Recent Posts - DAFNE Online

Sep 9, 2012

Dave Lyons 7 posts

Topic: General Discussion / Landscaping/gardening as a profession

Yes sometimes 3-4 away and during the night

Sep 9, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Landscaping/gardening as a profession

Are you having problems with hypos..........?

Sep 9, 2012

Dave Lyons 7 posts

Topic: General Discussion / Landscaping/gardening as a profession

Hi is there anyone out there who is a landscape gardener/ general gardener who has type 1, I was diagnosed April 2011 and had a complete change of career, since I have been gardening iam finding it increasingly more difficult to control my levels.I go through periods where I can maintain my levels reasonably! Yet other times I am all over the place, I carb count,have a very good diet and physically fit, I would welcome any comments or suggestions.
I love what I do however I am finding it increasingly harder.
Dave a frustrated gardener!

Sep 9, 2012

Alan 49 284 posts

Topic: General Discussion / Diabetic jokes

A diabetic called Rab caught the flu
A condition, for him, that was new
His doctor said 'Rab -
You missed your flu-jab
That's really important for you'.

Sep 9, 2012

susieq 19 posts

Topic: General Discussion / Diabetic jokes

There was a young man called Rex ,
A diligent diabetic, but perplexed
His daily readings
were up then down
which left him nothing but vexed

So off to DAFNE he went
with good readings he was bent
on obtaining the same
and away he came
with the answer that was evident

Sep 8, 2012

jjjerk 2 posts

Topic: Questions for HCPs / Holiday in Turkey

I am going to Istanbul for ten days. I have never been there before and I would appreciate diabetic advise as to food, excercise and healthcare.

Sep 8, 2012

Jayne Blakes 9 posts

Topic: General Discussion / Result.

Hi Phil
I realised that too. That's a shame but if that's the case I may stick with the 4s. Shame as I usually get the later model everytime ones released. The adapter they are planning may make it a pain. I wander if ibg star will offer replacement?
Will see.

Sep 7, 2012

Simon 578 posts

Topic: Questions for HCPs / bereavement

Mike,

My deepest condolences, I am sorry to hear about your loss.

The previous posters have given some great advice above, so I won't repeat it. There's a great support network on these forums too, please use it!

Simon

Sep 7, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Testing 2 Hours After Eating

I have personally had days of BG under 8 and that's with 1-1.5 hour testing just by injecting anything up to 40 minutes before eating.......so it is possible to get results as good as that.......

Unfortunately for most you would need to stick to the same foods every day to maintain, but when is life ever like that..... Smile

Sep 7, 2012

meltow 78 posts

Topic: General Discussion / Testing 2 Hours After Eating

If I do a blood test 2 hours after I've eaten, I can tell you for nothing, it will ALWAYS be over the recommended BG of 7........and is often recorded at 12 to 14. But, I don't panic, because, without any further intake of carbs or any foods, during the next 2 hours it can fall steadily and quickly. Then 5 or 6 hours hours after the initial meal, that is, my next mealtime, my BG can be at the recommended levels. So, I've learnt that my body reacts slightly differently to fast acting insulin.

I know we have guidelines for Dafne, but all our bodies react differently...........and first and foremost, it is important to understand how your own body works and reacts to your insulin. This takes time, experimenting, and lots of finger pricking!!! Wink

Sep 7, 2012

Nikki H-C 23 posts

Topic: General Discussion / Eating Out - help needed please to stop my panic

Hi all,

for anyone interested, here's my list of apps or web sites I use when I eat out, to tell me the carbs...

Carbs n Cals - the easiest one really

www.weightlossresources.co.uk - (website rather than app) I go here straight after Carbs n cals if they don't give me the answer - nearly always covers it - a good 2nd place.

www.livestrong.com - I like this a lot too as it covers almost every take away food including carbs in chicken covered in breadcrumbs type thing.

CarbsControl â€“ does cost Â£1.49 but thatâ€™s not much in the grand scheme of things however you can also go on to their web site carbscontrol.com/mains/nutridata (have it saved as a book mark)

Myfood app - good for fruit and veg - covers milk and meat and grains so maybe more aimed at ingredients as opposed to readymade meals / restaurant food.

www.lowcarbsdiets.com (not an app) but gives good description for the amount of food and also covers the GI of each food too.

I do have the McDonalds app too for those occasions I go there. Their nutrition pages cover wraps, coffee's, fruit bags etc.

