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Aug 10, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Hypo correction

Provided you haven't done any significant physical activity which is not your normal routine you shouldn't really be having quick hypos........hypo symptoms can be either great or subtle regardless of speed the hypo has came on, but your body/liver will respond more severely the worse/faster the hypo.......in my experience....Smile
 
Aug 10, 2012
novorapidboi26 1,819 posts

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

The answer to those what ifs would be to administer quick acting sugar.......every has different levels of confidence......and I suppose it depends on how much you want to keep your blood sugar steady when eating out......

I personally don't worry so much when eating out as its a treat. Just roughly guess it, correct if needed later
 
Aug 10, 2012
Alan 49 284 posts

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

I would be a bit nervous about doing that - I'm a 'what if' person. What if you get caught in traffic; what if your car breaks down; what if you're meeting someone at the restaurant and they get delayed; what if there's a cock-up with your order. What if.... I could go on and on here.
 
Aug 10, 2012
Simon Heller 46 posts

Topic: Questions for HCPs / Verucca - treatment

Hi there, if you have no foot circulation problems and no nerve damage and this is confirmed by someone competent to examine your feet then I would think that these treatments are safe to use. The danger is if you have a lack of feeling or poor circulation then the cream/gel might cause damage to the skin which you wouldn't feel and it could then become infected. For those without problems then generally they could be confident of using them like people without diabetes. Simon Heller
 
Aug 10, 2012
DianeW 115 posts

Topic: General Discussion / Hypo correction

If I hypo it is either overnight or lunchtime....I know that I don't get dawn phenomenon because I've tested..

So the liver response is making me go high. Hmm I think that if I go to the mid teens during the day then I WOULD correct because it worries me to be so high.

but I find it interesting that yes we know what factors make us hypo (too much insulin, too much exericse, too little food, weather, illness etc etc ) but the SPEED at which it can happen. It seems to be very quick for me....one minute I feel ok, 5 mins later I can be really shaky and woozy..

It seems I shoot right down and then right up again!
 
Aug 10, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Any Advice?

A few points....

Pizzas can often have a delayed digestion due to the high fat content, this may be responsible for the initial lowish reading of 4.8 at bed, due to insulin dose working but not enough glucose in the blood stream, then later on in the small hours the rest of the pizza glucose was released.

Wine like any other alcohol will stop the livers normal secretion of glucose and therefore can drop your BG overnight, everyone is effected differently though, so some testing and recording would be good to assess the livers response on a few glasses to a bottle or more...

I would usually recommend a reduction in BI insulin from the blood results above, but its more likely you need to split that dose into an AM and PM. Levemir is best suited to this over Lantus, but it can still be done with Lantus, consult your team before making any changes you are unsure about.

I would say a split is needed so that you can deal with you overnight hypos separately from you less physical job during the day. Because you are now in a new routine, you will need to settle in to it for a week or two and allow your body to adjust, unfortunately that means keeping an eye on the BG more, looking for patterns etc....

Sorry not much specific help................get the background right, then move on......
 
Aug 10, 2012
novorapidboi26 1,819 posts

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

You could also try injecting half the amount before you go out/eat, so about 30 minutes to an hour, then when you are satisfied with your guess, deliver the rest..........

remember, eating out is a treat, you should relax yourself and your insulin regime....... Smile
 
Aug 10, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Hypo correction

This is probably down to a response from your liver when you have the hypo, which might suggest you were dropping quite fast. A slower on set hypo might not trigger a response from the liver.....

Would you say the scenario you are describing is happening most often overnight. I ask because there can be other factors involved if you are getting high readings in the morning....


If it was in the morning that the high readings were coming, post hypo, then I would correct for it, as you will be most resistant at this time due to the morning hormone activity....

If during the day I probably wouldn't correct after a hypo, in fact definitively wouldn't, however I don't shoot up after hypos because they are slow onset because of extra physical exertion or a negligible dose error.....
 
Aug 10, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Testing then Injecting - how long?

It does make sense, yes..............

If its before a meal and your previous dose has expired, and your BI is correct of course, then in theory you could test, wait an hour, and your BG wouldn't be far off what it was an hour before.........

