Recent Posts - DAFNE Online

Aug 14, 2012

Phil Maskell 194 posts

Hi,

Apologies if this has already been asked before, what do people do about QA with low GI, but high carb foods like pasta?

I normally guestimate my carbs in pasta and then run high all evening, but last night I used the carbs app on iphone and calc'd based on 30g of pasta (cooked) for 1CP, I had 150g of pasta so should have injected for 5CP, this seemed too much on previous knowledge so injected for 4CP.

Had a hypo that lasted all night, ended up having about a litre of juice and snacks, kept testing, I would go up for a bit while eating snacks then plummet again, way overdid QA with pasta.

I know I probably need this much QA as pasta is high carb, but being low GI I hypo before the pasta kicks in, the alternative is to underestimate and run high later.

Neither solution is nice! How do other people cope with low GI/ high Carb?

Thanks in advance.

Phil

Aug 14, 2012

Phil Maskell 194 posts

Topic: Site Development / Auto calculate QA from BG - let's get it right

Hi,

With the new calculations, everything works fine, but an enhancement for me would be to have settings such as Hypo or Background with no ratio set, if it sees this it doesn't try to correct. DAFNE states between meals we shouldn't keep correcting so if I do a Before driving BG and am 10ish is suggests to correct, but I then have to clear this.

Just an idea, hopes its an easy win, just allow null in ratios and check not null before calc, pseudo coding is soo easy Very Happy

Phil

Aug 14, 2012

susieq 19 posts

Topic: General Discussion / New Graduate, questions

Thanks Keith!!! This morning I am 5.5 !!!!!!! WAHOOOOOOO lol Makes you feel good when a plan comes together eh ?

Positive thinking today. keeping ratio's as they are and tweaking the QA. Razz

Aug 13, 2012

Keith 3 posts

Topic: General Discussion / New Graduate, questions

Yes very much so, my ratios when not at work are 1.5:1 BF &Lunch then 2:1 for dinner reducing to 1:1 BF & Lunch when working still 2:1 for dinner. If you know you will be exercising say after BF reduce the BF QA by 20-30 %, and if spontaneous take extra CHO on board. Good luck and think positive! Keith.

Aug 13, 2012

susieq 19 posts

Topic: General Discussion / New Graduate, questions

Thanks Keith. I think I will go back to the ratio's recommended to me last week, and just have less bolus if I am doing something physical. it's not work as such, but mowing the lawn, washing the car etc... and sometimes it's just spontaneous.

I will stick with it, I have to.! It's getting used to it all isn't it?

Aug 13, 2012

Keith 3 posts

Topic: General Discussion / New Graduate, questions

Hi susieq, you say you did a lot of activity over weekend, did you reduce your QA before the activity? If not that would explain hypos. If the BG of 17 was after the hypos then that would be normal if you took extra sugar to sort hypos, it takes sometimes 12 to 24 hours for BG to return to reasonable figures after hypos.
You have had a week of intensive training and have had to absorb a lot of new info, it's very scary being on your own, remember you can always contact your DAFNE educators for some support.
I was in the same position just over two years ago and was ready to give it all up, but with help
and support I stayed with it and am very glad I did, you should also have a review meeting soon, so stick with it, it will get easier. I use different ratios for when I'm working and when not.
Regards keith.

Aug 13, 2012

susieq 19 posts

Topic: General Discussion / New Graduate, questions

Hi, I've just completed my course and was well on the way to understanding how to do correction doses and ratios etc. Over the weekend I did a lot of physical activity and thus got quite a few hypos - I corrected and got my bg's up to a decent level. Because I am home and am more active than I was in the course room, I decided that I may need to reduce my ratio back to 1:1 from 1.5 : 1 , But now at dinner time 6pm I find that I am 17 !!! I had nothing over the top for lunch, roll,salad,ham and strawberries/cream I calculated 4cp's for that.
How had it gone so wrong? or was it the hypo's that have altered my bg's by compensating?
I get so mad when I go high, I hate being up in those sort of numbers.

Aug 13, 2012

novorapidboi26 1,819 posts

Topic: General Discussion / Correction dose

At my DAFNE course I was told that 1 unit of insulin will drop your blood sugar level by 2-3mmol/l, so 2.5mmol/l.

