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15,751 posts found
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Nov 25, 2012
Simon
574 posts
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Topic: DAFNE Online Mobile / How to upload diary from app to website Hi Anna,Have you been to the settings page of the app, and set diary upload to 'on'? Also which iPhone are you using? Simon |
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Nov 24, 2012
AnnaConstant...
5 posts
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Topic: DAFNE Online Mobile / How to upload diary from app to website thank you both for your replies. unfortunately it doesn't upload when entering a new entry.Marke - is the android app different to the iphone app as i don't actually have a download button on the iphone app. unfortunately i think i may just have to manually enter onto the website 
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Nov 24, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / Lantus I know they say to make changes to lantus every three or four days or a week, but due to me having night hypos or waking to them I'm going to try reducing it each night. So if I have a night hypo or wake in the low 4s I'll reduce it again the next night until I'm OK.What would you do in my situation: 1. do as I'm going to do or 2. leave it for every three or four days or a week or 3. do it a bit sooner than three/four days/1 week Thanks in advance for any replies 
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Nov 24, 2012
Ahmentep
98 posts
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Topic: DAFNE Online Mobile / How to upload diary from app to website Hi Marke,Ignore that last comment, it was rubbish! I was thinking at the time of the lack of synchronisation in that, when I enter details on one device they are not automatically downloaded to the other. It is the download button that I have to press. Kind regards, Roger |
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Nov 24, 2012
SA2010
69 posts
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Topic: General Discussion / Hypo one day high the next day after similar meal - Delayed Activity impact / new pen? Strange BG readings - an unexpected Hypo 22/11/12 @ 19:56 and the second day with similar evening meal unexpected high ! It seems that we are always getting readings we do not understand. Does not add up.Could it be : 1. change of pen ? switched from NovoPen 3 Demi to NovoPen Echo as from lunch time on 22/11/2012. Only difference I noticed is that the Echo continues to release insulin at end of dose whilst end is pressed. Similar to what Solostar does for Lantus. The leaflet says count to 6 seconds - but maybe this is a new factor to take into account. The NovoPen 3 Demi hardly released any. Almost none. 2. Delayed effect of activity causing the hypo. An hour travel for eye check in the afternoon.? 3. A glass of red wine with meal? Hypo was one hour after meal so quite quick. The wine bottle was opened a few days earlier. Does this change how red wine behave? I have had red wine before with no significant impact to BG. 4. A thought: Is it possible that QA:CP ratios should be different depending on BG level? For the 2 evening meals pre meal BGs were 6.0 and 10.1. The accuracy of the Accu-Chek Expert is probably about 1 mmol as a repeated test for the 2nd day gave BG 9.3 (variation 9.3-10.1 for same time). Maybe ratios should be lower if BG below 7.0 and higher if above 8.0? Just a thought that it is not as simple as just having +/- QA corrections Any views? PS Also Beans were implicated in high BG reading on 21st November. Nuts and Beans always get implicated for me and perhaps should be counted - partially?. Simon |
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Nov 23, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / Hypos Ahh I see thank you
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Nov 23, 2012
novorapidboi26
1,818 posts
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Topic: General Discussion / Hypos Well, yeah, there is no chewing, but I think its more to do with not having to be broken down in the stomach, it just gets digested almost instantly, and so the valuable carbs can be processed and distributed.Its not exactly the same way, you would put 15g of carbs for your hypo as 0 + 1.5. So the 0 lets you know and others/HCPs that you were not having any meal time carbs with insulin, but that you are just having carbs uncovered by insulin. Obviously writing it in CPs [Carbohydrate Portions] helps from a DAFNE point of view |
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Nov 23, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / Hypos
Re liquid being quicker that's because your not having to chew something for ages. Re put in the carb amounts of the hypo treatment - would this be the same way as I enter for meals? Supposing I'd had 20g or 30g carbs? |
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Nov 23, 2012
novorapidboi26
1,818 posts
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Topic: Questions ? / Hypos If your getting hypos before your next meal that suggests the dose is too much for that meal......If you had a hypo quite quick after the meal/injection then the dose timing could be a consideration, ie you may need to reduce the time between injecting and eating.... |
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Nov 23, 2012
mum2westiesGill
502 posts
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Topic: Questions ? / Hypos Hi novorapidboi26,I've just posted some replies on my other "HYPOS" topic in the General Discussion section
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Nov 23, 2012
novorapidboi26
1,818 posts
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Topic: General Discussion / Hypos I used to have jelly babies, but I thought they were too many calories... .....so moved to Asda's chosen by you ISOTONIC SPORTS DRINK....I also find liquid is much quicker at treating hypos.... If you could put in the carb amounts of the hypo treatment as 0+1.5 or 0+2 it will tell you and others that you had something to treat it..... There is no doubt that timing of your BI, even when on a single dose can be experimented with, for example some folk take there dose in the morning for whatever reasons. For you however it looks like the dose it too much so I would keep your dose time the same until you get a morning BG within 1-2mmol/l of your pre bed test for more than 2 days in a row..... |
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Nov 23, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / Hypos Hi novorapidboi26,I've just posted some replies on my other "HYPOS" topic in the Questions for HCPs section
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Nov 23, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / Hypos
Thanks for your wee example from your diary
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Nov 23, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / Hypos
Yes I'm going to continue to drop my BI dose. Exactly!! I usually treat hypos with 4 x jelly babies or 4 x fruit pastilles then when BS is back up again if at home 1 x round bread with a smearing of jam just to give the bread some taste. Yesterday though what happened no jelly babies eek so I had water with 3 x tspns of sugar which seemed to work a lot quicker. I HATE dextrose tablets! Thanks for mentioning about the "dose amount as opposed to timing". |
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Nov 23, 2012
mum2westiesGill
502 posts
