Recent Posts - DAFNE Online

Nov 9, 2012

mum2westiesGill 502 posts

Topic: General Discussion / One unit of insulin to ten grams carbs ratio

Carolin said:
Hi Whiskysmum,
The ratio is simply the proportion of QA you need to cover each CP (10g) to keep you BG in target.
If you need to 'add on' insulin, do you mean for when your BG is high? That's what we mean by a 'correction' (thinking that 1u may reduce your high BG by 2-3mmol/l)
So to record in your diary for example for 30g (3CPs) on a 1:1 ratio, you'd put 3 (CPs), 3u QA. But any correction for high BG you'd record as a + in QA dairy row. If 2u correction, it'd be 3+2

Hi Carolin,

No it's not for a correction. It's for my teatime dose. I've been doing 1u QA of insilin for every 10g (10CPs) carbs so if I've had 40g (4CPs) carbs then I would inject 4u QA. I'm now doing (for my new dosage) 4u QA plus an extra 2u QA so 6u QA so what would a ratio of 6u be for 40g (4CPs)?

Nov 9, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Clickstar Pen - insulin delivery speed

It's re the Clickstar pen wihich is reuseable, takes 3ml cartridges.

I've seen mention that you can control the insilin delivery speed. How do you control the insulin delivery speed on this pen?

I currently use the blue Autopen 24 for Lantus 3ml cartridges.

Gill Smile

Nov 9, 2012

emdj 6 posts

Topic: Questions for HCPs / weight loss - risks

you have to eat less and exercise more, basically.

Nov 9, 2012

Gemsa 20 posts

Topic: Questions for HCPs / snacking and corrections

Thanks. That does make sense to tie it in with previous food and QA times. But surely 14 is just too high whether or not its soon after a meal? 'normal' people only go as high as 7 or 8 after a meal so we shouldn't be peaking really high and then dropping in once insulin has taken effect?

Nov 9, 2012

Carolin 83 posts

Topic: General Discussion / One unit of insulin to ten grams carbs ratio

Hi Whiskysmum,
The ratio is simply the proportion of QA you need to cover each CP (10g) to keep you BG in target.
If you need to 'add on' insulin, do you mean for when your BG is high? That's what we mean by a 'correction' (thinking that 1u may reduce your high BG by 2-3mmol/l)
So to record in your diary for example for 30g (3CPs) on a 1:1 ratio, you'd put 3 (CPs), 3u QA. But any correction for high BG you'd record as a + in QA dairy row. If 2u correction, it'd be 3+2

Nov 9, 2012

Carolin 83 posts

Topic: Questions for HCPs / snacking and corrections

Hi Gemsa,
The main point is why your BG is at 14mmol/l when you have the snack. If it's because you had a meal and some QA a couple of hours before you wouldn't want to add in a correction dose because the meal QA is still working and there'd be a danger of you going hypo.
So just have your snack and QA according to your ratio at that time.
If it's been say 4 hours since your last QA dose then you could safely add in a correction on top of the dose to cover the CPs.
Hope that helps?
Carolin

Nov 9, 2012

Gemsa 20 posts

Topic: Questions for HCPs / snacking and corrections

The rules for snacking are quite clear in terms of what you are doing in future. But what about existing. If I am 15.4mmol and want a snack of 1CP in theory I don't need to inject, but that just seems silly when already high. If I have a snack of 2CP then I can inject 2 units if my meal isn't due soon.... but can I also do a correction dose of 2 (my target is 7-9mmol at the moment) or is that only with meals rather than snacks? Pre-DAFNE I would simply avoid a snack if I was that high, but DAFNE suggests I can have the freedom to snack when I like, but doesn't mention about what your blood is already doing, I feel wrong snacking when that high but I'm hungry so still want to!

Nov 8, 2012

paulj 36 posts

Topic: General Discussion / exercise

if i plan to do some exercise after breakfast i.e. 45 minutes on rowing machine. is it best to reduce my Q/A insulin ratio at breakfast to compensate OR check my BG levels before and during exercise and if needed take any extra CP'S?.would appreciate your thoughts

cheers
paulj Very Happy

Nov 8, 2012

landylara 14 posts

Topic: General Discussion / Dafne Diary - looking for some comments / help (3)

Maybe its not the BG that you need to keep changing but the ratio of QA to CP as well

Nov 8, 2012

landylara 14 posts

Topic: General Discussion / One unit of insulin to ten grams carbs ratio

depends what you mean? is the two extra units a correction dose?