So you would work out how many mmols you need to come down by to get on your desired target, and then divide by 2.5.

However it also states in the handbook that if your blood sugar is above 11mmol/l then the above rule that 1 unit drops by 2.5mmol wont may not work.

After testing extensively, this theory has evolved into four different correction factors, you could call it, for me personally.

But I realize that you haven't completed the DAFNE course so would not know any of this, so I hope I haven't overwhelmed you......

The main point to take form this is 1 unit [quick acting analogue, novorapid etc...] drops your BG by 2.5mmol/l, give or take....

Aug 13, 2012

bennettpl 3 posts

Topic: Carbohydrate Counting / Quorn and vegetarian substitutes

That's a great idea! Thanks, Marke!

Aug 13, 2012

marke 681 posts

Topic: Carbohydrate Counting / Quorn and vegetarian substitutes

I can create a vegetarian section on the site for you to add entries to. However I don't think the paper Carb Lists will have a vegetarian section added unless dieticians understand what foods you want entries added for. From what you say the values on the packaging are not that helpful anyway due to the low GI of these foods which make them difficult to 'cover' with QA insulin.
So if you want to create your own list on the site we can do that and since I submit these 'added' entries to the DAFNE Dieticians we may even get a section added to the Carb Counting book in future.

Aug 13, 2012

bennettpl 3 posts

Topic: Carbohydrate Counting / Carb group replacement

Things which have lower carb: burgen soya and linseed bread; low carb pasta off specialised websites; slimming world bran crispbreads. Full fat foods have less carb in than low fat versions - ie milk yoghurt etc.

Aug 13, 2012

RichFreed 51 posts

Topic: Site Development / Auto calculate QA from BG - let's get it right

perfect thanks for that.

Aug 13, 2012

Kordula B 6 posts

Topic: Carbohydrate Counting / Quorn and vegetarian substitutes

we don't eat meat in this household and before dafne I used QI for the lentils and other pulses as per nutritional info in "carb counting" lists.... with the problems you describe - I had a dreadful few months
We eat quorn burgers ( occasionally) and sausages which contain rusk - so explain the 7 g carb per sausage on the box / bag, dto Linda sausages ( tastier than Quorn) - so I inject 2 IU for my three sausages
quorn is mainly mycoprotein - i.e. made from fungi = vegetable that don't count! - so no QI to cover - unless you have breaded or battered cutlets etc
You are right - updated CP lists do need a "vegetarian section"

Aug 13, 2012

Dean123 7 posts

Topic: General Discussion / Correction dose

Hi can you help me, how do you work out your correction dose for insulin . Thanks Dean

Aug 13, 2012

bennettpl 3 posts

Topic: Carbohydrate Counting / Quorn and vegetarian substitutes

Hi everyone
I eat a lot of these as don't eat meat. Although the carb is given on the packet, I have made mistakes in the past before Dafne by using too much QA using packet info. From what I understood on the course, this is because some carb doesn't need QA because it is absorbed so slowly into the body. Does anyone have any suggestions as to what to do? No vegetarian foods are listed in the Dafne CP list that I can find.

Thanks.

Aug 12, 2012

Simon 578 posts

Topic: Site Development / App update bugs

If you're experiencing this and can't upgrade to iOS 5 then the crash is now fixed in the latest update (1.6.2) available on the app store now.

Aug 12, 2012

Simon 578 posts

Topic: Site Development / Auto calculate QA from BG - let's get it right

Rich, your wish is my command. In 1.6.2 on the app store now you can enter your QA:CP ratio in a text box and make it as fine grained as you like. Other issues fixed are:

* Crashes when saving a diary entry on iOS 4
* Auto calc now gives negative corrections

Aug 12, 2012

Simon 578 posts

Topic: DAFNE Online Mobile / iphone app crashing

If you're experiencing this crashing issue then please update to version 1.6.2, on the app store now - this (amongst other things) is fixed.

Aug 11, 2012

Simon 578 posts

Topic: DAFNE Online Mobile / Port mobile app to desktop?

