Recent Posts - DAFNE Online

Nov 20, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Insulin Pump approval

Leigh,

Can I ask what kind of numbers you get in the morning......?

I also suffer from this however its not bad enough to get me up out of bed at that time....!!

I assume your on a split dose of BI and your PM one is as late as possible......[before bed]...

Nov 20, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Levemir

I take it you use actual pens as opposed to disposables?

Nov 20, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Ratios

You should wait to see what that recent change has done to your blood sugars, even if you think you should of went for more or less.......

Its a good habit to get in to, its methodical and helps.........

Nov 20, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Lantus - decreasing

If you are confident enough then yeah, add on the additional units and then proceed with the 3 days testing (3 am etc...)........

Have you been ill........?

Any alcohol......?

Nov 20, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Lantus - decreasing

I'm having hypos all over the place ie waking up to them plus having them during the day.
One week ago on Monday evening 12/11/2012 I reduced my lantus (BI) by 6u so from 42u to 36u (on a say so from my DSN). I decreased it again last night by 2u so from 36u to 34u. I can't help thinking I should've maybe reduced it by 4u. I know lantus should be left for 3 / 4 days / 1 week before making any more changes. Is it too late after just 1 night be reducing it once more then stick with this change for the next few days?

Thanks in advance for any replies Smile

Nov 19, 2012

paulj 36 posts

Topic: Questions for HCPs / exercise query

this morning i decided to go for a 5 mile walk after breakfast.
my BG reading when igot up before breakfast was -11.3
i had 7cps for breakfast and had 3.5 units of q/a insulin plus 1.0 correction i.e. total 4.5 q/a units ratio= half to one
i also took my BI of 7 units
before i started my walk an hour later my BG was-20.8
halfway through the walkmy BG level was-9.9
i then ate 2CP'S of carbohydrates and at the end of my walk one and a half hours later my BG level was 5.8

my questions are -
1.should i have taken my normal 1/1 ratio for breakfast and started with a lower BG level and taken on extra cp's as and when needed?
2.with the high BG level i started with should i have tested for KETONES ?

which option in your opinion would be best for me in the future?the goods thing about this for me was i didnt develop a HYPO as i would have normally done starting with a lower BG level and exercising afterwards.
my ulitimate aim for the next three months is to have as few hypo's as possible to develop in the future better awareness of the onset of hypo's

i realise everyone reacts differently to exercise butr i am a little bit confused at the moment as what would have been and will be the best option in the future

your anticipated advice is greatly appreciated

Nov 19, 2012

paulj 36 posts

Topic: Questions for HCPs / FASTING TARGET

what is a FASTING TARGET and what is the difference between this and a BEFORE MEAL TARGET

Nov 19, 2012

Laurenjayne123 1 post

Topic: General Discussion / Insulin Pens for NovoRapid & Lantus

I found the clickstar to be a much better pen and I do believe its more recent. It looks alot nicer and is a similar style to the nova pens. As for the nova echo pen I have one and it's great and I heard they last a long while too.

Nov 18, 2012

SA2010 69 posts

Topic: General Discussion / Ratios

Hi. I believe you wait for indication to show consistency over 2 days before increasing the QA ratio but if dealing with hypos then can change the ratio for the next time you have that meal, be it breakfast, lunch or evening meal.

This assumes that the BI doses are not being changed at the same time. When making a BI change, I normally wait 2-3 days at least before making any further changes

Simon

Nov 18, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Ratios

How often can ratios be changed?

If I was on a 1:10 or 1.5: 10.......ratio do I have to wait for 3 or 4 days before I change it again?

Gill

Nov 18, 2012

tcmonkey80 41 posts

Topic: Questions for HCPs / insulin pump

Hi, how does the insulin pump work out corrections?

