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Sep 2, 2012
mum2westiesGill 502 posts

Topic: General Discussion / What did you have to eat yesterday?

Yesterday 1/9/2012

Breakfast - toast (2 x rnds)

Lunch - tuna pate sandwich (2 x rnds brd)

Dinner - chinese:
chicken soup
chicken fried rice (1/2 tray)
curry sauce
 
Sep 2, 2012
susieq 19 posts

Topic: Carbohydrate Counting / Fajitas

No, Meltow, no nutritional content on the salsa, it was all in a package, every nutrition value on the pkt except carbs!!! But I had about a tblsp per wrap, so I think I've estimated right, we'll see later at tea time!!
 
Sep 2, 2012
meltow 78 posts

Topic: Carbohydrate Counting / Fajitas

I wouldn't count anything for peppers, onions or cheese. I don't know much about the contents of salsa, nor how much you may be having. If I'm having a sauce, I tend to gauge about 0.5CP for a tablespoon of sauce, wether it is a sweet sauce or milk-based.
If it's packaged salsa doesn't it have nutritional content on the label?
 
Sep 2, 2012
susieq 19 posts

Topic: Carbohydrate Counting / Fajitas

I'm having Spicy Fajitas for lunch, wondering how many cp's in it all...

Tortillas = 3cp each
salsa ????
peppers????
cheese ???
onion - nil

the last three I think are nil cp? so I'm hoping 2 wraps would be 6cp maybe 7cp accounting for the sugar in the salsa? what do you reckon?
 
Sep 1, 2012
JayBee 587 posts

Topic: General Discussion / Result.

You sound like me. Even after 3 years I'm still having trouble finding my body's requirements however in the last six months some things have come to light. Hopefully we can help each other - even if it means just encouragement. Smile

You have to factor in a lot of things, beyond just looking at carbs and adjusting to blood results (frustrating I know).
Examples are:
~knowing what your exercise needs are (because I've learnt that the exercise rules don't apply in the same way to me to as we're taught on the DAFNE course - I need to do a lot of exercise before I need to look at eating something)
~stress (look at your work environment or if there's something in your life that constantly makes you anxious (like a bully's behaviour) - I find my levels rise without fail if I'm anxious or upset and can continue to rise despite correction over at least 12hours)
~patience to give your insulin time to work (after learning that it could take 2-5hours for my humalog to finish, I would regularly try to test again after it was 5 hours so I could catch true patterns - this did mean letting myself be high if I got it wrong for a little while which in itself is distressing - trying to stop myself correcting too soon was a very hard habit to break after years of only giving my body an hour or two to get me down).
~learning your insulin sensitivity (It took me years to learn that 1:1 ratio was too much. I now understand that 1QA takes me down by 4-5BG, not 2-3BG - this is such a big difference to my control and worth considering here; could be seen under the "brittle" label perhaps but I haven't been given that tag yet and nor do I want to)

It can be so hard to make a call on things and it is disheartening. I frequently have felt I'm fighting a losing battle when I couldn't see these things I've mentioned just now. Sad We need to be so familiar with our bodies to make progress.

I'm currently looking more into things like zen meditation and just learning how to stop my body "triggering" anxiety after a GP's suggestion. A feat in itself I know but while I'm going through a difficult time in my life (I've had a lot of one thing after another in the last year at least, including death in family), it's something. I have also asked my workplace for help which they are now looking into.

Don't feel bad about not being on a pump either - it's not a miracle cure. Even though it provides more injecting flexibility, you'll still need to see what are causing the highs and lows to prevent them.

Best wishes.

Edit: I hope your HbA1c hasn't been too high above the recommended range. I've been stuck between 8%-9% but with some changes (like the work situation etc) this has been starting to drop. I hope my next HbA1c is below 8%, will have to wait and see.
 
Sep 1, 2012
mum2westiesGill 502 posts

Topic: General Discussion / What did you have to eat yesterday?

Yesterday - 31/08/2012

Breakfast - toast (2 x rnds)

Lunch - tuna & mayo sandwich (2 x rnds brd)

Dinner - cheese & ham pasta bake (homemade)

Supper - tuna & mayo sandwich (2 rnds brd)
 
Sep 1, 2012
grahamjames 6 posts

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

hiya whiskysmum i think you would find it advantageous to take10 units of bi in morning then 12 units of bi in evening but keep an eye on bg and increase or decrease after 1 weeks results you may find ai will need adjusting also but most type1 find iess bi is needed ,try to keep bi injections 10 to 12 hours apart ,hope to hear from you soon all the best
 
Sep 1, 2012
Alan 49 284 posts

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

Hello Gill
Your carb estimation and your overall control don't look too bad to me, considering you haven't done the DAFNE course. I reckon most of us get the occasional high and low readings. I would urge you to enter your CPs and Ratios in the table - which make it a lot easier to spot if things start going wrong. The system will tell you if you've got the format wrong and give you useful guidance on how to enter it correctly.