Are there any specific app features that you'd like to use on the desktop? The website has most of the functions available on the apps; or are you more interested in being able to use the app features offline?

Aug 10, 2012

Guy Kramer 12 posts

Topic: DAFNE Online Mobile / Port mobile app to desktop?

I know what you mean about time Rolling Eyes

if I could code I would help, but can't pick it up that quickly

The other option option I guess is Android VM in VitualBox Wink

Thanks
Guy

Aug 10, 2012

marke 681 posts

Topic: DAFNE Online Mobile / Port mobile app to desktop?

This is something I have looked at starting work on but have not got very far. The idea being we can interface to your blood glucose meter and import its readings so they can be transfered to the website. This could include some desktop functionality to do similiar things to the apps. However I am just not getting time to work on this at the moment, we do this in our spare time and sometimes there isn't much spare time Sad

Aug 10, 2012

marke 681 posts

Topic: Site Development / Data Analysis

Hi, What format would you need the data in ? It looks like Splunk is designed to process files or logs of data, DAFNEONline holds the data in the background in a mysql database, Most data oriented websites use a database in the background to store information in. We can extract the data from the site in a number of forms and indeed the iphone and android apps use a method called REST to input and extract data from the database, So basically we need to know what format you need the data in.
The best option would be to email us using the 'contact DAFNE online' at the bottom of the page and we can work out how to provide the data.

Aug 10, 2012

marke 681 posts

Topic: General Discussion / Hypo correction

my understanding, and I stress this is my understanding, is that you should not treat a post hypo high because if you overdo the treatment your liver cannot response as well the second time. It only has a finite store of glucagon and if you keep 'hitting' it without letting it fully recover its response will be reduced. To be honest a short term high is a lot better than a low. You can still function pretty much when high, so although its not a perfect scenario its not doing you a great deal of harm. Well thats my take on it anyway Smile

Aug 10, 2012

meltow 78 posts

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

Diabetes/carb counting/ratios - none of this is an exact science. If I have a meal out I tend to check my sugars before I leave home, then usually dose the same units, as previous meals taken out. Then when I go to bed I'll take a correction dose if needed. In other words, I'm fairly relaxed about the event, which means I can enjoy the night out with my friends.
I won't let diabetes rule my life Smile

Aug 14, 2012 Phil Maskell 194 posts	Topic: Carbohydrate Counting / Pasta! Hi, Apologies if this has already been asked before, what do people do about QA with low GI, but high carb foods like pasta? I normally guestimate my carbs in pasta and then run high all evening, but last night I used the carbs app on iphone and calc'd based on 30g of pasta (cooked) for 1CP, I had 150g of pasta so should have injected for 5CP, this seemed too much on previous knowledge so injected for 4CP. Had a hypo that lasted all night, ended up having about a litre of juice and snacks, kept testing, I would go up for a bit while eating snacks then plummet again, way overdid QA with pasta. I know I probably need this much QA as pasta is high carb, but being low GI I hypo before the pasta kicks in, the alternative is to underestimate and run high later. Neither solution is nice! How do other people cope with low GI/ high Carb? Thanks in advance. Phil

Aug 14, 2012 Phil Maskell 194 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right Hi, With the new calculations, everything works fine, but an enhancement for me would be to have settings such as Hypo or Background with no ratio set, if it sees this it doesn't try to correct. DAFNE states between meals we shouldn't keep correcting so if I do a Before driving BG and am 10ish is suggests to correct, but I then have to clear this. Just an idea, hopes its an easy win, just allow null in ratios and check not null before calc, pseudo coding is soo easy Phil

Aug 14, 2012 susieq 19 posts	Topic: General Discussion / New Graduate, questions Thanks Keith!!! This morning I am 5.5 !!!!!!! WAHOOOOOOO lol Makes you feel good when a plan comes together eh ? Positive thinking today. keeping ratio's as they are and tweaking the QA.

Aug 13, 2012 Keith 3 posts	Topic: General Discussion / New Graduate, questions Yes very much so, my ratios when not at work are 1.5:1 BF &Lunch then 2:1 for dinner reducing to 1:1 BF & Lunch when working still 2:1 for dinner. If you know you will be exercising say after BF reduce the BF QA by 20-30 %, and if spontaneous take extra CHO on board. Good luck and think positive! Keith.

