Recent Posts - DAFNE Online

Jul 11, 2019

Simon 578 posts

Topic: Site Development / Deleting entire BG diary option request

Hi Jaybee,

If you're looking at your diary on the site there's a tick box next to the time on each entry for you to select them individually and then click the option at the bottom to bulk delete them. If that's too much hassle then let us know and we can do it for you at our end.

Out of interest why do you want to delete them? Are you moving away from the site?

Thanks,

Simon

Jul 10, 2019

JayBee 587 posts

Topic: Site Development / Deleting entire BG diary option request

Hi DAFNE Online Staff,

I was wanting to delete my entire BG diary, but you have it only set up so that individual entries can be deleted at the moment. I have years' worth of entries I want to delete.

Could you delete my BG diary for me, or add an option where someone can select all and delete all selected entries themselves?

Thanks in advance.

Jul 7, 2019

Martin Brown 2 posts

Topic: Carbohydrate Counting / Spinach soup

How many carbs are there in a typical bowl of spinach soup Question

Jul 4, 2019

Simon 578 posts

Topic: Site Development / DAFNE Online App Missing From Android App Store

Hi,

Unfortunately the person who maintained the Android version of the app is no longer able to develop it so there won't be any new versions unless we get a willing volunteer to help out with that.

We made a change to the site yesterday which meant that the URLs to DAFNE Online were no longer valid in the Android app - I have just reversed these so you should now be able to upload from the DAFNE Android App.

Thanks,

Simon

Jul 3, 2019

BryonyE 2 posts

Topic: Site Development / DAFNE Online App Missing From Android App Store

Yes, I'm interested to know about this too - it's been showing as 'app failed' and my diary entries haven't synced here since yesterday afternoon. Is there a fix on the way please? I've only had to use the online function once to email my diabetes nurse but it was really helpful! At least it's still saving locally on my phone - for now...

Jul 2, 2019

JayBee 587 posts

Topic: General Discussion / Bed wetting

Hope the GP was able to help you out. Sad

Jul 2, 2019

JayBee 587 posts

Topic: Site Development / DAFNE Online App Missing From Android App Store

Does anyone know if or when the Android version of the DAFNE Online App will return?
I still have it installed but it will no longer allow me to use the services this site provides through the app (such as diary uploading).
I'm guessing this has happened because of Google removing it from the app store since there's nothing here about it being removed intentionally... Confused

Jul 2, 2019

Simon 578 posts

Topic: Site Development / LibreLink + DAFNE App

Hi Alex,

I'm not a Libre user myself - rather have a Dexcom. Does Librelink save BG entries to Apple Health? I'm assuming you'd like your libre entries to appear in the DAFNE Online app so you can upload them here?

If it does save to Apple Health then we can look at implementing something which would read from the Health app.

Simon

Jun 30, 2019

Alex E 1 post

Topic: Site Development / LibreLink + DAFNE App

Is there any way to get the data from the DAFNE app to show in LibreLink - rather than entering all the data in both apps.... ?

Jun 28, 2019

outdoorsteve 5 posts

Topic: General Discussion / Bed wetting

Hi sjohno, I had a hypo before dinner and couldn't do a correction according to the DAFNE guidelines.
My glucose levels are always erratic either too high or low. I am at the DAFNE catch up on tuesday .
I've booked in to see my GP this morning also.
Thank you for your reply.
Regards
outdoorsteve

Jun 28, 2019

sjohno 37 posts

Topic: General Discussion / Bed wetting

outdoorsteve said:
Does anyone experience bed wetting in their sleep due to their diabetes.
I wet the bed during the night and when I went to bed I was 19.1at dinner. My blood glucose has always been erratic and now I feel embarrassed for wetting the bed.

Hi outdoorsteve

Generally how is your diabetes control?
Were you 19.1 at dinner time or bed time? Did you correct the 19.1 at either times?

I would respectfully suggest that you make an appointment with your Doctor and have a chat.

regards
sjohno

Jun 28, 2019

outdoorsteve 5 posts

Topic: General Discussion / Bed wetting

Does anyone experience bed wetting in their sleep due to their diabetes.
I wet the bed during the night and when I went to bed I was 19.1at dinner. My blood glucose has always been erratic and now I feel embarrassed for wetting the bed.

