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Dec 3, 2012
vaughanie
5 posts
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Topic: Carbohydrate Counting / Poppadoms - really? I just had a curry last weekend, my first ever since I did the DAFNE and looks like l got my CP count not just outside the ball park, but in the next town!I had 1 poppa, what I thought was half a plate of rice, chicken breast with minced lamb inside and a half plate of sauce. Thinking it was more like 10CP than the 6CPs I allowed for! |
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Dec 3, 2012
vaughanie
5 posts
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Topic: Carbohydrate Counting / White Bread or Brown? Marmite and Bovril are the Devil's work..!Granary bread however, till the cows come home. My favourite is Seed Sensation by Hovis but will buy others if that is sold out. White bread I am sorry but holds about as much delight as chewing cardboard which funnily enough, eating white bread closely resembles. 
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Dec 3, 2012
DianeW
115 posts
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Topic: Carbohydrate Counting / Tesco sandwich labelling I thought that recently food labelling was all going to be improved, I don't know if that has happened yet or not.I bought a Tesco Lighter Choice sandwich. It gave the carbohydrate value for 100g but NOWHERE on the packet (I checked several times) did it give the total weight, so I had to guess, which I can do yes, but that is not the point. This is terrible! The irony is that on a "normal" sandwich it does give the weight. It's no good giving the total suger value like it does because that is not the same. |
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Dec 2, 2012
Ariane
14 posts
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Topic: General Discussion / Sick day Hi Dean,Did you complete the DAFNE course? Have a look at the DAFNE Course Handbook on this website,(should be top right fourth down on this screen) It will be in there. Its under the 'Coping when you are ill' title. Here is the direct link : http://www.dafneonline.co.uk/hbook_topics/188 It basically refers to how your insulin regime should differ if you are ill and are producing ketones as a result of high blood sugar levels because you have an infection or are unwell. I won't explain it because it is too complex but it is explained in a very clear flow chart illustration in the handbook (link above). It confused me too at first, as I thought it would be something to do with legal issues about taking time off et c ! The term 'rules' is somewhat ambiguous but it becomes clear once you read and understand the guidelines because they are essentially 'rules on how to treat yourself when ill'. Hope this helps!
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Dec 2, 2012
Ariane
14 posts
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Topic: DAFNE Online Mobile / iPhone App - Comments & Custom Carb Items Hi there,Am also wondering how to add my own calculations or indeed some from the online site to my android app as the food lists do not match? I can't see the add my own button anywhere except the 'add entry' button which of course takes me to a diary entry rather than enabling me to add my own foods.  Can you help? Thanks! |
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Dec 2, 2012
Dean123
7 posts
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Topic: General Discussion / Sick day I I am new to this what do you mean by sick day rules, and how do you put them together? Thanks dean |
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Dec 2, 2012
Alan 49
280 posts
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Topic: General Discussion / Diary Entries - correction help please GillJust enter the date and time with 0+2 in the QA box your BG reading , select where you injected it and select 'Correctional' from the 'Type' options. |
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Dec 2, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / Diary Entries - correction help please The only time I ever do a correction dose is with a meal or if I had a high BS first thing in the morning.I would never do a correction before bed. This morning I had a high BS in the teens and did a correction of 2u QA. Jelly babies were at the ready  .My question is how would I enter a 2u correction without a meal time dose in my diary? Gill 
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Dec 2, 2012
Peter
103 posts
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The DUAG team are meeting tomorrow, and how to increase the rate of signatures on the petition is one of the items for discussion. Any suggestions gratefully received. |
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Dec 1, 2012
Sam
64 posts
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Topic: Site Development / New diagnosis Just realised I posted in wrong bit! Oh well!Thanks. She's still in hospital they're not happy with her BGs so keeping a closer eye on her. Poor wee soul must be frustrated! I've spoke to her and told her to listen to the professionals and me haha! She's asking lots of questions and I can happily answer them. They won't have her carb counting until she stabilises a bit. I've told her to get on dafne which will make all the difference. Thanks for listening to my rant
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Dec 1, 2012
Warwick
434 posts