Note that a couple of these are American but they still make sense and do the trick.

Please don't all the above in the way it looks, I'm not that bad I just don't like cooking for 1 (as the other half is a chilli eating veggie!).

Often, if I've had a naughty day of carbs or had a bit of chocolate when I do go out, I will have non carb food i.e. garlic prawns for starter and steak and mash which is really easy to account for.

:-)

Sep 7, 2012

JayBee 587 posts

Topic: Questions for HCPs / bereavement

I lost a loved one last year so my heart goes out to you. Sad

It is possible that the stress of the situation (shock included) is upsetting your control because of the hormones involved with stress. With this, concentrate on looking after yourself for now. Don't rush yourself. Give yourself the time you need to grieve. Spend time with those you love and trust, talk to them if you feel ready to. Don't forget to be nice to yourself at this time too; that's easy to forget...

If you want to read the DAFNE principles again, the online DAFNE guidebook there to assist you.
The online DAFNE guidelines can be found here: http://www.dafneonline.co.uk/hbook_topics
Also, as Novorapidboi has said, we are here to help you here on the forum when you're ready.

Best wishes mike28. *hugs*

Sep 7, 2012

Nikki H-C 23 posts

Topic: General Discussion / Testing 2 Hours After Eating

Another good tip, thanks novorapidboi26... I really should visit here more often!

Sep 7, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Testing 2 Hours After Eating

LOL, Its at work I access this forum the most, at least 90% of the time..........

My novorapid last about 4hours 15 minutes...........you can check this time by testing at regular intervals, say every 15 minutes when approaching the end of the insulins action time, if you don't drop any further [1-2mmol/l] you can be confident your insulin has been depleted.....

Sep 7, 2012

Phil Maskell 194 posts

Topic: Questions for HCPs / bereavement

Well said novorapidboi, deepest condolences...

Just take each day as it comes

Sep 7, 2012

Nikki H-C 23 posts

Topic: General Discussion / Testing 2 Hours After Eating

Sorry for some very poor spelling on my part! Shocked

Sneeking in this forum during working hours....but some things are far more important Wink

Sep 7, 2012

Nikki H-C 23 posts

Topic: General Discussion / Testing 2 Hours After Eating

Ahhh, ok.... it had never crossed my mind to play with the timing of my QA.

And it's also news to me that anyone (chrisinbrum) thought that QA didn't last 4 hours.....

I suppose, so far I've taken everything I've been told at DAFNE etc as read and therefore if I'm told it last on average 4 hours, thats what I believed (I'm not always so gulible... only with diabetes!! lol!).

Ok, so, from tomorrow, I will be injecting before I eat (which also makes sure I do eat at a sensible time of the morning) and testing the thery.....

Thanks guys for your help, it's been enlightening! What this space!

Sep 7, 2012

novorapidboi26 1,819 posts

Topic: Questions for HCPs / bereavement

Mike,

please accept my deepest condolences at the sad time.....

As far as the blood sugars are concerned I don't have any personal experience recently, however I would imagine there wont be any noticeable patterns to them when you are grieving. I would just take each day as it comes and try not to worry too much about remembering the principles at the moment. Allow yourself to grieve and eventually things should settle down again....

When you feel you your ready to approach the blood sugar levels again, we are always here to help if needed.....

Sep 7, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Testing 2 Hours After Eating

Chris is absolutely right.....

Aprt from breakfast, I try and inject my insulin at least 15-20 minutes before actually eating the meal, as the insulin takes that amount of time to get underway, obviously this is different for everyone, at different times of the day and with different GI levels....

So it will take some trial and error on your part, it might mean choosing something else to eat in order to make the peak more manageable......

The handbook stated that quick acting analogues like novorapid start to work about 5-10 minutes after injecting, however this must vary between individuals and can be played with when considering slower/faster absorbing carbohydrates..... Smile

But in the whole its all about dose timing and basically experimenting with different times between injecting and eating

Sep 7, 2012

chrisinbrum 41 posts

Topic: General Discussion / Testing 2 Hours After Eating

I normally have porridge (low GI) for breakfast so can see the same pattern as you. I've found (by trial and error) that if I know the CP value of what I'll be having then if I inject about 10 minutes before I eat my blood glucose doesn't peak as much after the meal.

I think (for me anyway) that this gives the insulin a head start on the food, and means that it's just starting to get active when I have the food, instead of the glucose from the food having a 15-20 minute head start on the insulin - does that make sense?