Jun 27, 2019

HelenP 218 posts

Topic: General Discussion / infusion set issues

Thanks, Marke. That is what I understand also, but it is very frustrating and to his credit the endocrinologist registers that for me it is a problem and probably accounts for at least some of my HbA1c (hovers around 7.0). We have tried flooding the site with a breakfast dose (to clear it) but I then get into trouble as the actual dose getting through is difficult to assess. I have also tried injecting for a breakfast dose. I have been a diabetic for over 40 years so there have been a lot of injections before the pump as well. Helen

Jun 27, 2019

marke 686 posts

Topic: General Discussion / infusion set issues

sorry to disappoint you , but I have used the quick set for about 3 years ( my pump is due for replacement at the end of the year and they change them in the UK every 3 years) and I tend to get an increase in BG when I change the set. Not as big a rise as you but definitely a non-normal rise. This I believe is what you would expect to happen. This is because when you insert it, it drip feeds insulin into you. This insulin needs to pass through tissue to reach the blood and become effective. With injections you put a relatively large dose in all at once and it does the same thing, but because the pump only puts small amounts in, there is less of an 'absorption' area so it takes a while to create a 'flow' from the set to the blood. In an ideal world you wouldn't change the sets and the flow would always be there. Sadly this is not possible as people who inject manually know, the area of injection hardens and if you use the same sites for injection they become less effective, the same is true of pumps. One day they will probably work a way around this if stem cell research doesn't make it all redundant, we can only hope Very Happy

Jun 25, 2019

marke 686 posts

Topic: Site Development / Spammers

Hi Torana, You seem to have a fundamental misunderstanding about the site. It is NOT run by the DAFNE Programme but independently by two people i.e Simon and myself. This latest mass attack of SPAM occurred when we were both on holiday and so we could do little about it. I am now back and have removed all of the SPAM from the forums.
The difficulty is how do we stop it. It is not automated as they have to register an account by making a number of selections. We could insist on an email verification when signing up but this has a number of issues. I won't bore you with them as they are very technical but its hard to block people on that basis. I have thought about blocking normal 'users' that don't have a centre code but we don't want to bar any diabetics with a real need for help or advice. My only hope is a more intelligent blocking mechanism but that will take time to design and implement. Believe me it is as annoying for us as it is you. However unless somebody finds a big pot of money somewhere and given its the NHS and home users not very likely we are just going to have to live with it until they get bored.

Jun 20, 2019

HelenP 218 posts

Topic: General Discussion / infusion set issues

Hi, I have been on a pump now for about 10 years (on my 4th or 5th pump). When I was initially put on a pump the Diabetic Educator put me onto a manual insertion infusion set as I was not needle phobic. I accepted this and have continued to use this or latterly the Medtronic equivalent. Searching the Medtronic site I came across advice that the infusion set I am using (Silhouette paradigm) is designed for young, lean or athletic frame. I am not young, athletic nor lean...

I experience a rise in BG immediately after the change of sets.. Advice to date has been deal with evening meal (6:00pm) and then after about an hour change the infusion set and do not eat anything until morning. If you wake (which I often do) correct then and hopefully it will be almost back in range for breakfast. So before meal it can be around 7, deal with dinner and it can be 9 after an hour or so. Change the set and then at midnight it can be 16...if it is over 15 I usually inject as I need to have it come down, but sometimes the system clears itself and the pump can suspend before I wake. Is the fact that it is unreliable for about 12 hours out of 72 good enough? Similarly if I let the infusion set go for the full three days BG often starts to slowly rise. This I believe is because the site is healing over.
On my own volition I have now changed to the recommended infusion set for the non young, non lean, non athletic and experienced some (little) success but it is probably too early to tell. Any advice? I am now using the Mini-med quick set (manually inserted).
Helen

Jun 19, 2019

novorapidboi26 1,819 posts

Topic: General Discussion / Dismal Hba1c levels

My qualifications is that I've spent many years on a mixed insulin and failed and spent many years using DAFNE and succeeded....now pumping...

I didn't mean to come across aggressive or anything...I just believe that if you understand your own control you can pin point what exactly is causing the issues..

Getting it right during the actual course is not likely.....unless you had been already doing something similar before hand....as you came from a mixed regime that hadn't happened....

Now a mixed insulin is suitable for some...but if you want the flexibility of being able to eat what you want when you want....drink alcohol, excercise...all while maintaining good control with a decent HbA1c....DAFNE is the first step to that goal....

