Recent Posts - DAFNE Online

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 1,818 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 582 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 582 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 58 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 58 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 1,818 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 1,818 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 12, 2012

novorapidboi26 1,818 posts

Topic: General Discussion / Landscaping/gardening as a profession

Vic,

You really do sound like the ideal candidate for a pump, the main benefit being the delivery of much smaller doses....

Do you think?

Sep 12, 2012

vic demain 87 posts

Topic: General Discussion / Landscaping/gardening as a profession

Hi Dave,
I am a sports ground groundsman, have been for the last 15 years. Did Dafne about 3 years ago and am still struggling to be honest to get a settled line. Either low or too high, very few greens. Shortly after Dafne, I was going hypo 3-4 times a day using the 1:1 method, have now dropped it to 0.5:1 during the working day and increase to 1.5:1 in the evening. Because of the nature of the work, control is a nightmare. One day sat on a mower all day doing little, next running behind a pedestrian model or pulling heavy sheets all over the place or worse still top dressing. Always have some Coke close by and try to plan your QA intake by what you will be doing that day. Sorry very vague but its a hard battle. I thought it would be so much better after Dafne but that is not my experience sadly, deapite a huge effort.
Good luck.

Sep 11, 2012

Born Again 1 post

Topic: General Discussion / Landscaping/gardening as a profession

Hi. I am 35 year Type 1 diabetic and a newbie DAFNE graduate, recently retired Biology teacher and regularly have very active gardening/landscaping days on the several acres of land I have to manage and am frequently involved in busy days of 10 hours and quieter ones when the weather is rubbish. Last year before DAFNE I was all over the place but now, using DAFNE, I have found it vitally important to record every BG and CP QA and BI so that I learn how my different activities affect my BG and am still in the process of making the necessary adjustments so that I don't have hypos. I don't expect I will have to continue making such exact records once I can get a better measure of how my body responds. As a scientist I understand the importance of trying to reduce the number of variables while I learn the ropes, so I have now established my best BI for these busy days and am now making small adjustments to get my dosgae of QA down to target levels. While I am in the learning stages I try to keep my CP easily measured and pretty much the same each day until I get the ratios right for each kind of activity. Hopefully I will be able to make changes to CP with more confidence and the avoidance of hypos which before caused me to lose hope that I would ever get it right. Perhaps this is just missionary zeal on my part so soon after the DAFNE course but I chose my Username to illustrate how I feel after 35 years of guessing! Good luck and I look forward to learning how you get on.

Sep 11, 2012

Nikki H-C 23 posts

Topic: General Discussion / Testing 2 Hours After Eating

Thanks novorapid,

Yes, I do tend to have a drink on either a Friday or a Saturday night, which is why I split out my Mon - Fri and weekends. I suppose I'm not too worried about the hypo's of a weekend as I know I should be injecting less with alcohol knocking around my system... Wink

It's the Monday to Friday bit I think I need to sort.

You're right, I shouldn't reduce my ratio's for GI although until you said it, I hadn't really thought that statement/question through much.

I started doing the "inject early" thing last night, by about 30 minutes and that seemed to do the trick for that one meal. So, early days but I'm going to keep at that and see how I get on.

I now need to stop with the impromptu eating and plan ahead a bit more !! (Like the random, last minute chocolate homemade brownie I had today!! I never eat chocolate/cake.... it must just be my naughty streak coming out with the thought of being more "regulated"!! ho hum!).

Thanks again.... I'll let you know how I get on this week. Very Happy

Sep 11, 2012

DianeW 115 posts

Topic: General Discussion / Diabetic jokes

There was a diabetic called Wood
Who had a weakness for the occasional sponge pud
But she exercised and injected
And tested and corrected
To ensure her control was still good!

Sep 10, 2012

DianeW 115 posts

Topic: General Discussion / Holiday in Lanzarote

Thanks whiskysmum! I'm sure I will, it's just the nerves of not being "in control" when I'm away from home and a normal regime. Hope you have a lovely time too!

Sep 10, 2012

Alan 49 280 posts

Topic: General Discussion / Diabetic jokes

There once was a diabetic called Evans
Whose BGs were all fours to sevens
His partner, said 'Dai -
You know that's a lie -
You're not going to get to Heaven'.

Sep 10, 2012

novorapidboi26 1,818 posts

Topic: General Discussion / Testing 2 Hours After Eating

I don't think you should be changing your ratios for different GI food, that's wrong......