When I used a continuous glucose monitoring machine last year I was amazed to see that when I timed injection/food right, I would hardly see a blood glucose peak at all after eating...and the good news is that I didn't go hypo at these times either. Sometimes I'm even able to reduce the ratio of QA to CP because by timing it this way, although the insulin still has to cope with the same CP value, it doesn't have to cope with a high BG peak anymore (so the insulin works less hard).

Also, I'm not convinced that my QA (humalog) works for 4 hours...I think it's probably a lot shorter time of action a lot of the time, maybe about 2 hours sometimes. ...although that doesn't always seem to be the case!

Does that make sense and help??

Sep 7, 2012

mike28 1 post

Topic: Questions for HCPs / bereavement

Hi
My wife recently passed away, agreat shock to us all.
My readings have been up the wall and I seem to have forgotten all the dafne principles.Has anyone else suffered with this problem and what is the best way to tackle it.
Thanks
Mike

Sep 7, 2012

Nikki H-C 23 posts

Topic: General Discussion / Testing 2 Hours After Eating

I just can't get my head round this yet....
As recommened on a forum - testing after 2 hours to check my levels are at max 10 - ideally 8.

I spoke to my GP about it and she said to aim for 8mmol (as I need really tight control for some medical things coming up).

I can't get my head round being 8 or 10 2 hours after a meal - mainly for the fear of having a hypo - as in my mind my quick acting insulin works for an average of 4 hours.....

In addition to that, I'm trying to stick to low GI food i.e. porridge and/or seeded toast in the mornings so surely this has an impact on what my levels willbe 2 hours after a meal....?

Help! :-)

Example - woke up with 8.4 this morning at 7am. Had seeded wholemeal toast and 500ml cup of tea with skimmed milk = in total equalling 40g of carbs. Injected at a ration of 1:1.5 so 6 units of quick acting. 2 hours later my mmol was 15 - far higher than the 8 I'm aiming for.

Whilst it isn't lunch time yet, I believe my levels will be circa 7 or 8 at that time.

What am I doing wrong?

Any hints and tips would be great.

Thanks

Sep 7, 2012

mum2westiesGill 502 posts

Topic: DAFNE Online Mobile / Andriod App - Diary Upload

Hi Roger,

Thank you very much indeed for this. However when doing this the whole app just crashes. I've sent a pm to Simon to ask if this can be fixed.

Gill

Sep 9, 2012 Dave Lyons 7 posts	Topic: General Discussion / Landscaping/gardening as a profession Yes sometimes 3-4 away and during the night

Sep 9, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Landscaping/gardening as a profession Are you having problems with hypos..........?

Sep 9, 2012 Dave Lyons 7 posts	Topic: General Discussion / Landscaping/gardening as a profession Hi is there anyone out there who is a landscape gardener/ general gardener who has type 1, I was diagnosed April 2011 and had a complete change of career, since I have been gardening iam finding it increasingly more difficult to control my levels.I go through periods where I can maintain my levels reasonably! Yet other times I am all over the place, I carb count,have a very good diet and physically fit, I would welcome any comments or suggestions. I love what I do however I am finding it increasingly harder. Dave a frustrated gardener!

Sep 9, 2012 Alan 49 284 posts	Topic: General Discussion / Diabetic jokes A diabetic called Rab caught the flu A condition, for him, that was new His doctor said 'Rab - You missed your flu-jab That's really important for you'.

Sep 9, 2012 susieq 19 posts	Topic: General Discussion / Diabetic jokes There was a young man called Rex , A diligent diabetic, but perplexed His daily readings were up then down which left him nothing but vexed So off to DAFNE he went with good readings he was bent on obtaining the same and away he came with the answer that was evident

Sep 8, 2012 jjjerk 2 posts	Topic: Questions for HCPs / Holiday in Turkey I am going to Istanbul for ten days. I have never been there before and I would appreciate diabetic advise as to food, excercise and healthcare.

Sep 8, 2012 Jayne Blakes 9 posts	Topic: General Discussion / Result. Hi Phil I realised that too. That's a shame but if that's the case I may stick with the 4s. Shame as I usually get the later model everytime ones released. The adapter they are planning may make it a pain. I wander if ibg star will offer replacement? Will see.