But its likely you would test again as its been so long... Smile
 
Aug 10, 2012
DianeW 115 posts

Topic: General Discussion / Hypo correction

The rule is that we should not correct a high BG from a hypo at the next test/meal, but at the one after that - thats right isn't it? For some reason I go quite high after a hypo even though I treat it right i.e. not stuff myself with biscuits and say I go hypo in the night and then my morning BG is 14, 15, I hate the idea of being around that level until lunchtime when I can do something about it.
 
Aug 10, 2012
DianeW 115 posts

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

To avoid panicking and spoiling your enjoyment of the meal, why don't you test before you go out - if your BG is not in range, do a correction dose. Then you could count the carbs when you order the meal, go and do injection (no need to test because you know you are in range) and there you go. If you decide to eat more than you ordered, you can always test and inject when you get home. YOu shouldn't be getting stressed over it! You can't ALWAYS be perfect.
 
Aug 10, 2012
mum2westiesGill 502 posts

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

What's your routine?

My routine when i'm eating out with family and or friends:

- choose what i want from the menu & memorise what are going to be the carby things in the meal ie potatoes, rice......

- sit and chat / drink

- meal arrives & i eyeball the amount/s of carbs

- at this point i start to get into a panic because i'm having to 1. test (which is done at the table if ideal and if not then i go off to the ladies), 2. fiddle through (almost ripping the pages in my panic) my pocket size carbs and cals book to try & find the carb things i'm having then 3. inject

- i start panicing bacause everyone else has started maybe eating then i usually have someone at the table reminding me my food is going cold.

I've eaten out many times but i always end up with this panic. Any help in trying to stop this panic would be greatly appreciated.

I have a meal out coming up this Saturday for my DS 21st.
 
Aug 10, 2012
mum2westiesGill 502 posts

Topic: General Discussion / Testing then Injecting - how long?

novorapidboi26 said:
I now realize that you are asking how long between finger prick and injection, for me it would be immediately after...........

do you find yourself waiting a while? and if so, why?



No i never find myself waiting a while I was just purely wanting to know what's the longest you can go after doing a test then if a meal was delayed how long before you would have to do another test? Hope that makes sense.
 
Aug 10, 2012
Poldaly 3 posts

Topic: General Discussion / Any Advice?

Hello,

I have recently started a new job which has thrown my BG levels out a fair bit. My old job was really physical & I used to reduce my QA by a couple before each shift. This worked fine for me for a couple of years.

Now however, I still do the physical job on Tuesday and Wednesday, but Monday, Thursday & Friday's I have an office based job.

So... I recently had to reduce my BI to 18u as I had a couple of over night hypos. But I just find my BG are all over the place now & am a bit stuck!

There are lots of anomalies in there, eg last night I got a Domino's pizza, matched by QA with info from their webpage. At bed time my BG was 4.8 so I had 1.5CP snack to avoid hypo.... then this morning by BG was up at 19.

Any advice gratefully received!

Paul

 
Aug 10, 2012
kid127 25 posts

Topic: Questions for HCPs / Running and pump use

Hi Helen,

Not sure if you have already run the half marathon or not but im on a pump so can offer some advice from my experiences. I run a half marathon last October and I disconnected the pump for the first hour and then attached it on 30% rate for the rest of the race. I had a bag of lucozade jelly beans in my pocket and had a couple of jelly beans every mile as well

That left me with reasonable BSG levels after the race and gave me enough energy to complete the race. I have to say I experimented a lot to get that routine including checking my sugar levels during practise runs to see where I was at, best advice is to take your test kit out with you on a practise run and see where you are every couple of miles. That will tell you when you need sugar and when you need insulin

Hope that helps give you some ideas anyway

Cheers

Lee
 
Aug 9, 2012
Guy Kramer 12 posts

Topic: Site Development / Data Analysis

Hello,

I wondered who I could speak to about getting a FULL copy of all data held on me in the DAFNE Online database. For the past 8 months I have been working a project at work using software Splunk which is an extremely powerful tool that is able to provide a number of functions.

What I would like to do is feed all of my DAFNE Online data in to Splunk and create some dashboards / graphs and other cool stuff, it might also highlight something or help me learn more. I can do all this by creating an app within Splunk. The software is free itself, so others may want to try themselves or maybe used on DAFNE Online itself?

Thanks
Guy
 
Aug 9, 2012
Guy Kramer 12 posts

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

Hi,

Maybe this is more specific to me? but I would find it easier to have an app that runs on the desktop.