Aug 13, 2012 susieq 19 posts	Topic: General Discussion / New Graduate, questions Thanks Keith. I think I will go back to the ratio's recommended to me last week, and just have less bolus if I am doing something physical. it's not work as such, but mowing the lawn, washing the car etc... and sometimes it's just spontaneous. I will stick with it, I have to.! It's getting used to it all isn't it?

Aug 13, 2012 Keith 3 posts	Topic: General Discussion / New Graduate, questions Hi susieq, you say you did a lot of activity over weekend, did you reduce your QA before the activity? If not that would explain hypos. If the BG of 17 was after the hypos then that would be normal if you took extra sugar to sort hypos, it takes sometimes 12 to 24 hours for BG to return to reasonable figures after hypos. You have had a week of intensive training and have had to absorb a lot of new info, it's very scary being on your own, remember you can always contact your DAFNE educators for some support. I was in the same position just over two years ago and was ready to give it all up, but with help and support I stayed with it and am very glad I did, you should also have a review meeting soon, so stick with it, it will get easier. I use different ratios for when I'm working and when not. Regards keith.

Aug 13, 2012 susieq 19 posts	Topic: General Discussion / New Graduate, questions Hi, I've just completed my course and was well on the way to understanding how to do correction doses and ratios etc. Over the weekend I did a lot of physical activity and thus got quite a few hypos - I corrected and got my bg's up to a decent level. Because I am home and am more active than I was in the course room, I decided that I may need to reduce my ratio back to 1:1 from 1.5 : 1 , But now at dinner time 6pm I find that I am 17 !!! I had nothing over the top for lunch, roll,salad,ham and strawberries/cream I calculated 4cp's for that. How had it gone so wrong? or was it the hypo's that have altered my bg's by compensating? I get so mad when I go high, I hate being up in those sort of numbers.

Aug 13, 2012 novorapidboi26 1,819 posts	Topic: General Discussion / Correction dose At my DAFNE course I was told that 1 unit of insulin will drop your blood sugar level by 2-3mmol/l, so 2.5mmol/l. So you would work out how many mmols you need to come down by to get on your desired target, and then divide by 2.5. However it also states in the handbook that if your blood sugar is above 11mmol/l then the above rule that 1 unit drops by 2.5mmol wont may not work. After testing extensively, this theory has evolved into four different correction factors, you could call it, for me personally. But I realize that you haven't completed the DAFNE course so would not know any of this, so I hope I haven't overwhelmed you...... The main point to take form this is 1 unit [quick acting analogue, novorapid etc...] drops your BG by 2.5mmol/l, give or take....

Aug 13, 2012 bennettpl 3 posts	Topic: Carbohydrate Counting / Quorn and vegetarian substitutes That's a great idea! Thanks, Marke!

Aug 13, 2012 marke 681 posts	Topic: Carbohydrate Counting / Quorn and vegetarian substitutes I can create a vegetarian section on the site for you to add entries to. However I don't think the paper Carb Lists will have a vegetarian section added unless dieticians understand what foods you want entries added for. From what you say the values on the packaging are not that helpful anyway due to the low GI of these foods which make them difficult to 'cover' with QA insulin. So if you want to create your own list on the site we can do that and since I submit these 'added' entries to the DAFNE Dieticians we may even get a section added to the Carb Counting book in future.

Aug 13, 2012 bennettpl 3 posts	Topic: Carbohydrate Counting / Carb group replacement Things which have lower carb: burgen soya and linseed bread; low carb pasta off specialised websites; slimming world bran crispbreads. Full fat foods have less carb in than low fat versions - ie milk yoghurt etc.

Aug 13, 2012 RichFreed 51 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right perfect thanks for that.