Nov 18, 2012

tcmonkey80 41 posts

Topic: General Discussion / Insulin pump

Thanks RichFreed, I do feel better knowing that I am doing things correctly. It feels very strange not having any injections but cant say I really miss them Smile

.
I to am not completely sure how the pump works out corrections, I will have to learn to trust the pump, I don't even trust my sat nav he he

Nov 18, 2012

RichFreed 51 posts

Topic: General Discussion / Insulin pump

Yep doing BG with no carbs will calculate the correction assuming you have all of those relevant variables set in the Bolus wizard setup.

The correction philosophy of the pump calcs don't really make sense to me to tell you the truth. When you enter a lower than target BG it will try to correct you up to the very bottom of your target range & if you are higher than your range it will try to correct down to the top of your range only. I had my range originally set to 5.7-5.7 to get around that issue but it would always warn me I was outside of my target range for any BG other than 5.7 so to compromise I changed to 5.0-5.7.

I've only ever injected/inserted the cannula into my belly, I tried the thigh once but 70units into one spot and feeling the tissue between my fingers expanding was to freaky for me I afraid.

I also purchased their CGM unit - in Australia Medtronic have a deal where you get what they call a starter pack for less that $400au (should be about Â£250 in UK)which gets you the transmitter device + 5 sensors.

Nov 18, 2012

SA2010 69 posts

Topic: General Discussion / Insulin Pens for NovoRapid & Lantus

Just came across the 'NovoPen 'Echo' whilst googling for discussions on memory lapses for taking insulin dose. Could not remember if I took my dose this morning. The echo appears to have memory of the last dose and how long ago it was so will try to get it prescribed to replace my NovoPen 3 Demi pen. The echo copes with half unit doses so should be ok for me. Anyway just thought I would share this bit of information with you all.

Whilst looking into Pens and with previous discussions on the Lantus Solostar pen accuracy of doses (it continues to release insulin after reaching zero), I came across the ClickStar pen for use with Lantus. Has anyone migrated from Solostar to ClickStar? Is it a better pen? Is it more recent ?

Nov 18, 2012

tcmonkey80 41 posts

Topic: General Discussion / Insulin pump

Hi RichFreed, I have the same pump as yourself, I too always use the Bolus wizard.
So if i enter my BG then say 0 carbs the machine will work out the amount i need? so in theroy I just select ACT?
I have also noticed I am having trouble keeping my sugar levels down when my canual is in my thigh, is this something you have experienced?

Nov 18, 2012

RichFreed 51 posts

Topic: General Discussion / Insulin pump

2.5 what?

I use a Medtronic Minimedipad Paradigm I usually use the Bolus wizard which asks 2 key questions.
1. BG (optional - if I have taken a reading)
2. Grams of carbs being taken.

If I ignore question 1 it will calculate insulin with no correction. If I do answer question 1 it will calculate insulting with +|- corrections.

I was high for the first few days while figuring out the Basal Rates. I'm still struggling a little with morning highs but I'm nearly there (struggled with them prior to pumping too)

Nov 17, 2012

Gibsjoh 2 posts

Topic: General Discussion / Levemir

I have been using Novorapid and Levemir for many years, a few months ago I did my morning bg test and could not understand why it was so high, had a day of not eating a lot as bg always high, next morning same again checked Levemir pen and noticed when I removed needle cover it was wet removed the vial and twisted the top which came away in my hand checked another vial and it had a crack in it. This morning bgs high again checked Levemir vial and yes a crack looked at another one it also had a crack in the vial. That has been four faulty Levemir vials in the last six months and no problems with the NovoRapid vials. If you start getting crazy bg readings for no apparent reason check your insulin vials.

Nov 17, 2012

Leigh Gilmore 4 posts

Topic: General Discussion / Insulin Pump approval

Hi, I was recently added to the Lothian waiting list and was told to expect to wait "up to four years" as a worst case scenario, although they are hoping that funding will be increased and so I won't have to wait that long. I'm counting the days already as I too am affected by dawn phenomenon and am hating getting up for a 4am injection every day.

Nov 17, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Injection sites

I inject QA humalog into my stomach in like a smiley face rotation then BI lantus into thighs sometimes left and sometimes right.