Sep 7, 2012 Simon 578 posts	Topic: Questions for HCPs / bereavement Mike, My deepest condolences, I am sorry to hear about your loss. The previous posters have given some great advice above, so I won't repeat it. There's a great support network on these forums too, please use it! Simon

Sep 7, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Testing 2 Hours After Eating I have personally had days of BG under 8 and that's with 1-1.5 hour testing just by injecting anything up to 40 minutes before eating.......so it is possible to get results as good as that....... Unfortunately for most you would need to stick to the same foods every day to maintain, but when is life ever like that.....

Sep 7, 2012 meltow 78 posts	Topic: General Discussion / Testing 2 Hours After Eating If I do a blood test 2 hours after I've eaten, I can tell you for nothing, it will ALWAYS be over the recommended BG of 7........and is often recorded at 12 to 14. But, I don't panic, because, without any further intake of carbs or any foods, during the next 2 hours it can fall steadily and quickly. Then 5 or 6 hours hours after the initial meal, that is, my next mealtime, my BG can be at the recommended levels. So, I've learnt that my body reacts slightly differently to fast acting insulin. I know we have guidelines for Dafne, but all our bodies react differently...........and first and foremost, it is important to understand how your own body works and reacts to your insulin. This takes time, experimenting, and lots of finger pricking!!!

Sep 7, 2012 Nikki H-C 23 posts	Topic: General Discussion / Eating Out - help needed please to stop my panic Hi all, for anyone interested, here's my list of apps or web sites I use when I eat out, to tell me the carbs... Carbs n Cals - the easiest one really www.weightlossresources.co.uk - (website rather than app) I go here straight after Carbs n cals if they don't give me the answer - nearly always covers it - a good 2nd place. www.livestrong.com - I like this a lot too as it covers almost every take away food including carbs in chicken covered in breadcrumbs type thing. CarbsControl â€“ does cost Â£1.49 but thatâ€™s not much in the grand scheme of things however you can also go on to their web site carbscontrol.com/mains/nutridata (have it saved as a book mark) Myfood app - good for fruit and veg - covers milk and meat and grains so maybe more aimed at ingredients as opposed to readymade meals / restaurant food. www.lowcarbsdiets.com (not an app) but gives good description for the amount of food and also covers the GI of each food too. I do have the McDonalds app too for those occasions I go there. Their nutrition pages cover wraps, coffee's, fruit bags etc. Note that a couple of these are American but they still make sense and do the trick. Please don't all the above in the way it looks, I'm not that bad I just don't like cooking for 1 (as the other half is a chilli eating veggie!). Often, if I've had a naughty day of carbs or had a bit of chocolate when I do go out, I will have non carb food i.e. garlic prawns for starter and steak and mash which is really easy to account for. :-)

Sep 7, 2012 JayBee 587 posts	Topic: Questions for HCPs / bereavement I lost a loved one last year so my heart goes out to you. It is possible that the stress of the situation (shock included) is upsetting your control because of the hormones involved with stress. With this, concentrate on looking after yourself for now. Don't rush yourself. Give yourself the time you need to grieve. Spend time with those you love and trust, talk to them if you feel ready to. Don't forget to be nice to yourself at this time too; that's easy to forget... If you want to read the DAFNE principles again, the online DAFNE guidebook there to assist you. The online DAFNE guidelines can be found here: http://www.dafneonline.co.uk/hbook_topics Also, as Novorapidboi has said, we are here to help you here on the forum when you're ready. Best wishes mike28. hugs

Sep 7, 2012 Nikki H-C 23 posts	Topic: General Discussion / Testing 2 Hours After Eating Another good tip, thanks novorapidboi26... I really should visit here more often!

Sep 7, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Testing 2 Hours After Eating LOL, Its at work I access this forum the most, at least 90% of the time.......... My novorapid last about 4hours 15 minutes...........you can check this time by testing at regular intervals, say every 15 minutes when approaching the end of the insulins action time, if you don't drop any further [1-2mmol/l] you can be confident your insulin has been depleted.....

Sep 7, 2012 Phil Maskell 194 posts	Topic: Questions for HCPs / bereavement Well said novorapidboi, deepest condolences... Just take each day as it comes

Sep 7, 2012 Nikki H-C 23 posts	Topic: General Discussion / Testing 2 Hours After Eating Sorry for some very poor spelling on my part! Sneeking in this forum during working hours....but some things are far more important

Sep 7, 2012 Nikki H-C 23 posts	Topic: General Discussion / Testing 2 Hours After Eating Ahhh, ok.... it had never crossed my mind to play with the timing of my QA. And it's also news to me that anyone (chrisinbrum) thought that QA didn't last 4 hours..... I suppose, so far I've taken everything I've been told at DAFNE etc as read and therefore if I'm told it last on average 4 hours, thats what I believed (I'm not always so gulible... only with diabetes!! lol!). Ok, so, from tomorrow, I will be injecting before I eat (which also makes sure I do eat at a sensible time of the morning) and testing the thery..... Thanks guys for your help, it's been enlightening! What this space!