The basics principles stayed the same but my approach and tactics all changes to suit my needs....this needs to happen for you to....

You talk about insulins being responsible....but there are different ones to try that are still basal/bolus....the only difference from your previous stuff is that it's been seperated....to allow you to adjust them independently of each other....it's simple maths and logic...

What was your best HB on the mix and what did you eat?

Are you on a split dose of basal and if so are the doses correct...?

Jun 19, 2019

Seanyseanuk 10 posts

Topic: General Discussion / Dismal Hba1c levels

Okay so what are your qualifications exactly? I have no doubt you may know more than some of the HCPs out there, but what basis or reference points are you using to say that with confidence?

I’m pretty sure my understanding of the principles of DAFNE – having lived with diabetes for over 35 years and really only having had issues since switching to basal bolus is really in and of itself a clear indicator that DAFNE doesn’t work for everyone. I did my course in October last year, so its been a good 8 months (if we include the month of June). However it is possible as you say, the one that’s incorrect and maybe that is in and of itself the cause factor. As I indicated previously, my levels weren't normal during the 5 days of the course and I was actually given the insulin levels to inject and my sugars did not correspond at all during the 5 days which is also a clear indicator to me that something should have shifted and changed in those 5 days. Having gone from having normal and good HB levels to incredibly poor levels - I am really sure that the only factors that are at play that are significant are the insulins I have been prescribed and changed to.

Jun 19, 2019

novorapidboi26 1,819 posts

Topic: General Discussion / Dismal Hba1c levels

I can say with confidence, in terms of DAFNE and diabetes management that I am as qualified, if not more competent than some of the HCPs out there......

If you are struggling with DAFNE, its almost certainly you're lack of understanding of the basic principles and/or because you haven't being following them long enough.....

it can take months to get the basal dosed up correctly.......this is probably the most important dose....

how long have you been doing it...

Jun 19, 2019

Seanyseanuk 10 posts

Topic: General Discussion / Dismal Hba1c levels

I'm sorry but I'm really not comfortable with sharing that data, and besides at the end of the day I would prefer a medical qualified professional offers me advice. So thanks for the offer but I'm going to pass.

DAFNE clearly doesn't work for everyone, it very much didn't for me, and whilst I recognize some love it and support it, the evidence in my case speaks for itself.

Jun 18, 2019

torana 53 posts

Topic: Site Development / Spammers

This is the letter sent to DAFNE central below. We all need to put in an effort to save our site.
“Your forum site is being destroyed by spam. Today there was a drug spam for heroin and MMDA on your diabetic site. It’s highly disappointing. I have already written to you regarding this problem and did not receive a reply on this urgent matter. The forum requires more funding and resources and clearly this issue needs to be taken to the management and board ASAP. I expect a response.”

Jun 18, 2019

torana 53 posts

Topic: General Discussion / Dismal Hba1c levels

It’s still difficult to make any comments on your blood sugars unless we can view some results. Why not take some readings over a week and put them on the forum for others to analyse. Although there are a huge amount of variables to change results such as exercise, sickness, emotions, injection site, high or low GI food, the amounts of fats and proteins in the food, insulin resistance etc etc and most of us from time to time just cannot ascertain the reasons for the lows or highs, it would be valuable for members to view details of your whole regime. One of DAFNE’S great strengths is giving users tools to have an understanding of how these new insulins operate in the body and the way to make adjustments related to dosage. I’m sure we can offer you some valuable advice.
FREE OUR SITE FROM SPAM FREE OUR SITE FROM SPAM FREE OUR SITE FROM SPAM

Jun 18, 2019

novorapidboi26 1,819 posts

Topic: Carbohydrate Counting / Own meals

Going by your BG levels after lunch the ratio is perfect.....so there is no issues there at all....

Jist need to see how the evening meal ratio performs....

Unfortunately the dawn rise, the dawn phenomenon as it's also known can't be stopped. A split basal can help a bit but toujeo isn't the best for that. Levemir is best suited to that. You should ask about it.

Jun 18, 2019

jh0 16 posts

Topic: General Discussion / Dismal Hba1c levels

Who says you can't vary your dosages now? You can and you can vary it much more than when on NovoMix.

Bear in mind what I said about scrutinising every part of your lifestyle. The insulin plays only a small, but vital, role in the grand scheme of things.

