Recent Posts - DAFNE Online

Nov 30, 2012

Carolin 83 posts

Topic: Questions ? / 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

Nov 30, 2012

Sam 64 posts

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

Nov 30, 2012

Alann 12 posts

Topic: General Discussion / Meter Advice / Promblem

Thanks Simon, just the confirmation I needed

Nov 29, 2012

fortbill1 1 post

Topic: DAFNE Online Mobile / Application Differences

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!

Nov 29, 2012

Annette Bell 58 posts

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

Simon said:
Hi Annette, this behaviour has been fixed in the latest update. Thanks.

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? Question

Annette

Nov 29, 2012

SimonC 78 posts

Topic: General Discussion / Meter Advice / Promblem

Alan

I 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.

Nov 29, 2012

Alann 12 posts

Topic: General Discussion / Meter Advice / Promblem

I have some concerns of the accuracy of the meter Iâ€™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 Iâ€™ve been using this meter as the main machine, it explains why Iâ€™ve had a couple of hypos over the last week.
The meter Iâ€™ve been comparing with are the AccuCheck Nano, and a â€˜True resultâ€™ (donâ€™t like the meter, but that is another story), and Bay Liner which I would hope is the most accurate of all, as Iâ€™ve borrowed it from my paramedic partner. All with the same sample of blood, after washing hands etc. Iâ€™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. Iâ€™m seeing my doctor later today and will discuss this with them, but got a feeling Iâ€™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?

Nov 28, 2012

oOCloundOo 1 post

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.

Nov 28, 2012

Simon Heller 46 posts

Topic: Questions ? / 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

Nov 28, 2012

DianeW 115 posts

Topic: Questions ? / 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?

Nov 28, 2012

ketostix pla... 25 posts

Topic: General Discussion / excercise supplement advice

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.

Nov 28, 2012

novorapidboi26 1,818 posts

Topic: Questions ? / 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?..... Wink

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.....

Nov 28, 2012

novorapidboi26 1,818 posts

Topic: Questions ? / 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.... Wink

Nov 28, 2012

novorapidboi26 1,818 posts

Topic: Questions ? / new to this!

also

BDEC Learning Programme

Still worth doing DAFNE when the opportunity comes though.....

Nov 28, 2012

novorapidboi26 1,818 posts

Topic: Questions ? / 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...

Nov 28, 2012

vaughanie 5 posts

Topic: Questions ? / 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.

Nov 28, 2012

vaughanie 5 posts

Topic: Questions ? / 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.

Nov 28, 2012

vaughanie 5 posts

Topic: Questions ? / 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.

Nov 27, 2012

annmarie bar... 4 posts

Topic: Carbohydrate Counting / Carb free

what about homemade lentil soup,or some kind of salad, i love chicken caesar salad minus the crutons. Very Happy

Nov 27, 2012

Ariane 14 posts

Topic: Questions ? / 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!!!

Nov 27, 2012

pauleiken 2 posts

Topic: Questions ? / 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!

Nov 30, 2012 Carolin 83 posts	Topic: Questions ? / 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

Nov 30, 2012 Sam 64 posts	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

Nov 30, 2012 Alann 12 posts	Topic: General Discussion / Meter Advice / Promblem Thanks Simon, just the confirmation I needed

Nov 29, 2012 fortbill1 1 post	Topic: DAFNE Online Mobile / Application Differences 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!

Nov 29, 2012 Annette Bell 58 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right Simon said: Hi Annette, this behaviour has been fixed in the latest update. Thanks. 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

Nov 29, 2012 SimonC 78 posts	Topic: General Discussion / Meter Advice / Promblem Alan I 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.

Nov 29, 2012 Alann 12 posts	Topic: General Discussion / Meter Advice / Promblem I have some concerns of the accuracy of the meter Iâ€™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 Iâ€™ve been using this meter as the main machine, it explains why Iâ€™ve had a couple of hypos over the last week. The meter Iâ€™ve been comparing with are the AccuCheck Nano, and a â€˜True resultâ€™ (donâ€™t like the meter, but that is another story), and Bay Liner which I would hope is the most accurate of all, as Iâ€™ve borrowed it from my paramedic partner. All with the same sample of blood, after washing hands etc. Iâ€™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. Iâ€™m seeing my doctor later today and will discuss this with them, but got a feeling Iâ€™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?

Nov 28, 2012 oOCloundOo 1 post	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.

Nov 28, 2012 Simon Heller 46 posts	Topic: Questions ? / 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

Nov 28, 2012 DianeW 115 posts	Topic: Questions ? / 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?

Nov 28, 2012 ketostix pla... 25 posts	Topic: General Discussion / excercise supplement advice 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.

Nov 28, 2012 novorapidboi26 1,818 posts	Topic: Questions ? / 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.....

Nov 28, 2012 novorapidboi26 1,818 posts	Topic: Questions ? / 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....

Nov 28, 2012 novorapidboi26 1,818 posts	Topic: Questions ? / new to this! also BDEC Learning Programme Still worth doing DAFNE when the opportunity comes though.....

Nov 28, 2012 novorapidboi26 1,818 posts	Topic: Questions ? / 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...

Nov 28, 2012 vaughanie 5 posts	Topic: Questions ? / 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.

Nov 28, 2012 vaughanie 5 posts	Topic: Questions ? / 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.

Nov 28, 2012 vaughanie 5 posts	Topic: Questions ? / 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.

Nov 27, 2012 annmarie bar... 4 posts	Topic: Carbohydrate Counting / Carb free what about homemade lentil soup,or some kind of salad, i love chicken caesar salad minus the crutons.

Nov 27, 2012 Ariane 14 posts	Topic: Questions ? / 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!!!

Nov 27, 2012 pauleiken 2 posts	Topic: Questions ? / 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!