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Sep 16, 2012
Phil Maskell
194 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right
Over to you then Simon, Annette as a developer myself I am guessing Simon will probably ask you for the logs when you add a carb entry, but on iOs I am not sure how to get these so I will leave this to Simon  Phil |
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Sep 16, 2012
Phil Maskell
194 posts
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Topic: General Discussion / Let's hear your story! Hi,I did DAFNE at Nottingham QMC in November 2005, my reason being I was self adjusting my insulin like DAFNE without any clue really. My HbA1C was 11 ish at times which I got down to about 9 before DAFNE, after DAFNE it is now 7 ish, last one was 7.2. Sorry still do my HbA1Cs in old format  I have recently found that I have been on a low carb diet pre holiday and my control is so much better I am hoping for a 6 ish in my next HbA1C Another big reason for doing DAFNE and trying to get things under better control was I had a bad case of retinopathy, having laser on a weekly basis in both eyes, followed by an Avastin injection in one eye. Since doing DAFNE and getting better control and having the injection and laser I have gone from weekly eye checks with laser to 12 monthly checks now, as touch wood I have had no more significant growth. Overall I think DAFNE has improved my control greatly, I can now inject and correct if needed with confidence a mistake I used to make before DAFNE was to correct high BG at any time not just at meals and would then hypo and then over correct, yo-yoing a lot. I used to have an excel spreadsheet on my old phone before the days of the iPhone and am a software developer with the intention of developing something like the DAFNE Online app, but too lazy in my spare time to get round too it! I think the iPhone app is a great thing and big improvement over my excel spreadsheet, I use the app for every blood test and injection, between 5 and 10 a day depending on exercise and hypos. Further to the app I have found this forum invaluable for support and having had diabetes for over 25 years and try to pass on anything I found useful along the way. I hope this information is what you wanted, ask me any more questions if you would like to know anything else. Phil |
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Sep 16, 2012
Annette Bell
58 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right Yep I'm on same as you, but on the iPod touch. |
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Sep 16, 2012
Phil Maskell
194 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right Annette what version of the app are you on? What device and iOs version? The carb function works fine on mine.I am on the latest 1.6.2 on later iOs 5.1 I think (too lazy to go fetch my phone to check) on an iPhone 4 Simon I hope this info helps Phil |
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Sep 16, 2012
Phil Maskell
194 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right Annette what version of the app are you on? What device and iOs version? The carb function works fine on mine.I am on the latest 1.6.2 on later iOs 5.1 I think (too lazy to go fetch my phone to check) on an iPhone 4 Simon I hope this info helps Phil |
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Sep 16, 2012
pfordmartin
5 posts
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Topic: General Discussion / Let's hear your story! Hello everyone. I am a freelance writer working on a feature piece about DAFNE for JDRF’s Countdown magazine. I’m looking for a few DAFNE participant stories to share in the piece. I’d greatly appreciate you sharing your experiences to help our US readers learn more about this program. You can either post to this thread or private message me. Following is an idea of what I'm looking for...you can contribute as much or as little as you'd like:When did you take the course? What was your favorite aspect of it? Overall impressions (good and bad)? How was your control after completing DAFNE? If it’s been some time since you finished DAFNE, how is your control today? Do you use the DAFNE Online site and tools frequently? How do they help (or not)? And anything else you think is worth sharing! Thanks in advance for your contributions. I’m looking forward to hearing your stories! Best, Paula Ford-Martn  EDIT: If you'd also like to share your diagnosis date and what brought you to DAFNE (how you were doing with diabetes control before the course), I'd love to hear about that too.
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Sep 15, 2012
novorapidboi26
1,818 posts
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Topic: General Discussion / Result. I am recommending the BI adjustment, this is because BI should be used for long slow periods of change and the QA for short fast changes..........but both can be used in combination, but I would imagine only athletes and the like would need to think about it that deep...... When I went to DAFNE, nearly all were on it, I was on it, but its just not flexible enough for the majority if not all people in my opinion, there could be debate from the Lantus camp obviously, but I just cant see why people would favour, to me its just people are too familiar with it and fear change..... most folk would agree that that the insulin pump is the best form of treatment, provided you can use it properly, and the pump has many BI dose, one for every hour if needed, the ultimate flexibility, that's my angle on it anyway......so having a split BI dose is the very least folk should be doing,................
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Sep 14, 2012
Simon
574 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right Ah I see what you mean Phil - apologies for misunderstanding; I'll work on that for the next update.Also Anette; I'll look at the carbs problem you mention; if anybody else has experienced it then can you let me know? Thanks! |
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Sep 14, 2012
Annette Bell
58 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right Yes, I've tested it too & it still suggesting minus amounts for QA even though I'm not having any CP's therefore no QA at bedtime, before driving etc. Also, the new add your own Carb content items doesn't allow me to save them. I've tried adding one & as soon as I say "done" it deletes everything I've put in apart from the category. When I look in the list it's just listed as "carb item" with no value - which isn't a lot of good really!
