Recent Posts - DAFNE Online

Oct 14, 2020

Ian Robertson 1 post

Topic: General Discussion / Quick Reference Guide?

NottsKnots said:
Well, I’ve drafted my own QRG. Its not had any kind of review by clinicians, so it cant be used iin any official capacity, but if anyone is interested in a copy, post here. I’ve done two formats, one in A5 booklet form so I can just refer to it occassionally, and one in “flash card” form.

Its all the same content, but the booklet has as an example, two pages on exercise on opposite pages so I can open the booklet and see both at the same time, whilst the cards has a card for exercise with the two pages on either side of the same sheet.

I started off thinking the flashcards was the way to go, but personally prefer the booklet layout, so I have both, and you’re welcome to try them out.

Topics covered:
Hypo rules (useful for other people!)
Sick day rules
Testing, and BI & QA
Stepwise approach & Snacks, and Treating BG below/above target
Eating out, and Alcohol (they generally go together
Exercise, additional carbs, insulin adjustment
Travel and driving (the travel page is based on the site recommended on the DAFNE course, plus a bit of my own experience - I used to travel, a lot).

I’m open to suggestions/proof reading/medical opinion/simplifiication from anyone.

Hi!
I have just come across this post and would be most grateful if you would send me a copy of your notebook and/or flashcards. I would be happy to make donation to a charity of your choice in exchange for them.
Please would you contact me via email:
[email protected]
Kind regards,
Ian Robertson

Aug 31, 2020

Warwick 434 posts

Topic: Carbohydrate Counting / extremely high blood first thing in the morning

Something worth considering for those with dawn phenomenon is the possibility of supplementing your basal insulin with NPH insulin. NPH has a peak between 6-8 hours after injecting, so injecting it between dinner and bedtime can lead to the peak action coinciding with the DP rise around 3-5 am, and help lower that. I'm not suggesting replacing basal insulin with NPH, but adding it to the insulins being used. I have found that it works quite well for me.

Aug 30, 2020

James Bee 1 post

Topic: Carbohydrate Counting / extremely high blood first thing in the morning

Hello,

Like you I used to have severe dawn phenomenon since I was a teenager (now 40), so I haven’t been able to eat breakfast in all that time as I’ve spent most mornings wrestling my glucose down. Your HCP may have not been convinced about splitting the dose as you’re on a relatively low dose but my DAFNE team recently suggested splitting mine (which I’ve never previously had suggested since starting a basal and bolus regime about 25 years ago) and it’s done wonders.

I was previously on 46u Lantus at night but have now been able to decrease it down due to the splitting and am on 20u PM and 15u AM and am waking up with it fine for the first time in more than half my life.

As it’s been a few months I hope you’re still doing well. I thought I’d share my experience as I wonder how many others are having similar issues and thought us sharing these experiences is exactly what this forum is for, so if anyone is having similar issues discuss this with your HCP.

Aug 20, 2020

sl0042 2 posts

Topic: Questions ? / slow acting insulin

thanks michaelj I will try that

Aug 19, 2020

michaelj 45 posts

Topic: Questions ? / slow acting insulin

I'm 78 and also sometimes have problems with insulin absorption especially in the tummy area. Unfortunately as we get older we tend to build a layer of fat around our middle and this interferes with insulin absorption. If you are injecting in the tummy area that could explain why you are having a struggle. You may have to use the thighs or the buttocks which is what I do. Not so hard as it sounds. I'm lucky as my missus is also happy to stick the needle in to my upper arms. Best of luck.