Nov 8, 2012

landylara 14 posts

Topic: General Discussion / Chinese Takeaway - at home

or you could work out carbs then see what you eat then inject straight after.

Nov 8, 2012

emdj 6 posts

Topic: General Discussion / Chinese Takeaway - at home

I would do my estimate of the total carbs and then inject half of my insulin immediately, doing the rest an hour later (this was advised on my dafne).
That way you can reduce your second "dose" if you didn't eat all the carbs!

Nov 8, 2012

emdj 6 posts

Topic: General Discussion / One unit of insulin to ten grams carbs ratio

3:10

Nov 8, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Dafne Diary - looking for some comments / help (3)

So what do you think of the last 3, 4, 5 days?

Nov 8, 2012

mum2westiesGill 502 posts

Topic: General Discussion / One unit of insulin to ten grams carbs ratio

If your ratio was one unit of insulin to every ten grams of cabs (1:10) then had to add on an extra two units of insulin what insulin to carb (i:c) ratio would this be please?

Also would like to know this for marking down as a diary entry.

Thank in advance for any replies Smile

x

Nov 8, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / unstable b/g's

I am not familiar with that insulin. Are you on it for specific reasons?

Do they provide a quick acting meal time dose together with the longer acting background dose....?

Nov 8, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Dafne Diary - looking for some comments / help (3)

think there is a problem with the last post.........

seeing posts like this overwhelms me..........you should only be concerned with the last 3, 4, 5 days as its these you use to make adjustments...... Wink

Nov 8, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Hypos and testing

What did you treat this hypo with?

If all works out as it should you shouldn't be high......

It has happened to me however and I actually correct, the majority of times have worked, while others have not, but there were variables like alcohol and exercise involved....

Be safe.... Exclamation

Nov 8, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Chinese Takeaway - at home

Hi,

Being a big, strong boy I would have no problems eating it all and so would inject for the whole amount........

As its a takeaway it would always be a guess at the carbs, all be it educated.......if I couldn't manage it all I would top up later on with some CPs....

Nov 7, 2012

HelenP 218 posts

Topic: General Discussion / Insulin Pens with insulin cartridges

i have had no trouble with pens but on two occasions over many years i did have a vial that had a very fine crack along the side. When the insulin was under pressure, just prior to injecting and during injecting, some insulin would leak out. Not enough to see but enough to smell. I also had no trouble getting replacement pens. It only happened twice over many vials but it did happen!
Helen

Nov 7, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Chinese Takeaway - at home

My usual:
Mini spring rolls (if delivered & usually have 2 x of these)
Chicken or prawn fried rice
&
curry sauce
or
chicken in black bean sauce
&
fried rice

My routine
1. Test
2. then eyeball the carbs, inject & eat.

Problem is that I usually eat the spring rolls then I like to have 1/2 of the main portion then just pick at the other half as I am starting to get full by now. Problem is I never really know whether to inject for all of the carbs eaten in the first half then what to do if I pick at the other half.

Just wondering what you would do regarding injecting.

Thank you in advance for any replies Smile

Nov 7, 2012

Alan 49 284 posts

Topic: General Discussion / Insulin Pens with insulin cartridges

If I had doubts about either of my pens, I would contact the manufacturer (preferably by phone) and explain the situation. It's more than likely that they would send you an immediate replacement pen and also ask you to return the old pen so that they can check it. Lilly did this for me when I had a problem with mine.

Nov 7, 2012

Garry 328 posts

Topic: General Discussion / Logging hb1ac

I have always entered mine as free text within the Comments field of the online diary Richard.
Regards
Garry

Nov 7, 2012

Garry 328 posts

Topic: General Discussion / Hypos and testing

I always used to over-correct following hypo.
But if you can develop the discipline to strictly control you correctional glucose intake, your BGs will come out high....for reasons explained before...but not really high.
Try some carb free testing to satisfy yourself that the BI dosage is right.
Once that is clear you should have things under better control.
Please remember that depending on which BI you use....BI dose alteration can take time to show results. For me Lantus BI changes take three days to have an effect.
Stick with it!
Regards
Garry

Nov 7, 2012

Garry 328 posts

Topic: General Discussion / Insulin Pens with insulin cartridges

With both pens you are able to sight the plunger moving the glass phial through the viewing port. So you are able to see that you are getting a dose. Humalog insulin phials have a rough scale on the side of them. Line the scale up with the window so you can check.
If you have doubts about the pen delivering the correct dose just tot up all doses delivered over the life of one phial...and it should add up to 300 u....near enough.
Regards
Garry

