Recent Posts

Search the DAFNE Online Forums

15,864 posts found

Sep 25, 2012
jonmac 6 posts

Topic: General Discussion / Education

Thanks for the info on the Bournemouth online course. I'll check it out today. I'm hoping for a cure before I'm 70 so I can live out the rest of my life without hassle.
 
Sep 24, 2012
JayBee 587 posts

Topic: General Discussion / Result.

AshleyB said:
Hello, Ive just been looking into your readings. Please don't take it as gospel but this is what my wife and I think.



No probs! Very Happy

Firstly you mentioned your not feeling 100% so straight away that makes me think you may need to change your base line insulin.



Maybe.

Also you are eating again after your second base line at dinner coz your going low in the evening\night.



I eat again after dinner usually because it's desert! ;P I know it's a bad practice to split my meal but at least I'm not snacking to get through the night. Also, that 3.9BG during the night may have been caused by the before bed correction so I'm not going to say BI just yet. That time was pretty strange.. 1QA would drop me by 8BG... I was taking 17 BI in the evening then though.

Maybe you should lower your evening BI by 2 or 4 units 20%.



I do already have some concerns with the evening BI so this is why I'm doing the 3am tonight. Smile
In all honesty, it's work in progress. I'm not 100% on the evening BI being right. I did have it at 15BI briefly before this, but when I hit some highs after dinner before bed (I will add the day on this post - period 14Sept to 18Sept - to help) on that occasion, it was decided that I'd change back to 16 and try adjusting the meal ratio instead first. Hasn't done too bad so far, so I'm back to checking the overnight testing... I've given it at least 4 days too to work out if 1:1 works (which it seems to rather well).

Your morning BI could be too low or your morning ratio for breakfast QA is wrong.



I often hypo without fail for 1:1 meal ratios based on past trials so I'm gonna take this as yes, try 13BI tomorrow and see how it goes... however, I may change my mind if I hypo at 3am... decisions, decisions! I feel so spoilt for choice on what to fix first! XD Hypos any time sure are a pain in the bum!

I appreciate some of the advice - most of it was not needed. Thanks though. Smile I hope you don't have as much trouble as vic and I have had over the 3 years since doing DAFNE.

AshleyB said:
If you increase morning BI do it by 2 or 3 not 1


I am insulin sensitive so often 2 can be too much. Sad This is something you may come across if you're an active person... DAFNE is not set in stone - it is just a guide; you will need to learn your needs by adjusting the guide.
 
Sep 24, 2012
AshleyB 10 posts

Topic: General Discussion / Result.

If you increase morning BI do it by 2 or 3 not 1

Thanks
AshleyB
 
Sep 24, 2012
AshleyB 10 posts

Topic: General Discussion / Result.

Hello, Ive just been looking into your readings. Please don't take it as gospel but this is what my wife and I think.
Firstly you mentioned your not feeling 100% so straight away that makes me think you may need to change your base line insulin.
Also you are eating again after your second base line at dinner coz your going low in the evening\night. Maybe you should lower your evening BI by 2 or 4 units 20%.
Your morning BI could be too low or your morning ratio for breakfast QA is wrong.
I was advised not to change to many things at once. Test you morning BI and evening BI First.
Try carb free dinner etc
Try a carb free breakfast and lunch to get your morning BI right.
Please don't correct After night hypo's, DAFNE's golden rule " hypo in the night ajust evening BI by 2-4 unit 20%".
Maybe you need to inject your QA in your stomach more so you get the insulin quicker.
This is what think, I hope some of this information is helpful, please take a look at the online handbook to look at sick day rules. Maybe useful.
Thanks
AshleyB

 
Sep 24, 2012
JayBee 587 posts

Topic: General Discussion / Result.

Let's throw this out there.

I'm considering 13BI in the morning with these numbers... should I, in your opinions? I'm torn, and starting to struggle with my patience a bit. ;P

Also planning to attempt a 3am check again tonight. Oh what fun.
 
Sep 24, 2012
NikkiAllen 3 posts

Topic: General Discussion / Bayer Contour USB meters

It due to the regulations regarding how accurate test strips need to be. The Next strips are more accurate and will meet the new regulations.
 
Sep 24, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Bayer Contour USB meters

could be for any number of reasons, but most likely money will be involved somewhere, either to make it, or save it........ Very Happy

its likely the price of these strips aren't much different from each other so the GP should be cool........
 
Sep 24, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Education

http://www.bdec-e-learning.com/

that's the Bournemouth online course that I have heard is really good. Obviously you should push for DAFNE, even if your closest clinic does not do it, you can try others......

aged 60 and becoming type 1, wow........its seems that cases like yours are becoming much more common.....
 