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Sep 14, 2012
Phil Maskell
194 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right Just tested, if I add a before driving with say 4.2 and no CP so therefore no QA it still suggests QA of 0-2 in my case.What would would be nice to help fix this is allow nulls for ratio (not make it mandatory) then you could ignore calculations on these types e.g Hypo or Driving where you wouldn't correct. With DAFNE you're only supposed to correct at meal times. This would then allow hypo CP or extra CP before driving without the corrections coming up. Hope this makes sense? Phil |
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Sep 14, 2012
Simon
574 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right Yep 1.6.2 is the latest |
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Sep 14, 2012
novorapidboi26
1,818 posts
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Topic: General Discussion / Result. Absolutely, well spotted..........
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Sep 14, 2012
Phil Maskell
194 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right
Is this in app store yet or still in the pipeline? I'm on 1.6.2 Phil |
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Sep 14, 2012
Phil Maskell
194 posts
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Topic: General Discussion / Result.
Shouldn't you be reducing insulin if your more active and increase it if your less active, just so people don't reduce/increase wrongly
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Sep 14, 2012
JayBee
582 posts
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Topic: General Discussion / Result.
I can vouch for this. I was changed on to Levemir from Lantus after suffering from bad hypos - even after split dosing Lantus as well. Levemir, I've found, isn't as... "strong" as Lantus; as in, when I put it up by 1 unit, it's not a drastic difference but this can be a very good thing for someone like me who's sensitive to insulin. Considering we both seem to be fairly active people vic, I think it's worth considering in my opinion as well. Personally, I can't imagine going back to Lantus now; Levemir has been too helpful.
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Sep 14, 2012
Simon
574 posts
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Topic: Site Development / Auto calculate QA from BG - let's get it right Hi Annette, this behaviour has been fixed in the latest update. Thanks. |
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Sep 14, 2012
Simon
574 posts
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Topic: Site Development / DAFNE Online iPhone application - help with content/design needed I can confirm that carbs you add in the app are kept on your phone - no uploading to the website. Whenever we release a new version of the app we fill in the 'What's New' section on the app store so that you can see what's changed in this update. |
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Sep 14, 2012
novorapidboi26
1,818 posts
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Topic: General Discussion / Result. The BI is the foundation to your regime, more important than the QA in some respects, was that not emphasised in the DAFNE course?If this is not right, or nearly right, then any adjustment to QA doesn't mean anything, as the BI dose may be contributing to the dodgy readings.... Are you on a single dose of Lantus? As far as the weekend goes, you are reducing your insulin because you are less active, which is good, but it's the wrong insulin. Reducing QA applies if your going to the gym or to play football etc....moderate to intense activity over a relatively short period. BI is reduced if its minor to moderate over a day for example, like hillwalking. So I believe the BI reduction is what you need here.... If your on lantus, this will become much more difficult, a good reason to change over to Levemir in my opinion.... |
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Sep 13, 2012
novorapidboi26
1,818 posts
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Topic: General Discussion / Result. I understand that waiting around is a pain, I don't wait the 3 days usually, but I have not changed my ratios for a while, only my BI.......reduction due to extra activity.....The waiting is worth it though......as its only until you have got the right BI and ratios.....if you don't you will always be chasing your tail....... If you are hitting 20 plus then something is out significantly though.....but you would assume the reason for it would be obvious, like the carb count etc.... |
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Sep 13, 2012
JayBee
582 posts
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Topic: General Discussion / Result. Oh. Do you know at all if your BI holds you stable over night? |
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Sep 13, 2012
novorapidboi26
1,818 posts
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Topic: General Discussion / Dafne Diary - looking for some comments / help (2) I see, so your carb count for the lasagne probably wasn't far off then..........meals like these can have a delayed absorption, just like pizza, due to the high carb/high fat (cheese) content. Some people try and split there dose in order to deal with this, however I wouldn't get caught up in that just yet.....I am no medical expert, and DAFNE isnt the be all and end all, but I would definitely say that the correction riles you have been given are not really doing the job. DAFNE teach as a rule of thumb that 1 unit drops you by 2-3mmol/l, so 2.5mmol/l, I think you should start using this rule and see the results...... the reality is that the higher you are, eg 20.2, the less effective 1 unit is, for me, if I am over 17mmol/l, then 1 unit drops me only 1mmol/l, so I would be taking 15 units on top of any carb insulin. Everyone is different, but I believe not far off my correction factors. It takes a lot of testing, recording to find out what 1 unit is actually doing to your BG at different levels of BG...... So, if you feel comfortable, then start using the 1unit/2.5mmol/l rule, if you were a graduate, you would be doing this anyway.........