Sep 7, 2012 novorapidboi26 1,819 posts	Topic: Questions for HCPs / bereavement Mike, please accept my deepest condolences at the sad time..... As far as the blood sugars are concerned I don't have any personal experience recently, however I would imagine there wont be any noticeable patterns to them when you are grieving. I would just take each day as it comes and try not to worry too much about remembering the principles at the moment. Allow yourself to grieve and eventually things should settle down again.... When you feel you your ready to approach the blood sugar levels again, we are always here to help if needed.....

Sep 7, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Testing 2 Hours After Eating Chris is absolutely right..... Aprt from breakfast, I try and inject my insulin at least 15-20 minutes before actually eating the meal, as the insulin takes that amount of time to get underway, obviously this is different for everyone, at different times of the day and with different GI levels.... So it will take some trial and error on your part, it might mean choosing something else to eat in order to make the peak more manageable...... The handbook stated that quick acting analogues like novorapid start to work about 5-10 minutes after injecting, however this must vary between individuals and can be played with when considering slower/faster absorbing carbohydrates..... But in the whole its all about dose timing and basically experimenting with different times between injecting and eating

Sep 7, 2012 chrisinbrum 41 posts	Topic: General Discussion / Testing 2 Hours After Eating I normally have porridge (low GI) for breakfast so can see the same pattern as you. I've found (by trial and error) that if I know the CP value of what I'll be having then if I inject about 10 minutes before I eat my blood glucose doesn't peak as much after the meal. I think (for me anyway) that this gives the insulin a head start on the food, and means that it's just starting to get active when I have the food, instead of the glucose from the food having a 15-20 minute head start on the insulin - does that make sense? When I used a continuous glucose monitoring machine last year I was amazed to see that when I timed injection/food right, I would hardly see a blood glucose peak at all after eating...and the good news is that I didn't go hypo at these times either. Sometimes I'm even able to reduce the ratio of QA to CP because by timing it this way, although the insulin still has to cope with the same CP value, it doesn't have to cope with a high BG peak anymore (so the insulin works less hard). Also, I'm not convinced that my QA (humalog) works for 4 hours...I think it's probably a lot shorter time of action a lot of the time, maybe about 2 hours sometimes. ...although that doesn't always seem to be the case! Does that make sense and help??

Sep 7, 2012 mike28 1 post	Topic: Questions for HCPs / bereavement Hi My wife recently passed away, agreat shock to us all. My readings have been up the wall and I seem to have forgotten all the dafne principles.Has anyone else suffered with this problem and what is the best way to tackle it. Thanks Mike

Sep 7, 2012 Nikki H-C 23 posts	Topic: General Discussion / Testing 2 Hours After Eating I just can't get my head round this yet.... As recommened on a forum - testing after 2 hours to check my levels are at max 10 - ideally 8. I spoke to my GP about it and she said to aim for 8mmol (as I need really tight control for some medical things coming up). I can't get my head round being 8 or 10 2 hours after a meal - mainly for the fear of having a hypo - as in my mind my quick acting insulin works for an average of 4 hours..... In addition to that, I'm trying to stick to low GI food i.e. porridge and/or seeded toast in the mornings so surely this has an impact on what my levels willbe 2 hours after a meal....? Help! :-) Example - woke up with 8.4 this morning at 7am. Had seeded wholemeal toast and 500ml cup of tea with skimmed milk = in total equalling 40g of carbs. Injected at a ration of 1:1.5 so 6 units of quick acting. 2 hours later my mmol was 15 - far higher than the 8 I'm aiming for. Whilst it isn't lunch time yet, I believe my levels will be circa 7 or 8 at that time. What am I doing wrong? Any hints and tips would be great. Thanks

Sep 7, 2012 mum2westiesGill 502 posts	Topic: DAFNE Online Mobile / Andriod App - Diary Upload Hi Roger, Thank you very much indeed for this. However when doing this the whole app just crashes. I've sent a pm to Simon to ask if this can be fixed. Gill