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15,864 posts found
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Nov 30, 2012
paulj
36 posts
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Topic: General Discussion / Ratios
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Nov 30, 2012
Carolin
83 posts
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Topic: Questions for HCPs / FASTING TARGET You should still treat any BG <3.5mmol/l as a hypo, using 1.5 - 2 CPs rapid ating carbs.If you're below 4.5mmol/l, but not hypo you should definitely have a CP to get back into target. In the current programme, we specify: <3.5mmol/l TREAT with hypo treatment <4.5mmol/l EAT a CP |
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Nov 30, 2012
Alan 49
284 posts
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Only 1126 signatures so far - a long way off the target of 100,000 |
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Nov 30, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / Ratios
Done! |
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Nov 30, 2012
Ariane
14 posts
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Topic: Questions for HCPs / Ratios VS Time Of Day/Having a lie in! Hi all,Thanks very much for the advice: The issue isn't so much whether my ratio should come down in general its specific to having a lie in... a. My ratios go up in the day not down towards night time and b. On any other day void from hypos or lie-ins 2:1 at lunch time is the right dose, if not too low at times. c. Carb free meals have put me steadily at 8.7 So really the only thing that makes sense is to do my breakfast ratio, @ Carolin (which happens to be the 1.5:1 ratio) when I get up what ever the time of day, that's why I wanted to check! But I guess it really is an individual thing!  |
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Nov 30, 2012
Carolin
83 posts
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Topic: General Discussion / Ratios Hi Gill,It must be really hard to try to do all this alone (albeit with the support and help of graduates on here) If I were you I'd really keep on at your local diabetes team to look into funding DAFNE as that would be the best answer for you! I'd urge everyone to log onto the website below and sign the DUAG epetition to get structured education funded for all!!! http://epetitions.direct.gov.uk/petitions/41345 Carolin |
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Nov 30, 2012
novorapidboi26
1,819 posts
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Topic: Site Development / New diagnosis No, your not over reacting...........she wouldn't be any worse off having type 2 suited meals though......But as you know that type 1 patients can eat what they want with the right training it will be frustrating...... I would feel the same, but I would be excited as well as its a great opportunity to educate these people...... Go forth and educate, and while your at it, get your sister on a DAFNE course..... 
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Nov 30, 2012
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / FASTING TARGET Did the the hypo level not get lowered to 3.5, I haven't been told this officially, but I did hear it......Is this true? |
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Nov 30, 2012
Carolin
83 posts
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Topic: Questions for HCPs / insulin pump Hi tcmonkey80,There are a few pumps that have a 'bolus advice' function and each works out the correction in a slightly different way; there's a complex algorithm programmed into the pump (or meter) that factors in the BG level; the target BG for that time of day; the CP intake; the ratio; any remaining 'active insulin' from a previous bolus; etc. All the calculators are only as good as what has been programmed in by the user, so it's essential to use the DAFNE approach to looking for patterns and evaluating ratios and correction sensitivity so that these can be fine-tuned into the adviser. Does this help? Carolin |
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Nov 30, 2012
Carolin
83 posts
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Topic: Questions for HCPs / FASTING TARGET A quick reminder of the info that you'll find in both the Course Workbook and your DAFNE diaries:FASTING (i.e. before breakfast / when you first get up in the morning): 5.5 - 7.5 mmol/l Before midday / evening meal: 4.5 - 7.5 mmol/l Before bed: 6.5 - 8.0 mmol/l We stress that you SHOULD NOT accept BG readings below 4.5mmol/l at any time of the day or night as these are below target and if hitting 4's a lot of the time you may put your hypo awareness in jeopardy. Carolin |
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Nov 30, 2012
Carolin
83 posts
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Topic: Questions for HCPs / Ratios VS Time Of Day/Having a lie in! Hi,Clearly, if you are seeing a pattern of hypos and you are certain that your CP estimation was accurate, the 2:1 ratio may be too high (however the alternative is that your once daily BI dose of 32u may not be correct and you'd need to do some CP-free meals to check this out). It's trial and error and you should be able to eat when and what you choose. So try a 1.5:1 ratio in the first instance and carry on testing, recording, etc to see if it works. Good luck Carolin |
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Nov 30, 2012
Sam
64 posts
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Topic: Site Development / New diagnosis My sister was diagnosed type 1 2 nights ago! How very strange that I was 23 and 5 years later she is diagnosed at 24. I'm very frustrated because my dad and her mother in law who are type 2 are giving her wron advice about foods. The hospital gave her a pie, mash and beans and they freaked saying that's not a diabetic dinner and beans are full of sugar!! Oh dear lord it gets my back up that people don't have a clue about type 1 and that it's very different to type 2!! Is it just me over reacting or does anyone else feel my frustration!!!Sam |
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Nov 30, 2012
Alann
12 posts
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Thanks Simon, just the confirmation I needed |
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Nov 29, 2012
