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15,864 posts found
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Nov 28, 2012
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / new to this! alsoBDEC Learning Programme Still worth doing DAFNE when the opportunity comes though..... |
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Nov 28, 2012
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / Metformin /Type 1 if you have little/no resistance to your insulin then surely you can just say that to your doctor/consultant......If its obvious you are not on large doses of insulin that would be proof enough.... unless there is some other digestive reason... |
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Nov 28, 2012
vaughanie
5 posts
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Topic: Questions for HCPs / Metformin /Type 1 I am not happy with the idea of using Metformin. I do not need to lose weight and I am on statin + apsirin so cannot see any tangible benefit to me. I am no doctor but I am also not in the habit of taking stuff for the sake of it. I am guessing my GP thought it would help my overall control (maybe he thought I was overly insulin resistant) when actually my control was poor because I was not managing my diabetes. |
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Nov 28, 2012
vaughanie
5 posts
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Topic: Questions for HCPs / new to this! Hi,18 months! I would consult your consultant/clinic or GP and ask if you can be sent to another PCT where they could "buy" the course for you. I can't recommend it highly enough for someone like you as I was in a similar position as you. There are some basics to the course that you can pick up from the website but really the benefit I found was how you combine them to make life easier. I go with Phil here, first port of call is regular testing. Carb counting is a good start, not as easy as it looks, but it's like any other skill - the more you do it, the better you get at it. And if you GP is not happy with prescribing more strips - get a new GP that understands the needs of a diabetic. I have just changed to the other partner in my GP practice because she is very pro-DAFNE. |
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Nov 28, 2012
vaughanie
5 posts
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Topic: Questions for HCPs / DAFNE view of Post-meal BG Testing The feeling I got from the course was to avoid testing unless you are convinced you would benefit from knowing the result. The issue as I see it is you know your BG will spike after eating and surely that spike will be dependent on what you are eating.My control was not good before attending DAFNE and now it is improving. It did take some will-power not to just perform random testing trying to patternise my BGs over a very short period of time. I am just getting used to testing four times a day - but I am so glad I do - but still fighting the temptation to do additional tests too close together. |
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Nov 27, 2012
annmarie bar...
4 posts
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Topic: Carbohydrate Counting / Carb free what about homemade lentil soup,or some kind of salad, i love chicken caesar salad minus the crutons. |
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Nov 27, 2012
Ariane
14 posts
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Topic: Questions for HCPs / Ratios VS Time Of Day/Having a lie in! Thanks Pauleiken, great to get such a rapid response!It does help but what I am suggesting is sort of the opposite, because my ratios get higher not lower as the day progresses- I go from 1.5:1 , 2:1 to 2.5 :1. So I think what we are saying is that if you get up late your first meal of the day should be treated as your first ratio of the day regardless of time, on that logic I would be 1.5:1 @ Midday 'Breakfast' & 2:1 @ 4 pm 'Lunch' + 2.5:1 @ 8pm dinner if I had it. Does that make sense  P.s I am slightly confused since I thought it was healthcare professionals answering these questions in this forum???lol! Not that I don't appreciate your advice!!! |
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Nov 27, 2012
pauleiken
2 posts
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Topic: Questions for HCPs / Ratios VS Time Of Day/Having a lie in! My ratios are 3:1 breakfast, 2:1 lunch and 1:1 dinner, it seems for me to be the time of day and not meal which dictates ratios, if I have a lie in and get up about 10:30/11ish I find that the 3:1 is too much and cut it to 2.5:1 or even 2:1, and if lunch is late then I have to cut that ratio too. Hope it helps! |
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Nov 27, 2012
Ariane
14 posts
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Topic: Questions for HCPs / Ratios VS Time Of Day/Having a lie in! Right!So I though I would take the plunge on here and ask away. After graduating I am still grappling with most of it, but there is one thing that is very confusing ... If I get up at 12 o'clock because I have had a lie in and subsequently eat what is 'breakfast' to me, do I use my breakfast or lunch time ratio? Up till now I have used the logic that it is 12pm which technically according to time of day is time for a lunch time ratio of insulin, in my case 2:1, doing this has made me hypo twice over two days at exactly the same reading and time so it is definitely a question of too much insulin.  What do I do? a. When I have a lie in do my breakfast ratio until any time before 3pm b. Take it down unit by unit until i find the right balance ( I feel this is more risky and I'm less inclined...) I don't want DAFNE usage to become synonymous with more hypos in my daily life or feeling like I can't sleep in  , which seems to be what is happening at the moment.Advice please!!!!!! Ax |
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Nov 27, 2012
gab
2 posts
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Topic: Site Development / Uploading Data (Re-visited) I will compose an email shortly with all the details as suggested.I am researching the use of REST with VB at the moment, so there should not be any problems with that method. I found a snippet already which looks promising: You'll need to add a reference to the MSXML library: |
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Nov 27, 2012
marke
686 posts
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Topic: Site Development / Uploading Data (Re-visited) I said I was not going to bore people with techo-bablle Yes I am referring to REST. I think csv would be too complicated to implement on the server side in terms of validation. Its possible but I would be concerned about the damage that could be done with a csv file.....
