Recent Posts - DAFNE Online

Sep 14, 2012

JayBee 587 posts

novorapidboi26 said:
If your on lantus, this will become much more difficult, a good reason to change over to Levemir in my opinion....

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. Smile

Personally, I can't imagine going back to Lantus now; Levemir has been too helpful.

Sep 14, 2012

Simon 578 posts

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.

Sep 14, 2012

Simon 578 posts

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.

Sep 14, 2012

novorapidboi26 1,819 posts

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....

Sep 13, 2012

novorapidboi26 1,819 posts

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....

Sep 13, 2012

JayBee 587 posts

Topic: General Discussion / Result.

Oh. Do you know at all if your BI holds you stable over night?

Sep 13, 2012

novorapidboi26 1,819 posts

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......... Very Happy

Sep 13, 2012

mum2westiesGill 502 posts

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.

Sep 13, 2012

novorapidboi26 1,819 posts

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...... Very Happy

Sep 13, 2012

JayBee 587 posts

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! Smile

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

Sep 13, 2012

JayBee 587 posts

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! Smile

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.

novorapidboi26 said:
When you say fiddle, does that mean your leaving less than 3 days between ratio changes and making more than one change at a time.......;)

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! Smile

We can get there! Good BGs, ho! Very Happy

Sep 13, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Dafne Diary - looking for some comments / help (2)

Just a bit of a continuation from when i did my last topic "Dafne Diary - looking for some comments / help" with dates from 20/8 - 27/8

Sep 13, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Result.

When you say fiddle, does that mean your leaving less than 3 days between ratio changes and making more than one change at a time.......;)

Sep 12, 2012

JayBee 587 posts

Topic: General Discussion / Result.

vic, is that a copy and paste from the diary thing on this site? If so... to hopefully help, below the reply box there's two little boxes... type in the first one 020912 and then in the second one 120912 to display the results you've posted...

If not, bare with me and I'll have a look! Very Happy

Edit: What are your meal ratios again?
Edit: From what I can work out, 16BI has worked out quite well despite the hypo... considering how nice you sit during the day, I would look at the evening meal ratio perhaps... though I have noticed you mention the doggy walking so maybe wait for a couple of days.

I used to post like that to my nurse. I'm amazed she didn't complain LOL it is hard to look at but what can you do! Smile

Sep 12, 2012

JayBee 587 posts

Topic: General Discussion / Result.

Some more results.... that 1:1 lunchtime ratio has given me nothing but grief so back to 0.5:1 again. :3
Today's results are yet again another curve ball too but I might know why... :/ Shall see what it does from now on. If those reds stay consistent, I might put morning BI up by 1 (again, sigh). :/

Anyone else gonna post their diary? :3 Hope you're all doing okay!

Sep 12, 2012

Dave Lyons 7 posts

Topic: General Discussion / Landscaping/gardening as a profession

First of all thank you all for your advice, will keep you all updated as I progress!
Vic, thanks for the advice based on your own experience as a groundsman,i am going to be more aggressive in my approach and alter my ratios as I am currently using 1.1 on my QA and am also reducing my BI. Will keep you posted.
Take care all

Sep 12, 2012

Phil Maskell 194 posts

Topic: Site Development / DAFNE Online iPhone application - help with content/design needed

Annette Bell said:
Thanks Phil - I didn't notice this because I only use the carb counting bit occasionally. If we add our own, does everyone get to see what we've added or is it our own private list like e.g. "Mum's cakes"?

I would hope its just private, no ones complained about any of my wierd labels coming up Very Happy

Sep 12, 2012

Annette Bell 72 posts

Topic: Site Development / DAFNE Online iPhone application - help with content/design needed

Thanks Phil - I didn't notice this because I only use the carb counting bit occasionally. If we add our own, does everyone get to see what we've added or is it our own private list like e.g. "Mum's cakes"?

Sep 12, 2012

Phil Maskell 194 posts

Topic: Site Development / DAFNE Online iPhone application - help with content/design needed

Under carbs in the iPhone app is a + in the top corner for adding your own foods, they then get listed in 'Show mine', it will also be under the category you pick like fruit, you can choose it as a favourite or not too, I just use the fact it is in 'Show mine'.

Hope this makes sense and helps.

Phil

Sep 12, 2012

Annette Bell 72 posts

Topic: Site Development / DAFNE Online iPhone application - help with content/design needed

Yesterday I noticed there was an update to the iphone/ipod app. I have downloaded this, but can't see any difference. What does this update do that's different please? Also, I've not had any response to my last posting about the auto calculate QA subject. Has anyone read it & is there anything we can do about this?