The carb/insulin ratio is basically a representation of our resistance to insulin at that time of day, how much insulin we need to process 10g of carbohydrate, so this will not change if your a have a low GI meal or a high GI meal......

GI tells us how quickly the item goes into our blood stream as glucose, and so, in my opinion, its dose timing that would be relevant here as opposed to ratios....

Do you drink at all, like on a Friday night etc...?

If your hypoing between 1-3 most days then you would assume its your lunchtime dose that's too much. Don't eliminate a need to adjust your BI dose though, but you would consider your previous QA dose firstly...

Sep 10, 2012

Nikki H-C 23 posts

Topic: General Discussion / Testing 2 Hours After Eating

Monday to Friday, I've hypo'd between 1pm 3pm so a couple of hours after lunch and a good 4 to 6 hours after breakfast.
Saturday I had a 11.30am and 1pm
Sunday, nearly hypo'd (4.2) 1.30 hours after breakfast.

Note, when I say hypo, I catch them at 3.5mmol to 3.7mmol almost without fail somehow!

I think the trend is definately breakfast and using the 1:1.5 ratio when eating low GI food, but I think I need 1:1.5 with med/high GI food i.e. fruit. In either instance, I can't get to the 8 to 10mmol without a "hypo" and hour or two later.....

I do split my BI already to 8u in the morning (9am ish) and 10u before bed (Levemir) before bed about 11pm.

I notice that my highs tend to be when I inject in my thigh so I try to stick to my spare tyres around my tum.

I'm thinking of sticking to the same food every day for a week and see if I can control it this way (as you suggested).

You're worldly wise novorapidboi...... What do you think? Confused

Sep 10, 2012

mum2westiesGill 502 posts

Topic: General Discussion / Holiday in Lanzarote

DianeW said:
I have also been thinking along these lines as I'm off to Cyprus on Saturday, .

We go to Lanzarote on Sunday Very Happy

. We're going to be there for our silver (25th) wedding anniversary.

DianeW - have a great holiday!

Sep 10, 2012

novorapidboi26 1,818 posts

Topic: General Discussion / Testing 2 Hours After Eating

When are you having the hypo exactly..........? Same time every day......?

Are you on a single or split dose of BI?

Remember to reduce the spike after eating you need to give your insulin 15 minutes at least before eating, sometime difficult to do I know....

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 1,818 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 582 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 582 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 58 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 58 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 1,818 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 1,818 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 12, 2012 novorapidboi26 1,818 posts	Topic: General Discussion / Landscaping/gardening as a profession Vic, You really do sound like the ideal candidate for a pump, the main benefit being the delivery of much smaller doses.... Do you think?

Sep 12, 2012 vic demain 87 posts	Topic: General Discussion / Landscaping/gardening as a profession Hi Dave, I am a sports ground groundsman, have been for the last 15 years. Did Dafne about 3 years ago and am still struggling to be honest to get a settled line. Either low or too high, very few greens. Shortly after Dafne, I was going hypo 3-4 times a day using the 1:1 method, have now dropped it to 0.5:1 during the working day and increase to 1.5:1 in the evening. Because of the nature of the work, control is a nightmare. One day sat on a mower all day doing little, next running behind a pedestrian model or pulling heavy sheets all over the place or worse still top dressing. Always have some Coke close by and try to plan your QA intake by what you will be doing that day. Sorry very vague but its a hard battle. I thought it would be so much better after Dafne but that is not my experience sadly, deapite a huge effort. Good luck.

Sep 11, 2012 Born Again 1 post	Topic: General Discussion / Landscaping/gardening as a profession Hi. I am 35 year Type 1 diabetic and a newbie DAFNE graduate, recently retired Biology teacher and regularly have very active gardening/landscaping days on the several acres of land I have to manage and am frequently involved in busy days of 10 hours and quieter ones when the weather is rubbish. Last year before DAFNE I was all over the place but now, using DAFNE, I have found it vitally important to record every BG and CP QA and BI so that I learn how my different activities affect my BG and am still in the process of making the necessary adjustments so that I don't have hypos. I don't expect I will have to continue making such exact records once I can get a better measure of how my body responds. As a scientist I understand the importance of trying to reduce the number of variables while I learn the ropes, so I have now established my best BI for these busy days and am now making small adjustments to get my dosgae of QA down to target levels. While I am in the learning stages I try to keep my CP easily measured and pretty much the same each day until I get the ratios right for each kind of activity. Hopefully I will be able to make changes to CP with more confidence and the avoidance of hypos which before caused me to lose hope that I would ever get it right. Perhaps this is just missionary zeal on my part so soon after the DAFNE course but I chose my Username to illustrate how I feel after 35 years of guessing! Good luck and I look forward to learning how you get on.