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Nov 27, 2012
Simon
578 posts
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Mark, are you talking about the REST services? That's one way to do it - we could also look at the possibility of users uploading a CSV file as described by gab above. |
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Nov 26, 2012
marke
686 posts
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Topic: Site Development / Uploading Data (Re-visited) Hi,There IS a way of interfacing to the site directly to upload your data, I won't bore everyone with techno-babble so if you email us using the 'contact DAFNE Online' at the bottom of every page we can help. I one day hope to write a programme that allows lots of different meters to be interfaced to the site to upload data. It the moment I am bogged down in updating the Oz handbook and have not had chance to progress this at all. In the meantime I am more than happy to try to provide you with assistance to interface what you have written to the site. |
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Nov 26, 2012
SA2010
69 posts
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Topic: General Discussion / Lantus You can see that the Lantus is making a big impact 11 hours after. DAFNE rules say you can reduce BI by 10%-20% so for you that would be 3u-6u. BG 2.4 is far too low to wake up to. At 00:08 assuming this was sleep time, with BG at 4.3 you should have taken some CPs. A toast ? Did you do anything about it? Bedtime BG should be between 6 and 8. For me I try to be at the top end of this target.Go with minimum of 4u drop for Lantus. You can afford to drop more. You could always bring it up again later on once the hypos are eliminated and you find you need to do that. How did you establish you needed so much BI ? Apologise if you explained it elsewhere, Once the right level of BI has been established and settled down you may find you need higher QA:CP ratios but leave that tinkering till later and in the interim just have QA corrections when you find you need it. Simon |
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Nov 26, 2012
gab
2 posts
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Topic: Site Development / Uploading Data (Re-visited) Hi thereI am relatively new to this site, and was checking the forums to see what others are doing. I wanted to see if it was possible to upload data direct to the site, instead of typing it all in manually.I have read the older posts made by NiVZ concerning uploads, but this was using OneTouch meters, and trying to read the meter contents directly from this site. I have an Abbot Freestyle InsulinX meter, which allows connection via USB. It contains in-built self installing software which allows you to change the meter settings and create reports.It also allows direct export from the meter, where it produces a text file with all readings, carbs, QA and BI doses, including corrective doses and manual corrections (Tab delimited). The contents of the file are far more complex than necessary for upload, but could easily be trimmed, modified and presented as an uploadable text file. I have already developed software with Visual Basic 6 (Windows platforms only. 95/98/2000/Vista/7, Not tested on Windows Eight [using figure eight posts a smiley: 8]) to filter this file, and store only the required values in an Access database (DAO 3.6, compatible with Office 2000 onwards). The meter file always has the full set of values from the first use onwards, so when later files are produced, the software ignores values already stored and updates only the new data. Internally the meter works with the US units so has to be converted to read mmol as used in the UK. The comments you can store on the meter are only a list of pre-defined comments, so fairly limited. By storing all the values in a database, this can then be edited to add more meaningful comments if required. I developed the software to allow me to print a sheet of values in the same format as used in the DAFNE course for presenting to my GP or at post-DAFNE re-unions. At the moment it prints using VB's inbuilt Printer object, but I intended to automate Excel from within the software to produce a fully formatted worksheet at some point. I then started to use this site, and realised there was no need, as I could store everything here and print directly! The InsulinX meter is an excellent piece of kit, allowing you to use all the information, targets, ratios and calculations used by DAFNE.Once set up, it calculates dose based on the carbs you are about to consume, your ratio for that time of day, and any corrections needed for BG out of range at that time. Background Insulin can be input manually at the time of injection. By using this meter all the information used on this site is stored at the time of use, and it is easy to go on without recording this information externally, either in a log book, or here. I tend to log on here every few days and manually go through the meter to enter all the data. If it were possible to upload directly, this would be great. In the meantime I will experiment with using the Windows SetCursorPos and GetCursorPos api's and VB's SendKeys function to see if I can fill in the "Add multiple entries" grid programmatically. Anybody familiar with VB6 I will happily send you the source code produced so far |
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Nov 26, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / Lantus BI/lantus last reduced on Friday evening by 2u from 32u to 30u so it's been three days so I'm going to reduce it tonight by maybe 4u.Ps - I know there are some things missing from my diary so please ask away for any further info. |
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Nov 26, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / Ratios novorapidboi26,Thank you very much! But I can only try & do it with help from people like yourself who have been lucky enough to do DAFNE. I come on to the forum to ask my questions because I get more help here than I do at a 10 minute/half hour appt with my DSN. No disrespect to her because when I do see her she's very good. I like to get involved with the forum by asking my questions and by lurking around to see what others are saying/doing about things. I wish there had been something like this 20 years ago when I was dx. To you nrb26 and to all other DAFNE people on here thank you for all your help.
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Nov 25, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Ratios Gill,I have to say that your recent efforts have been very impressive, and you haven't even done DAFNE. You are always on the forums asking questions and getting involved. It has been nice to see, helps keep people motivated, including me...... Keep up the good work........ 
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Nov 25, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / Ratios
Thank you Simon & for replying so quickly I just like to keep checking on here cause I doubt myself and incase I'm wrong. Gill |
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Nov 25, 2012
SA2010
69 posts
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Topic: General Discussion / Ratios Yes. For QA:CP ratio of 1.5:1 then you would inject 3u of QA for 2 CPs (20g carbs).QA:CP is the ratio that DAFNE teaches. QA:CP ratio of 1.5:1 maps to 1u QA for 6.7g CHO (Carbs). Simon |
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Nov 25, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / Ratios How many units of insulin would you have on a1.5:10 ratio for example 2 CPs / being 20g of carbs? would it be 1.5 times 2 = 3 so 3u QA |
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Nov 25, 2012
Kieran Pierce
6 posts
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Topic: General Discussion / Surgery and insulin doses Keep an eye on your sugars pre and post op just to make sure.As richard.arkle has said from previous experience, I myself have had an op in which the anethiest has put me on a glucose drip 
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