Recent Posts - DAFNE Online

Nov 10, 2012

ruthhutchinson 39 posts

Topic: General Discussion / carb free day

Having a carb free day today to try to work out what my Levemir is really doing. BG was 12 before I took my Levemir at 7 and is now 12.9. Should I take some corrective Novorapid or will that distort my results. Any advice please.

Nov 9, 2012

DianeW 115 posts

Topic: General Discussion / Hypos and testing

If I wake up with a hypo in the night, as I said I am in a panic. I don't know whether it's because it doesn't come on gradually like in the day time, whether it's dark, quiet...I don't know. I eat biscuits and feel incredibly dry (even though I am obviously not high!) so drink Diet Coke! I know I should be having orange juice and one or two biscuits, after 30 years it takes a while to shake off bad habits Sad

Anyway I have reduced my bed time BI by 2 units and touch wood have not had a night time hypo for a week and am waking up with levels of 6-8.

Nov 9, 2012

DianeW 115 posts

Topic: General Discussion / exercise

A lot I would think depends on how soon you do the exercise after breakfast, if straight after, it seems daft to rest before and then straight after - so therefore you would need to try and work out how many units less of QA to take. If NOT straight after then yes I would test before.

45 minutes of rowing seems a very intense form of exercise so have extra CPs on hand and perhaps test half way through? And exercise can still have quite an effect for quite a number of hours afterwards, so make sure you test then too. If it is a regular thing then you will learn by trial and error what suits you.

Nov 9, 2012

Alan 49 284 posts

Topic: General Discussion / Clickstar Pen - insulin delivery speed

Gill
Why would you need to control the speed of delivery?

Nov 9, 2012

Alan 49 284 posts

Topic: General Discussion / exercise

Paul
I would reduce my QA before breakfast and before the exercise I would test again - to make sure I had enough glucose in my system to cope with the exercise.

Nov 9, 2012

Nick_G 6 posts

Topic: General Discussion / Insulin Pump approval

Im looking for some advice from all of you insulin pumpers! I know speed and services can vary between hospitals but i wanted to gauge your experiences of waiting times.

I completed DAFNE at University Hospital of South Manchester in September and following on from a meeting with my Consultant on Tuesday i have been informed that she agrees that i should be on an insulin pump and will put the wheels in motion to request the necessary funding from my PCT which is in the Macclesfield District.I have read that as long as a consultant diabetiologist says you require a pump then your PCT cannot refuse to fund it.

Can anyone give me any advice about how long this whole process will take from beginning to end? I have been informed i will be invited to a pump meeting at the hospital at some point and once the funding is approed they will look to order the pump i want.

Am i looking at pre or post christmas?

Thank you in advance :-)

Nov 9, 2012

Nick_G 6 posts

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

based on your example your ratio would be 1.5:1 so for every 1cp you would take 1.5 units of QA insulin.

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 10, 2012 ruthhutchinson 39 posts	Topic: General Discussion / carb free day Having a carb free day today to try to work out what my Levemir is really doing. BG was 12 before I took my Levemir at 7 and is now 12.9. Should I take some corrective Novorapid or will that distort my results. Any advice please.

Nov 9, 2012 DianeW 115 posts	Topic: General Discussion / Hypos and testing If I wake up with a hypo in the night, as I said I am in a panic. I don't know whether it's because it doesn't come on gradually like in the day time, whether it's dark, quiet...I don't know. I eat biscuits and feel incredibly dry (even though I am obviously not high!) so drink Diet Coke! I know I should be having orange juice and one or two biscuits, after 30 years it takes a while to shake off bad habits Anyway I have reduced my bed time BI by 2 units and touch wood have not had a night time hypo for a week and am waking up with levels of 6-8.

Nov 9, 2012 DianeW 115 posts	Topic: General Discussion / exercise A lot I would think depends on how soon you do the exercise after breakfast, if straight after, it seems daft to rest before and then straight after - so therefore you would need to try and work out how many units less of QA to take. If NOT straight after then yes I would test before. 45 minutes of rowing seems a very intense form of exercise so have extra CPs on hand and perhaps test half way through? And exercise can still have quite an effect for quite a number of hours afterwards, so make sure you test then too. If it is a regular thing then you will learn by trial and error what suits you.

Nov 9, 2012 Alan 49 284 posts	Topic: General Discussion / Clickstar Pen - insulin delivery speed Gill Why would you need to control the speed of delivery?

Nov 9, 2012 Alan 49 284 posts	Topic: General Discussion / exercise Paul I would reduce my QA before breakfast and before the exercise I would test again - to make sure I had enough glucose in my system to cope with the exercise.

Nov 9, 2012 Nick_G 6 posts	Topic: General Discussion / Insulin Pump approval Im looking for some advice from all of you insulin pumpers! I know speed and services can vary between hospitals but i wanted to gauge your experiences of waiting times. I completed DAFNE at University Hospital of South Manchester in September and following on from a meeting with my Consultant on Tuesday i have been informed that she agrees that i should be on an insulin pump and will put the wheels in motion to request the necessary funding from my PCT which is in the Macclesfield District.I have read that as long as a consultant diabetiologist says you require a pump then your PCT cannot refuse to fund it. Can anyone give me any advice about how long this whole process will take from beginning to end? I have been informed i will be invited to a pump meeting at the hospital at some point and once the funding is approed they will look to order the pump i want. Am i looking at pre or post christmas? Thank you in advance :-)

Nov 9, 2012 Nick_G 6 posts	Topic: General Discussion / One unit of insulin to ten grams carbs ratio based on your example your ratio would be 1.5:1 so for every 1cp you would take 1.5 units of QA insulin.

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....