Sep 12, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Help! Lantus split and early start

Hey,

First of all, why have you split your Lantus, as in your case it seems as though your AM and PM needs are the same, so there would be no sense in splitting it in the first instance.........

Does the destination you are flying to have a large time difference, if not, you should just continue to take your dose at normal, ie mid flight, this will ensure you have sufficient coverage of Lantus.

If there is a large time difference and you are going to be staying there for a few days or more, then you might need to adjust the timing of your dose to suit the new time zone. In this case I would take the full dose, 56, which you should have no problems doing as its equal AM and PM, then take your next dose at the new time zone time.

If as you describe, you have been going without our Lantus for a few hours because you have taken it later than normal, then its just a simple arithmetic exercise with the dose. In your case 28 units should be covering 12 hours [split dose], therefore 2.3 units every hour.

So say your 4 hours later, this means you would normally have used 9.2 units, or 9 [2.3 x 4]. You would just take 9 of the original 28, giving you 19.

I don't think you should have to put yourself in that situation however. What would be stopping you taking your dose in flight?, and then compensating later on, when on the ground....

Smile

Sep 12, 2012

Phil Maskell 194 posts

Topic: General Discussion / Help! Lantus split and early start

Is there a problem with doing it on the plane? I always take insulin on plane with me. If you had inflight meal you would have QA?

Where are you flying too, my biggest problem with flying is time difs, how to time background when time dif! I have Levemir @ 11am and 11pm, for this I wait until the next 11 in the new time zone so for a bit I might be low on background.

Phil

Sep 12, 2012

DianeW 115 posts

Topic: General Discussion / Help! Lantus split and early start

I take my lantus at bedtime, 11pm, and morning, 10am, 28 units each time. I will have to get up at 3.30am to get a flight. I will eat something before boarding so can cover that with QA. The problem is I will be "in flight" at my normal morning time Lantus injection. What should I do? Could I take a full day's dose in one injection for once to save the worry? Take it as soon as I can after flight and then If I do it later than normal how do I calculate what I should take? ANy advice would be much appreciated.

Sep 12, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Landscaping/gardening as a profession

I think if/when you get fed up of all the hypos and run the risk of losing warning signs it might be worth a go, even just to see how it copes in your work environment....

Sep 12, 2012

vic demain 87 posts

Topic: General Discussion / Landscaping/gardening as a profession

Novo, I did visit the pump clinic for a while shortly after Dafne but was always concerned about the safety of a pump in my job - I break mobile phones for fun - which involves a lot of lifting and carrying heavy bags and equipment around, twisting and turning. Have a friend who is on one and he swears by it, not sure if its for me though.

Sep 14, 2012 JayBee 587 posts	Topic: General Discussion / Result. novorapidboi26 said: If your on lantus, this will become much more difficult, a good reason to change over to Levemir in my opinion.... 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.

Sep 14, 2012 Simon 578 posts	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.

Sep 14, 2012 Simon 578 posts	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.

Sep 14, 2012 novorapidboi26 1,819 posts	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....

Sep 13, 2012 novorapidboi26 1,819 posts	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....

Sep 13, 2012 JayBee 587 posts	Topic: General Discussion / Result. Oh. Do you know at all if your BI holds you stable over night?

Sep 13, 2012 novorapidboi26 1,819 posts	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.........

Sep 13, 2012 mum2westiesGill 502 posts	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.

Sep 13, 2012 novorapidboi26 1,819 posts	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......

Sep 13, 2012 JayBee 587 posts	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

Sep 13, 2012 JayBee 587 posts	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. novorapidboi26 said: When you say fiddle, does that mean your leaving less than 3 days between ratio changes and making more than one change at a time.......;) 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!

Sep 13, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Dafne Diary - looking for some comments / help (2) Just a bit of a continuation from when i did my last topic "Dafne Diary - looking for some comments / help" with dates from 20/8 - 27/8

Sep 13, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Result. When you say fiddle, does that mean your leaving less than 3 days between ratio changes and making more than one change at a time.......;)

Sep 12, 2012 JayBee 587 posts	Topic: General Discussion / Result. vic, is that a copy and paste from the diary thing on this site? If so... to hopefully help, below the reply box there's two little boxes... type in the first one 020912 and then in the second one 120912 to display the results you've posted... If not, bare with me and I'll have a look! Edit: What are your meal ratios again? Edit: From what I can work out, 16BI has worked out quite well despite the hypo... considering how nice you sit during the day, I would look at the evening meal ratio perhaps... though I have noticed you mention the doggy walking so maybe wait for a couple of days. I used to post like that to my nurse. I'm amazed she didn't complain LOL it is hard to look at but what can you do!