Sep 23, 2012
Deadly 8 posts

Topic: General Discussion / Bayer Contour USB meters

I have been using the Bayer Contour USB metre for some time now and I am very happy with it. They have now released the Contour Next Metre which includeds a number of new features. But to be able to use it you must have a different type of test strip called Contour Next.

Does anyone know why they have done this, and why they couldn't just enhance the meter and keep the same test strips. It's just a nuisance when you have to ask your GP to change the test strip you use.

Thanks
David
 
Sep 23, 2012
AshleyB 10 posts

Topic: General Discussion / Result.

Thanks Vic, let me know how you get on. I'm still getting high towards night. Waiting to get moved over to levimir. I think Dafne should be available to all type 1's without a stupid waiting list. I can't grumble as I only waited a year. There were people on my course who have been waiting 9 years.
 
Sep 22, 2012
AshleyB 10 posts

Topic: General Discussion / Result.

You could have a dawn phenominum where your liver kicks out glucose at 3am. Try a carb free dinner and do a 3am blood check.
You may benift from changing to levimir rather than the Lantus as that may be only lasting about 18-20hrs hence the increase before bed thats if your taking the correct QA with dinner.

Just had the dafne couse this week, its still fresh in the head.

AshleyB
 
Sep 22, 2012
maria51 22 posts

Topic: Questions for HCPs / Has anyone else had this happen?

marke said:
Hi,
Since this is most likely an allergic reaction it won't make any difference what part of your body you inject it in surely. You are not less allergic to it in your
stomach than your thigh. Its not a major reaction since it sounds like its confined to the injection site, none the less its probably major to you ! NovaCare do have a helpline listed in Oz but the reality is they will be trained in Insulin not allergies. You need to see your diabetes team/doctor really and see what your options are.
Suprisingly (or not) Levemir doesn't just contain Insulin but a number of other ingredients, they are listed here and chances are your body is reacting to one of these things. As others have said you can inject both QA and BI in most sites however the rate of absorbtion does vary so if you do try swapping you probably need to test a bit more to ensure what effect the change has had, remembering that changes may not be immediate but occur over a couple of days.
Sorry I know I haven't helped much, you can try the number on the site I quoted, they should have someone available most of the time if the rules are the same as the UK and they may at least be able to offer some useful advice.

Thank you too Marke, am less confused now and at least I have more info to think about before I see the DE and Endo on Tuesday. Cheers.
 
Sep 22, 2012
maria51 22 posts

Topic: Questions for HCPs / Has anyone else had this happen?

Phil Maskell said:
Hi,

In all honesty with newer insulins unless you have absorption problems NovoRapid should be fine in thighs, just don't run or cycle after as this will speed up absorption due to muscle use.

Everyones different though so you may have issues with it, but I never have.

Have you tried Levemir in your stomach though? Does it swell up there?

Phil

Thanks Phil for your reply, I haven't done Levemir in stomach but tried it in my butt for the first time last night then checked this morning and had no swelling. Will use it there until I see my DE on Tuesday.
 
Sep 21, 2012
marke 686 posts

Topic: Questions for HCPs / Has anyone else had this happen?

Hi,
Since this is most likely an allergic reaction it won't make any difference what part of your body you inject it in surely. You are not less allergic to it in your
stomach than your thigh. Its not a major reaction since it sounds like its confined to the injection site, none the less its probably major to you ! NovaCare do have a helpline listed in Oz but the reality is they will be trained in Insulin not allergies. You need to see your diabetes team/doctor really and see what your options are.
Suprisingly (or not) Levemir doesn't just contain Insulin but a number of other ingredients, they are listed here and chances are your body is reacting to one of these things. As others have said you can inject both QA and BI in most sites however the rate of absorbtion does vary so if you do try swapping you probably need to test a bit more to ensure what effect the change has had, remembering that changes may not be immediate but occur over a couple of days.
Sorry I know I haven't helped much, you can try the number on the site I quoted, they should have someone available most of the time if the rules are the same as the UK and they may at least be able to offer some useful advice.
 
Sep 21, 2012
JayBee 587 posts

Topic: General Discussion / Result.

Golly vic, is it possible that 1QA drops you by 6BG? That's even more than me with a 4BG drop! Surprised

I think I've become poorly in the last 4-5 days so I'll wait for that to clear up first before posting BG diary results again.
Hope everyone's been safe and well!

Edit: Just to update a bit... I'm now on 0.5:1 for breakfast/lunch and 1:1 for dinner. 12/16 Levemir split BI. :3 Hopefully when the illness stuff has passed, I'll get some good numbers!
 