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Topic: Questions ? / Hypos "I think the timing of your injection is OK in terms of changing, its only with dose changes that only one should be done at a time, according to DAFNE..What are your reasons for wanting to inject after the meal? Have you been getting hypos in between meals?! Thanks for confirming re the timing of injections/dose changes. The reasons for wanting to inject after the meal is because I thought maybe it might slow things down a bit and help to prevent hypos but then again maybe not. I've not been getting hypos in between meals. Please don't give me any more hypos to contend with lol 
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Nov 23, 2012
novorapidboi26
1,818 posts
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Topic: General Discussion / Hypos Just a wee example from my diary showing how much easier it can be to see whats going on....... |
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Nov 23, 2012
novorapidboi26
1,818 posts
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Topic: General Discussion / Hypos It would seem you need to continue to drop your background dose.....Make sure you get your BI time right on the diary too, makes it easier to read......also keep your comments short, again, just because it makes it easier to read... You seem to be having a lot of hypos though, constantly, you must feel like its never ending...... How do you treat your hypos, and can you put that information into the diary also please....  I think that the lows your are experiencing are down to dose amount as opposed to timing. With a split dose of Lantus and with Levemir you can consider changing the times of dose to earlier/later in the evening.....but with a single dose, It wont make much difference I would imagine... |
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Nov 23, 2012
mum2westiesGill
502 posts
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Topic: Questions ? / Hypos "If your Lantus dose is still in question then you shouldn't be changing your QA dose....That's how I would look at it anyway.... DAFNE teaches to change only one thing at a time in order to keep as little variable in the equation as possible, and that your background dose should be spot on before any meaningful changes are made to QA doses...... So you have decreased your Lantus to stop the hypos coming, yet you have increased your pre dinner insulin ratio....... One may be cancelling out the other......" This is exactly what I thought ie one thing at a time. I know it's my lantus/BI at fault, I'm having to much of it. But now I don't know where the ++++ I'm upto also do I keep on with the decreasing of the lantus/BI and maybe alter the teatime/dinnr dose back to 1:10 instead of 1.5:10?? very  ! |
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Nov 23, 2012
mum2westiesGill
502 posts
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Topic: Questions ? / Hypos "Has your change in Lantus been confirmed as correct and working, ie....overnight tests and carb free meals during the day....."No |
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Nov 23, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / Hypos "How is your dose of 32 going then? What have the numbers being saying?" also if you look at my comments since Tuesday/Wednesday I've been bringing my lantus/BI an hour earlier each night. |
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Nov 23, 2012
novorapidboi26
1,818 posts
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Topic: Questions ? / Hypos Has your change in Lantus been confirmed as correct and working, ie....overnight tests and carb free meals during the day.....If your Lantus dose is still in question then you shouldn't be changing your QA dose.... That's how I would look at it anyway.... DAFNE teaches to change only one thing at a time in order to keep as little variable in the equation as possible, and that your background dose should be spot on before any meaningful changes are made to QA doses...... So you have decreased your Lantus to stop the hypos coming, yet you have increased your pre dinner insulin ratio....... One may be cancelling out the other...... Ask your DSN how you you are supposed to determine what each of these changes has done to your blood sugar if the changes happen at the same time...... I think the timing of your injection is OK in terms of changing, its only with dose changes that only one should be done at a time, according to DAFNE.. What are your reasons for wanting to inject after the meal? Have you been getting hypos in between meals? |
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Nov 23, 2012
novorapidboi26
1,818 posts
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Topic: General Discussion / Insulin Pump approval You would still inject for any carbs you had in the pre bed snack, but if it was cheese you wouldn't. The cheese does digest and although mostly fat does get converted into glucose. But it happens very slowly. But the theory is your body is aware that there is fuel in the gut being processed and so does not get the pancreas to release glucagon, or at least not as much, therefore keeping the liver from spitting out huge amounts of glucose.Normally most people have had nothing in there for 7-8 hours so your body needs a kick up the bum to get going........[dawn phenomenon]...... August was a while back, and together with the change in seasons, I would say its time for some background testing again to see if you need to tweak your dose.... |
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Nov 23, 2012
novorapidboi26
1,818 posts
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Topic: General Discussion / Hypos If your having scary hypos then you have to be safe and make sure you have treatment with you at all times.....As you are experiencing them at all times of the day it would definitely be the Lantus you need to look at. There could be some QA changes needed but you will never know the exact extent of that until your Lantus is pinned down.... How is your dose of 32 going then? What have the numbers being saying? Having something before bed is fine I suppose but the right thing to do when in a period of dose adjustment of your background is not to have anything..... I think the point Vic made about not being strictly DAFNE is that you shouldn't need to have any carbs before bed provided your doses are right. This has came hard for a lot of people who have always eaten something to avoid a hypo overnight.........but if this is happening, your dose is wrong.... So if you do have a snack that's fine, but you wont be able to record any meaningful BI test results, and therefore delaying you getting the right dose pinned down which will then let you investigate your QA doses.... |
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Nov 23, 2012
Ahmentep
98 posts
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Topic: General Discussion / Hypos Hi,I ALWAYS have supper! Quite a substantial supper too, sometimes an actual cooked meal. Always have done. Even so, I sometimes have hypos during the night. I don't see why it is 'anti dafne' to do so. Surely the whole priniple of DAFNE is that you should be able to eat normally, that is what the 'NE' stands for after all. Kind regards, Roger |
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Nov 23, 2012
Ahmentep
98 posts
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Topic: DAFNE Online Mobile / How to upload diary from app to website Hi Marke,I taket it that your explanation refers to the ipad/iphone app. I run the Android app on two devices and neither automatically upload when I make an entry. I have to press the upload button. Kind regards, Roger |