Nov 17, 2012

tcmonkey80 41 posts

Topic: General Discussion / Insulin pump

Hey, well i have been on insulin for 3 days now, and they feel like the longest 3 days of mylife.
I feel I don't completely understand the pumo, i enter all the information and the pump does it magic. Only thing I am unsure about is, if my pump says 2.5 and i have just had say 40g do i enter what the pump is telling me or do i add on the carb count?
I have felt that today I have been stupidly high on BG levels and i hadnt been this high on injections for a very long time Sad

Nov 17, 2012

tcmonkey80 41 posts

Topic: General Discussion / I did it :)

Hey Nick,

I completed DAFNE in September 2011, various appointment over the year to be told there is funding available.
I had to wait a total of 3 months from the day I had been approved.

Hope that helps? For the record though this was for a 2nd hand pump and not a brand new one, so not sure if that had made things move along quicker

Fingers crossed the wait isnt too long Smile

Nov 17, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Injection sites

could it not be that your stomch has a slower absorbtion through over use nd that your thighs and other sites are normal........
you may even be able yo reduce your dose

i cant imagine just injecting in one place, it would br a mess

Nov 17, 2012

Alan 49 284 posts

Topic: General Discussion / Injection sites

I always inject into the stomach, so (unfortunately) I have a fairly extensive area to vary the actual site. I find that when eating out, I can discreetly inject at the table, which is far more convenient than trooping off to the loo,

A couple of years ago I tried injecting my dinner-time QA dose into my thigh. My pre-bed test was OK, but I had a nighttime hypo and my wife had to sort me out. I assumed that I had mis-calculated my carbs and injected to much Humalog but I overlooked the fact that my pre-bed test ruled that out. A day or so later, I tried the thigh injection before dinner again - and again I had a nighttime hypo. There seemed to be an obvious connection, so I contacted my HCP, who told me that by injecting in the thigh, I still had some of my QA dose lurking about in my body when I went to bed, leading to the hypos later on.

Consequently, I always inject in the stomach.

Nov 20, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Insulin Pump approval Leigh, Can I ask what kind of numbers you get in the morning......? I also suffer from this however its not bad enough to get me up out of bed at that time....!! I assume your on a split dose of BI and your PM one is as late as possible......[before bed]...

Nov 20, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Levemir I take it you use actual pens as opposed to disposables?

Nov 20, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Ratios You should wait to see what that recent change has done to your blood sugars, even if you think you should of went for more or less....... Its a good habit to get in to, its methodical and helps.........

Nov 20, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Lantus - decreasing If you are confident enough then yeah, add on the additional units and then proceed with the 3 days testing (3 am etc...)........ Have you been ill........? Any alcohol......?

Nov 20, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Lantus - decreasing I'm having hypos all over the place ie waking up to them plus having them during the day. One week ago on Monday evening 12/11/2012 I reduced my lantus (BI) by 6u so from 42u to 36u (on a say so from my DSN). I decreased it again last night by 2u so from 36u to 34u. I can't help thinking I should've maybe reduced it by 4u. I know lantus should be left for 3 / 4 days / 1 week before making any more changes. Is it too late after just 1 night be reducing it once more then stick with this change for the next few days? Thanks in advance for any replies

Nov 19, 2012 paulj 36 posts	Topic: Questions for HCPs / exercise query this morning i decided to go for a 5 mile walk after breakfast. my BG reading when igot up before breakfast was -11.3 i had 7cps for breakfast and had 3.5 units of q/a insulin plus 1.0 correction i.e. total 4.5 q/a units ratio= half to one i also took my BI of 7 units before i started my walk an hour later my BG was-20.8 halfway through the walkmy BG level was-9.9 i then ate 2CP'S of carbohydrates and at the end of my walk one and a half hours later my BG level was 5.8 my questions are - 1.should i have taken my normal 1/1 ratio for breakfast and started with a lower BG level and taken on extra cp's as and when needed? 2.with the high BG level i started with should i have tested for KETONES ? which option in your opinion would be best for me in the future?the goods thing about this for me was i didnt develop a HYPO as i would have normally done starting with a lower BG level and exercising afterwards. my ulitimate aim for the next three months is to have as few hypo's as possible to develop in the future better awareness of the onset of hypo's i realise everyone reacts differently to exercise butr i am a little bit confused at the moment as what would have been and will be the best option in the future your anticipated advice is greatly appreciated

