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Nov 15, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Surgery and insulin doses I would keep your breakfast BI the same, no changes, by the time 12:00 - 13:00 comes your breakfast insulin will have expired and you will be running on nothing but your BI dose, this should hold you steady throughout the operation.......you should be on target, if your over target a tad then I would leave it without correction, if your low then you obviously would treat it as you would with any low reading....If you are unsure whether your BI dose is accurate enough you could drop your breakfast dose by 2 - 3 units just so your running a wee tad higher over the course of the operation.. your surgeon would be aware of your condition and have preparations in place eg hypo resolve to hand I would assume.. |
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Nov 15, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / High blood sugars If its only day you are experiencing this all you can do it continue to correct every 4-5 hours with your meals..........Wait for a few days and see what happens, then think about making an adjustment.... Sometimes we can just have days like these.........but what your doing is fine...... 
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Nov 15, 2012
GillianRobb
1 post
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Hi Whiskysmum, I always, always inject after eating! My eyes are always too big for my belly especially when it comes to takeaway! I would also weigh the rice if I was at home.....eating out is different and really is an educated guess but I weigh/measure everything at home! Have you got the carbs n cals book? Its got some good take-away carb measurements in, I'm a chow mein girl and it's pretty much spot on! |
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Nov 15, 2012
DianeW
115 posts
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Topic: General Discussion / Surgery and insulin doses Can anyone advise please, I am going for my pre-admission tomorrow and I'd like to have some opinions so that I can discuss with them.I am having an op with a general anaesthetic, lasting about an hour. I have to go in for 4pm and they have said don't eat from 12 noon. I take my BI at breakfast and bedtime. Should I reduce my BI, and if so at which injection? Should I test before noon and if low, eat something to bring me up to normal BG and if high, correct with QA? Should I time breakfast for about 8am so that there is 4 hours until 12 and if necessary eat something. My actual op will probably be nearer 5pm. Thanks for any advice. |
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Nov 15, 2012
Gemsa
20 posts
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Topic: Carbohydrate Counting / Carb free Can anyone share any exciting carb free meals? I keep trying to do fasting bloods to test my BI but we don't often have eggs in the house and looking through the cupboards most things have carbs in them. I'm struggling with finding food to eat that is mentally making me feel like I've eaten a meal. Any suggestions? |
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Nov 15, 2012
marke
686 posts
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Topic: Questions for HCPs / snacking and corrections hi, sorry maybe that came across a bit wrong. What I meant was your control of Blood Sugar is not normal, as people we are no different from anyone elseand DAFNE makes you able to eat 'normally' ( not what you want, thats not normal even for non-diabetics  ).I guess with you its really your decision, the DAFNE 'rules' provide guidelines to what you should do however we are ALL different and react differently. It may be that the previous QA dose in your case has stopped having an effect it may not. There is also the fact that if you are like me when you are at 15 correction doses don't follow a linear pattern and you can pump in 5 units with little apparent effect. So maybe try experimenting with corrections but make sure you start off cautiously and make sure you consider any correction the next time you inject i.e if you correct at 11am then eat at 12, the previous insulin is still working.... |
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Nov 15, 2012
Gemsa
20 posts
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Topic: Questions for HCPs / snacking and corrections Thanks. (my mum would disagree, she has spend all my life trying unsuccessfully to make me feel I'm normal and not stick-out-like-sore-thumb)I guess I'm thinking about my worktime pattern. Eat at 6:30am, 10/11am I want a snack but am high... it's on the edge of when the QA should have stopped acting but my brain thinks its should have finished as breakfast seemed so long ago. I don't want a bad score at lunch time. My lantus seems to take 5 days to adjust rather than the 72 hrs so I guess my system just takes a bit longer so I should err on the side of caution with the 5hr rule even though brain says "it's 4hrs, what little can be left in the system you must have had your peak and it clearly didn't work, go on, go on, get the bloods down". I just don't have much patience and trust. Thanks |
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Nov 15, 2012
Gemsa
20 posts
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Topic: Questions for HCPs / corrections after a hypo So DAFNE rule is you don't make a correction dose the meal after a hypo even if your bloods are ridiculous.What if you aren't sure whether it was a night time hypo or not? I've woken up at 22 and feel rough as so really want to correct, but I had a nightime hypo the previous night and although I tested at 2am last night and was fine, the only reason I can see is I must have had a hypo? Therefore shouldn't really correct? |
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Nov 15, 2012
HelenP
218 posts
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Topic: Questions for HCPs / Surgery and insulin Another consideration is also how long you will be out to it. Helen |
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Nov 15, 2012
Ahmentep
99 posts
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Topic: General Discussion / How many units of insulin? You shouldn't need to guess. There will be a calculator on your computer, and on your phone.If you want to work in CPs it is 1.5 times 5 = 7.5 which, as Alan says, should be rounded up to 8. Unless of course, you know that you are likely to swing on the low side after your meal. |
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Nov 14, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / How many units of insulin? How many units of insulin would you have on1.5:1 ratio for 5 CPs / being 52.0g of carbs? Am i correct in guessing it would be 7u or 8u? My pen only allows me to dial up in 1 units not half units. |
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Nov 14, 2012
merstone
3 posts
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Topic: Questions for HCPs / DAFNE view of Post-meal BG Testing Hi novorapidboi26,I read with interest your fuller description of the above under the Post Readings thread in the General Discussion forum. All I've done in the past is to check that the "spike", as you call it, is preferably under, but not too much over, 10. Apparently no proof of the real benefits of this but somehow it seems right! Never previously thought of trying to fine tune the spike downwards by adjusting the QA-to-meal delay, although I have noticed that for me the spike tends to be lower when some delay has occurred. In addition to one's personal profile, I suppose we have other variables in the equation such as GI of the meal and the knock-on effect of any earlier exercise..... Anyway, food for thought, thanks. |
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Nov 14, 2012
DianeW
115 posts
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Topic: Questions for HCPs / Surgery and insulin I am having an op with a general anaesthetic, I have to go in for 4pm and they have said don't eat from 12 noon. I take my BI at breakfast and bedtime. Should I reduce my BI, and if so at which injection? Should I test before noon and if low, eat something to bring me up to normal BG and if high, correct with QA? Should I time breakfast for about 8am so that there is 4 hours until 12 and if necessary eat something. My actual op will probably be nearer 5pm. Thanks for any advice. |
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Nov 13, 2012
tallkenny
1 post
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Topic: General Discussion / Insulin Pump approval I went to an IPAG event recently after Doctor suggested a pump would help sort dawn phenomenon. Was sold, now I'm on the list but at current funding rate in West Lothian it's 3 years.....