Aug 8, 2020

sl0042 2 posts

Topic: Questions ? / slow acting insulin

I have had type 1 diabetes for 6 1/2 years; I am 75 years of age.
My big problem is the fast acting insulin acts slowly; I started on Apidra & it was taking 3 hours to have an effect; I moved on to FIASP & on the instructions it said it had to be taken 0 - 1 minute before eating;
it still took 3 hours; I am now back on Apidra.
What am I doing wrong because my because my blood sugar levels are higher than they should be.
Thanks


Oct 14, 2020 Ian Robertson 1 post	Topic: General Discussion / Quick Reference Guide? NottsKnots said: Well, I’ve drafted my own QRG. Its not had any kind of review by clinicians, so it cant be used iin any official capacity, but if anyone is interested in a copy, post here. I’ve done two formats, one in A5 booklet form so I can just refer to it occassionally, and one in “flash card” form. Its all the same content, but the booklet has as an example, two pages on exercise on opposite pages so I can open the booklet and see both at the same time, whilst the cards has a card for exercise with the two pages on either side of the same sheet. I started off thinking the flashcards was the way to go, but personally prefer the booklet layout, so I have both, and you’re welcome to try them out. Topics covered: Hypo rules (useful for other people!) Sick day rules Testing, and BI & QA Stepwise approach & Snacks, and Treating BG below/above target Eating out, and Alcohol (they generally go together Exercise, additional carbs, insulin adjustment Travel and driving (the travel page is based on the site recommended on the DAFNE course, plus a bit of my own experience - I used to travel, a lot). I’m open to suggestions/proof reading/medical opinion/simplifiication from anyone. Hi! I have just come across this post and would be most grateful if you would send me a copy of your notebook and/or flashcards. I would be happy to make donation to a charity of your choice in exchange for them. Please would you contact me via email: [email protected] Kind regards, Ian Robertson

Aug 31, 2020 Warwick 434 posts	Topic: Carbohydrate Counting / extremely high blood first thing in the morning Something worth considering for those with dawn phenomenon is the possibility of supplementing your basal insulin with NPH insulin. NPH has a peak between 6-8 hours after injecting, so injecting it between dinner and bedtime can lead to the peak action coinciding with the DP rise around 3-5 am, and help lower that. I'm not suggesting replacing basal insulin with NPH, but adding it to the insulins being used. I have found that it works quite well for me.

Aug 30, 2020 James Bee 1 post	Topic: Carbohydrate Counting / extremely high blood first thing in the morning Hello, Like you I used to have severe dawn phenomenon since I was a teenager (now 40), so I haven’t been able to eat breakfast in all that time as I’ve spent most mornings wrestling my glucose down. Your HCP may have not been convinced about splitting the dose as you’re on a relatively low dose but my DAFNE team recently suggested splitting mine (which I’ve never previously had suggested since starting a basal and bolus regime about 25 years ago) and it’s done wonders. I was previously on 46u Lantus at night but have now been able to decrease it down due to the splitting and am on 20u PM and 15u AM and am waking up with it fine for the first time in more than half my life. As it’s been a few months I hope you’re still doing well. I thought I’d share my experience as I wonder how many others are having similar issues and thought us sharing these experiences is exactly what this forum is for, so if anyone is having similar issues discuss this with your HCP.

Aug 20, 2020 sl0042 2 posts	Topic: Questions ? / slow acting insulin thanks michaelj I will try that

Aug 19, 2020 michaelj 45 posts	Topic: Questions ? / slow acting insulin I'm 78 and also sometimes have problems with insulin absorption especially in the tummy area. Unfortunately as we get older we tend to build a layer of fat around our middle and this interferes with insulin absorption. If you are injecting in the tummy area that could explain why you are having a struggle. You may have to use the thighs or the buttocks which is what I do. Not so hard as it sounds. I'm lucky as my missus is also happy to stick the needle in to my upper arms. Best of luck.

Aug 8, 2020 sl0042 2 posts	Topic: Questions ? / slow acting insulin I have had type 1 diabetes for 6 1/2 years; I am 75 years of age. My big problem is the fast acting insulin acts slowly; I started on Apidra & it was taking 3 hours to have an effect; I moved on to FIASP & on the instructions it said it had to be taken 0 - 1 minute before eating; it still took 3 hours; I am now back on Apidra. What am I doing wrong because my because my blood sugar levels are higher than they should be. Thanks