Nov 19, 2012 paulj 36 posts	Topic: Questions for HCPs / FASTING TARGET what is a FASTING TARGET and what is the difference between this and a BEFORE MEAL TARGET

Nov 19, 2012 Laurenjayne123 1 post	Topic: General Discussion / Insulin Pens for NovoRapid & Lantus I found the clickstar to be a much better pen and I do believe its more recent. It looks alot nicer and is a similar style to the nova pens. As for the nova echo pen I have one and it's great and I heard they last a long while too.

Nov 18, 2012 SA2010 69 posts	Topic: General Discussion / Ratios Hi. I believe you wait for indication to show consistency over 2 days before increasing the QA ratio but if dealing with hypos then can change the ratio for the next time you have that meal, be it breakfast, lunch or evening meal. This assumes that the BI doses are not being changed at the same time. When making a BI change, I normally wait 2-3 days at least before making any further changes Simon

Nov 18, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Ratios How often can ratios be changed? If I was on a 1:10 or 1.5: 10.......ratio do I have to wait for 3 or 4 days before I change it again? Gill

Nov 18, 2012 tcmonkey80 41 posts	Topic: Questions for HCPs / insulin pump Hi, how does the insulin pump work out corrections?

Nov 18, 2012 tcmonkey80 41 posts	Topic: General Discussion / Insulin pump Thanks RichFreed, I do feel better knowing that I am doing things correctly. It feels very strange not having any injections but cant say I really miss them . I to am not completely sure how the pump works out corrections, I will have to learn to trust the pump, I don't even trust my sat nav he he

Nov 18, 2012 RichFreed 51 posts	Topic: General Discussion / Insulin pump Yep doing BG with no carbs will calculate the correction assuming you have all of those relevant variables set in the Bolus wizard setup. The correction philosophy of the pump calcs don't really make sense to me to tell you the truth. When you enter a lower than target BG it will try to correct you up to the very bottom of your target range & if you are higher than your range it will try to correct down to the top of your range only. I had my range originally set to 5.7-5.7 to get around that issue but it would always warn me I was outside of my target range for any BG other than 5.7 so to compromise I changed to 5.0-5.7. I've only ever injected/inserted the cannula into my belly, I tried the thigh once but 70units into one spot and feeling the tissue between my fingers expanding was to freaky for me I afraid. I also purchased their CGM unit - in Australia Medtronic have a deal where you get what they call a starter pack for less that $400au (should be about Â£250 in UK)which gets you the transmitter device + 5 sensors.

Nov 18, 2012 SA2010 69 posts	Topic: General Discussion / Insulin Pens for NovoRapid & Lantus Just came across the 'NovoPen 'Echo' whilst googling for discussions on memory lapses for taking insulin dose. Could not remember if I took my dose this morning. The echo appears to have memory of the last dose and how long ago it was so will try to get it prescribed to replace my NovoPen 3 Demi pen. The echo copes with half unit doses so should be ok for me. Anyway just thought I would share this bit of information with you all. Whilst looking into Pens and with previous discussions on the Lantus Solostar pen accuracy of doses (it continues to release insulin after reaching zero), I came across the ClickStar pen for use with Lantus. Has anyone migrated from Solostar to ClickStar? Is it a better pen? Is it more recent ?