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Nov 13, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / Ratios / higher number of units of insulin
That's correct I've never done DAFNE  . My one way of learning / teaching myself is by way of the forum. Now thanks to you lovely people on the forum I'm getting to know all about the dose adjusting - thank you  !Yes I've seen people refering to such ratios on diabetessupport. Another good forum. |
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Nov 13, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / How many units of insulin?
Yeah thanks for that! |
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Nov 13, 2012
Pauline1
1 post
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Topic: General Discussion / High blood sugars Help!! Low blood sugars for 2 days and feeling good. Today however, high all day and can't get them down. Any help out there? Not sure why. Doing carb free 2night. Also correcting with QA. Anything else? |
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Nov 13, 2012
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / weight loss - risks WOW, that's a difficult one, i would say I am about 3-4 stone overweight, although you wouldn't guess it........My belief is that I eat too many calories and dont exercise enough. Any activity I do is too light in terms of heart rate and I do love my grub.....especially at night....... I am not too worried about my appearance but I am concerned for my health.... Sorry no advice, just thought I would share my story...... 
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Nov 13, 2012
novorapidboi26
1,819 posts
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Topic: Questions for HCPs / DAFNE view of Post-meal BG Testing I regularly do it...............mostly between lunch and dinner, as I am fighting the dawn phenomenon between breakfast and lunch and my BI is running out between dinner and bed....And all it tells me is whether the timing of my dose, 10, 15, 20, 25, 30 minutes has met the profile of my digestion well, if it has and the meal is unique or rarely eaten I can take note and adopt the same timing next time....... |
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Nov 13, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Clickstar Pen - insulin delivery speed maybe there is a mechanism on it that helps the plunger depress at a more constant rate, however its very likely this is automatic.......I could be totally wrong though as I have been on disposables for 4 years plus.... |
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Nov 13, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Insulin Pump approval see response in other post.....
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Nov 13, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / Ratios / higher number of units of insulin I think there is a slight misunderstanding but remember that whiskysmum has not actually done DAFNE and so does not know the procedure when dose adjusting............you do now though..... you have probably been seeing people refer to such ratios on diabetessupport, however these people will be on pumps most likely. There will be some who are injecting and this may work for them......... I am sure I read somewhere that the standard/average carbs processes from 1 unit is 10 for adults and 15 for children, this may now be out of date but DAFNE is based on this.....
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Nov 13, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / One unit of insulin to ten grams carbs ratio I think for most DAFNE graduates they will take a incremental approach to dose adjustment.If 1:1 (1:10) is not enough for you then you would increase that to 1.5:1 (1.5:10), this makes its easier to calculate more achievable insulin dosages, however some people do need to get there ratio to a more accurate number eg 1.25:1, 1.75:1. Any more precise than that and it becomes difficult to dose properly unless your on a pump. If several days results show you need more, increase by .5 units to every 10 grams....
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Nov 13, 2012
novorapidboi26
1,819 posts
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Topic: General Discussion / I did it :) Hey Nick,I am currently still in the process of getting a pump......... I was referred to the clinic after my consultants agreed I would benefit from one. It also helped that the pump clinic within my PCT had secured funding for 18 pumps just for the adults alone. Without this I probably wouldn't have even been considered. I was referred in July/August and I am looking to go on the saline solution test period mid January, so not too long in the grand scheme of things. The length of time it has taken is probably down to the business of the clinic with the normal appointments.. I hope it not too long a wait.......
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Nov 13, 2012
Alan 49
284 posts
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Also: If you don't have a pen that allows you to dial up half a unit of insulin, you should round up 4.5 units to 5 units. |