It is possible to have a string of good luck from carrying on a wrong way of doing things consistently. Similarly you need to be consistent in a positive way.

Jul 11, 2019 Simon 578 posts	Topic: Site Development / Deleting entire BG diary option request Hi Jaybee, If you're looking at your diary on the site there's a tick box next to the time on each entry for you to select them individually and then click the option at the bottom to bulk delete them. If that's too much hassle then let us know and we can do it for you at our end. Out of interest why do you want to delete them? Are you moving away from the site? Thanks, Simon

Jul 10, 2019 JayBee 587 posts	Topic: Site Development / Deleting entire BG diary option request Hi DAFNE Online Staff, I was wanting to delete my entire BG diary, but you have it only set up so that individual entries can be deleted at the moment. I have years' worth of entries I want to delete. Could you delete my BG diary for me, or add an option where someone can select all and delete all selected entries themselves? Thanks in advance.

Jul 7, 2019 Martin Brown 2 posts	Topic: Carbohydrate Counting / Spinach soup How many carbs are there in a typical bowl of spinach soup

Jul 4, 2019 Simon 578 posts	Topic: Site Development / DAFNE Online App Missing From Android App Store Hi, Unfortunately the person who maintained the Android version of the app is no longer able to develop it so there won't be any new versions unless we get a willing volunteer to help out with that. We made a change to the site yesterday which meant that the URLs to DAFNE Online were no longer valid in the Android app - I have just reversed these so you should now be able to upload from the DAFNE Android App. Thanks, Simon

Jul 3, 2019 BryonyE 2 posts	Topic: Site Development / DAFNE Online App Missing From Android App Store Yes, I'm interested to know about this too - it's been showing as 'app failed' and my diary entries haven't synced here since yesterday afternoon. Is there a fix on the way please? I've only had to use the online function once to email my diabetes nurse but it was really helpful! At least it's still saving locally on my phone - for now...

Jul 2, 2019 JayBee 587 posts	Topic: General Discussion / Bed wetting Hope the GP was able to help you out.

Jul 2, 2019 JayBee 587 posts	Topic: Site Development / DAFNE Online App Missing From Android App Store Does anyone know if or when the Android version of the DAFNE Online App will return? I still have it installed but it will no longer allow me to use the services this site provides through the app (such as diary uploading). I'm guessing this has happened because of Google removing it from the app store since there's nothing here about it being removed intentionally...

Jul 2, 2019 Simon 578 posts	Topic: Site Development / LibreLink + DAFNE App Hi Alex, I'm not a Libre user myself - rather have a Dexcom. Does Librelink save BG entries to Apple Health? I'm assuming you'd like your libre entries to appear in the DAFNE Online app so you can upload them here? If it does save to Apple Health then we can look at implementing something which would read from the Health app. Simon

Jun 30, 2019 Alex E 1 post	Topic: Site Development / LibreLink + DAFNE App Is there any way to get the data from the DAFNE app to show in LibreLink - rather than entering all the data in both apps.... ?

Jun 28, 2019 outdoorsteve 5 posts	Topic: General Discussion / Bed wetting Hi sjohno, I had a hypo before dinner and couldn't do a correction according to the DAFNE guidelines. My glucose levels are always erratic either too high or low. I am at the DAFNE catch up on tuesday . I've booked in to see my GP this morning also. Thank you for your reply. Regards outdoorsteve

Jun 28, 2019 sjohno 37 posts	Topic: General Discussion / Bed wetting outdoorsteve said: Does anyone experience bed wetting in their sleep due to their diabetes. I wet the bed during the night and when I went to bed I was 19.1at dinner. My blood glucose has always been erratic and now I feel embarrassed for wetting the bed. Hi outdoorsteve Generally how is your diabetes control? Were you 19.1 at dinner time or bed time? Did you correct the 19.1 at either times? I would respectfully suggest that you make an appointment with your Doctor and have a chat. regards sjohno

Jun 28, 2019 outdoorsteve 5 posts	Topic: General Discussion / Bed wetting Does anyone experience bed wetting in their sleep due to their diabetes. I wet the bed during the night and when I went to bed I was 19.1at dinner. My blood glucose has always been erratic and now I feel embarrassed for wetting the bed.