I thinks it's important to do a blood test before bed, as well. This could prevent any night-time hypos you may get.

Also - get yourself on a DAFNE course ASAP

Alan
 
Sep 1, 2012
Alan 49 284 posts

Topic: General Discussion / Diabetic jokes

I need help - I can't seem to stop thinking about Limericks. I think I've got Limerickitis - does anyone know a good Limerickologist?

A music-mad diabetic called Peter
Spent most of his time on his geetar
His podiatrist said 'Pete -
You've neglected your feet
And you know how important your feet are'

There once was a diabetic called Margaret
Whose blood-sugars were well over target.
On DAFNE she went
And you know what that meant -
Now most of her readings are great.
 
Sep 1, 2012
HelenP 218 posts

Topic: General Discussion / Diabetic jokes

A young diabetic called Jim
had had carb counts up to the brim
he preferred his pump
to a jab in the rump
but he so wished it was not him.

Helen

 
Aug 31, 2012
mum2westiesGill 502 posts

Topic: General Discussion / What did you have to eat yesterday?

Yesterday - 30/08/2012

Breakfast - toast (2 x rnds)

Lunch - paste sandwich (2 x rnds brd)
crisps (1 x 25g bag)

Dinner - Young's Chip Shop Fish & Chips

Supper - egg custard cake Crying or Very sad
 
Aug 31, 2012
vic demain 87 posts

Topic: General Discussion / Result.

No patterns at all, that is the major difficulty. Hypo this afternoon when normally I would never get one at that time of day. My long acting results have never improved since the course and we have always put this down to so many hypos and corrections causing the results to just go high or low.
Very annoying having worked so hard at it.
 
Aug 31, 2012
susieq 19 posts

Topic: General Discussion / morning highs

Hmmm, Phil, It does sound appealing, but I'll just have to resist !!! (the 3am jab!) LOL

DianeW I don't have night time hypo's no, I'm just 2yrs into this Diabetes!! and I'm sure with a little tweaking and a little help from you all I'll finally come to a reasonable - able to live with level. I tried adding another 2u of bi, but then was hypo'ing at 3am so back down it went, and back up the morning levels went.
onwards we go.... Rolling Eyes
 
Aug 31, 2012
mum2westiesGill 502 posts

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

No I haven't done a DAFNE course.

I've now entered all my BI / BED enteries . Bit frightened to enter CPs, and ratios into the diary in case i get it wrong. Please take another look now i've entered the BI / BED enteries. Also re being frightened to enter the CPs, and ratios maybe you could take a look in my comments sections which is where i write what meals i've had and also the CPs, .
 
Aug 31, 2012
novorapidboi26 1,819 posts

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

I don't think she has officially done the DAFNE course, but its definitely worth getting to grips with the diary if you want other 'DAFNE' trained folk to give advice.....
 
Aug 31, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Result.

Do your results show a problem with insulin doses at certain times, or is there no obvious patterns............

I have heard of folk having 'brittle' diabetes and having conditions like gastroparesis where managing sugars is difficult and unpredictable,could be something like that....
 
Aug 31, 2012
DianeW 115 posts

Topic: General Discussion / Diabetic jokes

Ok here goes

There once was a diabetic called Sally
Who thought she was going doolally
She let out a scream
When her meter said 15
Her CPs and QA did not tally!
 
Aug 31, 2012
DianeW 115 posts

Topic: General Discussion / morning highs

Although obviously a good thing to eat less carbs/smaller portions at dinner, if you cover the carbs with the right amount of QA then bedtime reading should be ok and it follows if BI is correct then your morning reading shouldn't be that different from your bedtime reading. I had this problem and have had my Lantus split into morning and bedtime, but I find if you don't get the bedtime reading right then no amount of splitting seems to help....I presume you're not going hypo in the night which would make it high in morning?
 