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Sep 13, 2012
mum2westiesGill
502 posts
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Topic: General Discussion / Dafne Diary - looking for some comments / help (2) Re the bedtime testing - I usually go up to bed at 11pm ish maybe sometimes a bit later, I make sure I do the important thing ie do my lantus / BI but then I'm just so tired that I haven't been doing all the bed time testing.Re not doing a correction for a 10.6 on the Friday this is because for corrections I'm going off what my GP wrote down for me a few months back when I went to him panicking because I was having lots of sudden very high BSs: If B/S (pre meal) is > (greater than) 12 >12 - >15 - extra 2 units >15 - >20 - extra 4 units >20 - >25 - extra 6 units >25 units + - extra 6 units but check again after 1 - 1/2 hrs If still >20 give further 4 units so that's why i only start doing correction doses if I'm 12 or over. Re on Tuesday at 19:52, dinner time, I went with the info on the packaging for the Lasagne which was 31.5g per 1/4 of a pk then for the garlic bread I used the carbs and cals book where it says that 1 x garlic bread round is 10g carbs / 3 x rounds garlic bread is 30g carbs, I had 2 x of them. |
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Sep 13, 2012
novorapidboi26
1,818 posts
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Topic: General Discussion / Dafne Diary - looking for some comments / help (2) It would be really good to see pre bed test getting done, makes its easier to see whats happening overnight, which is naturally the place where most DAFNE graduates look at first.......On Friday at 11:36 you didn't correct for a 10.6... As far as correction go, how many mmol/l does 1 unit drop you...? It seems as though on the Monday your BG are reasonable, a tad high, but steady, this might be because you didn't correct for the highs, 9.4 and 7.7 are not that high, but there above target and that means correction is needed. The Tuesday and Wednesday are again steady, although high, I think this might be because your corrections are not enough. For example on Tuesday at 16:11 you corrected a 14.0 with 2 units, which would mean 1 unit is dropping you by 4mmol/l give or take, that's unlikely.......same thing on Wednesday, no corrections for high levels and possibly not enough correction eg 20.1.... Another thing I spotted was on Tuesday at 19:52, dinner time I assume. You had Lasagne and garlic bread. I might be wrong but is there reference to the carbs and cals book here.....? If so, why? Is there no info on the packaging?, this would be more accurate in my opinion, but I may have misunderstood your comments. Anyway, the point is the count may be wrong, and together with a high carb/GI meal this is almost definitely responsible for your 20.1 the next morning....... Some food for thought......
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Sep 13, 2012
JayBee
582 posts
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Topic: General Discussion / Dafne Diary - looking for some comments / help (2) Considering the highs when you wake up, are you prepared to do some 3am tests to rule out night time hypos? Once that's established, we can concentrate on during the day. Will be interesting to see what it shows! Hopefully you're not hypoing during the night... ideally it should be holding you steady if it is correct dose.Take care. Edit: The previous thread for everyone's reference: http://www.dafneonline.co.uk/forums/1/topics/1849 |
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Sep 13, 2012
JayBee
582 posts
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Topic: General Discussion / Result. vic,Firstly, well done on keeping a consistent gap between meals during the day like you had mentioned before. I'm impressed! That gives you ample chance to see what your QA is doing after the 2-5 hour odd working time. On that note, I have noticed that you do correct before bed while your evening meal insulin is possibly still working. Your levels can still be raised due to food during that time so correction can be risky business. However, if you're sure your QA works for 3 hours then this might be okay. My QA has been hinting at 3.5 hours lately but I'm still going to allow 4-5 hours...If you hypo again today, if I was in your position, I'd look at the evening meal ratio next (though depending on how today goes too, I'd see that first before definitely changing it) because those hypos are happening so soon after your meal... Possibly return it to 1:1 and see how it goes.
 Forgive me for I have sinned as well. I'm getting better at it though! Not waiting it out can be a right pattern muddler but it can be so hard to resist when you're hitting 20+BG! ^^;; Sod's law; I'm 16BG this morning... I suspect something is up! Did plan to do a carb free lunch but if I'm ill or something (stress is a possibility because I should be starting something new on Monday and I was anxious about that yesterday - or there's the end of lady stuff too, gah) that could be a waste of time... :/ gah! Perhaps concentrate on night test instead? Keep up the good work everyone! We can get there! Good BGs, ho!
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