Sep 12, 2012 JayBee 587 posts	Topic: General Discussion / Result. Some more results.... that 1:1 lunchtime ratio has given me nothing but grief so back to 0.5:1 again. :3 Today's results are yet again another curve ball too but I might know why... :/ Shall see what it does from now on. If those reds stay consistent, I might put morning BI up by 1 (again, sigh). :/ Anyone else gonna post their diary? :3 Hope you're all doing okay!

Sep 12, 2012 Dave Lyons 7 posts	Topic: General Discussion / Landscaping/gardening as a profession First of all thank you all for your advice, will keep you all updated as I progress! Vic, thanks for the advice based on your own experience as a groundsman,i am going to be more aggressive in my approach and alter my ratios as I am currently using 1.1 on my QA and am also reducing my BI. Will keep you posted. Take care all

Sep 12, 2012 Phil Maskell 194 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Annette Bell said: Thanks Phil - I didn't notice this because I only use the carb counting bit occasionally. If we add our own, does everyone get to see what we've added or is it our own private list like e.g. "Mum's cakes"? I would hope its just private, no ones complained about any of my wierd labels coming up

Sep 12, 2012 Annette Bell 72 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Thanks Phil - I didn't notice this because I only use the carb counting bit occasionally. If we add our own, does everyone get to see what we've added or is it our own private list like e.g. "Mum's cakes"?

Sep 12, 2012 Phil Maskell 194 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Under carbs in the iPhone app is a + in the top corner for adding your own foods, they then get listed in 'Show mine', it will also be under the category you pick like fruit, you can choose it as a favourite or not too, I just use the fact it is in 'Show mine'. Hope this makes sense and helps. Phil

Sep 12, 2012 Annette Bell 72 posts	Topic: Site Development / DAFNE Online iPhone application - help with content/design needed Yesterday I noticed there was an update to the iphone/ipod app. I have downloaded this, but can't see any difference. What does this update do that's different please? Also, I've not had any response to my last posting about the auto calculate QA subject. Has anyone read it & is there anything we can do about this?

Sep 12, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Help! Lantus split and early start Hey, First of all, why have you split your Lantus, as in your case it seems as though your AM and PM needs are the same, so there would be no sense in splitting it in the first instance......... Does the destination you are flying to have a large time difference, if not, you should just continue to take your dose at normal, ie mid flight, this will ensure you have sufficient coverage of Lantus. If there is a large time difference and you are going to be staying there for a few days or more, then you might need to adjust the timing of your dose to suit the new time zone. In this case I would take the full dose, 56, which you should have no problems doing as its equal AM and PM, then take your next dose at the new time zone time. If as you describe, you have been going without our Lantus for a few hours because you have taken it later than normal, then its just a simple arithmetic exercise with the dose. In your case 28 units should be covering 12 hours [split dose], therefore 2.3 units every hour. So say your 4 hours later, this means you would normally have used 9.2 units, or 9 [2.3 x 4]. You would just take 9 of the original 28, giving you 19. I don't think you should have to put yourself in that situation however. What would be stopping you taking your dose in flight?, and then compensating later on, when on the ground....

Sep 12, 2012 Phil Maskell 194 posts	Topic: General Discussion / Help! Lantus split and early start Is there a problem with doing it on the plane? I always take insulin on plane with me. If you had inflight meal you would have QA? Where are you flying too, my biggest problem with flying is time difs, how to time background when time dif! I have Levemir @ 11am and 11pm, for this I wait until the next 11 in the new time zone so for a bit I might be low on background. Phil

Sep 12, 2012 DianeW 115 posts	Topic: General Discussion / Help! Lantus split and early start I take my lantus at bedtime, 11pm, and morning, 10am, 28 units each time. I will have to get up at 3.30am to get a flight. I will eat something before boarding so can cover that with QA. The problem is I will be "in flight" at my normal morning time Lantus injection. What should I do? Could I take a full day's dose in one injection for once to save the worry? Take it as soon as I can after flight and then If I do it later than normal how do I calculate what I should take? ANy advice would be much appreciated.

Sep 12, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Landscaping/gardening as a profession I think if/when you get fed up of all the hypos and run the risk of losing warning signs it might be worth a go, even just to see how it copes in your work environment....

Sep 12, 2012 vic demain 87 posts	Topic: General Discussion / Landscaping/gardening as a profession Novo, I did visit the pump clinic for a while shortly after Dafne but was always concerned about the safety of a pump in my job - I break mobile phones for fun - which involves a lot of lifting and carrying heavy bags and equipment around, twisting and turning. Have a friend who is on one and he swears by it, not sure if its for me though.