You have to excuse me for not having any coding background. I wondered if it would be possible to port the iPhone/Android maybe using Java or Adobe Air or something?

Or maybe another option is a browser plugin?

I don't know what anybody else thinks???
 
Aug 9, 2012
marke 681 posts

Topic: General Discussion / NHS Medication Changes: Are you affected?

This sounds like a major step backwards to me. Yes the test strips do seem to be a lot cheaper, but why ? Being naturally suspicious I would question the motivation both of you doctors and the company that makes the meters/strips in singapore. What happened to freedom of choice in the NHS ? So will they put in place the infrastructure to support this equipment, rather than the current very basic website with no support and only one phone number for the UK. What happens if you lose or have problems with the meter ? Do all the chemists in your area stock these test strips and can they get supplies easily. You would hope that the PCT/consortium would have put all that in place before forcing you to use the meter, but have they ?

I will put up a real battle if they try to change my meter, especially as my GP does not and is not going to be reponsible for my Diabetes treatment.
 
Aug 9, 2012
chrisinbrum 41 posts

Topic: General Discussion / Medical Bracelet

I don't think the use of medical bracelets or other jewellery to identify someone as diabetic with an emergency contact and medication details is just for if/when bad hypos occur.

If, as one of the comments above says, you do get run over by a bus, it's really important that you're identified as having diabetes as soon as possible, by anyone who treats you. That's why your doctor or nurse should be giving every diabetic patient an insulin passport (by the end of the year I think) - there have been some serious mistakes and deaths in hospitals caused by the wrong use of insulin.
 
Aug 9, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Medical Bracelet

If there is ever a time in my life when I can't feel my hypos coming regardless of all efforts to get the symptoms back then I would feel I had to wear something......

Any hypo I have has a pattern.......thery are always within an hour of my next meal through increased activity or being out slightly with my previous dose, and the effects of alcohol.....that's it, no unexpected hypos, but maybe more importantly, no fast onset ones, they are slow, giving more time to react to it.......

So knowing this I can't justify a peice of jewellery just yet, but others should of they want....
 
Aug 9, 2012
Simon 578 posts

Topic: DAFNE Online Mobile / Application Differences

Hi Roger,

By adding carbs we been entering your own entries into the CP list, in case there is anything which you regularly have but which isn't in the DAFNE CP book.
 
Aug 9, 2012
Ahmentep 99 posts

Topic: General Discussion / Medical Bracelet

I have worn a Medi-Tag bracelet (stainless steel) for many years and it has proved beneficial on many occasions. I have little or no warning these days so, even though I usually have glucose with me, sometimes I don't get to drink it. To admit that such devices are worthwhile but still say that you almost certainly won't get one brings complacency to a new level in my view. None of us knows what will happen to us in the next five minutes. We might never have had a disabling hypo, we might never have suffered lypodystrophy through repeated needle use, many other things may never have affected us, yet! The number of times in my life I have heard people say that there is no need for safety procedures or preventative measures because nothing has ever happened, only to have it happen some time later makes me shudder. Such simple, inexpensive measures could mean the difference between life and death!
If you don't care about yourselves, think of your loved ones and how they would feel going through the rest of their lives feeling that you might still be there if only you had worn a bracelet.
Of course, a bracelet won't help if you get run over by a bus!

Roger
 
Aug 9, 2012
Ahmentep 99 posts

Topic: DAFNE Online Mobile / Application Differences

I've just seen where I was confused about auto-calc. You were talking about corrections. That would be very useful!
I still don't get what you mean about adding carbs though. But then, it is 2.46 a.m. !

Roger
 
Aug 9, 2012
Ahmentep 99 posts

Topic: DAFNE Online Mobile / Application Differences

Hi there,

I am confused! Perhaps I'm missing something here. I have been using the Android app on both a Dell Streak and a Samsung Galaxy Tab 10.1 for some time now and I can add (enter?) carbs and the app calculates QA.

Kind regards,

Roger
 
Aug 8, 2012
novorapidboi26 1,819 posts

Topic: General Discussion / Medical Bracelet

I agree that it would be a good thing to have something, but it's unlikely I will be getting anything.....

I used to have a card that said I was diabetic and was stuck in behind my train card.....