Jun 27, 2019 HelenP 218 posts	Topic: General Discussion / infusion set issues Thanks, Marke. That is what I understand also, but it is very frustrating and to his credit the endocrinologist registers that for me it is a problem and probably accounts for at least some of my HbA1c (hovers around 7.0). We have tried flooding the site with a breakfast dose (to clear it) but I then get into trouble as the actual dose getting through is difficult to assess. I have also tried injecting for a breakfast dose. I have been a diabetic for over 40 years so there have been a lot of injections before the pump as well. Helen

Jun 27, 2019 marke 686 posts	Topic: General Discussion / infusion set issues sorry to disappoint you , but I have used the quick set for about 3 years ( my pump is due for replacement at the end of the year and they change them in the UK every 3 years) and I tend to get an increase in BG when I change the set. Not as big a rise as you but definitely a non-normal rise. This I believe is what you would expect to happen. This is because when you insert it, it drip feeds insulin into you. This insulin needs to pass through tissue to reach the blood and become effective. With injections you put a relatively large dose in all at once and it does the same thing, but because the pump only puts small amounts in, there is less of an 'absorption' area so it takes a while to create a 'flow' from the set to the blood. In an ideal world you wouldn't change the sets and the flow would always be there. Sadly this is not possible as people who inject manually know, the area of injection hardens and if you use the same sites for injection they become less effective, the same is true of pumps. One day they will probably work a way around this if stem cell research doesn't make it all redundant, we can only hope

Jun 25, 2019 marke 686 posts	Topic: Site Development / Spammers Hi Torana, You seem to have a fundamental misunderstanding about the site. It is NOT run by the DAFNE Programme but independently by two people i.e Simon and myself. This latest mass attack of SPAM occurred when we were both on holiday and so we could do little about it. I am now back and have removed all of the SPAM from the forums. The difficulty is how do we stop it. It is not automated as they have to register an account by making a number of selections. We could insist on an email verification when signing up but this has a number of issues. I won't bore you with them as they are very technical but its hard to block people on that basis. I have thought about blocking normal 'users' that don't have a centre code but we don't want to bar any diabetics with a real need for help or advice. My only hope is a more intelligent blocking mechanism but that will take time to design and implement. Believe me it is as annoying for us as it is you. However unless somebody finds a big pot of money somewhere and given its the NHS and home users not very likely we are just going to have to live with it until they get bored.

Jun 20, 2019 HelenP 218 posts	Topic: General Discussion / infusion set issues Hi, I have been on a pump now for about 10 years (on my 4th or 5th pump). When I was initially put on a pump the Diabetic Educator put me onto a manual insertion infusion set as I was not needle phobic. I accepted this and have continued to use this or latterly the Medtronic equivalent. Searching the Medtronic site I came across advice that the infusion set I am using (Silhouette paradigm) is designed for young, lean or athletic frame. I am not young, athletic nor lean... I experience a rise in BG immediately after the change of sets.. Advice to date has been deal with evening meal (6:00pm) and then after about an hour change the infusion set and do not eat anything until morning. If you wake (which I often do) correct then and hopefully it will be almost back in range for breakfast. So before meal it can be around 7, deal with dinner and it can be 9 after an hour or so. Change the set and then at midnight it can be 16...if it is over 15 I usually inject as I need to have it come down, but sometimes the system clears itself and the pump can suspend before I wake. Is the fact that it is unreliable for about 12 hours out of 72 good enough? Similarly if I let the infusion set go for the full three days BG often starts to slowly rise. This I believe is because the site is healing over. On my own volition I have now changed to the recommended infusion set for the non young, non lean, non athletic and experienced some (little) success but it is probably too early to tell. Any advice? I am now using the Mini-med quick set (manually inserted). Helen

Jun 19, 2019 novorapidboi26 1,819 posts	Topic: General Discussion / Dismal Hba1c levels My qualifications is that I've spent many years on a mixed insulin and failed and spent many years using DAFNE and succeeded....now pumping... I didn't mean to come across aggressive or anything...I just believe that if you understand your own control you can pin point what exactly is causing the issues.. Getting it right during the actual course is not likely.....unless you had been already doing something similar before hand....as you came from a mixed regime that hadn't happened.... Now a mixed insulin is suitable for some...but if you want the flexibility of being able to eat what you want when you want....drink alcohol, excercise...all while maintaining good control with a decent HbA1c....DAFNE is the first step to that goal.... The basics principles stayed the same but my approach and tactics all changes to suit my needs....this needs to happen for you to.... You talk about insulins being responsible....but there are different ones to try that are still basal/bolus....the only difference from your previous stuff is that it's been seperated....to allow you to adjust them independently of each other....it's simple maths and logic... What was your best HB on the mix and what did you eat? Are you on a split dose of basal and if so are the doses correct...?