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Topic: Questions ? / DAFNE view of Post-meal BG Testing Hello,I had a training session on the Accu-chek Aviva Expert today, and the guy taking the training (while overseen by DAFNE educators) said to test 2 and 4 hours after eating. The general idea is that the 2 hour test should show BGs around about 8.0, and the 4 hour test should show BGs around 6.0. The 'science' behind it is that if you are significantly lower than 8 at the 2 hour mark, then you may be heading for a hypo. Of course, all of this depends on the GI of the food consumed, what exercise you are doing, whether it's hot or cold weather etc, so it is just a general guideline. Perhaps try for a week while recording results, and if you find you can accurately predict when you are heading too low from the 2 hour reading, then continue, but if not, then don't. Hope this helps. Warwick. |
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Dec 1, 2012
Warwick
434 posts
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Topic: Questions ? / Concerns of Meter Readings Meters have to be within 20% of the real BG reading. Looking at the readings above, and assuming with the 14.4 figure that the TR and AN might be reading a bit low, the WSJ would just sneak in. Do you still get hypo symptoms when having a hypo? If so, next hypo, I would test using all three and see if they are all showing you as being below 4.Are you planning on having an HbA1c any time soon? A recommendation is to check your BGs as close as possible to your blood being taken for the HbA1c. When the results come back, part of the report should have what your BG reading was at the time of the test. This should be about as accurate as you can get, and then you can check your meter(s)' results against that result. I am having similar concerns with the Accu-check Expert. I received one today, and I love its features, but because I had a whole bunch of test strips from my old meter to use up, I thought I would test on the same drop of blood. The Expert has been giving me much higher readings then my old meter all day. Finally before dinner, I dug out every meter I have in the house, and ran a test with all 5 of them. Here are my results: Meter 1: My backup Optium Exceed Freestyle: 11.4 Meter 2: True Result: 10.4 Meter 3: My current meter - Optioum Exceed Freestyle: 10.7 (using strips from the same pack as meter 1) Meter 4: Accu-chek Mobile - 10.6 Meter 5: Accu-chek Expert - 12.6. With the exception of the Expert, the rest are all within 1 mmol/L of each other which I can live with, but the Expert is 2 mmol/L different to its sister meter from Accu-chek, and 2.2 from the lowest result. I am pretty sensitive to insulin, and being out by 2 mmol/L is an issue for me. This seems quite dangerous - a reading from the Optium today told me I was 4.5, so not safe to drive, while the Expert said 5.4, in which case I would be OK to drive. It also increases the likelihood of hypos as I might take too much insulin. I'll discuss with Accu-chek this week. Perhaps I have a bad batch of strips. I doubt that the other four meters are ALL on the low side. I tend to get hypo symptoms bang on 4.0 with the Optium, but that may be that because I have been using it for the last 2 years, I have trained my body into getting hypo symptoms at whatever BG level I have when the Optium reads 4.0. All the best with it, and hope that you get some resolution. Warwick. |
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Dec 1, 2012
Alann
12 posts
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Topic: Questions ? / Concerns of Meter Readings Really need some advice and or reassurance here, so any comments would be welcomed especially from health care professionals. In my last post I raised concerns about the accuracy of my meter, after a number of hypos this week. Well having had a long conversation this evening with a representative from Wave sense and conducting two tests while on the phone with them, the results over three different manufactures meters where more or less the same. Fears put aside and feeling assured that the inconsistency I had found and the resulting hypo had been down to other factors and the Wave Sense jazz was in fact working correctly.Well it came to my bed time test and I thought I would share the results with you. I preformed three tests on three different meters with interesting results. It has to be remembered that I believe the meter use different technologies, but I would expect the result to be similar. The greatest concern is the widely varying results given by the Wave Sense Jazz. Test 1 True Result – 9.3 Wave sense Jazz -12.1 AccuCheck Nano – 10.1 Test 2 True Result – 9.7 Wave sense Jazz -14.4 AccuCheck Nano – 10.3 Test 3 True result – 9.2 Wave sense Jazz -9.4 AccuCheck Nano – 9.2 Each meter was charged with the same drop of blood and each test was done within a minute of the previous one. Now as you can see if I had believed the Jazz on test two I would taken a larger correction and potentially gone hypo in the night. |
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Nov 30, 2012
Alann
12 posts
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Topic: General Discussion / Petition for government funding Signed and published on other sites
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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 ? / 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
280 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 ? / 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
1,818 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
1,818 posts
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Topic: Questions ? / 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 ? / 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 ? / 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 |