Nov 9, 2012 mum2westiesGill 502 posts	Topic: General Discussion / One unit of insulin to ten grams carbs ratio Carolin said: Hi Whiskysmum, The ratio is simply the proportion of QA you need to cover each CP (10g) to keep you BG in target. If you need to 'add on' insulin, do you mean for when your BG is high? That's what we mean by a 'correction' (thinking that 1u may reduce your high BG by 2-3mmol/l) So to record in your diary for example for 30g (3CPs) on a 1:1 ratio, you'd put 3 (CPs), 3u QA. But any correction for high BG you'd record as a + in QA dairy row. If 2u correction, it'd be 3+2 Hi Carolin, No it's not for a correction. It's for my teatime dose. I've been doing 1u QA of insilin for every 10g (10CPs) carbs so if I've had 40g (4CPs) carbs then I would inject 4u QA. I'm now doing (for my new dosage) 4u QA plus an extra 2u QA so 6u QA so what would a ratio of 6u be for 40g (4CPs)?

Nov 9, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Clickstar Pen - insulin delivery speed It's re the Clickstar pen wihich is reuseable, takes 3ml cartridges. I've seen mention that you can control the insilin delivery speed. How do you control the insulin delivery speed on this pen? I currently use the blue Autopen 24 for Lantus 3ml cartridges. Gill

Nov 9, 2012 emdj 6 posts	Topic: Questions for HCPs / weight loss - risks you have to eat less and exercise more, basically.

Nov 9, 2012 Gemsa 20 posts	Topic: Questions for HCPs / snacking and corrections Thanks. That does make sense to tie it in with previous food and QA times. But surely 14 is just too high whether or not its soon after a meal? 'normal' people only go as high as 7 or 8 after a meal so we shouldn't be peaking really high and then dropping in once insulin has taken effect?

Nov 9, 2012 Carolin 83 posts	Topic: General Discussion / One unit of insulin to ten grams carbs ratio Hi Whiskysmum, The ratio is simply the proportion of QA you need to cover each CP (10g) to keep you BG in target. If you need to 'add on' insulin, do you mean for when your BG is high? That's what we mean by a 'correction' (thinking that 1u may reduce your high BG by 2-3mmol/l) So to record in your diary for example for 30g (3CPs) on a 1:1 ratio, you'd put 3 (CPs), 3u QA. But any correction for high BG you'd record as a + in QA dairy row. If 2u correction, it'd be 3+2

Nov 9, 2012 Carolin 83 posts	Topic: Questions for HCPs / snacking and corrections Hi Gemsa, The main point is why your BG is at 14mmol/l when you have the snack. If it's because you had a meal and some QA a couple of hours before you wouldn't want to add in a correction dose because the meal QA is still working and there'd be a danger of you going hypo. So just have your snack and QA according to your ratio at that time. If it's been say 4 hours since your last QA dose then you could safely add in a correction on top of the dose to cover the CPs. Hope that helps? Carolin

Nov 9, 2012 Gemsa 20 posts	Topic: Questions for HCPs / snacking and corrections The rules for snacking are quite clear in terms of what you are doing in future. But what about existing. If I am 15.4mmol and want a snack of 1CP in theory I don't need to inject, but that just seems silly when already high. If I have a snack of 2CP then I can inject 2 units if my meal isn't due soon.... but can I also do a correction dose of 2 (my target is 7-9mmol at the moment) or is that only with meals rather than snacks? Pre-DAFNE I would simply avoid a snack if I was that high, but DAFNE suggests I can have the freedom to snack when I like, but doesn't mention about what your blood is already doing, I feel wrong snacking when that high but I'm hungry so still want to!

Nov 8, 2012 paulj 36 posts	Topic: General Discussion / exercise if i plan to do some exercise after breakfast i.e. 45 minutes on rowing machine. is it best to reduce my Q/A insulin ratio at breakfast to compensate OR check my BG levels before and during exercise and if needed take any extra CP'S?.would appreciate your thoughts cheers paulj

Nov 8, 2012 landylara 14 posts	Topic: General Discussion / Dafne Diary - looking for some comments / help (3) Maybe its not the BG that you need to keep changing but the ratio of QA to CP as well

Nov 8, 2012 landylara 14 posts	Topic: General Discussion / One unit of insulin to ten grams carbs ratio depends what you mean? is the two extra units a correction dose?

