide?

Hello pm sent also to have a look please.

Jul 3, 2020

Lorna1984 3 posts

Topic: General Discussion / Quick Reference Guide?

I agree a small booklet or flashcards. I love that we have so much information to help us but sometimes you just want certain bits and not the whole workbook. Confused

Jul 3, 2020

Lorna1984 3 posts

Topic: General Discussion / Sick Day Rules

Interesting that they've posted those. I guess even if you haven't done DAFNE it's beneficial to know the sick day rules, so maybe that's why they've allowed everyone access to that info. Very Happy

Jul 3, 2020

Lorna1984 3 posts

Topic: General Discussion / Anyone out there ?

All OK here. I stayed home for 12 weeks as per advice from my local diabetes nurse and I'm still mainly at home with very occasional trips outside as and when needed. Luckily I can work from home.
Diabetes wise all is going well. Still following the DAFNE principles. Smile


Aug 31, 2020 Warwick 430 posts	Topic: Carbohydrate Counting / extremely high blood first thing in the morning Something worth considering for those with dawn phenomenon is the possibility of supplementing your basal insulin with NPH insulin. NPH has a peak between 6-8 hours after injecting, so injecting it between dinner and bedtime can lead to the peak action coinciding with the DP rise around 3-5 am, and help lower that. I'm not suggesting replacing basal insulin with NPH, but adding it to the insulins being used. I have found that it works quite well for me.

Aug 30, 2020 James Bee 1 post	Topic: Carbohydrate Counting / extremely high blood first thing in the morning Hello, Like you I used to have severe dawn phenomenon since I was a teenager (now 40), so I haven’t been able to eat breakfast in all that time as I’ve spent most mornings wrestling my glucose down. Your HCP may have not been convinced about splitting the dose as you’re on a relatively low dose but my DAFNE team recently suggested splitting mine (which I’ve never previously had suggested since starting a basal and bolus regime about 25 years ago) and it’s done wonders. I was previously on 46u Lantus at night but have now been able to decrease it down due to the splitting and am on 20u PM and 15u AM and am waking up with it fine for the first time in more than half my life. As it’s been a few months I hope you’re still doing well. I thought I’d share my experience as I wonder how many others are having similar issues and thought us sharing these experiences is exactly what this forum is for, so if anyone is having similar issues discuss this with your HCP.

Aug 20, 2020 sl0042 2 posts	Topic: Questions for HCPs / slow acting insulin thanks michaelj I will try that

Aug 19, 2020 michaelj 45 posts	Topic: Questions for HCPs / slow acting insulin I'm 78 and also sometimes have problems with insulin absorption especially in the tummy area. Unfortunately as we get older we tend to build a layer of fat around our middle and this interferes with insulin absorption. If you are injecting in the tummy area that could explain why you are having a struggle. You may have to use the thighs or the buttocks which is what I do. Not so hard as it sounds. I'm lucky as my missus is also happy to stick the needle in to my upper arms. Best of luck.

Aug 8, 2020 sl0042 2 posts	Topic: Questions for HCPs / slow acting insulin I have had type 1 diabetes for 6 1/2 years; I am 75 years of age. My big problem is the fast acting insulin acts slowly; I started on Apidra & it was taking 3 hours to have an effect; I moved on to FIASP & on the instructions it said it had to be taken 0 - 1 minute before eating; it still took 3 hours; I am now back on Apidra. What am I doing wrong because my because my blood sugar levels are higher than they should be. Thanks

Jul 5, 2020 Kalps 3 posts	Topic: DAFNE Online Mobile / Dafne app on android JayBee said: It's been an issue for years. I moved to a different app with proper support in the end. Hi Jay Please can you tell me what app you use Thanks pal Kalps

Jul 5, 2020 Kalps 3 posts	Topic: General Discussion / Anyone out there ? Hi all good here also in Essex. Had a telephone review without the bloods. I was going off track without using a diary however it gave me an incentive to get back in track again. What I cannot find is an app for Android phones. DAFNE really did change my life to get back on track

Jul 5, 2020 Kalps 3 posts	Topic: General Discussion / Quick Reference Guide? Hello pm sent also to have a look please.

Jul 3, 2020 Lorna1984 3 posts	Topic: General Discussion / Quick Reference Guide? I agree a small booklet or flashcards. I love that we have so much information to help us but sometimes you just want certain bits and not the whole workbook.

Jul 3, 2020 Lorna1984 3 posts	Topic: General Discussion / Sick Day Rules Interesting that they've posted those. I guess even if you haven't done DAFNE it's beneficial to know the sick day rules, so maybe that's why they've allowed everyone access to that info.

Jul 3, 2020 Lorna1984 3 posts	Topic: General Discussion / Anyone out there ? All OK here. I stayed home for 12 weeks as per advice from my local diabetes nurse and I'm still mainly at home with very occasional trips outside as and when needed. Luckily I can work from home. Diabetes wise all is going well. Still following the DAFNE principles.