Jun 19, 2019 Seanyseanuk 10 posts	Topic: General Discussion / Dismal Hba1c levels Okay so what are your qualifications exactly? I have no doubt you may know more than some of the HCPs out there, but what basis or reference points are you using to say that with confidence? I’m pretty sure my understanding of the principles of DAFNE – having lived with diabetes for over 35 years and really only having had issues since switching to basal bolus is really in and of itself a clear indicator that DAFNE doesn’t work for everyone. I did my course in October last year, so its been a good 8 months (if we include the month of June). However it is possible as you say, the one that’s incorrect and maybe that is in and of itself the cause factor. As I indicated previously, my levels weren't normal during the 5 days of the course and I was actually given the insulin levels to inject and my sugars did not correspond at all during the 5 days which is also a clear indicator to me that something should have shifted and changed in those 5 days. Having gone from having normal and good HB levels to incredibly poor levels - I am really sure that the only factors that are at play that are significant are the insulins I have been prescribed and changed to.

Jun 19, 2019 novorapidboi26 1,819 posts	Topic: General Discussion / Dismal Hba1c levels I can say with confidence, in terms of DAFNE and diabetes management that I am as qualified, if not more competent than some of the HCPs out there...... If you are struggling with DAFNE, its almost certainly you're lack of understanding of the basic principles and/or because you haven't being following them long enough..... it can take months to get the basal dosed up correctly.......this is probably the most important dose.... how long have you been doing it...

Jun 19, 2019 Seanyseanuk 10 posts	Topic: General Discussion / Dismal Hba1c levels I'm sorry but I'm really not comfortable with sharing that data, and besides at the end of the day I would prefer a medical qualified professional offers me advice. So thanks for the offer but I'm going to pass. DAFNE clearly doesn't work for everyone, it very much didn't for me, and whilst I recognize some love it and support it, the evidence in my case speaks for itself.

Jun 18, 2019 torana 53 posts	Topic: Site Development / Spammers This is the letter sent to DAFNE central below. We all need to put in an effort to save our site. “Your forum site is being destroyed by spam. Today there was a drug spam for heroin and MMDA on your diabetic site. It’s highly disappointing. I have already written to you regarding this problem and did not receive a reply on this urgent matter. The forum requires more funding and resources and clearly this issue needs to be taken to the management and board ASAP. I expect a response.”

Jun 18, 2019 torana 53 posts	Topic: General Discussion / Dismal Hba1c levels It’s still difficult to make any comments on your blood sugars unless we can view some results. Why not take some readings over a week and put them on the forum for others to analyse. Although there are a huge amount of variables to change results such as exercise, sickness, emotions, injection site, high or low GI food, the amounts of fats and proteins in the food, insulin resistance etc etc and most of us from time to time just cannot ascertain the reasons for the lows or highs, it would be valuable for members to view details of your whole regime. One of DAFNE’S great strengths is giving users tools to have an understanding of how these new insulins operate in the body and the way to make adjustments related to dosage. I’m sure we can offer you some valuable advice. FREE OUR SITE FROM SPAM FREE OUR SITE FROM SPAM FREE OUR SITE FROM SPAM

Jun 18, 2019 novorapidboi26 1,819 posts	Topic: Carbohydrate Counting / Own meals Going by your BG levels after lunch the ratio is perfect.....so there is no issues there at all.... Jist need to see how the evening meal ratio performs.... Unfortunately the dawn rise, the dawn phenomenon as it's also known can't be stopped. A split basal can help a bit but toujeo isn't the best for that. Levemir is best suited to that. You should ask about it.

Jun 18, 2019 jh0 16 posts	Topic: General Discussion / Dismal Hba1c levels Who says you can't vary your dosages now? You can and you can vary it much more than when on NovoMix. Bear in mind what I said about scrutinising every part of your lifestyle. The insulin plays only a small, but vital, role in the grand scheme of things. It is possible to have a string of good luck from carrying on a wrong way of doing things consistently. Similarly you need to be consistent in a positive way.