Aug 13, 2012 Kordula B 6 posts	Topic: Carbohydrate Counting / Quorn and vegetarian substitutes we don't eat meat in this household and before dafne I used QI for the lentils and other pulses as per nutritional info in "carb counting" lists.... with the problems you describe - I had a dreadful few months We eat quorn burgers ( occasionally) and sausages which contain rusk - so explain the 7 g carb per sausage on the box / bag, dto Linda sausages ( tastier than Quorn) - so I inject 2 IU for my three sausages quorn is mainly mycoprotein - i.e. made from fungi = vegetable that don't count! - so no QI to cover - unless you have breaded or battered cutlets etc You are right - updated CP lists do need a "vegetarian section"

Aug 13, 2012 Dean123 7 posts	Topic: General Discussion / Correction dose Hi can you help me, how do you work out your correction dose for insulin . Thanks Dean

Aug 13, 2012 bennettpl 3 posts	Topic: Carbohydrate Counting / Quorn and vegetarian substitutes Hi everyone I eat a lot of these as don't eat meat. Although the carb is given on the packet, I have made mistakes in the past before Dafne by using too much QA using packet info. From what I understood on the course, this is because some carb doesn't need QA because it is absorbed so slowly into the body. Does anyone have any suggestions as to what to do? No vegetarian foods are listed in the Dafne CP list that I can find. Thanks.

Aug 12, 2012 Simon 578 posts	Topic: Site Development / App update bugs If you're experiencing this and can't upgrade to iOS 5 then the crash is now fixed in the latest update (1.6.2) available on the app store now.

Aug 12, 2012 Simon 578 posts	Topic: Site Development / Auto calculate QA from BG - let's get it right Rich, your wish is my command. In 1.6.2 on the app store now you can enter your QA:CP ratio in a text box and make it as fine grained as you like. Other issues fixed are: * Crashes when saving a diary entry on iOS 4 * Auto calc now gives negative corrections

Aug 12, 2012 Simon 578 posts	Topic: DAFNE Online Mobile / iphone app crashing If you're experiencing this crashing issue then please update to version 1.6.2, on the app store now - this (amongst other things) is fixed.

Aug 11, 2012 Simon 578 posts	Topic: DAFNE Online Mobile / Port mobile app to desktop? Are there any specific app features that you'd like to use on the desktop? The website has most of the functions available on the apps; or are you more interested in being able to use the app features offline?

Aug 10, 2012 Guy Kramer 12 posts	Topic: DAFNE Online Mobile / Port mobile app to desktop? I know what you mean about time if I could code I would help, but can't pick it up that quickly The other option option I guess is Android VM in VitualBox Thanks Guy

Aug 10, 2012 marke 681 posts	Topic: DAFNE Online Mobile / Port mobile app to desktop? This is something I have looked at starting work on but have not got very far. The idea being we can interface to your blood glucose meter and import its readings so they can be transfered to the website. This could include some desktop functionality to do similiar things to the apps. However I am just not getting time to work on this at the moment, we do this in our spare time and sometimes there isn't much spare time

Aug 10, 2012 marke 681 posts	Topic: Site Development / Data Analysis Hi, What format would you need the data in ? It looks like Splunk is designed to process files or logs of data, DAFNEONline holds the data in the background in a mysql database, Most data oriented websites use a database in the background to store information in. We can extract the data from the site in a number of forms and indeed the iphone and android apps use a method called REST to input and extract data from the database, So basically we need to know what format you need the data in. The best option would be to email us using the 'contact DAFNE online' at the bottom of the page and we can work out how to provide the data.

Aug 10, 2012 marke 681 posts	Topic: General Discussion / Hypo correction my understanding, and I stress this is my understanding, is that you should not treat a post hypo high because if you overdo the treatment your liver cannot response as well the second time. It only has a finite store of glucagon and if you keep 'hitting' it without letting it fully recover its response will be reduced. To be honest a short term high is a lot better than a low. You can still function pretty much when high, so although its not a perfect scenario its not doing you a great deal of harm. Well thats my take on it anyway

Aug 10, 2012 meltow 78 posts	Topic: General Discussion / Eating Out - help needed please to stop my panic Diabetes/carb counting/ratios - none of this is an exact science. If I have a meal out I tend to check my sugars before I leave home, then usually dose the same units, as previous meals taken out. Then when I go to bed I'll take a correction dose if needed. In other words, I'm fairly relaxed about the event, which means I can enjoy the night out with my friends. I won't let diabetes rule my life