Sep 21, 2012
Phil Maskell 194 posts

Topic: General Discussion / Result.

Hi,

I would say 4.1 to 5.3 that your BI seems ok

Phil
 
Sep 21, 2012
Phil Maskell 194 posts

Topic: Questions for HCPs / Has anyone else had this happen?

Hi,

In all honesty with newer insulins unless you have absorption problems NovoRapid should be fine in thighs, just don't run or cycle after as this will speed up absorption due to muscle use.

Everyones different though so you may have issues with it, but I never have.

Have you tried Levemir in your stomach though? Does it swell up there?

Phil
 
Sep 21, 2012
Anele46 109 posts

Topic: General Discussion / Let's hear your story!

Hi,
I was diagnosed as a Type 1 on Feb 2010 and did the DAFNE course in Feb 2011.
The main reason was I wanted to start a family therefore I was advised to wait a year and then do the DAFNE course.
My HbA1c's have always been good (mostly in part to the "honeymoon" period but also due to my strict regimes of always recording my test results and counting my carbs) from 6.5% to 5.2% which needs to be as low as safely possible to avoid complications during pregancy.

I loved the DAFNE course and can't praise the DAFNE and Diabetic team enough at the Southern General Hospital in Glasgow. My favourite part was meeting other Diabetics from all walks of life and hearing their stories.

My control has been excellent since the course but I've had to be stringent for my baby Smile

I use the DAFNE online site weekly as complete my Blood Glucose Diary weekly and it's nice to read the forums and help others where I can.

I totally agree with Novorapidboi26, DAFNE should be available to all T1 Diabetics as the support and knowledge gained is invaluable but I know it's all down to money Sad

Thouroughly recommend DAFNE and as I am in my 3rd trimester (nearly 28 wks) I can't thank the DAFNE and Daibetic team at my Hospital for all the help and support they have given to me, my husband and my upcoming wee girl Very Happy

Cheers,
Anele.
 
Sep 21, 2012
maria51 22 posts

Topic: Questions for HCPs / Has anyone else had this happen?

Was wondering if anyone developed swelling and redness (not sore) when injecting Levemir in the thigh? With advice from my endo, I was put onto Levemir because I had too many hypos using Lantus. Now, no hypos, but have noticed my thighs have swelling where I inject Levemir. I spoke to my Dafne educator who advised me to see my doctor asap as it was very rare to get swelling but no such luck at such short notice, so had to see another doctor there whom I don't like or trust because he was totally against Dafne, as he'd never heard of it. He told me to reverse injection sites by using my stomach when injecting Levemir and using my thighs to inject Novorapid ??!! I questioned that if I injected Novorapid into the thigh, wouldn't it take longer to be absorbed therefore higher BGLs for longer, which he agreed with a shrug of his shoulders like it was no big deal, to him, but a big deal, to me! He "passed the buck" and said I should go back to the diabetes clinic (not open until Tuesday) as HE was clearly in over his head Rolling Eyes

Has anyone out there had this swelling and what was the outcome?
Also, has anyone ever heard of injecting Novorapid into the thighs?

I'm eager to hear your opinions
Many thanks. Maria.
 
Sep 21, 2012
jonmac 6 posts

Topic: General Discussion / Education

I was diagnosed with type 1 in May this year. I'm aged 60 so this was a bit of a shock but I'm coping with insulin and carb counting. I don't have weight problems and have a satisfactory HbA1C. My problem is that I really don't know enough and I would like to attend a course or take an online course. If you are type 2 there seems to be plenty of courses, events etc but for type 1 in Coventry, where I live, there is nothing. Anyone got any ideas?
 
Sep 20, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Result.

would be wise to do so, as that's the only way of seeing what your knew Lantus dose is doing.......
 
Sep 20, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Result.

have you confirmed that does change with carb free testing..........?

how much above target are you?
 
Sep 19, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / diary keeping help!

It will definitely help to get on a DAFNE course, as it totally opens your eyes as to how simple it actually is to make sense of the results. And when you see the principals working, you wont want to stop testing.

Well this is what happened to me at least.......

good luck.....
 
Sep 19, 2012
sarahl84 5 posts

Topic: General Discussion / diary keeping help!

Thanks for taking the time to reply Smile So far today I have succeeded in recording all my BG, CP & QA so yay me!

My machine does keep a record of my previous readings so I can fall back on that if I forget to add them straight away. I like the fact that it can calculate the QA for you. Like yourself, Phil, I just need to get into the habit of making it part of my testing routine!

I like the idea of just completing one week, so this will be my goal...thanks for that Julia! Smile