Nov 8, 2012 landylara 14 posts	Topic: General Discussion / Chinese Takeaway - at home or you could work out carbs then see what you eat then inject straight after.

Nov 8, 2012 emdj 6 posts	Topic: General Discussion / Chinese Takeaway - at home I would do my estimate of the total carbs and then inject half of my insulin immediately, doing the rest an hour later (this was advised on my dafne). That way you can reduce your second "dose" if you didn't eat all the carbs!

Nov 8, 2012 emdj 6 posts	Topic: General Discussion / One unit of insulin to ten grams carbs ratio 3:10

Nov 8, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Dafne Diary - looking for some comments / help (3) So what do you think of the last 3, 4, 5 days?

Nov 8, 2012 mum2westiesGill 502 posts	Topic: General Discussion / One unit of insulin to ten grams carbs ratio If your ratio was one unit of insulin to every ten grams of cabs (1:10) then had to add on an extra two units of insulin what insulin to carb (i:c) ratio would this be please? Also would like to know this for marking down as a diary entry. Thank in advance for any replies x

Nov 8, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / unstable b/g's I am not familiar with that insulin. Are you on it for specific reasons? Do they provide a quick acting meal time dose together with the longer acting background dose....?

Nov 8, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Dafne Diary - looking for some comments / help (3) think there is a problem with the last post......... seeing posts like this overwhelms me..........you should only be concerned with the last 3, 4, 5 days as its these you use to make adjustments......

Nov 8, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Hypos and testing What did you treat this hypo with? If all works out as it should you shouldn't be high...... It has happened to me however and I actually correct, the majority of times have worked, while others have not, but there were variables like alcohol and exercise involved.... Be safe....

Nov 8, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Chinese Takeaway - at home Hi, Being a big, strong boy I would have no problems eating it all and so would inject for the whole amount........ As its a takeaway it would always be a guess at the carbs, all be it educated.......if I couldn't manage it all I would top up later on with some CPs....

Nov 7, 2012 HelenP 218 posts	Topic: General Discussion / Insulin Pens with insulin cartridges i have had no trouble with pens but on two occasions over many years i did have a vial that had a very fine crack along the side. When the insulin was under pressure, just prior to injecting and during injecting, some insulin would leak out. Not enough to see but enough to smell. I also had no trouble getting replacement pens. It only happened twice over many vials but it did happen! Helen

Nov 7, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Chinese Takeaway - at home My usual: Mini spring rolls (if delivered & usually have 2 x of these) Chicken or prawn fried rice & curry sauce or chicken in black bean sauce & fried rice My routine 1. Test 2. then eyeball the carbs, inject & eat. Problem is that I usually eat the spring rolls then I like to have 1/2 of the main portion then just pick at the other half as I am starting to get full by now. Problem is I never really know whether to inject for all of the carbs eaten in the first half then what to do if I pick at the other half. Just wondering what you would do regarding injecting. Thank you in advance for any replies

Nov 7, 2012 Alan 49 284 posts	Topic: General Discussion / Insulin Pens with insulin cartridges If I had doubts about either of my pens, I would contact the manufacturer (preferably by phone) and explain the situation. It's more than likely that they would send you an immediate replacement pen and also ask you to return the old pen so that they can check it. Lilly did this for me when I had a problem with mine.

Nov 7, 2012 Garry 328 posts	Topic: General Discussion / Logging hb1ac I have always entered mine as free text within the Comments field of the online diary Richard. Regards Garry

Nov 7, 2012 Garry 328 posts	Topic: General Discussion / Hypos and testing I always used to over-correct following hypo. But if you can develop the discipline to strictly control you correctional glucose intake, your BGs will come out high....for reasons explained before...but not really high. Try some carb free testing to satisfy yourself that the BI dosage is right. Once that is clear you should have things under better control. Please remember that depending on which BI you use....BI dose alteration can take time to show results. For me Lantus BI changes take three days to have an effect. Stick with it! Regards Garry

Nov 7, 2012 Garry 328 posts	Topic: General Discussion / Insulin Pens with insulin cartridges With both pens you are able to sight the plunger moving the glass phial through the viewing port. So you are able to see that you are getting a dose. Humalog insulin phials have a rough scale on the side of them. Line the scale up with the window so you can check. If you have doubts about the pen delivering the correct dose just tot up all doses delivered over the life of one phial...and it should add up to 300 u....near enough. Regards Garry