Aug 31, 2012
Garry 328 posts

Topic: General Discussion / morning highs

If you have the confidence, lift your BI another 2 u and follow progress over the next few days and along with the dreaded 03:00 BG checks see what happens.
No improvement and good 03:00s - add another 2 u.
Wait a few days and see how you go. Once you get it right you may find that BG is within 1 mmol of your before bed result. Things will change over 28 days though.
Regards
Garry
 
Aug 31, 2012
ruthhutchinson 39 posts

Topic: Carbohydrate Counting / Paris bun/ rock bun

thanks Carolin. I miscalculated anyway and ended up with a BG reading of 1.8 - oops.
 
Aug 31, 2012
Phil Maskell 194 posts

Topic: Questions for HCPs / new to this!

Hi,

Just thought of another thing, knowledge is power with DAFNE, if you don't know your current BG how can you react, how often do you test a day? With DAFNE its every mealtime, bedtime and any other time you eat or exercise, this might be something you need to get used to if you don't test this often. Check your GP doesn't mind you using this many test strips?

You can then record your BG and try to see patterns etc...

Phil
 
Aug 31, 2012
Phil Maskell 194 posts

Topic: General Discussion / morning highs

susieq said:
No Carolin, I don't take any CP's for non carb foods, which is great. after my meal I was a pleasant 7.7 before bed, then overnight it rises to 10.7 in the morning, but I am just going to live with it. I've raised my bi and it's now a good week since I did that and it's still 9.9 this morning, so, perhaps it's my lot. daytime levels are good, I just wondered WHY it rises and you can never get a pleasant wake-up reading. But if that's the lease of my worries, then I'll live with it. as Phil says, I'll take option 2. ! Smile



Do you not fancy option 1 ? 4am injection sounds sooo appealing

Phil
 
Aug 31, 2012
Carolin 83 posts

Topic: General Discussion / morning highs

Hi Susieq,

Others who have responded are correct about the Dawn Phenomenon; it's a natural release of hormones (particularly growth hormone) in the early hours of the morning as you wake up that causes your liver to release glucose into your blood stream. If there isn't enough insulin (BI) around at this time your BG will start to rise.

The best way of trying to control this is:
1. take your evening BI as late as possible (bedtime) so it's still got a reasonable level of action by morning time
2. increase the dose of your bedtime BI, but ALWAYS check your 3am BG before and after making increases to BI to ensure you're not dipping too low there (you should be above 4.5mmol/l). If you do start to have night-time hypos, you will need to cut back on your BI again.

Some people just never manage to control morning BG, however if all other BGs and HbA1c is good then it's best to just live with it as you say.

Good luck,

Carolin
 
Aug 31, 2012
Phil Maskell 194 posts

Topic: Questions for HCPs / new to this!

Hi,

I did a 5 day course and I think this could have been compressed into 2 or 3 days, but there are quite few things that you need to get sorted such as Background and mealtime ratios, sickness rules, exercise etc... The first hour of the day was going through everyones BG diary and working out the best course of action for everyone, by doing this as a group you could see the changes you needed to make in different situations, you might not have a hypo that week, but someone else in the group would so you could discuss how to react to these things.

I would guess not really, support after the course online is perfect, but I think the basics need time.

If you're having control issues now there are a couple of important things from DAFNE that might help. It all becomes alot easier if your Background insulin is holding you at a steady BG, I had to do a weekend carb free to prove this to myself. Don't overcorrect hypos as you go sky high after and are chasing your tail all day (do you correct high BGs, if so don't between meals as this can cause yo-yoing too) then, 20 carbs or 2CP in DAFNE parlance (little carton of Orange Juice is exactly 2CP Very Happy Chocolate is not a good hypo cure as the fat in it slows the sugar absorbtion Crying or Very sad ) is usually enough to bring you up and if more than an hour before the next meal 2CP of starchy carbs to keep up.

Do you currently carb count? You could look this up online and just get used to estimating carbs per meal as this will be useful.

Hope this helps. These are just hints for now, but I feel you will have to wait for the course though.

Phil
 
Aug 31, 2012
susieq 19 posts

Topic: General Discussion / morning highs

No Carolin, I don't take any CP's for non carb foods, which is great. after my meal I was a pleasant 7.7 before bed, then overnight it rises to 10.7 in the morning, but I am just going to live with it. I've raised my bi and it's now a good week since I did that and it's still 9.9 this morning, so, perhaps it's my lot. daytime levels are good, I just wondered WHY it rises and you can never get a pleasant wake-up reading. But if that's the lease of my worries, then I'll live with it. as Phil says, I'll take option 2. ! Smile