Nov 18, 2012 tcmonkey80 41 posts	Topic: General Discussion / Insulin pump Hi RichFreed, I have the same pump as yourself, I too always use the Bolus wizard. So if i enter my BG then say 0 carbs the machine will work out the amount i need? so in theroy I just select ACT? I have also noticed I am having trouble keeping my sugar levels down when my canual is in my thigh, is this something you have experienced?

Nov 18, 2012 RichFreed 51 posts	Topic: General Discussion / Insulin pump 2.5 what? I use a Medtronic Minimedipad Paradigm I usually use the Bolus wizard which asks 2 key questions. 1. BG (optional - if I have taken a reading) 2. Grams of carbs being taken. If I ignore question 1 it will calculate insulin with no correction. If I do answer question 1 it will calculate insulting with +\|- corrections. I was high for the first few days while figuring out the Basal Rates. I'm still struggling a little with morning highs but I'm nearly there (struggled with them prior to pumping too)

Nov 17, 2012 Gibsjoh 2 posts	Topic: General Discussion / Levemir I have been using Novorapid and Levemir for many years, a few months ago I did my morning bg test and could not understand why it was so high, had a day of not eating a lot as bg always high, next morning same again checked Levemir pen and noticed when I removed needle cover it was wet removed the vial and twisted the top which came away in my hand checked another vial and it had a crack in it. This morning bgs high again checked Levemir vial and yes a crack looked at another one it also had a crack in the vial. That has been four faulty Levemir vials in the last six months and no problems with the NovoRapid vials. If you start getting crazy bg readings for no apparent reason check your insulin vials.

Nov 17, 2012 Leigh Gilmore 4 posts	Topic: General Discussion / Insulin Pump approval Hi, I was recently added to the Lothian waiting list and was told to expect to wait "up to four years" as a worst case scenario, although they are hoping that funding will be increased and so I won't have to wait that long. I'm counting the days already as I too am affected by dawn phenomenon and am hating getting up for a 4am injection every day.

Nov 17, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Injection sites I inject QA humalog into my stomach in like a smiley face rotation then BI lantus into thighs sometimes left and sometimes right.

Nov 17, 2012 tcmonkey80 41 posts	Topic: General Discussion / Insulin pump Hey, well i have been on insulin for 3 days now, and they feel like the longest 3 days of mylife. I feel I don't completely understand the pumo, i enter all the information and the pump does it magic. Only thing I am unsure about is, if my pump says 2.5 and i have just had say 40g do i enter what the pump is telling me or do i add on the carb count? I have felt that today I have been stupidly high on BG levels and i hadnt been this high on injections for a very long time

Nov 17, 2012 tcmonkey80 41 posts	Topic: General Discussion / I did it :) Hey Nick, I completed DAFNE in September 2011, various appointment over the year to be told there is funding available. I had to wait a total of 3 months from the day I had been approved. Hope that helps? For the record though this was for a 2nd hand pump and not a brand new one, so not sure if that had made things move along quicker Fingers crossed the wait isnt too long

Nov 17, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Injection sites could it not be that your stomch has a slower absorbtion through over use nd that your thighs and other sites are normal........ you may even be able yo reduce your dose i cant imagine just injecting in one place, it would br a mess

Nov 17, 2012 Alan 49 284 posts	Topic: General Discussion / Injection sites I always inject into the stomach, so (unfortunately) I have a fairly extensive area to vary the actual site. I find that when eating out, I can discreetly inject at the table, which is far more convenient than trooping off to the loo, A couple of years ago I tried injecting my dinner-time QA dose into my thigh. My pre-bed test was OK, but I had a nighttime hypo and my wife had to sort me out. I assumed that I had mis-calculated my carbs and injected to much Humalog but I overlooked the fact that my pre-bed test ruled that out. A day or so later, I tried the thigh injection before dinner again - and again I had a nighttime hypo. There seemed to be an obvious connection, so I contacted my HCP, who told me that by injecting in the thigh, I still had some of my QA dose lurking about in my body when I went to bed, leading to the hypos later on. Consequently, I always inject in the stomach.