Sep 11, 2012 Nikki H-C 23 posts	Topic: General Discussion / Testing 2 Hours After Eating Thanks novorapid, Yes, I do tend to have a drink on either a Friday or a Saturday night, which is why I split out my Mon - Fri and weekends. I suppose I'm not too worried about the hypo's of a weekend as I know I should be injecting less with alcohol knocking around my system... It's the Monday to Friday bit I think I need to sort. You're right, I shouldn't reduce my ratio's for GI although until you said it, I hadn't really thought that statement/question through much. I started doing the "inject early" thing last night, by about 30 minutes and that seemed to do the trick for that one meal. So, early days but I'm going to keep at that and see how I get on. I now need to stop with the impromptu eating and plan ahead a bit more !! (Like the random, last minute chocolate homemade brownie I had today!! I never eat chocolate/cake.... it must just be my naughty streak coming out with the thought of being more "regulated"!! ho hum!). Thanks again.... I'll let you know how I get on this week.

Sep 11, 2012 DianeW 115 posts	Topic: General Discussion / Diabetic jokes There was a diabetic called Wood Who had a weakness for the occasional sponge pud But she exercised and injected And tested and corrected To ensure her control was still good!

Sep 10, 2012 DianeW 115 posts	Topic: General Discussion / Holiday in Lanzarote Thanks whiskysmum! I'm sure I will, it's just the nerves of not being "in control" when I'm away from home and a normal regime. Hope you have a lovely time too!

Sep 10, 2012 Alan 49 280 posts	Topic: General Discussion / Diabetic jokes There once was a diabetic called Evans Whose BGs were all fours to sevens His partner, said 'Dai - You know that's a lie - You're not going to get to Heaven'.

Sep 10, 2012 novorapidboi26 1,818 posts	Topic: General Discussion / Testing 2 Hours After Eating I don't think you should be changing your ratios for different GI food, that's wrong...... The carb/insulin ratio is basically a representation of our resistance to insulin at that time of day, how much insulin we need to process 10g of carbohydrate, so this will not change if your a have a low GI meal or a high GI meal...... GI tells us how quickly the item goes into our blood stream as glucose, and so, in my opinion, its dose timing that would be relevant here as opposed to ratios.... Do you drink at all, like on a Friday night etc...? If your hypoing between 1-3 most days then you would assume its your lunchtime dose that's too much. Don't eliminate a need to adjust your BI dose though, but you would consider your previous QA dose firstly...

Sep 10, 2012 Nikki H-C 23 posts	Topic: General Discussion / Testing 2 Hours After Eating Monday to Friday, I've hypo'd between 1pm 3pm so a couple of hours after lunch and a good 4 to 6 hours after breakfast. Saturday I had a 11.30am and 1pm Sunday, nearly hypo'd (4.2) 1.30 hours after breakfast. Note, when I say hypo, I catch them at 3.5mmol to 3.7mmol almost without fail somehow! I think the trend is definately breakfast and using the 1:1.5 ratio when eating low GI food, but I think I need 1:1.5 with med/high GI food i.e. fruit. In either instance, I can't get to the 8 to 10mmol without a "hypo" and hour or two later..... I do split my BI already to 8u in the morning (9am ish) and 10u before bed (Levemir) before bed about 11pm. I notice that my highs tend to be when I inject in my thigh so I try to stick to my spare tyres around my tum. I'm thinking of sticking to the same food every day for a week and see if I can control it this way (as you suggested). You're worldly wise novorapidboi...... What do you think?

Sep 10, 2012 mum2westiesGill 502 posts	Topic: General Discussion / Holiday in Lanzarote DianeW said: I have also been thinking along these lines as I'm off to Cyprus on Saturday, . We go to Lanzarote on Sunday . We're going to be there for our silver (25th) wedding anniversary. DianeW - have a great holiday!

Sep 10, 2012 novorapidboi26 1,818 posts	Topic: General Discussion / Testing 2 Hours After Eating When are you having the hypo exactly..........? Same time every day......? Are you on a single or split dose of BI? Remember to reduce the spike after eating you need to give your insulin 15 minutes at least before eating, sometime difficult to do I know....