fortbill1
1 post
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This questions probably been answered many times, but what is the correct method for inputting corrections? I am running the app on the androidp platform and when i show a +2 value in the QA field the "corrective counts" section of the summary section shows +1-0 which doesn't tell me anything useful. I must be doing something wrong! Can anyone help? Thanks! |
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Nov 29, 2012
Annette Bell
72 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right Nope - it's still doing it. (I mean the giving a minus QA when not having any carbs & therefore no QA) I don't seem to have had an update since this was posted. Also, is there any progress on the multiple injection sites query? I mean for when you're having 2 injections, one BI & one QA and in different sites?  Annette |
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Nov 29, 2012
SimonC
78 posts
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Topic: General Discussion / Meter Advice / Promblem AlanI can't comment directly re your meter and the ones you are comparing it to, but it does sound like it is faulty. Is there a control sample you could test with - Some companies will send you a control sample free so you can test it, and if the results are out of the normal range then they will send you a new one. = as they want the custom from the NHS. As you quite rightly point out - they all have a range, and non are truly accurate, even the one used by your paramedic partner - they are only to give an indication, and so the 10-20% range is considered acceptable. Do the other meters you test against all give a result within a similar range, whilst the Jazz is way higher - if so, it sounds like the Jazz is faulty. |
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Nov 29, 2012
Alann
12 posts
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Topic: General Discussion / Meter Advice / Promblem I have some concerns of the accuracy of the meter I’m currently using. Having performed some tests over the last couple of days I find the wavesense Jazz is consistently giving higher results of as much as 4.mml/ml! As I’ve been using this meter as the main machine, it explains why I’ve had a couple of hypos over the last week.The meter I’ve been comparing with are the AccuCheck Nano, and a ‘True result’ (don’t like the meter, but that is another story), and Bay Liner which I would hope is the most accurate of all, as I’ve borrowed it from my paramedic partner. All with the same sample of blood, after washing hands etc. I’ve tried to be as scientific and accurate as possible. I know that meters /strips can be up 10-20% -/+ accurate, but 4 whole mol is a hell of a lot and has to be out of that range. I’m seeing my doctor later today and will discuss this with them, but got a feeling I’m going to have a fight on my hands. (Not sure what I want the result of that conversation to be) Do you think is wavesense faulty or just a poor meter? |
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Nov 28, 2012
oOCloundOo
1 post
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Topic: Site Development / Meter Upload Development Hi - I was just wondering if anyone of you have had experience programming with the AccuChek Combo meter, which uses infra-red to transmit data to the PC. I was wondering if there was any way we could read the data directly from the device?I'm a professional web programmer, so would be interested in creating a javascript based UI with ability to share data online (a bit like what by the sounds of it you were doing with the Ultra. |
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Nov 28, 2012
Simon Heller
46 posts
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Topic: Questions for HCPs / Metformin /Type 1 In theory, the maximum dose (two 500mg tablets twice a day) should give you the maximum benefit if you don't have side effects. I agree stopping it and seeing if things change might tell you if it is working. Simon H |
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Nov 28, 2012
DianeW
115 posts
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Topic: Questions for HCPs / Metformin /Type 1 How do you know if you are on the right dose? Mine hasnt changed in years and have always struggled with weight. And insulin resistance, how do you know it is better unless you stop taking metformin? |
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Nov 28, 2012
ketostix pla...
25 posts
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Hi, i have done a little research and have gathered should avoid from research. I am hitting gym quite hard and wonder if anybody has any advice on supplements that aid recovery or muscle development. I am aware dangerous for diabetics, but am not looking to take any risks, or unbalance control. Just thought someone may have some advice from any gym goers. |
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Nov 28, 2012
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / Ratios VS Time Of Day/Having a lie in! To be honest you dont see HCPs answering many questions, there are only a few that come on from time to time, they must be busy eh?..... A lot of the more experienced DAFNE graduates know more anyway, as we are actually managing our blood sugars on a daily basis... Insulin/Carb ratios exist because of insulin resistance, and insulin resistance is observed to change by time of day..... So in the morning you are more resistant because of the hormones swimming around that's job is to make you more resistant..... So whenever you get up, whether is 12:00pm or 17:00pm,. you would use the ratio for that time of day.... So for your example, you would use your lunchtime ratio if you get up at lunchtime (12:00)... I personally haven't experienced my ratios being too much or too little when I do sleep later, however with two under 5 kiddies, I hardly ever get past 9:30am..... |
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Nov 28, 2012
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / DAFNE view of Post-meal BG Testing A mid meal/mid dose test is the only one that I could justify as I mentioned before.......Obviously hypos,before driving and when sick days apply are essential....
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